HDR CPT CODES AND DESCRIPTIONS ONLY ARE COPYRIGHT
HDR 2006 AMERICAN MEDICAL ASSOCIATION.  ALL RIGHTS
HDR RESERVED.  APPLICABLE FARS/DFARS APPLY.
HDR THE FOLLOWING STATEMENT APPLIES TO ALL DENTAL
HDR CODES (HCPCS START WITH LETTER D):  COPYRIGHT
HDR 2002 AMERICAN DENTAL ASSOCIATION.  ALL RIGHTS
HDR RESERVED.
A0021  Outside state ambulance serv                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0080  Noninterest escort in non er                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0090  Interest escort in non er                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0100  Nonemergency transport taxi                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0110  Nonemergency transport bus                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0120  Noner transport mini-bus                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0130  Noner transport wheelch van                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0140  Nonemergency transport air                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0160  Noner transport case worker                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0170  Transport parking fees/tolls                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0180  Noner transport lodgng recip                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0190  Noner transport meals recip                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0200  Noner transport lodgng escrt                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0210  Noner transport meals escort                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0225  Neonatal emergency transport                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0380  Basic life support mileage                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0382  Basic support routine suppls                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0384  Bls defibrillation supplies                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0390  Advanced life support mileag                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0392  Als defibrillation supplies                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0394  Als IV drug therapy supplies                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0396  Als esophageal intub suppls                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0398  Als routine disposble suppls                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0420  Ambulance waiting 1/2 hr                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0422  Ambulance 02 life sustaining                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0424  Extra ambulance attendant                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0425  Ground mileage                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0426  Als 1                                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0427  ALS1-emergency                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0428  bls                                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0429  BLS-emergency                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0430  Fixed wing air transport                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0431  Rotary wing air transport                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0432  PI volunteer ambulance co                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0433  als 2                                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0434  Specialty care transport                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0435  Fixed wing air mileage                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0436  Rotary wing air mileage                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0888  Noncovered ambulance mileage                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0998  Ambulance response/treatment                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A0999  Unlisted ambulance service                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4206  1 CC sterile syringe&needle                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4207  2 CC sterile syringe&needle                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4208  3 CC sterile syringe&needle                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4209  5+ CC sterile syringe&needle                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4210  Nonneedle injection device                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4211  Supp for self-adm injections                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4212  Non coring needle or stylet                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4213  20+ CC syringe only                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4215  Sterile needle                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4216  Sterile water/saline, 10 ml                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4217  Sterile water/saline, 500 ml                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4218  Sterile saline or water                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4220  Infusion pump refill kit                          P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4221  Maint drug infus cath per wk                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4222  Infusion supplies with pump                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4223  Infusion supplies w/o pump                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4230  Infus insulin pump non needl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4231  Infusion insulin pump needle                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4232  Syringe w/needle insulin 3cc                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4233  Alkalin batt for glucose mon                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4234  J-cell batt for glucose mon                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4235  Lithium batt for glucose mon                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4236  Silvr oxide batt glucose mon                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4244  Alcohol or peroxide per pint                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4245  Alcohol wipes per box                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4246  Betadine/phisohex solution                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4247  Betadine/iodine swabs/wipes                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4248  Chlorhexidine antisept                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4250  Urine reagent strips/tablets                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4253  Blood glucose/reagent strips                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4255  Glucose monitor platforms                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4256  Calibrator solution/chips                         P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4257  Replace Lensshield Cartridge                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4258  Lancet device each                                P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4259  Lancets per box                                   P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4261  Cervical cap contraceptive                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4262  Temporary tear duct plug                          B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4263  Permanent tear duct plug                          B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4265  Paraffin                                          P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4266  Diaphragm                                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4267  Male condom                                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4268  Female condom                                     I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4269  Spermicide                                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4270  Disposable endoscope sheath                       B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4280  Brst prsths adhsv attchmnt                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4281  Replacement breastpump tube                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4282  Replacement breastpump adpt                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4283  Replacement breastpump cap                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4284  Replcmnt breast pump shield                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4285  Replcmnt breast pump bottle                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4286  Replcmnt breastpump lok ring                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4290  Sacral nerve stim test lead                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4300  Cath impl vasc access portal                      B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4301  Implantable access syst perc                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4305  Drug delivery system >=50 ML                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4306  Drug delivery system <=50 ml                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4310  Insert tray w/o bag/cath                          P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4311  Catheter w/o bag 2-way latex                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4312  Cath w/o bag 2-way silicone                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4313  Catheter w/bag 3-way                              P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4314  Cath w/drainage 2-way latex                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4315  Cath w/drainage 2-way silcne                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4316  Cath w/drainage 3-way                             P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4320  Irrigation tray                                   P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4321  Cath therapeutic irrig agent                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4322  Irrigation syringe                                P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4326  Male external catheter                            P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4327  Fem urinary collect dev cup                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4328  Fem urinary collect pouch                         P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4330  Stool collection pouch                            P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4331  Extension drainage tubing                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4332  Lube sterile packet                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4333  Urinary cath anchor device                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4334  Urinary cath leg strap                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4335  Incontinence supply                               P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4338  Indwelling catheter latex                         P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4340  Indwelling catheter special                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4344  Cath indw foley 2 way silicn                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4346  Cath indw foley 3 way                             P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4349  Disposable male external cat                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4351  Straight tip urine catheter                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4352  Coude tip urinary catheter                        P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4353  Intermittent urinary cath                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4354  Cath insertion tray w/bag                         P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4355  Bladder irrigation tubing                         P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4356  Ext ureth clmp or compr dvc                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4357  Bedside drainage bag                              P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4358  Urinary leg or abdomen bag                        P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4361  Ostomy face plate                                 P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4362  Solid skin barrier                                P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4363  Ostomy clamp, replacement                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4364  Adhesive, liquid or equal                         P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4365  Adhesive remover wipes                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4366  Ostomy vent                                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4367  Ostomy belt                                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4368  Ostomy filter                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4369  Skin barrier liquid per oz                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4371  Skin barrier powder per oz                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4372  Skin barrier solid 4x4 equiv                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4373  Skin barrier with flange                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4375  Drainable plastic pch w fcpl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4376  Drainable rubber pch w fcplt                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4377  Drainable plstic pch w/o fp                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4378  Drainable rubber pch w/o fp                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4379  Urinary plastic pouch w fcpl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4380  Urinary rubber pouch w fcplt                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4381  Urinary plastic pouch w/o fp                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4382  Urinary hvy plstc pch w/o fp                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4383  Urinary rubber pouch w/o fp                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4384  Ostomy faceplt/silicone ring                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4385  Ost skn barrier sld ext wear                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4387  Ost clsd pouch w att st barr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4388  Drainable pch w ex wear barr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4389  Drainable pch w st wear barr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4390  Drainable pch ex wear convex                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4391  Urinary pouch w ex wear barr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4392  Urinary pouch w st wear barr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4393  Urine pch w ex wear bar conv                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4394  Ostomy pouch liq deodorant                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4395  Ostomy pouch solid deodorant                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4396  Peristomal hernia supprt blt                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4397  Irrigation supply sleeve                          P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4398  Ostomy irrigation bag                             P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4399  Ostomy irrig cone/cath w brs                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4400  Ostomy irrigation set                             P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4402  Lubricant per ounce                               P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4404  Ostomy ring each                                  P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4405  Nonpectin based ostomy paste                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4406  Pectin based ostomy paste                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4407  Ext wear ost skn barr <=4sq                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4408  Ext wear ost skn barr >4sq                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4409  Ost skn barr convex <=4 sq i                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4410  Ost skn barr extnd >4 sq                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4411  Ost skn barr extnd =4sq                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4412  Ost pouch drain high output                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4413  2 pc drainable ost pouch                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4414  Ost sknbar w/o conv<=4 sq in                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4415  Ost skn barr w/o conv >4 sqi                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4416  Ost pch clsd w barrier/filtr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4417  Ost pch w bar/bltinconv/fltr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4418  Ost pch clsd w/o bar w filtr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4419  Ost pch for bar w flange/flt                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4420  Ost pch clsd for bar w lk fl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4421  Ostomy supply misc                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4422  Ost pouch absorbent material                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4423  Ost pch for bar w lk fl/fltr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4424  Ost pch drain w bar & filter                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4425  Ost pch drain for barrier fl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4426  Ost pch drain 2 piece system                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4427  Ost pch drain/barr lk flng/f                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4428  Urine ost pouch w faucet/tap                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4429  Urine ost pouch w bltinconv                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4430  Ost urine pch w b/bltin conv                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4431  Ost pch urine w barrier/tapv                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4432  Os pch urine w bar/fange/tap                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4433  Urine ost pch bar w lock fln                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4434  Ost pch urine w lock flng/ft                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4450  Non-waterproof tape                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4452  Waterproof tape                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4455  Adhesive remover per ounce                        P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4458  Reusable enema bag                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4461  Surgicl dress hold non-reuse                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4463  Surgical dress holder reuse                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4465  Non-elastic extremity binder                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4470  Gravlee jet washer                                P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4480  Vabra aspirator                                   P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4481  Tracheostoma filter                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4483  Moisture exchanger                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4490  Above knee surgical stocking                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4495  Thigh length surg stocking                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4500  Below knee surgical stocking                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4510  Full length surg stocking                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4520  Incontinence garment anytype                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4550  Surgical trays                                    B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4554  Disposable underpads                              N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4556  Electrodes, pair                                  P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4557  Lead wires, pair                                  P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4558  Conductive gel or paste                           P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4559  Coupling gel or paste                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4561  Pessary rubber, any type                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4562  Pessary, non rubber,any type                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4565  Slings                                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4570  Splint                                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4575  Hyperbaric o2 chamber disps                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4580  Cast supplies (plaster)                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4590  Special casting material                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4595  TENS suppl 2 lead per month                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4600  Sleeve, inter limb comp dev                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4601  Lith ion batt, non-pros use                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4604  Tubing with heating element                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4605  Trach suction cath close sys                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4606  Oxygen probe used w oximeter                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4608  Transtracheal oxygen cath                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4611  Heavy duty battery                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4612  Battery cables                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4613  Battery charger                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4614  Hand-held PEFR meter                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4615  Cannula nasal                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4616  Tubing (oxygen) per foot                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4617  Mouth piece                                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4618  Breathing circuits                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4619  Face tent                                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4620  Variable concentration mask                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4623  Tracheostomy inner cannula                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4624  Tracheal suction tube                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4625  Trach care kit for new trach                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4626  Tracheostomy cleaning brush                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4627  Spacer bag/reservoir                              N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4628  Oropharyngeal suction cath                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4629  Tracheostomy care kit                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4630  Repl bat t.e.n.s. own by pt                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4633  Uvl replacement bulb                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4634  Replacement bulb th lightbox                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4635  Underarm crutch pad                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4636  Handgrip for cane etc                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4637  Repl tip cane/crutch/walker                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4638  Repl batt pulse gen sys                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4639  Infrared ht sys replcmnt pad                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4640  Alternating pressure pad                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4641  Radiopharm dx agent noc                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4642  In111 satumomab                                   E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4649  Surgical supplies                                 P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4651  Calibrated microcap tube                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4652  Microcapillary tube sealant                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4653  PD catheter anchor belt                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4657  Syringe w/wo needle                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4660  Sphyg/bp app w cuff and stet                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4663  Dialysis blood pressure cuff                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4670  Automatic bp monitor, dial                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4671  Disposable cycler set                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4672  Drainage ext line, dialysis                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4673  Ext line w easy lock connect                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4674  Chem/antisept solution, 8oz                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4680  Activated carbon filter, ea                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4690  Dialyzer, each                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4706  Bicarbonate conc sol per gal                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4707  Bicarbonate conc pow per pac                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4708  Acetate conc sol per gallon                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4709  Acid conc sol per gallon                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4714  Treated water per gallon                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4719  "Y set" tubing                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4720  Dialysat sol fld vol > 249cc                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4721  Dialysat sol fld vol > 999cc                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4722  Dialys sol fld vol > 1999cc                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4723  Dialys sol fld vol > 2999cc                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4724  Dialys sol fld vol > 3999cc                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4725  Dialys sol fld vol > 4999cc                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4726  Dialys sol fld vol > 5999cc                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4728  Dialysate solution, non-dex                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4730  Fistula cannulation set, ea                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4736  Topical anesthetic, per gram                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4737  Inj anesthetic per 10 ml                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4740  Shunt accessory                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4750  Art or venous blood tubing                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4755  Comb art/venous blood tubing                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4760  Dialysate sol test kit, each                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4765  Dialysate conc pow per pack                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4766  Dialysate conc sol add 10 ml                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4770  Blood collection tube/vacuum                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4771  Serum clotting time tube                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4772  Blood glucose test strips                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4773  Occult blood test strips                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4774  Ammonia test strips                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4802  Protamine sulfate per 50 mg                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4860  Disposable catheter tips                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4870  Plumb/elec wk hm hemo equip                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4890  Repair/maint cont hemo equip                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
A4911  Drain bag/bottle                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4913  Misc dialysis supplies noc                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4918  Venous pressure clamp                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4927  Non-sterile gloves                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4928  Surgical mask                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4929  Tourniquet for dialysis, ea                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4930  Sterile, gloves per pair                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4931  Reusable oral thermometer                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A4932  Reusable rectal thermometer                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5051  Pouch clsd w barr attached                        P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5052  Clsd ostomy pouch w/o barr                        P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5053  Clsd ostomy pouch faceplate                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5054  Clsd ostomy pouch w/flange                        P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5055  Stoma cap                                         P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5061  Pouch drainable w barrier at                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5062  Drnble ostomy pouch w/o barr                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5063  Drain ostomy pouch w/flange                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5071  Urinary pouch w/barrier                           P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5072  Urinary pouch w/o barrier                         P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5073  Urinary pouch on barr w/flng                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5081  Continent stoma plug                              P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5082  Continent stoma catheter                          P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5093  Ostomy accessory convex inse                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5102  Bedside drain btl w/wo tube                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5105  Urinary suspensory                                P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5112  Urinary leg bag                                   P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5113  Latex leg strap                                   P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5114  Foam/fabric leg strap                             P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5120  Skin barrier, wipe or swab                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5121  Solid skin barrier 6x6                            P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5122  Solid skin barrier 8x8                            P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5126  Disk/foam pad +or- adhesive                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5131  Appliance cleaner                                 P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5200  Percutaneous catheter anchor                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5500  Diab shoe for density insert                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5501  Diabetic custom molded shoe                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5503  Diabetic shoe w/roller/rockr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5504  Diabetic shoe with wedge                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5505  Diab shoe w/metatarsal bar                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5506  Diabetic shoe w/off set heel                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5507  Modification diabetic shoe                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5508  Diabetic deluxe shoe                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5510  Compression form shoe insert                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5512  Multi den insert direct form                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A5513  Multi den insert custom mold                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6000  Wound warming wound cover                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6010  Collagen based wound filler                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6011  Collagen gel/paste wound fil                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6021  Collagen dressing <=16 sq in                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6022  Collagen drsg>6<=48 sq in                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6023  Collagen dressing >48 sq in                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6024  Collagen dsg wound filler                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6025  Silicone gel sheet, each                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6154  Wound pouch each                                  P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6196  Alginate dressing <=16 sq in                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6197  Alginate drsg >16 <=48 sq in                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6198  alginate dressing > 48 sq in                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6199  Alginate drsg wound filler                        P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6200  Compos drsg <=16 no border                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6201  Compos drsg >16<=48 no bdr                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6202  Compos drsg >48 no border                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6203  Composite drsg <= 16 sq in                        P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6204  Composite drsg >16<=48 sq in                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6205  Composite drsg > 48 sq in                         P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6206  Contact layer <= 16 sq in                         P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6207  Contact layer >16<= 48 sq in                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6208  Contact layer > 48 sq in                          P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6209  Foam drsg <=16 sq in w/o bdr                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6210  Foam drg >16<=48 sq in w/o b                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6211  Foam drg > 48 sq in w/o brdr                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6212  Foam drg <=16 sq in w/border                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6213  Foam drg >16<=48 sq in w/bdr                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6214  Foam drg > 48 sq in w/border                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6215  Foam dressing wound filler                        P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6216  Non-sterile gauze<=16 sq in                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6217  Non-sterile gauze>16<=48 sq                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6218  Non-sterile gauze > 48 sq in                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6219  Gauze <= 16 sq in w/border                        P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6220  Gauze >16 <=48 sq in w/bordr                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6221  Gauze > 48 sq in w/border                         P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6222  Gauze <=16 in no w/sal w/o b                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6223  Gauze >16<=48 no w/sal w/o b                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6224  Gauze > 48 in no w/sal w/o b                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6228  Gauze <= 16 sq in water/sal                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6229  Gauze >16<=48 sq in watr/sal                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6230  Gauze > 48 sq in water/salne                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6231  Hydrogel dsg<=16 sq in                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6232  Hydrogel dsg>16<=48 sq in                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6233  Hydrogel dressing >48 sq in                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6234  Hydrocolld drg <=16 w/o bdr                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6235  Hydrocolld drg >16<=48 w/o b                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6236  Hydrocolld drg > 48 in w/o b                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6237  Hydrocolld drg <=16 in w/bdr                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6238  Hydrocolld drg >16<=48 w/bdr                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6239  Hydrocolld drg > 48 in w/bdr                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6240  Hydrocolld drg filler paste                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6241  Hydrocolloid drg filler dry                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6242  Hydrogel drg <=16 in w/o bdr                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6243  Hydrogel drg >16<=48 w/o bdr                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6244  Hydrogel drg >48 in w/o bdr                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6245  Hydrogel drg <= 16 in w/bdr                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6246  Hydrogel drg >16<=48 in w/b                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6247  Hydrogel drg > 48 sq in w/b                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6248  Hydrogel drsg gel filler                          P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6250  Skin seal protect moisturizr                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6251  Absorpt drg <=16 sq in w/o b                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6252  Absorpt drg >16 <=48 w/o bdr                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6253  Absorpt drg > 48 sq in w/o b                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6254  Absorpt drg <=16 sq in w/bdr                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6255  Absorpt drg >16<=48 in w/bdr                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6256  Absorpt drg > 48 sq in w/bdr                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6257  Transparent film <= 16 sq in                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6258  Transparent film >16<=48 in                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6259  Transparent film > 48 sq in                       P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6260  Wound cleanser any type/size                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6261  Wound filler gel/paste /oz                        P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6262  Wound filler dry form / gram                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6266  Impreg gauze no h20/sal/yard                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6402  Sterile gauze <= 16 sq in                         P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6403  Sterile gauze>16 <= 48 sq in                      P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6404  Sterile gauze > 48 sq in                          P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6407  Packing strips, non-impreg                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6410  Sterile eye pad                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6411  Non-sterile eye pad                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6412  Occlusive eye patch                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6441  Pad band w>=3 <5/yd                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6442  Conform band n/s w<3/yd                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6443  Conform band n/s w>=3<5/yd                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6444  Conform band n/s w>=5/yd                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6445  Conform band s w <3/yd                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6446  Conform band s w>=3 <5/yd                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6447  Conform band s w >=5/yd                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6448  Lt compres band <3/yd                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6449  Lt compres band >=3 <5/yd                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6450  Lt compres band >=5/yd                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6451  Mod compres band w>=3<5/yd                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6452  High compres band w>=3<5yd                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6453  Self-adher band w <3/yd                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6454  Self-adher band w>=3 <5/yd                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6455  Self-adher band >=5/yd                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6456  Zinc paste band w >=3<5/yd                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6457  Tubular dressing                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6501  Compres burngarment bodysuit                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6502  Compres burngarment chinstrp                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6503  Compres burngarment facehood                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6504  Cmprsburngarment glove-wrist                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6505  Cmprsburngarment glove-elbow                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6506  Cmprsburngrmnt glove-axilla                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6507  Cmprs burngarment foot-knee                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6508  Cmprs burngarment foot-thigh                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6509  Compres burn garment jacket                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6510  Compres burn garment leotard                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6511  Compres burn garment panty                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6512  Compres burn garment, noc                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6513  Compress burn mask face/neck                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6530  Compression stocking BK18-30                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6531  Compression stocking BK30-40                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6532  Compression stocking BK40-50                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6533  Gc stocking thighlngth 18-30                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6534  Gc stocking thighlngth 30-40                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6535  Gc stocking thighlngth 40-50                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6536  Gc stocking full lngth 18-30                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6537  Gc stocking full lngth 30-40                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6538  Gc stocking full lngth 40-50                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6539  Gc stocking waistlngth 18-30                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6540  Gc stocking waistlngth 30-40                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6541  Gc stocking waistlngth 40-50                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6542  Gc stocking custom made                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6543  Gc stocking lymphedema                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6544  Gc stocking garter belt                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6549  G compression stocking                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A6550  Neg pres wound ther drsg set                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7000  Disposable canister for pump                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7001  Nondisposable pump canister                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7002  Tubing used w suction pump                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7003  Nebulizer administration set                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7004  Disposable nebulizer sml vol                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7005  Nondisposable nebulizer set                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7006  Filtered nebulizer admin set                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7007  Lg vol nebulizer disposable                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7008  Disposable nebulizer prefill                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7009  Nebulizer reservoir bottle                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7010  Disposable corrugated tubing                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7011  Nondispos corrugated tubing                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7012  Nebulizer water collec devic                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7013  Disposable compressor filter                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7014  Compressor nondispos filter                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7015  Aerosol mask used w nebulize                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7016  Nebulizer dome & mouthpiece                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7017  Nebulizer not used w oxygen                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7018  Water distilled w/nebulizer                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7025  Replace chest compress vest                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7026  Replace chst cmprss sys hose                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7030  CPAP full face mask                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7031  Replacement facemask interfa                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7032  Replacement nasal cushion                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7033  Replacement nasal pillows                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7034  Nasal application device                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7035  Pos airway press headgear                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7036  Pos airway press chinstrap                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7037  Pos airway pressure tubing                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7038  Pos airway pressure filter                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7039  Filter, non disposable w pap                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7040  One way chest drain valve                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7041  Water seal drain container                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7042  Implanted pleural catheter                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7043  Vacuum drainagebottle/tubing                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7044  PAP oral interface                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7045  Repl exhalation port for PAP                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7046  Repl water chamber, PAP dev                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7501  Tracheostoma valve w diaphra                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7502  Replacement diaphragm/fplate                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7503  HMES filter holder or cap                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7504  Tracheostoma HMES filter                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7505  HMES or trach valve housing                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7506  HMES/trachvalve adhesivedisk                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7507  Integrated filter & holder                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7508  Housing & Integrated Adhesiv                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7509  Heat & moisture exchange sys                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7520  Trach/laryn tube non-cuffed                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7521  Trach/laryn tube cuffed                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7522  Trach/laryn tube stainless                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7523  Tracheostomy shower protect                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7524  Tracheostoma stent/stud/bttn                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7525  Tracheostomy mask                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7526  Tracheostomy tube collar                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A7527  Trach/laryn tube plug/stop                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A8000  Soft protect helmet prefab                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A8001  Hard protect helmet prefab                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A8002  Soft protect helmet custom                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A8003  Hard protect helmet custom                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A8004  Repl soft interface, helmet                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9150  Misc/exper non-prescript dru                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9152  Single vitamin nos                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9153  Multi-vitamin nos                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9180  Lice treatment, topical                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9270  Non-covered item or service                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9275  Disp home glucose monitor                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9279  Monitoring feature/deviceNOC                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9280  Alert device, noc                                 N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9281  Reaching/grabbing device                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9282  Wig any type                                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9300  Exercise equipment                                N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9500  Tc99m sestamibi                                   E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9502  Tc99m tetrofosmin                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9503  Tc99m medronate                                   E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9504  Tc99m apcitide                                    E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9505  TL201 thallium                                    E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9507  In111 capromab                                    E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9508  I131 iodobenguate, dx                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9510  Tc99m disofenin                                   E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9512  Tc99m pertechnetate                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9516  I123 iodide cap, dx                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9517  I131 iodide cap, rx                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9521  Tc99m exametazime                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9524  I131 serum albumin, dx                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9526  Nitrogen N-13 ammonia                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9527  Iodine I-125 sodium iodide                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9528  Iodine I-131 iodide cap, dx                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9529  I131 iodide sol, dx                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9530  I131 iodide sol, rx                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9531  I131 max 100uCi                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9532  I125 serum albumin, dx                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9535  Injection, methylene blue                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9536  Tc99m depreotide                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9537  Tc99m mebrofenin                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9538  Tc99m pyrophosphate                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9539  Tc99m pentetate                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9540  Tc99m MAA                                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9541  Tc99m sulfur colloid                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9542  In111 ibritumomab, dx                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9543  Y90 ibritumomab, rx                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9544  I131 tositumomab, dx                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9545  I131 tositumomab, rx                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9546  Co57/58                                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9547  In111 oxyquinoline                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9548  In111 pentetate                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9550  Tc99m gluceptate                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9551  Tc99m succimer                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9552  F18 fdg                                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9553  Cr51 chromate                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9554  I125 iothalamate, dx                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9555  Rb82 rubidium                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9556  Ga67 gallium                                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9557  Tc99m bicisate                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9558  Xe133 xenon 10mci                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9559  Co57 cyano                                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9560  Tc99m labeled rbc                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9561  Tc99m oxidronate                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9562  Tc99m mertiatide                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9563  P32 Na phosphate                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9564  P32 chromic phosphate                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9565  In111 pentetreotide                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9566  Tc99m fanolesomab                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9567  Technetium TC-99m aerosol                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9568  Technetium tc99m arcitumomab                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9600  Sr89 strontium                                    E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9605  Sm 153 lexidronm                                  E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9698  Non-rad contrast materialNOC                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9699  Radiopharm rx agent noc                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9700  Echocardiography Contrast                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9900  Supply/accessory/service                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9901  Delivery/set up/dispensing                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
A9999  DME supply or accessory, nos                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0120  Periodic oral evaluation                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0140  Limit oral eval problm focus                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0145  Oral evaluation, pt < 3yrs                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0150  Comprehensve oral evaluation                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D0160  Extensv oral eval prob focus                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0170  Re-eval,est pt,problem focus                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0180  Comp periodontal evaluation                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0210  Intraor complete film series                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0220  Intraoral periapical first f                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0230  Intraoral periapical ea add                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0240  Intraoral occlusal film                           R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D0250  Extraoral first film                              R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D0260  Extraoral ea additional film                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D0270  Dental bitewing single film                       R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D0272  Dental bitewings two films                        R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D0273  Bitewings - three films                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0274  Dental bitewings four films                       R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D0277  Vert bitewings-sev to eight                       R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0290  Dental film skull/facial bon                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0310  Dental saliography                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0320  Dental tmj arthrogram incl i                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0321  Dental other tmj films                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0322  Dental tomographic survey                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0330  Dental panoramic film                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0340  Dental cephalometric film                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0350  Oral/facial photo images                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0360  Cone beam ct                                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0362  Cone beam, two dimensional                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0363  Cone beam, three dimensional                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0415  Collection of microorganisms                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0416  Viral culture                                     R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0421  Gen tst suscept oral disease                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0425  Caries susceptibility test                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0431  Diag tst detect mucos abnorm                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0460  Pulp vitality test                                R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D0470  Diagnostic casts                                  N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0472  Gross exam, prep & report                         R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0473  Micro exam, prep & report                         R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0474  Micro w exam of surg margins                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0475  Decalcification procedure                         R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0476  Spec stains for microorganis                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0477  Spec stains not for microorg                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0478  Immunohistochemical stains                        R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0479  Tissue in-situ hybridization                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0480  Cytopath smear prep & report                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0481  Electron microscopy diagnost                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0482  Direct immunofluorescence                         R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0483  Indirect immunofluorescence                       R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0484  Consult slides prep elsewher                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0485  Consult inc prep of slides                        R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0486  Accession of brush biopsy                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D0502  Other oral pathology procedu                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D0999  Unspecified diagnostic proce                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D1110  Dental prophylaxis adult                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D1120  Dental prophylaxis child                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D1203  Topical fluor w/o prophy chi                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D1204  Topical fluor w/o prophy adu                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D1206  Topical fluoride varnish                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D1310  Nutri counsel-control caries                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D1320  Tobacco counseling                                N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D1330  Oral hygiene instruction                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D1351  Dental sealant per tooth                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D1510  Space maintainer fxd unilat                       R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D1515  Fixed bilat space maintainer                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D1520  Remove unilat space maintain                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D1525  Remove bilat space maintain                       R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D1550  Recement space maintainer                         R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D1555  Remove fix space maintainer                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2140  Amalgam one surface permanen                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2150  Amalgam two surfaces permane                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2160  Amalgam three surfaces perma                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2161  Amalgam 4 or > surfaces perm                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2330  Resin one surface-anterior                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2331  Resin two surfaces-anterior                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2332  Resin three surfaces-anterio                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2335  Resin 4/> surf or w incis an                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2390  Ant resin-based cmpst crown                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2391  Post 1 srfc resinbased cmpst                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2392  Post 2 srfc resinbased cmpst                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2393  Post 3 srfc resinbased cmpst                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2394  Post >=4srfc resinbase cmpst                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2410  Dental gold foil one surface                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2420  Dental gold foil two surface                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2430  Dental gold foil three surfa                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2510  Dental inlay metalic 1 surf                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2520  Dental inlay metallic 2 surf                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2530  Dental inlay metl 3/more sur                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2542  Dental onlay metallic 2 surf                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2543  Dental onlay metallic 3 surf                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2544  Dental onlay metl 4/more sur                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2610  Inlay porcelain/ceramic 1 su                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2620  Inlay porcelain/ceramic 2 su                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2630  Dental onlay porc 3/more sur                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2642  Dental onlay porcelin 2 surf                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2643  Dental onlay porcelin 3 surf                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2644  Dental onlay porc 4/more sur                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2650  Inlay composite/resin one su                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2651  Inlay composite/resin two su                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2652  Dental inlay resin 3/mre sur                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2662  Dental onlay resin 2 surface                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2663  Dental onlay resin 3 surface                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2664  Dental onlay resin 4/mre sur                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2710  Crown resin-based indirect                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2712  Crown 3/4 resin-based compos                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2720  Crown resin w/ high noble me                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2721  Crown resin w/ base metal                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2722  Crown resin w/ noble metal                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2740  Crown porcelain/ceramic subs                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2750  Crown porcelain w/ h noble m                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2751  Crown porcelain fused base m                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2752  Crown porcelain w/ noble met                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2780  Crown 3/4 cast hi noble met                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2781  Crown 3/4 cast base metal                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2782  Crown 3/4 cast noble metal                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2783  Crown 3/4 porcelain/ceramic                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2790  Crown full cast high noble m                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2791  Crown full cast base metal                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2792  Crown full cast noble metal                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2794  Crown-titanium                                    N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2799  Provisional crown                                 N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2910  Recement inlay onlay or part                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2915  Recement cast or prefab post                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2920  Dental recement crown                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2930  Prefab stnlss steel crwn pri                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2931  Prefab stnlss steel crown pe                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2932  Prefabricated resin crown                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2933  Prefab stainless steel crown                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2934  Prefab steel crown primary                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2940  Dental sedative filling                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2950  Core build-up incl any pins                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2951  Tooth pin retention                               N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2952  Post and core cast + crown                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2953  Each addtnl cast post                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2954  Prefab post/core + crown                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2955  Post removal                                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2957  Each addtnl prefab post                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2960  Laminate labial veneer                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2961  Lab labial veneer resin                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2962  Lab labial veneer porcelain                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2971  Add proc construct new crown                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2975  Coping                                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2980  Crown repair                                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D2999  Dental unspec restorative pr                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D3110  Pulp cap direct                                   N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3120  Pulp cap indirect                                 N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3220  Therapeutic pulpotomy                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3221  Gross pulpal debridement                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3230  Pulpal therapy anterior prim                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3240  Pulpal therapy posterior pri                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3310  Anterior                                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3320  Root canal therapy 2 canals                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3330  Root canal therapy 3 canals                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3331  Non-surg tx root canal obs                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3332  Incomplete endodontic tx                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3333  Internal root repair                              N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3346  Retreat root canal anterior                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3347  Retreat root canal bicuspid                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3348  Retreat root canal molar                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3351  Apexification/recalc initial                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3352  Apexification/recalc interim                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3353  Apexification/recalc final                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3410  Apicoect/perirad surg anter                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3421  Root surgery bicuspid                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3425  Root surgery molar                                N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3426  Root surgery ea add root                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3430  Retrograde filling                                N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3450  Root amputation                                   N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3460  Endodontic endosseous implan                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D3470  Intentional replantation                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3910  Isolation- tooth w rubb dam                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3920  Tooth splitting                                   N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3950  Canal prep/fitting of dowel                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D3999  Endodontic procedure                              R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D4210  Gingivectomy/plasty per quad                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4211  Gingivectomy/plasty per toot                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4230  Ana crown exp 4 or> per quad                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4231  Ana crown exp 1-3 per quad                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4240  Gingival flap proc w/ planin                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4241  Gngvl flap w rootplan 1-3 th                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4245  Apically positioned flap                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4249  Crown lengthen hard tissue                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4260  Osseous surgery per quadrant                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D4261  Osseous surgl-3teethperquad                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4263  Bone replce graft first site                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D4264  Bone replce graft each add                        R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D4265  Bio mtrls to aid soft/os reg                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4266  Guided tiss regen resorble                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4267  Guided tiss regen nonresorb                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4268  Surgical revision procedure                       R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4270  Pedicle soft tissue graft pr                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D4271  Free soft tissue graft proc                       R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D4273  Subepithelial tissue graft                        R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D4274  Distal/proximal wedge proc                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4275  Soft tissue allograft                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4276  Con tissue w dble ped graft                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4320  Provision splnt intracoronal                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4321  Provisional splint extracoro                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4341  Periodontal scaling & root                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4342  Periodontal scaling 1-3teeth                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4355  Full mouth debridement                            R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D4381  Localized delivery antimicro                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D4910  Periodontal maint procedures                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4920  Unscheduled dressing change                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D4999  Unspecified periodontal proc                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5110  Dentures complete maxillary                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5120  Dentures complete mandible                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5130  Dentures immediat maxillary                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5140  Dentures immediat mandible                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5211  Dentures maxill part resin                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5212  Dentures mand part resin                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5213  Dentures maxill part metal                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5214  Dentures mandibl part metal                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5225  Maxillary part denture flex                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5226  Mandibular part denture flex                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5281  Removable partial denture                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5410  Dentures adjust cmplt maxil                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5411  Dentures adjust cmplt mand                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5421  Dentures adjust part maxill                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5422  Dentures adjust part mandbl                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5510  Dentur repr broken compl bas                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5520  Replace denture teeth complt                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5610  Dentures repair resin base                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5620  Rep part denture cast frame                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5630  Rep partial denture clasp                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5640  Replace part denture teeth                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5650  Add tooth to partial denture                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5660  Add clasp to partial denture                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5670  Replc tth&acrlc on mtl frmwk                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5671  Replc tth&acrlc mandibular                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5710  Dentures rebase cmplt maxil                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5711  Dentures rebase cmplt mand                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5720  Dentures rebase part maxill                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5721  Dentures rebase part mandbl                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5730  Denture reln cmplt maxil ch                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5731  Denture reln cmplt mand chr                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5740  Denture reln part maxil chr                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5741  Denture reln part mand chr                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5750  Denture reln cmplt max lab                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5751  Denture reln cmplt mand lab                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5760  Denture reln part maxil lab                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5761  Denture reln part mand lab                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5810  Denture interm cmplt maxill                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5811  Denture interm cmplt mandbl                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5820  Denture interm part maxill                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5821  Denture interm part mandbl                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5850  Denture tiss conditn maxill                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5851  Denture tiss condtin mandbl                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5860  Overdenture complete                              N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5861  Overdenture partial                               N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5862  Precision attachment                              N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5867  Replacement of precision att                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5875  Prosthesis modification                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5899  Removable prosthodontic proc                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5911  Facial moulage sectional                          R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D5912  Facial moulage complete                           R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D5913  Nasal prosthesis                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5914  Auricular prosthesis                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5915  Orbital prosthesis                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5916  Ocular prosthesis                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5919  Facial prosthesis                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5922  Nasal septal prosthesis                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5923  Ocular prosthesis interim                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5924  Cranial prosthesis                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5925  Facial augmentation implant                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5926  Replacement nasal prosthesis                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5927  Auricular replacement                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5928  Orbital replacement                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5929  Facial replacement                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5931  Surgical obturator                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5932  Postsurgical obturator                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5933  Refitting of obturator                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5934  Mandibular flange prosthesis                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5935  Mandibular denture prosth                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5936  Temp obturator prosthesis                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5937  Trismus appliance                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5951  Feeding aid                                       R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D5952  Pediatric speech aid                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5953  Adult speech aid                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5954  Superimposed prosthesis                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5955  Palatal lift prosthesis                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5958  Intraoral con def inter plt                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5959  Intraoral con def mod palat                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5960  Modify speech aid prosthesis                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5982  Surgical stent                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5983  Radiation applicator                              R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D5984  Radiation shield                                  R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D5985  Radiation cone locator                            R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D5986  Fluoride applicator                               N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5987  Commissure splint                                 R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D5988  Surgical splint                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D5999  Maxillofacial prosthesis                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6010  Odontics endosteal implant                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6012  Endosteal implant                                 N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6040  Odontics eposteal implant                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6050  Odontics transosteal implnt                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6053  Implnt/abtmnt spprt remv dnt                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6054  Implnt/abtmnt spprt remvprtl                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6055  Implant connecting bar                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6056  Prefabricated abutment                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6057  Custom abutment                                   N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6058  Abutment supported crown                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6059  Abutment supported mtl crown                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6060  Abutment supported mtl crown                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6061  Abutment supported mtl crown                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6062  Abutment supported mtl crown                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6063  Abutment supported mtl crown                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6064  Abutment supported mtl crown                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6065  Implant supported crown                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6066  Implant supported mtl crown                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6067  Implant supported mtl crown                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6068  Abutment supported retainer                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6069  Abutment supported retainer                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6070  Abutment supported retainer                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6071  Abutment supported retainer                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6072  Abutment supported retainer                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6073  Abutment supported retainer                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6074  Abutment supported retainer                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6075  Implant supported retainer                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6076  Implant supported retainer                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6077  Implant supported retainer                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6078  Implnt/abut suprtd fixd dent                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6079  Implnt/abut suprtd fixd dent                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6080  Implant maintenance                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6090  Repair implant                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6091  Repl semi/precision attach                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6092  Recement supp crown                               N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6093  Recement supp part denture                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6094  Abut support crown titanium                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6095  Odontics repr abutment                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6100  Removal of implant                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6190  Radio/surgical implant index                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6194  Abut support retainer titani                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6199  Implant procedure                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6205  Pontic-indirect resin based                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6210  Prosthodont high noble metal                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6211  Bridge base metal cast                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6212  Bridge noble metal cast                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6214  Pontic titanium                                   N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6240  Bridge porcelain high noble                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6241  Bridge porcelain base metal                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6242  Bridge porcelain nobel metal                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6245  Bridge porcelain/ceramic                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6250  Bridge resin w/high noble                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6251  Bridge resin base metal                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6252  Bridge resin w/noble metal                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6253  Provisional pontic                                N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6545  Dental retainr cast metl                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6548  Porcelain/ceramic retainer                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6600  Porcelain/ceramic inlay 2srf                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6601  Porc/ceram inlay >= 3 surfac                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6602  Cst hgh nble mtl inlay 2 srf                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6603  Cst hgh nble mtl inlay >=3sr                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6604  Cst bse mtl inlay 2 surfaces                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6605  Cst bse mtl inlay >= 3 surfa                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6606  Cast noble metal inlay 2 sur                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6607  Cst noble mtl inlay >=3 surf                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6608  Onlay porc/crmc 2 surfaces                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6609  Onlay porc/crmc >=3 surfaces                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6610  Onlay cst hgh nbl mtl 2 srfc                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6611  Onlay cst hgh nbl mtl >=3srf                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6612  Onlay cst base mtl 2 surface                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6613  Onlay cst base mtl >=3 surfa                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6614  Onlay cst nbl mtl 2 surfaces                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6615  Onlay cst nbl mtl >=3 surfac                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6624  Inlay titanium                                    N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6634  Onlay titanium                                    N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6710  Crown-indirect resin based                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6720  Retain crown resin w hi nble                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6721  Crown resin w/base metal                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6722  Crown resin w/noble metal                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6740  Crown porcelain/ceramic                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6750  Crown porcelain high noble                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6751  Crown porcelain base metal                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6752  Crown porcelain noble metal                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6780  Crown 3/4 high noble metal                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6781  Crown 3/4 cast based metal                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6782  Crown 3/4 cast noble metal                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6783  Crown 3/4 porcelain/ceramic                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6790  Crown full high noble metal                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6791  Crown full base metal cast                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6792  Crown full noble metal cast                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6793  Provisional retainer crown                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6794  Crown titanium                                    N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6920  Dental connector bar                              R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D6930  Dental recement bridge                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6940  Stress breaker                                    N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6950  Precision attachment                              N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6970  Post & core plus retainer                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6972  Prefab post & core plus reta                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6973  Core build up for retainer                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6975  Coping metal                                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6976  Each addtnl cast post                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6977  Each addtl prefab post                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6980  Bridge repair                                     N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6985  Pediatric partial denture fx                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D6999  Fixed prosthodontic proc                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7111  Extraction coronal remnants                       R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7140  Extraction erupted tooth/exr                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7210  Rem imp tooth w mucoper flp                       R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D7220  Impact tooth remov soft tiss                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D7230  Impact tooth remov part bony                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D7240  Impact tooth remov comp bony                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D7241  Impact tooth rem bony w/comp                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D7250  Tooth root removal                                R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D7260  Oral antral fistula closure                       R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D7261  Primary closure sinus perf                        R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7270  Tooth reimplantation                              N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7272  Tooth transplantation                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7280  Exposure impact tooth orthod                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7282  Mobilize erupted/malpos toot                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7283  Place device impacted tooth                       R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7285  Biopsy of oral tissue hard                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7286  Biopsy of oral tissue soft                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7287  Exfoliative cytolog collect                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7288  Brush biopsy                                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7290  Repositioning of teeth                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7291  Transseptal fiberotomy                            R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D7292  Screw retained plate                              N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7293  Temp anchorage dev w flap                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7294  Temp anchorage dev w/o flap                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7310  Alveoplasty w/ extraction                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7311  Alveoloplasty w/extract 1-3                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7320  Alveoplasty w/o extraction                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7321  Alveoloplasty not w/extracts                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7340  Vestibuloplasty ridge extens                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7350  Vestibuloplasty exten graft                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7410  Rad exc lesion up to 1.25 cm                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7411  Excision benign lesion>1.25c                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7412  Excision benign lesion compl                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7413  Excision malig lesion<=1.25c                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7414  Excision malig lesion>1.25cm                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7415  Excision malig les complicat                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7440  Malig tumor exc to 1.25 cm                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7441  Malig tumor > 1.25 cm                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7450  Rem odontogen cyst to 1.25cm                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7451  Rem odontogen cyst > 1.25 cm                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7460  Rem nonodonto cyst to 1.25cm                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7461  Rem nonodonto cyst > 1.25 cm                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7465  Lesion destruction                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7471  Rem exostosis any site                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7472  Removal of torus palatinus                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7473  Remove torus mandibularis                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7485  Surg reduct osseoustuberosit                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7490  Maxilla or mandible resectio                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7510  I&d absc intraoral soft tiss                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7511  Incision/drain abscess intra                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7520  I&d abscess extraoral                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7521  Incision/drain abscess extra                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7530  Removal fb skin/areolar tiss                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7540  Removal of fb reaction                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7550  Removal of sloughed off bone                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7560  Maxillary sinusotomy                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7610  Maxilla open reduct simple                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7620  Clsd reduct simpl maxilla fx                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7630  Open red simpl mandible fx                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7640  Clsd red simpl mandible fx                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7650  Open red simp malar/zygom fx                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7660  Clsd red simp malar/zygom fx                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7670  Closd rductn splint alveolus                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7671  Alveolus open reduction                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7680  Reduct simple facial bone fx                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7710  Maxilla open reduct compound                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7720  Clsd reduct compd maxilla fx                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7730  Open reduct compd mandble fx                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7740  Clsd reduct compd mandble fx                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7750  Open red comp malar/zygma fx                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7760  Clsd red comp malar/zygma fx                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7770  Open reduc compd alveolus fx                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7771  Alveolus clsd reduc stblz te                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7780  Reduct compnd facial bone fx                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7810  Tmj open reduct-dislocation                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7820  Closed tmp manipulation                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7830  Tmj manipulation under anest                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7840  Removal of tmj condyle                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7850  Tmj meniscectomy                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7852  Tmj repair of joint disc                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7854  Tmj excisn of joint membrane                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7856  Tmj cutting of a muscle                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7858  Tmj reconstruction                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7860  Tmj cutting into joint                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7865  Tmj reshaping components                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7870  Tmj aspiration joint fluid                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7871  Lysis + lavage w catheters                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7872  Tmj diagnostic arthroscopy                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7873  Tmj arthroscopy lysis adhesn                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7874  Tmj arthroscopy disc reposit                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7875  Tmj arthroscopy synovectomy                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7876  Tmj arthroscopy discectomy                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7877  Tmj arthroscopy debridement                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7880  Occlusal orthotic appliance                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7899  Tmj unspecified therapy                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7910  Dent sutur recent wnd to 5cm                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7911  Dental suture wound to 5 cm                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7912  Suture complicate wnd > 5 cm                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7920  Dental skin graft                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7940  Reshaping bone orthognathic                       R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D7941  Bone cutting ramus closed                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7943  Cutting ramus open w/graft                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7944  Bone cutting segmented                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7945  Bone cutting body mandible                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7946  Reconstruction maxilla total                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7947  Reconstruct maxilla segment                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7948  Reconstruct midface no graft                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7949  Reconstruct midface w/graft                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7950  Mandible graft                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7951  Sinus aug w bone/bone sup                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7953  Bone replacement graft                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7955  Repair maxillofacial defects                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7960  Frenulectomy/frenulotomy                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7963  Frenuloplasty                                     N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7970  Excision hyperplastic tissue                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7971  Excision pericoronal gingiva                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7972  Surg redct fibrous tuberosit                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7980  Sialolithotomy                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7981  Excision of salivary gland                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7982  Sialodochoplasty                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7983  Closure of salivary fistula                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7990  Emergency tracheotomy                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7991  Dental coronoidectomy                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7995  Synthetic graft facial bones                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7996  Implant mandible for augment                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7997  Appliance removal                                 N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7998  Intraoral place of fix dev                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D7999  Oral surgery procedure                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8010  Limited dental tx primary                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8020  Limited dental tx transition                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8030  Limited dental tx adolescent                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8040  Limited dental tx adult                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8050  Intercep dental tx primary                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8060  Intercep dental tx transitn                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8070  Compre dental tx transition                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8080  Compre dental tx adolescent                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8090  Compre dental tx adult                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8210  Orthodontic rem appliance tx                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8220  Fixed appliance therapy habt                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8660  Preorthodontic tx visit                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8670  Periodic orthodontc tx visit                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8680  Orthodontic retention                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8690  Orthodontic treatment                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8691  Repair ortho appliance                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8692  Replacement retainer                              N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8693  Rebond/cement/repair retain                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D8999  Orthodontic procedure                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9110  Tx dental pain minor proc                         R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D9120  Fix partial denture section                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9210  Dent anesthesia w/o surgery                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9211  Regional block anesthesia                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9212  Trigeminal block anesthesia                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9215  Local anesthesia                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9220  General anesthesia                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9221  General anesthesia ea ad 15m                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9230  Analgesia                                         R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D9241  Intravenous sedation                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9242  IV sedation ea ad 30 m                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9248  Sedation (non-iv)                                 R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9310  Dental consultation                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9410  Dental house call                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9420  Hospital call                                     I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9430  Office visit during hours                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9440  Office visit after hours                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9450  Case presentation tx plan                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9610  Dent therapeutic drug inject                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9612  Thera par drugs 2 or > admin                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9630  Other drugs/medicaments                           R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D9910  Dent appl desensitizing med                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9911  Appl desensitizing resin                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9920  Behavior management                               N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9930  Treatment of complications                        R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D9940  Dental occlusal guard                             R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D9941  Fabrication athletic guard                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9942  Repair/reline occlusal guard                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9950  Occlusion analysis                                R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D9951  Limited occlusal adjustment                       R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D9952  Complete occlusal adjustment                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
D9970  Enamel microabrasion                              N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9971  Odontoplasty 1-2 teeth                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9972  Extrnl bleaching per arch                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9973  Extrnl bleaching per tooth                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9974  Intrnl bleaching per tooth                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
D9999  Adjunctive procedure                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0008  Admin influenza virus vac                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0009  Admin pneumococcal vaccine                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0010  Admin hepatitis b vaccine                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0027  Semen analysis                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0101  CA screen;pelvic/breast exam                      A   0.45   0.51     0.48     0.51NA   0.48 NA  0.02   0.98   0.95   0.98   0.95  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0102  Prostate ca screening; dre                        A   0.17   0.37     0.32     0.06     0.06     0.01   0.55   0.50   0.24   0.24  0XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0103  PSA screening                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0104  CA screen;flexi sigmoidscope                      A   0.96   2.33     2.49     0.53     0.62     0.08   3.37   3.53   1.57   1.66  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
G0105  Colorectal scrn; hi risk ind                      A   3.69   6.20     6.37     1.57     1.85     0.30  10.19  10.36   5.56   5.84  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
G010553Colorectal scrn; hi risk ind                      A   0.96   2.33     2.49     0.53     0.62     0.08   3.37   3.53   1.57   1.66  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
G0106  Colon CA screen;barium enema                      A   0.99   3.07     4.64     3.07NA   4.64 NA  0.17   4.23   5.80   4.23   5.80  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0106TCColon CA screen;barium enema                      A   0.00   2.76     4.36     2.76NA   4.36 NA  0.13   2.89   4.49   2.89   4.49  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
G010626Colon CA screen;barium enema                      A   0.99   0.31     0.28     0.31     0.28     0.04   1.34   1.31   1.34   1.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0108  Diab manage trn  per indiv                        A   0.00   0.77     0.59     0.77NA   0.59 NA  0.01   0.78   0.60   0.78   0.60  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0109  Diab manage trn ind/group                         A   0.00   0.44     0.31     0.44NA   0.31 NA  0.01   0.45   0.32   0.45   0.32  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0117  Glaucoma scrn hgh risk direc                      T   0.45   0.74     0.79     0.74NA   0.79 NA  0.01   1.20   1.25   1.20   1.25  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0118  Glaucoma scrn hgh risk direc                      T   0.17   0.60     0.79     0.60NA   0.79 NA  0.01   0.78   0.97   0.78   0.97  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0120  Colon ca scrn; barium enema                       A   0.99   3.07     4.64     3.07NA   4.64 NA  0.17   4.23   5.80   4.23   5.80  1XXX.00.00.0000000             37.8975 090 99     3.58   3.58   0.20
G0120TCColon ca scrn; barium enema                       A   0.00   2.76     4.36     2.76NA   4.36 NA  0.13   2.89   4.49   2.89   4.49  1XXX.00.00.0000000             37.8975 090 99     3.27   3.27   0.16
G012026Colon ca scrn; barium enema                       A   0.99   0.31     0.28     0.31     0.28     0.04   1.34   1.31   1.34   1.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0121  Colon ca scrn not hi rsk ind                      A   3.69   6.20     6.37     1.57     1.85     0.30  10.19  10.36   5.56   5.84  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
G012153Colon ca scrn not hi rsk ind                      A   0.96   2.33     2.49     0.53     0.62     0.08   3.37   3.53   1.57   1.66  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
G0122  Colon ca scrn; barium enema                       N+  0.99   3.32     5.58     3.32NA   5.58 NA  0.18   4.49   6.75   4.49   6.75  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0122TCColon ca scrn; barium enema                       N+  0.00   2.98     5.35     2.98NA   5.35 NA  0.13   3.11   5.48   3.11   5.48  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G012226Colon ca scrn; barium enema                       N+  0.99   0.34     0.23     0.34     0.23     0.05   1.38   1.27   1.38   1.27  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0123  Screen cerv/vag thin layer                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0124  Screen c/v thin layer by MD                       A   0.42   0.21     0.37     0.21     0.37     0.02   0.65   0.81   0.65   0.81  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0127  Trim nail(s)                                      R   0.17   0.28     0.38     0.07     0.05     0.01   0.46   0.56   0.25   0.23  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
G0128  CORF skilled nursing service                      R   0.08   0.03     0.02     0.03     0.02     0.01   0.12   0.11   0.12   0.11  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0130  Single energy x-ray study                         A   0.22   0.79     0.54     0.79NA   0.54 NA  0.06   1.07   0.82   1.07   0.82  1XXX.00.00.0000000             37.8975 090 99     1.15   1.15   0.08
G0130TCSingle energy x-ray study                         A   0.00   0.72     0.48     0.72NA   0.48 NA  0.05   0.77   0.53   0.77   0.53  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
G013026Single energy x-ray study                         A   0.22   0.07     0.06     0.07     0.06     0.01   0.30   0.29   0.30   0.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0141  Scr c/v cyto,autosys and md                       A   0.42   0.21     0.37     0.21     0.37     0.02   0.65   0.81   0.65   0.81  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0143  Scr c/v cyto,thinlayer,rescr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0144  Scr c/v cyto,thinlayer,rescr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0145  Scr c/v cyto,thinlayer,rescr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0147  Scr c/v cyto, automated sys                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0148  Scr c/v cyto, autosys, rescr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0166  Extrnl counterpulse, per tx                       A   0.07   3.81     4.51     3.81NA   4.51 NA  0.01   3.89   4.59   3.89   4.59  0XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0168  Wound closure by adhesive                         A   0.45   1.84     1.56     0.22     0.21     0.03   2.32   2.04   0.70   0.69  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
G0173  Linear acc stereo radsur com                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0175  OPPS Service,sched team conf                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0176  OPPS/PHP;activity therapy                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0177  OPPS/PHP; train & educ serv                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0179  MD recertification HHA PT                         A   0.45   0.89     0.48     0.89NA   0.48 NA  0.02   1.36   0.95   1.36   0.95  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0180  MD certification HHA patient                      A   0.67   1.09     0.56     1.09NA   0.56 NA  0.03   1.79   1.26   1.79   1.26  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0181  Home health care supervision                      A   1.73   1.32     0.82     1.32NA   0.82 NA  0.07   3.12   2.62   3.12   2.62  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0182  Hospice care supervision                          A   1.73   1.46     0.84     1.46NA   0.84 NA  0.07   3.26   2.64   3.26   2.64  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0186  Dstry eye lesn,fdr vssl tech                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021011             37.8975 090 99     0.00   0.00   0.00
G0202  Screeningmammographydigital                       A   0.70   2.74     2.66     2.74NA   2.66 NA  0.10   3.54   3.46   3.54   3.46  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
G0202TCScreeningmammographydigital                       A   0.00   2.52     2.46     2.52NA   2.46 NA  0.07   2.59   2.53   2.59   2.53  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
G020226Screeningmammographydigital                       A   0.70   0.22     0.20     0.22     0.20     0.03   0.95   0.93   0.95   0.93  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
G0204  Diagnosticmammographydigital                      A   0.87   2.87     3.14     2.87NA   3.14 NA  0.11   3.85   4.12   3.85   4.12  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
G0204TCDiagnosticmammographydigital                      A   0.00   2.60     2.90     2.60NA   2.90 NA  0.07   2.67   2.97   2.67   2.97  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
G020426Diagnosticmammographydigital                      A   0.87   0.27     0.24     0.27     0.24     0.04   1.18   1.15   1.18   1.15  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
G0206  Diagnosticmammographydigital                      A   0.70   2.31     2.50     2.31NA   2.50 NA  0.09   3.10   3.29   3.10   3.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0206TCDiagnosticmammographydigital                      A   0.00   2.09     2.30     2.09NA   2.30 NA  0.06   2.15   2.36   2.15   2.36  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G020626Diagnosticmammographydigital                      A   0.70   0.22     0.20     0.22     0.20     0.03   0.95   0.93   0.95   0.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0219  PET img wholbod melano nonco                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0219TCPET img wholbod melano nonco                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             37.8975 010 99     0.00   0.00   0.00
G021926PET img wholbod melano nonco                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0235  PET not otherwise specified                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0235TCPET not otherwise specified                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             37.8975 010 99     0.00   0.00   0.00
G023526PET not otherwise specified                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0237  Therapeutic procd strg endur                      A   0.00   0.41     0.21     0.41NA   0.21 NA  0.02   0.43   0.23   0.43   0.23  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0238  Oth resp proc, indiv                              A   0.00   0.43     0.23     0.43NA   0.23 NA  0.02   0.45   0.25   0.45   0.25  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0239  Oth resp proc, group                              A   0.00   0.33     0.31     0.33NA   0.31 NA  0.02   0.35   0.33   0.35   0.33  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0245  Initial foot exam pt lops                         R   0.88   0.80     0.84     0.31     0.30     0.04   1.72   1.76   1.23   1.22  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0246  Followup eval of foot pt lop                      R   0.45   0.54     0.55     0.16     0.15     0.02   1.01   1.02   0.63   0.62  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0247  Routine footcare pt w lops                        R   0.50   0.56     0.68     0.20     0.17     0.02   1.08   1.20   0.72   0.69  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0248  Demonstrate use home inr mon                      R   0.00   5.80     3.36     5.80NA   3.36 NA  0.01   5.81   3.37   5.81   3.37  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
G0249  Provide test material,equipm                      R   0.00   3.57     2.41     3.57NA   2.41 NA  0.01   3.58   2.42   3.58   2.42  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
G0250  MD review interpret of test                       R   0.18   0.07     0.08     0.07NA   0.08 NA  0.01   0.26   0.27   0.26   0.27  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0251  Linear acc based stero radio                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0252  PET imaging initial dx                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0252TCPET imaging initial dx                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G025226PET imaging initial dx                            N+  1.50   0.60     0.00     0.60     0.00     0.04   2.14   1.54   2.14   1.54  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0255  Current percep threshold tst                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0255TCCurrent percep threshold tst                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             37.8975 010 99     0.00   0.00   0.00
G025526Current percep threshold tst                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0257  Unsched dialysis ESRD pt hos                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0259  Inject for sacroiliac joint                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0260  Inj for sacroiliac jt anesth                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0265  Cryopresevation Freeze+stora                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0266  Thawing + expansion froz cel                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0267  Bone marrow or psc harvest                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0268  Removal of impacted wax md                        A   0.61   0.63     0.61     0.23     0.18     0.02   1.26   1.24   0.86   0.81  0000.00.00.0022100             37.8975 090 99     0.00   0.00   0.00
G0269  Occlusive device in vein art                      B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0270  MNT subs tx for change dx                         A   0.37   0.38     0.12     0.38     0.09     0.01   0.76   0.50   0.76   0.47  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0271  Group MNT 2 or more 30 mins                       A   0.25   0.15     0.07     0.15     0.06     0.01   0.41   0.33   0.41   0.32  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0275  Renal angio, cardiac cath                         A   0.25   0.11NA   0.14NA   0.11     0.14     0.01   0.37   0.40   0.37   0.40  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0278  Iliac art angio,cardiac cath                      A   0.25   0.11NA   0.14NA   0.11     0.14     0.01   0.37   0.40   0.37   0.40  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0281  Elec stim unattend for press                      A   0.18   0.12     0.14     0.12NA   0.14 NA  0.01   0.31   0.33   0.31   0.33  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0282  Elect stim wound care not pd                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0283  Elec stim other than wound                        A   0.18   0.12     0.14     0.12NA   0.14 NA  0.01   0.31   0.33   0.31   0.33  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0288  Recon, CTA for surg plan                          A   0.00   8.21     1.00     8.21NA   1.00 NA  0.18   8.39   1.18   8.39   1.18  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
G0289  Arthro, loose body + chondro                      A   1.48   0.75NA   0.60NA   0.75     0.60     0.26   2.49   2.34   2.49   2.34  0ZZZ.00.00.0001000             37.8975 090 99     0.00   0.00   0.00
G0290  Drug-eluting stents, single                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0291  Drug-eluting stents,each add                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0293  Non-cov surg proc,clin trial                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0294  Non-cov proc, clinical trial                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0295  Electromagnetic therapy onc                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0297  Insert single chamber/cd                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0298  Insert dual chamber/cd                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0299  Inser/repos single icd+leads                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0300  Insert reposit lead dual+gen                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0302  Pre-op service LVRS complete                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0303  Pre-op service LVRS 10-15dos                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0304  Pre-op service LVRS 1-9 dos                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0305  Post op service LVRS min 6                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0306  CBC/diffwbc w/o platelet                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0307  CBC without platelet                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0308  ESRD related svc 4+mo < 2yrs                      A  12.74   7.80     5.57     7.80     5.57     0.42  20.96  18.73  20.96  18.73  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0309  ESRD related svc 2-3mo <2yrs                      A  10.61   6.54     4.85     6.54     4.85     0.36  17.51  15.82  17.51  15.82  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0310  ESRD related svc 1 vst <2yrs                      A   8.49   4.99     2.91     4.99     2.91     0.28  13.76  11.68  13.76  11.68  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0311  ESRD related svs 4+mo 2-11yr                      A   9.73   4.45     3.62     4.45     3.62     0.34  14.52  13.69  14.52  13.69  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0312  ESRD relate svs 2-3 mo 2-11y                      A   8.11   3.62     2.70     3.62     2.70     0.29  12.02  11.10  12.02  11.10  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0313  ESRD related svs 1 mon 2-11y                      A   6.49   2.83     1.89     2.83     1.89     0.22   9.54   8.60   9.54   8.60  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0314  ESRD related svs 4+ mo 12-19                      A   8.28   4.18     3.46     4.18     3.46     0.27  12.73  12.01  12.73  12.01  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0315  ESRD related svs 2-3mo/12-19                      A   6.90   3.41     2.64     3.41     2.64     0.23  10.54   9.77  10.54   9.77  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0316  ESRD related svs 1vis/12-19y                      A   5.52   2.63     1.71     2.63     1.71     0.17   8.32   7.40   8.32   7.40  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0317  ESRD related svs 4+mo 20+yrs                      A   5.09   2.72     2.29     2.72     2.29     0.17   7.98   7.55   7.98   7.55  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0318  ESRD related svs 2-3 mo 20+y                      A   4.24   2.22     1.73     2.22     1.73     0.14   6.60   6.11   6.60   6.11  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0319  ESRD related svs 1visit 20+y                      A   3.39   1.72     1.16     1.72     1.16     0.11   5.22   4.66   5.22   4.66  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0320  ESD related svs home undr 2                       A  10.61   6.01     2.73     6.01     2.73     0.36  16.98  13.70  16.98  13.70  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0321  ESRDrelatedsvs home mo 2-11y                      A   8.11   3.45     2.02     3.45     2.02     0.29  11.85  10.42  11.85  10.42  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0322  ESRD related svs hom mo12-19                      A   6.90   3.19     1.76     3.19     1.76     0.23  10.32   8.89  10.32   8.89  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0323  ESRD related svs home mo 20+                      A   4.24   2.08     1.18     2.08     1.18     0.14   6.46   5.56   6.46   5.56  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0324  ESRD relate svs home/dy <2yr                      A   0.35   0.22     0.16     0.22     0.16     0.01   0.58   0.52   0.58   0.52  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0325  ESRD relate home/day/ 2-11yr                      A   0.23   0.11     0.09     0.11     0.09     0.01   0.35   0.33   0.35   0.33  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0326  ESRD relate home/dy 12-19yr                       A   0.27   0.12     0.10     0.12     0.10     0.01   0.40   0.38   0.40   0.38  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0327  ESRD relate home/dy 20+yrs                        A   0.14   0.08     0.06     0.08     0.06     0.01   0.23   0.21   0.23   0.21  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0328  Fecal blood scrn immunoassay                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0329  Electromagntic tx for ulcers                      A   0.06   0.14     0.15     0.14NA   0.15 NA  0.01   0.21   0.22   0.21   0.22  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0332  Preadmin IV immunoglobulin                        A   0.00   1.97     0.00NA   1.97NA   0.00 NA  0.00   1.97   0.00   1.97   0.00  9XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0333  Dispense fee initial 30 day                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0337  Hospice evaluation preelecti                      X+  1.34   0.46     0.31     0.46     0.31     0.09   1.89   1.74   1.89   1.74  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0339  Robot lin-radsurg com, first                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0340  Robt lin-radsurg fractx 2-5                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0341  Percutaneous islet celltrans                      A   6.98   2.46NA   2.08NA   2.46     2.08     0.48   9.92   9.54   9.92   9.54  0000.00.00.0020010             37.8975 090 99     0.00   0.00   0.00
G0342  Laparoscopy islet cell trans                      A  11.92   5.24NA   5.09NA   5.24     5.09     1.46  18.62  18.47  18.62  18.47  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
G0343  Laparotomy islet cell transp                      A  19.85   8.72NA   8.63NA   8.72     8.63     2.07  30.64  30.55  30.64  30.55  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
G0344  Initial preventive exam                           A   1.34   1.13     1.11     0.47     0.43     0.10   2.57   2.55   1.91   1.87  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0364  Bone marrow aspirate &biopsy                      A   0.16   0.15     0.16     0.06     0.07     0.04   0.35   0.36   0.26   0.27  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0365  Vessel mapping hemo access                        A   0.25   4.28     5.16     4.28NA   5.16 NA  0.25   4.78   5.66   4.78   5.66  1XXX.00.00.0000000             37.8975 090 99     3.86   3.86   0.23
G0365TCVessel mapping hemo access                        A   0.00   4.20     5.10     4.20NA   5.10 NA  0.23   4.43   5.33   4.43   5.33  1XXX.00.00.0000000             37.8975 010 99     3.78   3.78   0.21
G036526Vessel mapping hemo access                        A   0.25   0.08     0.06     0.08     0.06     0.02   0.35   0.33   0.35   0.33  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0366  EKG for initial prevent exam                      A   0.17   0.47     0.34     0.47NA   0.34 NA  0.03   0.67   0.54   0.67   0.54  4XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0367  EKG tracing for initial prev                      A   0.00   0.41     0.27     0.41NA   0.27 NA  0.02   0.43   0.29   0.43   0.29  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0368  EKG interpret & report preve                      A   0.17   0.06     0.07     0.06     0.07     0.01   0.24   0.25   0.24   0.25  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0372  MD service required for PMD                       A   0.17   0.30     0.04     0.06     0.04     0.01   0.48   0.22   0.24   0.22  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0375  Smoke/tobacco counselng 3-10                      A   0.24   0.09     0.07     0.09     0.07     0.01   0.34   0.32   0.34   0.32  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0376  Smoke/tobacco counseling >10                      A   0.48   0.17     0.13     0.16     0.13     0.01   0.66   0.62   0.65   0.62  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0377  Administra Part D vaccine                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0378  Hospital observation per hr                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0379  Direct admit hospital observ                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G0389  Ultrasound exam AAA screen                        A   0.58   1.77     2.23     1.77NA   2.23 NA  0.11   2.46   2.92   2.46   2.92  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0389TCUltrasound exam AAA screen                        A   0.00   1.58     2.06     1.58NA   2.06 NA  0.08   1.66   2.14   1.66   2.14  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
G038926Ultrasound exam AAA screen                        A   0.58   0.19     0.17     0.19     0.17     0.03   0.80   0.78   0.80   0.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G0392  AV fistula or graft arterial                      A   9.48  53.95    47.48     3.48     3.25     0.62  64.05  57.58  13.58  13.35  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
G0393  AV fistula or graft venous                        A   6.03  42.45    35.61     2.26     1.97     0.34  48.82  41.98   8.63   8.34  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
G0394  Blood occult test,colorectal                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G3001  Admin + supply, tositumomab                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8006  AMI pt recd aspirin at arriv                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8007  AMI pt did not receiv aspiri                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8008  AMI pt ineligible for aspiri                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8009  AMI pt recd Bblock at arr                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8010  AMI pt did not rec bblock                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8011  AMI pt inelig Bbloc at arriv                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8012  Pneum pt recv antibiotic 4 h                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8013  Pneum pt w/o antibiotic 4 hr                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8014  Pneum pt not elig antibiotic                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8015  Diabetic pt w/ HBA1c>9%                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8016  Diabetic pt w/ HBA1c<or=9%                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8017  DM pt inelig for HBA1c measu                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8018  Care not provided for HbA1c                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8019  Diabetic pt w/LDL>= 100mg/dl                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8020  Diab pt w/LDL< 100mg/dl                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8021  Diab pt inelig for LDL meas                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8022  Care not provided for LDL                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8023  DM pt w BP>=140/80                                M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8024  Diabetic pt wBP<140/80                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8025  Diabetic pt inelig for BP me                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8026  Diabet pt w no care re BP me                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8027  HF p w/LVSD on ACE-I/ARB                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8028  HF pt w/LVSD not on ACE-I/AR                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8029  HF pt not elig for ACE-I/ARB                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8030  HF pt w/LVSD on Bblocker                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8031  HF pt w/LVSD not on Bblocker                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8032  HF pt not elig for Bblocker                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8033  PMI-CAD pt on Bblocker                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8034  PMI-CAD pt not on Bblocker                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8035  PMI-CAD pt inelig Bblocker                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8036  AMI-CAD pt doc on antiplatel                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8037  AMI-CAD pt not docu on antip                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8038  AMI-CAD inelig antiplate mea                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8039  CAD pt w/LDL>100mg/dl                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8040  CAD pt w/LDL<or=100mg/dl                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8041  CAD pt not eligible for LDL                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8051  Osteoporosis assess                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8052  Osteopor pt not assess                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8053  Pt inelig for osteopor meas                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8054  Falls assess not docum 12 mo                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8055  Falls assess w/ 12 mon                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8056  Not elig for falls assessmen                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8057  Hearing assess receive                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8058  Pt w/o hearing assess                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8059  Pt inelig for hearing assess                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8060  Urinary incont pt assess                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8061  Pt not assess for urinary in                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8062  Pt not elig for urinary inco                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8075  ESRD pt w/ dialy of URR>=65%                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8076  ESRD pt w/ dialy of URR<65%                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8077  ESRD pt not elig for URR/KtV                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8078  ESRD pt w/Hct>or=33                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8079  ESRD pt w/Hct<33                                  M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8080  ESRD pt inelig for HCT/Hgb                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8081  ESRD pt w/ auto AV fistula                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8082  ESRD pt w other fistula                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8085  ESRD PT inelig auto AV FISTU                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8093  COPD pt rec smoking cessat                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8094  COPD pt w/o smoke cessat int                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8099  Osteopo pt given Ca+VitD sup                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8100  Osteop pt inelig for Ca+VitD                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8103  New dx osteo pt w/antiresorp                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8104  Osteo pt inelig for antireso                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8106  Bone dens meas test perf                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8107  Bone dens meas test inelig                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8108  Pt receiv influenza vacc                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8109  Pt w/o influenza vacc                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8110  Pt inelig for influenza vacc                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8111  Pt receiv mammogram                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8112  Pt not doc mammogram                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8113  Pt ineligible mammography                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8114  Care not provided for mamogr                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8115  Pt receiv pneumo vacc                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8116  Pt did not rec pneumo vacc                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8117  Pt was inelig for pneumo vac                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8126  Pt treat w/antidepress12wks                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8127  Pt not treat w/antidepres12w                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8128  Pt inelig for antidepres med                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8129  Pt treat w/antidepres for 6m                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8130  Pt not treat w/antidepres 6m                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8131  Pt inelig for antidepres med                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8152  Pt w/AB 1 hr prior to incisi                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8153  Pt not doc for AB 1 hr prior                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8154  Pt ineligi for AB therapy                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8155  Pt recd thromboemb prophylax                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8156  Pt did not rec thromboembo                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8157  Pt ineligi for thrombolism                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8158  Pt recd CABG w/ IMA                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8159  Pt w/CABG w/o IMA                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8160  Pt inelig for CABG w/IMA                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8161  Iso CABG pt rec preop bblock                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8162  Iso CABG pt w/o preop Bblock                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8163  Iso CABG pt inelig for preo                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8164  Iso CABG pt w/prolng intub                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8165  Iso CABG pt w/o prolng intub                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8166  Iso CABG req surg rexpo                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8167  Iso CABG w/o surg explo                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8170  CEA/ext bypass pt on aspirin                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8171  Pt w/carot endarct/ext bypas                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8172  CEA/ext bypass pt not on asp                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8182  CAD pt care not prov LDL                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8183  HF/atrial fib pt on warfarin                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8184  HF/atrial fib pt inelig warf                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8185  Osteoarth pt w/ assess pain                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8186  Osteoarth pt inelig assess                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8191  Antibiotic given prior surg                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8192  Antib given prior surg incis                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8193  Antibio not doc prior surg                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8194  Pt not elig for antibiotic                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8195  Antibiotic given prior surg                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8196  Antibio not docum prior surg                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8197  Antib order prior to surg                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8198  Cefazolin documented ordered                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8199  Cefazolin given prophylaxis                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8200  Cefazolin not docum prophy                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8201  Pt not eligi for cefazolin                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8202  Order given to d/c antibio                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8203  Antib was D/C 24hrs surg tim                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8204  MD not doc order to d/c anti                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8205  Pt not eligi for proph antib                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8206  MD doc prophylactic AB given                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8207  Clini doc order to D/C antib                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8208  Clini doc AB was D/C 48 h                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8209  Clinician did not doc                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8210  Clini doc pt ineligib anti                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8211  Clini doc proph AB giv                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8212  Clini order given for VTE                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8213  Clini given VTE prop                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8214  Clini not doc order VTE                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8215  Clini doc pt inelig VTE                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8216  Pt received DVT prophylaxis                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8217  Pt not received DVT proph                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8218  Pt inelig DVT prophylaxis                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8219  Received DVT proph day 2                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8220  Pt not rec DVT proph day 2                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8221  Pt inelig for DVT proph                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8222  Pt prescribe platelet at D/C                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8223  Pt not doc for presc antipla                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8224  Pt inelig for antiplat proph                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8225  Pt prescrib anticoag at D/C                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8226  Pt no prescr anticoa at D/C                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8227  Pt not doc to have perm/AF                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8228  Clin pt inelig anticoag D/C                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8229  Pt doc to have admin t-PA                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8230  Pt inelig t-PA isch strok>3h                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8231  Pt not doc for admin t-PA                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8232  Pt received dysphagia screen                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8234  Pt not doc dysphagia screen                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8235  Pt received NPO                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8236  Pt inelig dysphagia screen                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8237  Pt doc rec rehab serv                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8238  Pt not doc to rec rehab serv                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8239  Inter carotid stenosis <30%                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8240  Inter carotid stenosis30-99%                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8241  Pt inelig candidate ito meas                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8242  Pt doc to have CT/MRI w/les                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8243  Pt not doc MRI/CT w/o lesion                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8245  Clini doc prese/abs alarm                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8246  Pt inelig hx w new/chg mole                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8247  Pt w/alarm symp upper endo                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8248  Pt w/one alarm symp not doc                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8249  Pt inelig for upper endo                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8250  Pt w/Barretts esoph endo re                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8251  Pt not doc w/Barretts, endo                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8252  Pt inelig for esophag biop                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8253  Pt rec order for barium                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8254  Pt w/no doc order for barium                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8255  Clini doc pt inelig bar swal                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8256  Clini doc rev D/C meds w/med                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8257  Pt not doc rev meds D/C                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8258  Pt inelig for d/c meds rev                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8259  Pt doc to hav decision maker                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8260  Pt not doc to have dec maker                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8261  Clin doc pt inelig dec maker                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8262  Pt doc assess uriny incon                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8263  Pt not doc assess urinary in                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8264  Pt inelig assess urinary inc                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8265  Pt doc rec charc urin incon                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8266  Pt not doc charc urin incon                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8267  Pt doc rec plan urinary inco                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8268  Pt not doc rec care urin inc                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8269  Clin not prov care urin inco                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8270  Pt receiv screen for fall                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8271  Pt no doc screen fall                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8272  Clin doc pt inelig fall risk                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8273  Clin not prov care scre fall                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8274  Clini not doc pres/abs alarm                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8275  Pt hx w/ new moles                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8276  Pt not doc mole change                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8277  Pt inelig for assess mole                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8278  Pt doc rec PE skin                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8279  Pt not doc rec PE                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8280  Pt inelig PE skin                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8281  Pt rec counsel for self-exam                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8282  Pt not doc to rec couns                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8283  Pt inelig for counsel                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8284  Pt doc to rec pres osteo                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8285  Pt did not rec pres osteo                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8286  Pt inelig to rec pres osteo                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8287  Clin not prov care for pharm                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8288  Pt doc rec Ca/Vit D                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8289  Pt not doc rec Ca/Vit D                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8290  Clin doc pt inelig Ca/Vit D                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8291  Clin no pro care pt Ca/Vit D                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8292  COPD pt w/spir results                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8293  COPD pt w/o spir results                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8294  COPD pt inelig spir results                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8295  COPD pt doc bronch ther                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8296  COPD pt not doc bronch ther                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8297  COPD pt inelig bronch therap                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8298  Pt doc optic nerve eval                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8299  Pt not doc optic nerv eval                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8300  Pt inelig for optic nerv eva                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8301  Clin not prov care POAG                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8302  Pt doc w/ target IOP                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8303  Pt not doc w/ IOP                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8304  Clin doc pt inelig IOP                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8305  Clin not prov care POAG                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8306  POAG w/ IOP rec care plan                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8307  POAG w/ IOP no care plan                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8308  POAG w/ IOP not doc plan                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8309  Pt doc rec antioxidant                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8310  Pt not doc rec antiox                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8311  Pt inelig for antioxidant                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8312  Clin no prov care for antiox                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8313  Pt doc rec macular exam                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8314  Pt not doc to rec mac exam                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8315  Clin doc pt inelig mac exam                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8316  Clin no pro care for mac deg                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8317  Pt doc to have visual func                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8318  Pt doc not have visual func                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8319  Pt inelig for vis func stat                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8320  Clin not prov care catarac                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8321  Pt doc to pre axial leng                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8322  Pt not doc pre axial leng                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8323  Pt inelig for pre surg axial                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8324  Clin not prov care for IOL                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8325  Pt rec fund exam prior surg                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8326  Pt not doc rec fundus exam                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8327  Pt inelig for pre surg fundu                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8328  Clin not prov care fund eval                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8329  Pt doc rec dilated macular                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8330  Pt not doc rec dilated mac                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8331  Pt inelig dilate fundus                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8332  Clin prov no care diabetic r                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8333  Pt doc to have macular exam                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8334  Doc of macular not giv MD                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8335  Clin doc pt inelig macular                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8336  Clin did not pro care diabet                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8337  Clin doc pt was test osteo                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8338  Clin not doc pt test osteo                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8339  Pt inelig for test osteo                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8340  Pt doc have DEXA                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8341  Pt not doc for DEXA                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8342  Clin doc pt inelig DEXA                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8343  Clin not prov care DEXA                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8344  Pt doc have DEXA perform                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8345  Pt not doc have DEXA                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8346  Clin doc pt inelig DEXA                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8347  Clin not prov care DEXA                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8348  Int carotid stenosis meas                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8349  Pt inelig for doc of alarm                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8350  Pt doc 12 lead ECG                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8351  Pt not doc ECG                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8352  Pt inelig for ECG                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8353  Pt doc rec aspirin 24hrs ER                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8354  Pt not rec aspirin prior ER                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8355  Clin doc pt inelig aspirin                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8356  Pt doc to have ECG                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8357  Pt not doc to have ECG                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8358  Clin doc pt inelig ECG                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8359  Pt doc vital signs recorded                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8360  Pt not doc vital signs recor                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8361  Pt doc to have 02 SAT assess                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8362  Pt not doc 02 SAT assess                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8363  Clin doc pt inelig 02 SAT                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8364  Pt doc mental status assess                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8365  Pt not doc mental status                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8366  Pt doc to have empiric AB                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8367  Pt not doc have empiric AB                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8368  Clin doc pt inelig empiri AB                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8370  Asthma pt w survey not docum                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8371  Chemother not rec stg3 colon                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8372  Chemother rec stg 3 colon ca                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8373  Chemo plan docum prior chemo                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8374  Chemo plan not doc prior che                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8375  CLL pt w/o doc flow cytometr                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8376  Brst ca pt inelig tamoxifen                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8377  MD doc colon ca pt inelig ch                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8378  MD doc pt inelig rad therapy                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8379  Radiat tx recom doc12mo ov                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8380  Pt w stgIC-3Brst ca w/o tam                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8381  Pt w stgIC-3Brst ca rec tam                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8382  MM pt w/o doc IV bisphophon                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8383  Radiation rec not doc 12mo o                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8384  MDS pt w/o base cytogen test                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8385  Diab pt w nodoc Hgb A1c 12m                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8386  Diab pt w nodoc LDL 12m                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8387  ESRD pt w Hct/Hgb not docume                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8388  ESRD pt w URR/Ktv not doc el                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8389  MDS pt no doc Fe prior EPO                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8390  Diabetic w/o document BP 12m                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G8391  Pt w asthma no doc med or tx                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9001  MCCD, initial rate                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9002  MCCD,maintenance rate                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9003  MCCD, risk adj hi, initial                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9004  MCCD, risk adj lo, initial                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9005  MCCD, risk adj, maintenance                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9006  MCCD, Home monitoring                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9007  MCCD, sch team conf                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9008  Mccd,phys coor-care ovrsght                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9009  MCCD, risk adj, level 3                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9010  MCCD, risk adj, level 4                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9011  MCCD, risk adj, level 5                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9012  Other Specified Case Mgmt                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9013  ESRD demo bundle level I                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9014  ESRD demo bundle-level II                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9016  Demo-smoking cessation coun                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9017  Amantadine HCL 100mg oral                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9018  Zanamivir,inhalation pwd 10m                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9019  Oseltamivir phosphate 75mg                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9020  Rimantadine HCL 100mg oral                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9033  Amantadine HCL oral brand                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9034  Zanamivir, inh pwdr, brand                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9035  Oseltamivir phosp, brand                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9036  Rimantadine HCL, brand                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9041  Low vision rehab occupationa                      A   0.44   0.29     0.29     0.29     0.29     0.01   0.74   0.74   0.74   0.74  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G9042  Low vision rehab orient/mobi                      A   0.10   0.29     0.29     0.29     0.29     0.01   0.40   0.40   0.40   0.40  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G9043  Low vision lowvision therapi                      A   0.10   0.29     0.29     0.29     0.29     0.01   0.40   0.40   0.40   0.40  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G9044  Low vision rehabilate teache                      A   0.10   0.23     0.23     0.23     0.23     0.01   0.34   0.34   0.34   0.34  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
G9050  Oncology work-up evaluation                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9051  Oncology tx decision-mgmt                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9052  Onc surveillance for disease                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9053  Onc expectant management pt                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9054  Onc supervision palliative                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9055  Onc visit unspecified NOS                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9056  Onc prac mgmt adheres guide                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9057  Onc pract mgmt differs trial                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9058  Onc prac mgmt disagree w/gui                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9059  Onc prac mgmt pt opt alterna                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9060  Onc prac mgmt dif pt comorb                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9061  Onc prac cond noadd by guide                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9062  Onc prac guide differs nos                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9063  Onc dx nsclc stgI no progres                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9064  Onc dx nsclc stg2 no progres                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9065  Onc dx nsclc stg3A no progre                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9066  Onc dx nsclc stg3B-4 metasta                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9067  Onc dx nsclc dx unknown nos                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9068  Onc dx sclc/nsclc limited                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9069  Onc dx sclc/nsclc ext at dx                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9070  Onc dx sclc/nsclc ext unknwn                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9071  Onc dx brst stg1-2B HR,nopro                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9072  Onc dx brst stg1-2 noprogres                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9073  Onc dx brst stg3-HR, no pro                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9074  Onc dx brst stg3-noprogress                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9075  Onc dx brst metastic/ recur                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9077  Onc dx prostate T1no progres                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9078  Onc dx prostate T2no progres                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9079  Onc dx prostate T3b-T4noprog                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9080  Onc dx prostate w/rise PSA                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9083  Onc dx prostate unknwn nos                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9084  Onc dx colon t1-3,n1-2,no pr                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9085  Onc dx colon T4, N0 w/o prog                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9086  Onc dx colon T1-4 no dx prog                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9087  Onc dx colon metas evid dx                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9088  Onc dx colon metas noevid dx                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9089  Onc dx colon extent unknown                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9090  Onc dx rectal T1-2 no progr                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9091  Onc dx rectal T3 N0 no prog                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9092  Onc dx rectal T1-3,N1-2noprg                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9093  Onc dx rectal T4,N,M0 no prg                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9094  Onc dx rectal M1 w/mets prog                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9095  Onc dx rectal extent unknwn                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9096  Onc dx esophag T1-T3 noprog                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9097  Onc dx esophageal T4 no prog                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9098  Onc dx esophageal mets recur                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9099  Onc dx esophageal unknown                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9100  Onc dx gastric no recurrence                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9101  Onc dx gastric p R1-R2noprog                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9102  Onc dx gastric unresectable                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9103  Onc dx gastric recurrent                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9104  Onc dx gastric unknown NOS                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9105  Onc dx pancreatc p R0 res no                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9106  Onc dx pancreatc p R1/R2 no                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9107  Onc dx pancreatic unresectab                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9108  Onc dx pancreatic unknwn NOS                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9109  Onc dx head/neck T1-T2no prg                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9110  Onc dx head/neck T3-4 noprog                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9111  Onc dx head/neck M1 mets rec                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9112  Onc dx head/neck ext unknown                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9113  Onc dx ovarian stg1A-B no pr                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9114  Onc dx ovarian stg1A-B or 2                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9115  Onc dx ovarian stg3/4 noprog                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9116  Onc dx ovarian recurrence                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9117  Onc dx ovarian unknown NOS                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9123  Onc dx CML chronic phase                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9124  Onc dx CML acceler phase                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9125  Onc dx CML blast phase                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9126  Onc dx CML remission                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9128  Onc dx multi myeloma stage I                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9129  Onc dx mult myeloma stg2 hig                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9130  Onc dx multi myeloma unknown                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9131  Onc dx brst unknown NOS                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9132  Onc dx prostate mets no cast                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9133  Onc dx prostate clinical met                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9134  Onc NHLstg 1-2 no relap no                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9135  Onc dx NHL stg 3-4 not relap                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9136  Onc dx NHL trans to lg Bcell                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9137  Onc dx NHL relapse/refractor                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9138  Onc dx NHL stg unknown                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
G9139  Onc dx CML dx status unknown                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0001  Alcohol and/or drug assess                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0002  Alcohol and/or drug screenin                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0003  Alcohol and/or drug screenin                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0004  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0005  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0006  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0007  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0008  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0009  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0010  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0011  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0012  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0013  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0014  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0015  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0016  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0017  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0018  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0019  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0020  Alcohol and/or drug services                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0021  Alcohol and/or drug training                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0022  Alcohol and/or drug interven                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0023  Alcohol and/or drug outreach                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0024  Alcohol and/or drug preventi                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0025  Alcohol and/or drug preventi                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0026  Alcohol and/or drug preventi                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0027  Alcohol and/or drug preventi                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0028  Alcohol and/or drug preventi                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0029  Alcohol and/or drug preventi                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0030  Alcohol and/or drug hotline                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0031  MH health assess by non-md                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0032  MH svc plan dev by non-md                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0033  Oral med adm direct observe                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0034  Med trng & support per 15min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0035  MH partial hosp tx under 24h                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0036  Comm psy face-face per 15min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0037  Comm psy sup tx pgm per diem                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0038  Self-help/peer svc per 15min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0039  Asser com tx face-face/15min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0040  Assert comm tx pgm per diem                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0041  Fos c chld non-ther per diem                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0042  Fos c chld non-ther per mon                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0043  Supported housing, per diem                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0044  Supported housing, per month                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0045  Respite not-in-home per diem                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0046  Mental health service, nos                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0047  Alcohol/drug abuse svc nos                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0048  Spec coll non-blood:a/d test                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0049  Alcohol/drug screening                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H0050  Alcohol/drug service 15 min                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H1000  Prenatal care atrisk assessm                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H1001  Antepartum management                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H1002  Carecoordination prenatal                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H1003  Prenatal at risk education                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H1004  Follow up home visit/prental                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H1005  Prenatalcare enhanced srv pk                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H1010  Nonmed family planning ed                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H1011  Family assessment                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2000  Comp multidisipln evaluation                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2001  Rehabilitation program 1/2 d                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2010  Comprehensive med svc 15 min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2011  Crisis interven svc, 15 min                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2012  Behav hlth day treat, per hr                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2013  Psych hlth fac svc, per diem                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2014  Skills train and dev, 15 min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2015  Comp comm supp svc, 15 min                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2016  Comp comm supp svc, per diem                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2017  Psysoc rehab svc, per 15 min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2018  Psysoc rehab svc, per diem                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2019  Ther behav svc, per 15 min                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2020  Ther behav svc, per diem                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2021  Com wrap-around sv, 15 min                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2022  Com wrap-around sv, per diem                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2023  Supported employ, per 15 min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2024  Supported employ, per diem                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2025  Supp maint employ, 15 min                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2026  Supp maint employ, per diem                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2027  Psychoed svc, per 15 min                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2028  Sex offend tx svc, 15 min                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2029  Sex offend tx svc, per diem                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2030  MH clubhouse svc, per 15 min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2031  MH clubhouse svc, per diem                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2032  Activity therapy, per 15 min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2033  Multisys ther/juvenile 15min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2034  A/D halfway house, per diem                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2035  A/D tx program, per hour                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2036  A/D tx program, per diem                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
H2037  Dev delay prev dp ch, 15 min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0120  Tetracyclin injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0128  Abarelix injection                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0129  Abatacept injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0130  Abciximab injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0132  Acetylcysteine injection                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0133  Acyclovir injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0135  Adalimumab injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0150  Injection adenosine 6 MG                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0152  Adenosine injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0170  Adrenalin epinephrin inject                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0180  Agalsidase beta injection                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0190  Inj biperiden lactate/5 mg                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0200  Alatrofloxacin mesylate                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0205  Alglucerase injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0207  Amifostine                                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0210  Methyldopate hcl injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0215  Alefacept                                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0256  Alpha 1 proteinase inhibitor                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0270  Alprostadil for injection                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0275  Alprostadil urethral suppos                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0278  Amikacin sulfate injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0280  Aminophyllin 250 MG inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0282  Amiodarone HCl                                    E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0285  Amphotericin B                                    E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0287  Amphotericin b lipid complex                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0288  Ampho b cholesteryl sulfate                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0289  Amphotericin b liposome inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0290  Ampicillin 500 MG inj                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0295  Ampicillin sodium per 1.5 gm                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0300  Amobarbital 125 MG inj                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0330  Succinycholine chloride inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0348  Anadulafungin injection                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0350  Injection anistreplase 30 u                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0360  Hydralazine hcl injection                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0364  Apomorphine hydrochloride                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0365  Aprotonin, 10,000 kiu                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0380  Inj metaraminol bitartrate                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0390  Chloroquine injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0395  Arbutamine HCl injection                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0456  Azithromycin                                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0460  Atropine sulfate injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0470  Dimecaprol injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0475  Baclofen 10 MG injection                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0476  Baclofen intrathecal trial                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0480  Basiliximab                                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0500  Dicyclomine injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0515  Inj benztropine mesylate                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0520  Bethanechol chloride inject                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0530  Penicillin g benzathine inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0540  Penicillin g benzathine inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0550  Penicillin g benzathine inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0560  Penicillin g benzathine inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0570  Penicillin g benzathine inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0580  Penicillin g benzathine inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0583  Bivalirudin                                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0585  Botulinum toxin a per unit                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0587  Botulinum toxin type B                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0592  Buprenorphine hydrochloride                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0594  Busulfan injection                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0595  Butorphanol tartrate 1 mg                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0600  Edetate calcium disodium inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0610  Calcium gluconate injection                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0620  Calcium glycer & lact/10 ML                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0630  Calcitonin salmon injection                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0636  Inj calcitriol per 0.1 mcg                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0637  Caspofungin acetate                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0640  Leucovorin calcium injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0670  Inj mepivacaine HCL/10 ml                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0690  Cefazolin sodium injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0692  Cefepime HCl for injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0694  Cefoxitin sodium injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0696  Ceftriaxone sodium injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0697  Sterile cefuroxime injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0698  Cefotaxime sodium injection                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0702  Betamethasone acet&sod phosp                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0704  Betamethasone sod phosp/4 MG                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0706  Caffeine citrate injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0710  Cephapirin sodium injection                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0713  Inj ceftazidime per 500 mg                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0715  Ceftizoxime sodium / 500 MG                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0720  Chloramphenicol sodium injec                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0725  Chorionic gonadotropin/1000u                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0735  Clonidine hydrochloride                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0740  Cidofovir injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0743  Cilastatin sodium injection                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0744  Ciprofloxacin iv                                  E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0745  Inj codeine phosphate /30 MG                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0760  Colchicine injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0770  Colistimethate sodium inj                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0780  Prochlorperazine injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0795  Corticorelin ovine triflutal                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0800  Corticotropin injection                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0835  Inj cosyntropin per 0.25 MG                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0850  Cytomegalovirus imm IV /vial                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0878  Daptomycin injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0881  Darbepoetin alfa, non-esrd                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0882  Darbepoetin alfa, esrd use                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0885  Epoetin alfa, non-esrd                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0886  Epoetin alfa 1000 units ESRD                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0894  Decitabine injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0895  Deferoxamine mesylate inj                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0900  Testosterone enanthate inj                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0945  Brompheniramine maleate inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J0970  Estradiol valerate injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1000  Depo-estradiol cypionate inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1020  Methylprednisolone 20 MG inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1030  Methylprednisolone 40 MG inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1040  Methylprednisolone 80 MG inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1051  Medroxyprogesterone inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1055  Medrxyprogester acetate inj                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1056  MA/EC contraceptiveinjection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1060  Testosterone cypionate 1 ML                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1070  Testosterone cypionat 100 MG                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1080  Testosterone cypionat 200 MG                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1094  Inj dexamethasone acetate                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1100  Dexamethasone sodium phos                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1110  Inj dihydroergotamine mesylt                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1120  Acetazolamid sodium injectio                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1160  Digoxin injection                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1162  Digoxin immune fab (ovine)                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1165  Phenytoin sodium injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1170  Hydromorphone injection                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1180  Dyphylline injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1190  Dexrazoxane HCl injection                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1200  Diphenhydramine hcl injectio                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1205  Chlorothiazide sodium inj                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1212  Dimethyl sulfoxide 50% 50 ML                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1230  Methadone injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1240  Dimenhydrinate injection                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1245  Dipyridamole injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1250  Inj dobutamine HCL/250 mg                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1260  Dolasetron mesylate                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1265  Dopamine injection                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1270  Injection, doxercalciferol                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1320  Amitriptyline injection                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1324  Enfuvirtide injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1325  Epoprostenol injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1327  Eptifibatide injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1330  Ergonovine maleate injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1335  Ertapenem injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1364  Erythro lactobionate /500 MG                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1380  Estradiol valerate 10 MG inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1390  Estradiol valerate 20 MG inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1410  Inj estrogen conjugate 25 MG                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1430  Ethanolamine oleate 100 mg                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1435  Injection estrone per 1 MG                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1436  Etidronate disodium inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1438  Etanercept injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1440  Filgrastim 300 mcg injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1441  Filgrastim 480 mcg injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1450  Fluconazole                                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1451  Fomepizole, 15 mg                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1452  Intraocular Fomivirsen na                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1455  Foscarnet sodium injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1457  Gallium nitrate injection                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1458  Galsulfase injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1460  Gamma globulin 1 CC inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1470  Gamma globulin 2 CC inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1480  Gamma globulin 3 CC inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1490  Gamma globulin 4 CC inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1500  Gamma globulin 5 CC inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1510  Gamma globulin 6 CC inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1520  Gamma globulin 7 CC inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1530  Gamma globulin 8 CC inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1540  Gamma globulin 9 CC inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1550  Gamma globulin 10 CC inj                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1560  Gamma globulin > 10 CC inj                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1562  Immune globulin subcutaneous                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1565  RSV-ivig                                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1566  Immune globulin, powder                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1567  Immune globulin, liquid                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1570  Ganciclovir sodium injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1580  Garamycin gentamicin inj                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1590  Gatifloxacin injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1595  Injection glatiramer acetate                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1600  Gold sodium thiomaleate inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1610  Glucagon hydrochloride/1 MG                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1620  Gonadorelin hydroch/ 100 mcg                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1626  Granisetron HCl injection                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1630  Haloperidol injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1631  Haloperidol decanoate inj                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1640  Hemin, 1 mg                                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1642  Inj heparin sodium per 10 u                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1644  Inj heparin sodium per 1000u                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1645  Dalteparin sodium                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1650  Inj enoxaparin sodium                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1652  Fondaparinux sodium                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1655  Tinzaparin sodium injection                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1670  Tetanus immune globulin inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1675  Histrelin acetate                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1700  Hydrocortisone acetate inj                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1710  Hydrocortisone sodium ph inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1720  Hydrocortisone sodium succ i                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1730  Diazoxide injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1740  Ibandronate sodium injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1742  Ibutilide fumarate injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1745  Infliximab injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1751  Iron dextran 165 injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1752  Iron dextran 267 injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1756  Iron sucrose injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1785  Injection imiglucerase /unit                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1790  Droperidol injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1800  Propranolol injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1810  Droperidol/fentanyl inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1815  Insulin injection                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1817  Insulin for insulin pump use                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1825  Interferon beta-1a                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1830  Interferon beta-1b / .25 MG                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1835  Itraconazole injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1840  Kanamycin sulfate 500 MG inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1850  Kanamycin sulfate 75 MG inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1885  Ketorolac tromethamine inj                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1890  Cephalothin sodium injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1931  Laronidase injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1940  Furosemide injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1945  Lepirudin                                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1950  Leuprolide acetate /3.75 MG                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1955  Inj levocarnitine per 1 gm                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1956  Levofloxacin injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1960  Levorphanol tartrate inj                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1980  Hyoscyamine sulfate inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J1990  Chlordiazepoxide injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2001  Lidocaine injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2010  Lincomycin injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2020  Linezolid injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2060  Lorazepam injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2150  Mannitol injection                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2170  Mecasermin injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2175  Meperidine hydrochl /100 MG                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2180  Meperidine/promethazine inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2185  Meropenem                                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2210  Methylergonovin maleate inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2248  Micafungin sodium injection                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2250  Inj midazolam hydrochloride                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2260  Inj milrinone lactate / 5 MG                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2270  Morphine sulfate injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2271  Morphine so4 injection 100mg                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2275  Morphine sulfate injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2278  Ziconotide injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2280  Inj, moxifloxacin 100 mg                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2300  Inj nalbuphine hydrochloride                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2310  Inj naloxone hydrochloride                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2315  Naltrexone, depot form                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2320  Nandrolone decanoate 50 MG                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2321  Nandrolone decanoate 100 MG                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2322  Nandrolone decanoate 200 MG                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2325  Nesiritide injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2353  Octreotide injection, depot                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2354  Octreotide inj, non-depot                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2355  Oprelvekin injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2357  Omalizumab injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2360  Orphenadrine injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2370  Phenylephrine hcl injection                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2400  Chloroprocaine hcl injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2405  Ondansetron hcl injection                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2410  Oxymorphone hcl injection                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2425  Palifermin injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2430  Pamidronate disodium /30 MG                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2440  Papaverin hcl injection                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2460  Oxytetracycline injection                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2469  Palonosetron HCl                                  E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2501  Paricalcitol                                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2503  Pegaptanib sodium injection                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2504  Pegademase bovine, 25 iu                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2505  Injection, pegfilgrastim 6mg                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2510  Penicillin g procaine inj                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2513  Pentastarch 10% solution                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2515  Pentobarbital sodium inj                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2540  Penicillin g potassium inj                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2543  Piperacillin/tazobactam                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2545  Pentamidine isethionte/300mg                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2550  Promethazine hcl injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2560  Phenobarbital sodium inj                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2590  Oxytocin injection                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2597  Inj desmopressin acetate                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2650  Prednisolone acetate inj                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2670  Totazoline hcl injection                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2675  Inj progesterone per 50 MG                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2680  Fluphenazine decanoate 25 MG                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2690  Procainamide hcl injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2700  Oxacillin sodium injeciton                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2710  Neostigmine methylslfte inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2720  Inj protamine sulfate/10 MG                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2725  Inj protirelin per 250 mcg                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2730  Pralidoxime chloride inj                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2760  Phentolaine mesylate inj                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2765  Metoclopramide hcl injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2770  Quinupristin/dalfopristin                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2780  Ranitidine hydrochloride inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2783  Rasburicase                                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2788  Rho d immune globulin 50 mcg                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2790  Rho d immune globulin inj                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2792  Rho(D) immune globulin h, sd                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2794  Risperidone, long acting                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2795  Ropivacaine HCl injection                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2800  Methocarbamol injection                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2805  Sincalide injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2810  Inj theophylline per 40 MG                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2820  Sargramostim injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2850  Inj secretin synthetic human                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2910  Aurothioglucose injeciton                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2916  Na ferric gluconate complex                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2920  Methylprednisolone injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2930  Methylprednisolone injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2940  Somatrem injection                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2941  Somatropin injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2950  Promazine hcl injection                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2993  Reteplase injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2995  Inj streptokinase /250000 IU                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J2997  Alteplase recombinant                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3000  Streptomycin injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3010  Fentanyl citrate injeciton                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3030  Sumatriptan succinate / 6 MG                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3070  Pentazocine injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3100  Tenecteplase injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3105  Terbutaline sulfate inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3110  Teriparatide injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3120  Testosterone enanthate inj                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3130  Testosterone enanthate inj                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3140  Testosterone suspension inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3150  Testosteron propionate inj                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3230  Chlorpromazine hcl injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3240  Thyrotropin injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3243  Tigecycline injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3246  Tirofiban HCl                                     E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3250  Trimethobenzamide hcl inj                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3260  Tobramycin sulfate injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3265  Injection torsemide 10 mg/ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3280  Thiethylperazine maleate inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3285  Treprostinil injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3301  Triamcinolone acetonide inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3302  Triamcinolone diacetate inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3303  Triamcinolone hexacetonl inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3305  Inj trimetrexate glucoronate                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3310  Perphenazine injeciton                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3315  Triptorelin pamoate                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3320  Spectinomycn di-hcl inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3350  Urea injection                                    E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3355  Urofollitropin, 75 iu                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3360  Diazepam injection                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3364  Urokinase 5000 IU injection                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3365  Urokinase 250,000 IU inj                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3370  Vancomycin hcl injection                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3396  Verteporfin injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3400  Triflupromazine hcl inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3410  Hydroxyzine hcl injection                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3411  Thiamine hcl 100 mg                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3415  Pyridoxine hcl 100 mg                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3420  Vitamin b12 injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3430  Vitamin k phytonadione inj                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3465  Injection, voriconazole                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3470  Hyaluronidase injection                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3471  Ovine, up to 999 USP units                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3472  Ovine, 1000 USP units                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3473  Hyaluronidase recombinant                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3475  Inj magnesium sulfate                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3480  Inj potassium chloride                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3485  Zidovudine                                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3486  Ziprasidone mesylate                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3487  Zoledronic acid                                   E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3490  Drugs unclassified injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3520  Edetate disodium per 150 mg                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3530  Nasal vaccine inhalation                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3535  Metered dose inhaler drug                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3570  Laetrile amygdalin vit B17                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J3590  Unclassified biologics                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7030  Normal saline solution infus                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7040  Normal saline solution infus                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7042  5% dextrose/normal saline                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7050  Normal saline solution infus                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7060  5% dextrose/water                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7070  D5w infusion                                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7100  Dextran 40 infusion                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7110  Dextran 75 infusion                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7120  Ringers lactate infusion                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7130  Hypertonic saline solution                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7187  Inj Vonwillebrand factor IU                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7189  Factor viia                                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7190  Factor viii                                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7191  Factor VIII (porcine)                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7192  Factor viii recombinant                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7193  Factor IX non-recombinant                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7194  Factor ix complex                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7195  Factor IX recombinant                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7197  Antithrombin iii injection                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7198  Anti-inhibitor                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7199  Hemophilia clot factor noc                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7300  Intraut copper contraceptive                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7302  Levonorgestrel iu contracept                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7303  Contraceptive vaginal ring                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7304  Contraceptive hormone patch                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7306  Levonorgestrel implant sys                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7308  Aminolevulinic acid hcl top                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7310  Ganciclovir long act implant                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7311  Fluocinolone acetonide implt                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7319  Sodium Hyaluronate Injection                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7330  Cultured chondrocytes implnt                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7340  Metabolic active D/E tissue                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7341  Non-human, metabolic tissue                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7342  Metabolically active tissue                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7343  Nonmetabolic act d/e tissue                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7344  Nonmetabolic active tissue                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7345  Non-human, non-metab tissue                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7346  Injectable human tissue                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7500  Azathioprine oral 50mg                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7501  Azathioprine parenteral                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7502  Cyclosporine oral 100 mg                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7504  Lymphocyte immune globulin                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7505  Monoclonal antibodies                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7506  Prednisone oral                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7507  Tacrolimus oral per 1 MG                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7509  Methylprednisolone oral                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7510  Prednisolone oral per 5 mg                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7511  Antithymocyte globuln rabbit                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7513  Daclizumab, parenteral                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7515  Cyclosporine oral 25 mg                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7516  Cyclosporin parenteral 250mg                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7517  Mycophenolate mofetil oral                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7518  Mycophenolic acid                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7520  Sirolimus, oral                                   E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7525  Tacrolimus injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7599  Immunosuppressive drug noc                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7607  Levalbuterol comp con                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7608  Acetylcysteine inh sol u d                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7609  Albuterol comp unit                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7610  Albuterol comp con                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7611  Albuterol non-comp con                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7612  Levalbuterol non-comp con                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7613  Albuterol non-comp unit                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7614  Levalbuterol non-comp unit                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7615  Levalbuterol comp unit                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7620  Albuterol ipratrop non-comp                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7622  Beclomethasone comp unit                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7624  Betamethasone comp unit                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7626  Budesonide non-comp unit                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7627  Budesonide comp unit                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7628  Bitolterol mesylate comp con                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7629  Bitolterol mesylate comp unt                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7631  Cromolyn sodium inh sol u d                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7633  Budesonide non-comp con                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7634  Budesonide comp con                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7635  Atropine comp con                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7636  Atropine comp unit                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7637  Dexamethasone comp con                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7638  Dexamethasone comp unit                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7639  Dornase alpha inhal sol u d                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7640  Formoterol comp unit                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7641  Flunisolide comp unit                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7642  Glycopyrrolate comp con                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7643  Glycopyrrolate comp unit                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7644  Ipratropium bromide non-comp                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7645  Ipratropium bromide comp                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7647  Isoetharine comp con                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7648  Isoetharine non-comp con                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7649  Isoetharine non-comp unit                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7650  Isoetharine comp unit                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7657  Isoproterenol comp con                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7658  Isoproterenol non-comp con                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7659  Isoproterenol non-comp unit                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7660  Isoproterenol comp unit                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7667  Metaproterenol comp con                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7668  Metaproterenol non-comp con                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7669  Metaproterenol non-comp unit                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7670  Metaproterenol comp unit                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7674  Methacholine chloride, neb                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7680  Terbutaline sulf comp con                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7681  Terbutaline sulf comp unit                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7682  Tobramycin non-comp unit                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7683  Triamcinolone comp con                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7684  Triamcinolone comp unit                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7685  Tobramycin comp unit                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7699  Inhalation solution for DME                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J7799  Non-inhalation drug for DME                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8498  Antiemetic rectal/supp NOS                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8499  Oral prescrip drug non chemo                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8501  Oral aprepitant                                   E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8510  Oral busulfan                                     E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8515  Cabergoline, oral 0.25mg                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8520  Capecitabine, oral, 150 mg                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8521  Capecitabine, oral, 500 mg                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8530  Cyclophosphamide oral 25 MG                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8540  Oral dexamethasone                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8560  Etoposide oral 50 MG                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8565  Gefitinib oral                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8597  Antiemetic drug oral NOS                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8600  Melphalan oral 2 MG                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8610  Methotrexate oral 2.5 MG                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8650  Nabilone oral                                     E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8700  Temozolomide                                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J8999  Oral prescription drug chemo                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9000  Doxorubic hcl 10 MG vl chemo                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9001  Doxorubicin hcl liposome inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9010  Alemtuzumab injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9015  Aldesleukin/single use vial                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9017  Arsenic trioxide                                  E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9020  Asparaginase injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9025  Azacitidine injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9027  Clofarabine injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9031  Bcg live intravesical vac                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9035  Bevacizumab injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9040  Bleomycin sulfate injection                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9041  Bortezomib injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9045  Carboplatin injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9050  Carmus bischl nitro inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9055  Cetuximab injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9060  Cisplatin 10 MG injection                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9062  Cisplatin 50 MG injection                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9065  Inj cladribine per 1 MG                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9070  Cyclophosphamide 100 MG inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9080  Cyclophosphamide 200 MG inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9090  Cyclophosphamide 500 MG inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9091  Cyclophosphamide 1.0 grm inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9092  Cyclophosphamide 2.0 grm inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9093  Cyclophosphamide lyophilized                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9094  Cyclophosphamide lyophilized                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9095  Cyclophosphamide lyophilized                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9096  Cyclophosphamide lyophilized                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9097  Cyclophosphamide lyophilized                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9098  Cytarabine liposome                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9100  Cytarabine hcl 100 MG inj                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9110  Cytarabine hcl 500 MG inj                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9120  Dactinomycin actinomycin d                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9130  Dacarbazine 100 mg inj                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9140  Dacarbazine 200 MG inj                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9150  Daunorubicin                                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9151  Daunorubicin citrate liposom                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9160  Denileukin diftitox, 300 mcg                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9165  Diethylstilbestrol injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9170  Docetaxel                                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9175  Elliotts b solution per ml                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9178  Inj, epirubicin hcl, 2 mg                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9181  Etoposide 10 MG inj                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9182  Etoposide 100 MG inj                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9185  Fludarabine phosphate inj                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9190  Fluorouracil injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9200  Floxuridine injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9201  Gemcitabine HCl                                   E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9202  Goserelin acetate implant                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9206  Irinotecan injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9208  Ifosfomide injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9209  Mesna injection                                   E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9211  Idarubicin hcl injection                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9212  Interferon alfacon-1                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9213  Interferon alfa-2a inj                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9214  Interferon alfa-2b inj                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9215  Interferon alfa-n3 inj                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9216  Interferon gamma 1-b inj                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9217  Leuprolide acetate suspnsion                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9218  Leuprolide acetate injeciton                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9219  Leuprolide acetate implant                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9225  Histrelin implant                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9230  Mechlorethamine hcl inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9245  Inj melphalan hydrochl 50 MG                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9250  Methotrexate sodium inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9260  Methotrexate sodium inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9261  Nelarabine injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9263  Oxaliplatin                                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9264  Paclitaxel protein bound                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9265  Paclitaxel injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9266  Pegaspargase/singl dose vial                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9268  Pentostatin injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9270  Plicamycin (mithramycin) inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9280  Mitomycin 5 MG inj                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9290  Mitomycin 20 MG inj                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9291  Mitomycin 40 MG inj                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9293  Mitoxantrone hydrochl / 5 MG                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9300  Gemtuzumab ozogamicin                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9305  Pemetrexed injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9310  Rituximab cancer treatment                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9320  Streptozocin injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9340  Thiotepa injection                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9350  Topotecan                                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9355  Trastuzumab                                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9357  Valrubicin, 200 mg                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9360  Vinblastine sulfate inj                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9370  Vincristine sulfate 1 MG inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9375  Vincristine sulfate 2 MG inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9380  Vincristine sulfate 5 MG inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9390  Vinorelbine tartrate/10 mg                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9395  Injection, Fulvestrant                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9600  Porfimer sodium                                   E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
J9999  Chemotherapy drug                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
M0064  Visit for drug monitoring                         A   0.37   0.48     0.89     0.11     0.07     0.01   0.86   1.27   0.49   0.45  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
M0075  Cellular therapy                                  N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
M0076  Prolotherapy                                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
M0100  Intragastric hypothermia                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
M0300  IV chelationtherapy                               N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
M0301  Fabric wrapping of aneurysm                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P2028  Cephalin floculation test                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P2029  Congo red blood test                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P2031  Hair analysis                                     N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P2033  Blood thymol turbidity                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P2038  Blood mucoprotein                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P3000  Screen pap by tech w md supv                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P3001  Screening pap smear by phys                       A   0.42   0.21     0.37     0.21     0.37     0.02   0.65   0.81   0.65   0.81  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
P7001  Culture bacterial urine                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9010  Whole blood for transfusion                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9011  Blood split unit                                  E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9012  Cryoprecipitate each unit                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9016  RBC leukocytes reduced                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9017  Plasma 1 donor frz w/in 8 hr                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9019  Platelets, each unit                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9020  Plaelet rich plasma unit                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9021  Red blood cells unit                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9022  Washed red blood cells unit                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9023  Frozen plasma, pooled, sd                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9031  Platelets leukocytes reduced                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9032  Platelets, irradiated                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9033  Platelets leukoreduced irrad                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9034  Platelets, pheresis                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9035  Platelet pheres leukoreduced                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9036  Platelet pheresis irradiated                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9037  Plate pheres leukoredu irrad                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9038  RBC irradiated                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9039  RBC deglycerolized                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9040  RBC leukoreduced irradiated                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9041  Albumin (human),5%, 50ml                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9043  Plasma protein fract,5%,50ml                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9044  Cryoprecipitatereducedplasma                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9045  Albumin (human), 5%, 250 ml                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9046  Albumin (human), 25%, 20 ml                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9047  Albumin (human), 25%, 50ml                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9048  Plasmaprotein fract,5%,250ml                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9050  Granulocytes, pheresis unit                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9051  Blood, l/r, cmv-neg                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9052  Platelets, hla-m, l/r, unit                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9053  Plt, pher, l/r cmv-neg, irr                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9054  Blood, l/r, froz/degly/wash                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9055  Plt, aph/pher, l/r, cmv-neg                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9056  Blood, l/r, irradiated                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9057  RBC, frz/deg/wsh, l/r, irrad                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9058  RBC, l/r, cmv-neg, irrad                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9059  Plasma, frz between 8-24hour                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9060  Fr frz plasma donor retested                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9603  One-way allow prorated miles                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9604  One-way allow prorated trip                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9612  Catheterize for urine spec                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
P9615  Urine specimen collect mult                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0035  Cardiokymography                                  A   0.17   0.42     0.30     0.42NA   0.30 NA  0.03   0.62   0.50   0.62   0.50  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
Q0035TCCardiokymography                                  A   0.00   0.36     0.25     0.36NA   0.25 NA  0.02   0.38   0.27   0.38   0.27  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
Q003526Cardiokymography                                  A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
Q0091  Obtaining screen pap smear                        A   0.37   0.69     0.75     0.13     0.10     0.02   1.08   1.14   0.52   0.49  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
Q0092  Set up port xray equipment                        A   0.00   0.35     0.45     0.35     0.45     0.01   0.36   0.46   0.36   0.46  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
Q0111  Wet mounts/ w preparations                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0112  Potassium hydroxide preps                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0113  Pinworm examinations                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0114  Fern test                                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0115  Post-coital mucous exam                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0144  Azithromycin dihydrate, oral                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0163  Diphenhydramine HCl 50mg                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0164  Prochlorperazine maleate 5mg                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0165  Prochlorperazine maleate10mg                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0166  Granisetron HCl 1 mg oral                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0167  Dronabinol 2.5mg oral                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0168  Dronabinol 5mg oral                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0169  Promethazine HCl 12.5mg oral                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0170  Promethazine HCl 25 mg oral                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0171  Chlorpromazine HCl 10mg oral                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0172  Chlorpromazine HCl 25mg oral                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0173  Trimethobenzamide HCl 250mg                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0174  Thiethylperazine maleate10mg                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0175  Perphenazine 4mg oral                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0176  Perphenazine 8mg oral                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0177  Hydroxyzine pamoate 25mg                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0178  Hydroxyzine pamoate 50mg                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0179  Ondansetron HCl 8mg oral                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0180  Dolasetron mesylate oral                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0181  Unspecified oral anti-emetic                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0480  Driver pneumatic vad, rep                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0481  Microprcsr cu elec vad, rep                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0482  Microprcsr cu combo vad, rep                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0483  Monitor elec vad, rep                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0484  Monitor elec or comb vad rep                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0485  Monitor cable elec vad, rep                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0486  Mon cable elec/pneum vad rep                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0487  Leads any type vad, rep only                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0488  Pwr pack base elec vad, rep                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0489  Pwr pck base combo vad, rep                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0490  Emr pwr source elec vad, rep                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0491  Emr pwr source combo vad rep                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0492  Emr pwr cbl elec vad, rep                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0493  Emr pwr cbl combo vad, rep                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0494  Emr hd pmp elec/combo, rep                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0495  Charger elec/combo vad, rep                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0496  Battery elec/combo vad, rep                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0497  Bat clps elec/comb vad, rep                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0498  Holster elec/combo vad, rep                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0499  Belt/vest elec/combo vad rep                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0500  Filters elec/combo vad, rep                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0501  Shwr cov elec/combo vad, rep                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0502  Mobility cart pneum vad, rep                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0503  Battery pneum vad replacemnt                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0504  Pwr adpt pneum vad, rep veh                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0505  Miscl supply/accessory vad                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0510  Dispens fee immunosupressive                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0511  Sup fee antiem,antica,immuno                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0512  Px sup fee anti-can sub pres                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0513  Disp fee inhal drugs/30 days                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0514  Disp fee inhal drugs/90 days                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q0515  Sermorelin acetate injection                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q1003  Ntiol category 3                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q1004  Ntiol category 4                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q1005  Ntiol category 5                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q2004  Bladder calculi irrig sol                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q2009  Fosphenytoin, 50 mg                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q2017  Teniposide, 50 mg                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q3001  Brachytherapy Radioelements                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
Q3014  Telehealth facility fee                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q3025  IM inj interferon beta 1-a                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q3026  Subc inj interferon beta-1a                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q3031  Collagen skin test                                B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4001  Cast sup body cast plaster                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4002  Cast sup body cast fiberglas                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4003  Cast sup shoulder cast plstr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4004  Cast sup shoulder cast fbrgl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4005  Cast sup long arm adult plst                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4006  Cast sup long arm adult fbrg                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4007  Cast sup long arm ped plster                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4008  Cast sup long arm ped fbrgls                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4009  Cast sup sht arm adult plstr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4010  Cast sup sht arm adult fbrgl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4011  Cast sup sht arm ped plaster                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4012  Cast sup sht arm ped fbrglas                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4013  Cast sup gauntlet plaster                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4014  Cast sup gauntlet fiberglass                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4015  Cast sup gauntlet ped plster                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4016  Cast sup gauntlet ped fbrgls                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4017  Cast sup lng arm splint plst                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4018  Cast sup lng arm splint fbrg                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4019  Cast sup lng arm splnt ped p                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4020  Cast sup lng arm splnt ped f                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4021  Cast sup sht arm splint plst                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4022  Cast sup sht arm splint fbrg                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4023  Cast sup sht arm splnt ped p                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4024  Cast sup sht arm splnt ped f                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4025  Cast sup hip spica plaster                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4026  Cast sup hip spica fiberglas                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4027  Cast sup hip spica ped plstr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4028  Cast sup hip spica ped fbrgl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4029  Cast sup long leg plaster                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4030  Cast sup long leg fiberglass                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4031  Cast sup lng leg ped plaster                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4032  Cast sup lng leg ped fbrgls                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4033  Cast sup lng leg cylinder pl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4034  Cast sup lng leg cylinder fb                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4035  Cast sup lngleg cylndr ped p                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4036  Cast sup lngleg cylndr ped f                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4037  Cast sup shrt leg plaster                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4038  Cast sup shrt leg fiberglass                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4039  Cast sup shrt leg ped plster                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4040  Cast sup shrt leg ped fbrgls                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4041  Cast sup lng leg splnt plstr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4042  Cast sup lng leg splnt fbrgl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4043  Cast sup lng leg splnt ped p                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4044  Cast sup lng leg splnt ped f                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4045  Cast sup sht leg splnt plstr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4046  Cast sup sht leg splnt fbrgl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4047  Cast sup sht leg splnt ped p                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4048  Cast sup sht leg splnt ped f                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4049  Finger splint, static                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4050  Cast supplies unlisted                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4051  Splint supplies misc                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4079  Natalizumab injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4080  Iloprost inhalation solution                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4081  Epoetin alfa, 100 units ESRD                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4082  Drug/bio NOC part B drug CAP                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4083  Hyalgan/supartz inj per dose                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4084  Synvisc inj per dose                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4085  Euflexxa inj per dose                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4086  Orthovisc inj per dose                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4087  Octagam Injection                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4088  Gammagard Liquid injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4089  Rhophylac injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4090  HepaGam B IM Injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4091  Flebogamma injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4092  Gamunex injection                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4093  Albuterol inh non-comp con                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4094  Albuterol inh non-comp u d                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q4095  Reclast injection                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q5001  Hospice in patient home                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q5002  Hospice in assisted living                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q5003  Hospice in LT/non-skilled NF                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q5004  Hospice in SNF                                    E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q5005  Hospice, inpatient hospital                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q5006  Hospice in hospice facility                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q5007  Hospice in LTCH                                   E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q5008  Hospice in inpatient psych                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q5009  Hospice care, NOS                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9945  LOCM <=149 mg/ml iodine, 1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9946  LOCM 150-199mg/ml iodine,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9947  LOCM 200-249mg/ml iodine,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9948  LOCM 250-299mg/ml iodine,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9949  LOCM 300-349mg/ml iodine,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9950  LOCM 350-399mg/ml iodine,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9951  LOCM >= 400 mg/ml iodine,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9952  Inj Gad-base MR contrast,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9953  Inj Fe-based MR contrast,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9954  Oral MR contrast, 100 ml                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9955  Inj perflexane lip micros,ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9956  Inj octafluoropropane mic,ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9957  Inj perflutren lip micros,ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9958  HOCM <=149 mg/ml iodine, 1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9959  HOCM 150-199mg/ml iodine,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9960  HOCM 200-249mg/ml iodine,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9961  HOCM 250-299mg/ml iodine,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9962  HOCM 300-349mg/ml iodine,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9963  HOCM 350-399mg/ml iodine,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
Q9964  HOCM>= 400mg/ml iodine, 1ml                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
R0070  Transport portable x-ray                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
R0075  Transport port x-ray multipl                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
R0076  Transport portable EKG                            B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0012  Butorphanol tartrate, nasal                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0014  Tacrine hydrochloride, 10 mg                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0017  Injection, aminocaproic acid                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0020  Injection, bupivicaine hydro                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0021  Injection, cefoperazone sod                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0023  Injection, cimetidine hydroc                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0028  Injection, famotidine, 20 mg                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0030  Injection, metronidazole                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0032  Injection, nafcillin sodium                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0034  Injection, ofloxacin, 400 mg                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0039  Injection, sulfamethoxazole                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0040  Injection, ticarcillin disod                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0073  Injection, aztreonam, 500 mg                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0074  Injection, cefotetan disodiu                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0077  Injection, clindamycin phosp                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0078  Injection, fosphenytoin sodi                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0080  Injection, pentamidine iseth                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0081  Injection, piperacillin sodi                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0088  Imatinib 100 mg                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0090  Sildenafil citrate, 25 mg                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0091  Granisetron 1mg                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0092  Hydromorphone 250 mg                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0093  Morphine 500 mg                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0104  Zidovudine, oral, 100 mg                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0106  Bupropion HCL SR 60 tablets                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0108  Mercaptopurine 50 mg                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0109  Methadone oral 5mg                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0117  Tretinoin topical 5 g                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0122  Inj menotropins 75 iu                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0126  Inj follitropin alfa 75 iu                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0128  Inj follitropin beta 75 iu                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0132  Inj ganirelix acetat 250 mcg                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0136  Clozapine, 25 mg                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0137  Didanosine, 25 mg                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0138  Finasteride, 5 mg                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0139  Minoxidil, 10 mg                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0140  Saquinavir, 200 mg                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0141  Zalcitabine, 0.375 mg                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0142  Colistimethate inh sol mg                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0143  Aztreonam, inh sol gram                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0145  Peg interferon alfa-2A/180                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0146  Peg interferon alfa-2b/10                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0147  Alglucosidase alfa 20 mg                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0155  Epoprostenol dilutant                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0156  Exemestane, 25 mg                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0157  Becaplermin gel 1%, 0.5 gm                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0160  Dextroamphetamine                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0161  Calcitrol                                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0162  Injection efalizumab                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0164  Injection pantroprazole                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0166  Inj olanzapine 2.5mg                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0167  Inj apomorphine HCl 1mg                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0170  Anastrozole 1 mg                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0171  Bumetanide 0.5 mg                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0172  Chlorambucil 2 mg                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0174  Dolasetron 50 mg                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0175  Flutamide 125 mg                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0176  Hydroxyurea 500 mg                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0177  Levamisole 50 mg                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0178  Lomustine 10 mg                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0179  Megestrol 20 mg                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0180  Etonogestrel implant system                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0181  Ondansetron 4 mg                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0182  Procarbazine 5 mg                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0183  Prochlorperazine 5 mg                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0187  Tamoxifen 10 mg                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0189  Testosterone pellet 75 mg                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0190  Mifepristone, oral, 200 mg                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0191  Misoprostol, oral, 200 mcg                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0194  Vitamin suppl 100 caps                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0195  Pneumo vaccine 5-9 yrs                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0196  Poly-l-lactic acid 1ml face                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0197  Prenatal vitamins 30 day                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0199  Med abortion inc all ex drug                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0201  Partial hospitalization serv                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0207  Paramedicintercep nonhospals                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0208  Paramed intrcept nonvol                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0209  WC van mileage per mi                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0215  Nonemerg transp mileage                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0220  Medical conference by physic                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0221  Medical conference, 60 min                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0250  Comp geriatr assmt team                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0255  Hospice refer visit nonmd                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0257  End of life counseling                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0260  H&P for surgery                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0265  Genetic counsel 15 mins                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0302  Completed EPSDT                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0310  Hospitalist visit                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0315  Disease management program                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0316  Follow-up/reassessment                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0317  Disease mgmt per diem                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0320  RN telephone calls to DMP                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0340  Lifestyle mod 1st stage                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0341  Lifestyle mod 2 or 3 stage                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0342  Lifestyle mod 4th stage                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0345  Home ecg monitrng global 24h                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0346  Home ecg monitrng tech 24hr                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0347  Home ecg monitrng prof 24hr                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0390  Rout foot care per visit                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0395  Impression casting ft                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0400  Global eswl kidney                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0500  Dispos cont lens                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0504  Singl prscrp lens                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0506  Bifoc prscp lens                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0508  Trifoc prscrp lens                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0510  Non-prscrp lens                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0512  Daily cont lens                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0514  Color cont lens                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0515  Scleral lens liquid bandage                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0516  Safety frames                                     I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0518  Sunglass frames                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0580  Polycarb lens                                     I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0581  Nonstnd lens                                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0590  Misc integral lens serv                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0592  Comp cont lens eval                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0595  New lenses in pts old frame                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0601  Screening proctoscopy                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0605  Digital rectal examination,                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0610  Annual gynecological examina                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0612  Annual gynecological examina                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0613  Ann breast exam                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0618  Audiometry for hearing aid                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0620  Routine ophthalmological exa                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0621  Routine ophthalmological exa                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0622  Phys exam for college                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0625  Digital screening retina                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0630  Removal of sutures                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0800  Laser in situ keratomileusis                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0810  Photorefractive keratectomy                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0812  Phototherap keratect                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S0820  Computerized corneal topogra                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S1001  Deluxe item                                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S1002  Custom item                                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S1015  IV tubing extension set                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S1016  Non-pvc intravenous administ                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S1025  Inhal nitric oxide neonate                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S1030  Gluc monitor purchase                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S1031  Gluc monitor rental                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S1040  Cranial remolding orthosis                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2053  Transplantation of small int                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2054  Transplantation of multivisc                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2055  Harvesting of donor multivis                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2060  Lobar lung transplantation                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2061  Donor lobectomy (lung)                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2065  Simult panc kidn trans                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2068  Breast DIEP flap reconstruct                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2070  Cysto laser tx ureteral calc                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2075  Lap inc/vent hernia repair                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2076  Lap umbilical hernia repair                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2077  Lap mesh implant hern rep                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2078  Lap supracerv hysterectomy                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2079  Lap esophagomyotomy                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2080  Laup                                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2083  Adjustment gastric band                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2095  Transcath emboliz microspher                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2102  Islet cell tissue transplant                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2103  Adrenal tissue transplant                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2107  Adoptive immunotherapy                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2112  Knee arthroscp harv                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2114  Arthrosc sh tenodesis biceps                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2115  Periacetabular osteotomy                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2117  Arthroereisis, subtalar                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2120  Low density lipoprotein(LDL)                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2135  Neurolysis interspace foot                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2140  Cord blood harvesting                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2142  Cord blood-derived stem-cell                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2150  BMT harv/transpl 28d pkg                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2152  Solid organ transpl pkg                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2202  Echosclerotherapy                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2205  Minimally invasive direct co                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2206  Minimally invasive direct co                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2207  Minimally invasive direct co                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2208  Minimally invasive direct co                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2209  Minimally invasive direct co                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2213  Implant gastric stim                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2225  Myringotomy laser-assist                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2230  Implant semi-imp hear                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2235  Implant auditory brain imp                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2250  Uterine artery emboliz                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2260  Induced abortion 17-24 weeks                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2265  Induced abortion 25-28 wks                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2266  Induced abortion 29-31 wks                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2267  Induced abortion 32 or more                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2300  Arthroscopy, shoulder, surgi                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2325  Hip core decompression                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2340  Chemodenervation of abductor                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2341  Chemodenerv adduct vocal                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2342  Nasal endoscop po debrid                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2344  Endosc balloon sinuplasty                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2348  Decompress disc RF lumbar                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2350  Diskectomy, anterior, with d                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2351  Diskectomy, anterior, with d                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2360  Vertebroplast cerv 1st                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2361  Vertebroplast cerv addl                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2400  Fetal surg congen hernia                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2401  Fetal surg urin trac obstr                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2402  Fetal surg cong cyst malf                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2403  Fetal surg pulmon sequest                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2404  Fetal surg myelomeningo                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2405  Fetal surg sacrococ teratoma                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2409  Fetal surg noc                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2411  Fetoscop laser ther TTTS                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S2900  Robotic surgical system                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3000  Bilat dil retinal exam                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3005  Eval self-assess depression                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3600  Stat lab                                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3601  Stat lab home/nf                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3620  Newborn metabolic screening                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3625  Maternal triple screen test                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3626  Maternal serum quad screen                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3630  Eosinophil blood count                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3645  HIV-1 antibody testing of or                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3650  Saliva test, hormone level;                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3652  Saliva test, hormone level;                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3655  Antisperm antibodies test                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3708  Gastrointestinal fat absorpt                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3818  BRCA1 gene anal                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3819  BRCA2 gene anal                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3820  Comp BRCA1/BRCA2                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3822  Sing mutation brst/ovar                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3823  3 mutation brst/ovar                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3828  Comp MLH1 gene                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3829  Comp MLH2 gene                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3830  Gene test HNPCC comp                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3831  Gene test HNPCC single                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3833  Comp APC sequence                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3834  Sing mutation APC                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3835  Gene test cystic fibrosis                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3837  Gene test hemochromato                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3840  DNA analysis RET-oncogene                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3841  Gene test retinoblastoma                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3842  Gene test Hippel-Lindau                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3843  DNA analysis factor v                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3844  DNA analysis deafness                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3845  Gene test alpha-thalassemia                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3846  Gene test beta-thalassemia                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3847  Gene test Tay-Sachs                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3848  Gene test Gaucher                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3849  Gene test Niemann-Pick                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3850  Gene test sickle cell                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3851  Gene test canavan                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3852  DNA analysis APOE alzheimer                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3853  Gene test myo musclr dyst                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3854  Gene profile panel breast                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3855  Gene test presenilin-1 gene                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3890  Fecal DNA analysis                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3900  Surface EMG                                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3902  Ballistocardiogram                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S3904  Masters two step                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4005  Interim labor facility globa                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4011  IVF package                                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4013  Compl GIFT case rate                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4014  Compl ZIFT case rate                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4015  Complete IVF nos case rate                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4016  Frozen IVF case rate                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4017  IVF canc a stim case rate                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4018  F EMB trns canc case rate                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4020  IVF canc a aspir case rate                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4021  IVF canc p aspir case rate                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4022  Asst oocyte fert case rate                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4023  Incompl donor egg case rate                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4025  Donor serv IVF case rate                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4026  Procure donor sperm                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4027  Store prev froz embryos                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4028  Microsurg epi sperm asp                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4030  Sperm procure init visit                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4031  Sperm procure subs visit                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4035  Stimulated IUI case rate                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4037  Cryo embryo transf case rate                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4040  Monit store cryo embryo 30 d                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4042  Ovulation mgmt per cycle                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4981  Insert levonorgestrel ius                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4989  Contracept IUD                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4990  Nicotine patch legend                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4991  Nicotine patch nonlegend                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4993  Contraceptive pills for bc                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S4995  Smoking cessation gum                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5000  Prescription drug, generic                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5001  Prescription drug,brand name                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5010  5% dextrose and 0.45% saline                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5011  5% dextrose in lactated ring                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5012  5% dextrose with potassium                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5013  5%dextrose/0.45%saline1000ml                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5014  D5W/0.45NS w KCl and MGS04                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5035  HIT routine device maint                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5036  HIT device repair                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5100  Adult daycare services 15min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5101  Adult day care per half day                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5102  Adult day care per diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5105  Centerbased day care perdiem                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5108  Homecare train pt 15 min                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5109  Homecare train pt session                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5110  Family homecare training 15m                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5111  Family homecare train/sessio                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5115  Nonfamily homecare train/15m                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5116  Nonfamily HC train/session                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5120  Chore services per 15 min                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5121  Chore services per diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5125  Attendant care service /15m                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5126  Attendant care service /diem                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5130  Homaker service nos per 15m                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5131  Homemaker service nos /diem                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5135  Adult companioncare per 15m                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5136  Adult companioncare per diem                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5140  Adult foster care per diem                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5141  Adult foster care per month                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5145  Child fostercare th per diem                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5146  Ther fostercare child /month                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5150  Unskilled respite care /15m                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5151  Unskilled respitecare /diem                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5160  Emer response sys instal&tst                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5161  Emer rspns sys serv permonth                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5162  Emer rspns system purchase                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5165  Home modifications per serv                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5170  Homedelivered prepared meal                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5175  Laundry serv,ext,prof,/order                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5180  HH respiratory thrpy in eval                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5181  HH respiratory thrpy nos/day                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5185  Med reminder serv per month                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5190  Wellness assessment by nonph                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5199  Personal care item nos each                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5497  HIT cath care noc                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5498  HIT simple cath care                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5501  HIT complex cath care                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5502  HIT interim cath care                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5517  HIT declotting kit                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5518  HIT cath repair kit                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5520  HIT picc insert kit                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5521  HIT midline cath insert kit                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5522  HIT picc insert no supp                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5523  HIP midline cath insert kit                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5550  Insulin rapid 5 u                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5551  Insulin most rapid 5 u                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5552  Insulin intermed 5 u                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5553  Insulin long acting 5 u                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5560  Insulin reuse pen 1.5 ml                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5561  Insulin reuse pen 3 ml                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5565  Insulin cartridge 150 u                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5566  Insulin cartridge 300 u                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5570  Insulin dispos pen 1.5 ml                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S5571  Insulin dispos pen 3 ml                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8030  Tantalum ring application                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8035  Magnetic source imaging                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8037  mrcp                                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8040  Topographic brain mapping                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8042  MRI low field                                     I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8049  Intraoperative radiation the                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8055  Us guidance fetal reduct                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8080  Scintimammography                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8085  Fluorine-18 fluorodeoxygluco                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8092  Electron beam computed tomog                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8096  Portable peak flow meter                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8097  Asthma kit                                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8100  Spacer without mask                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8101  Spacer with mask                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8110  Peak expiratory flow rate (p                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8120  O2 contents gas cubic ft                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8121  O2 contents liquid lb                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8185  Flutter device                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8186  Swivel adaptor                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8189  Trach supply noc                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8190  Electronic spirometer                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8210  Mucus trap                                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8262  Mandib ortho repos device                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8265  Haberman feeder                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8270  Enuresis alarm                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8301  Infect control supplies NOS                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8415  Supplies for home delivery                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8420  Custom gradient sleev/glov                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8421  Ready gradient sleev/glov                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8422  Custom grad sleeve med                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8423  Custom grad sleeve heavy                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8424  Ready gradient sleeve                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8425  Custom grad glove med                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8426  Custom grad glove heavy                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8427  Ready gradient glove                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8428  Ready gradient gauntlet                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8429  Gradient pressure wrap                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8430  Padding for comprssn bdg                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8431  Compression bandage                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8450  Splint digit                                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8451  Splint wrist or ankle                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8452  Splint elbow                                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8460  Camisole post-mast                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8490  100 insulin syringes                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8940  Hippotherapy per session                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8948  Low-level laser trmt 15 min                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8950  Complex lymphedema therapy,                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8990  Pt or manip for maint                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S8999  Resuscitation bag                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9001  Home uterine monitor with or                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9007  Ultrafiltration monitor                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9015  Automated EEG monitoring                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9024  Paranasal sinus ultrasound                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9025  Omnicardiogram/cardiointegra                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9034  ESWL for gallstones                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9055  Procuren or other growth fac                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9056  Coma stimulation per diem                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9061  Medical supplies and equipme                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9075  Smoking cessation treatment                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9083  Urgent care center global                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9088  Services provided in urgent                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9090  Vertebral axial decompressio                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9092  Canolith repositioning                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9097  Home visit wound care                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9098  Home phototherapy visit                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9109  CHF telemonitoring month                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9117  Back school visit                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9122  Home health aide or certifie                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9123  Nursing care in home RN                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9124  Nursing care, in the home; b                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9125  Respite care, in the home, p                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9126  Hospice care, in the home, p                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9127  Social work visit, in the ho                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9128  Speech therapy, in the home,                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9129  Occupational therapy, in the                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9131  PT in the home per diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9140  Diabetic Management Program,                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9141  Diabetic Management Program,                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9145  Insulin pump initiation                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9150  Evaluation by ocularist                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9208  Home mgmt preterm labor                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9209  Home mgmt PPROM                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9211  Home mgmt gest hypertension                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9212  Hm postpar hyper per diem                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9213  Hm preeclamp per diem                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9214  Hm gest dm per diem                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9325  HIT pain mgmt per diem                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9326  HIT cont pain per diem                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9327  HIT int pain per diem                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9328  HIT pain imp pump diem                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9329  HIT chemo per diem                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9330  HIT cont chem diem                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9331  HIT intermit chemo diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9335  HT hemodialysis diem                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9336  HIT cont anticoag diem                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9338  HIT immunotherapy diem                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9339  HIT periton dialysis diem                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9340  HIT enteral per diem                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9341  HIT enteral grav diem                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9342  HIT enteral pump diem                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9343  HIT enteral bolus nurs                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9345  HIT anti-hemophil diem                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9346  HIT alpha-1-proteinas diem                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9347  HIT longterm infusion diem                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9348  HIT sympathomim diem                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9349  HIT tocolysis diem                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9351  HIT cont antiemetic diem                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9353  HIT cont insulin diem                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9355  HIT chelation diem                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9357  HIT enzyme replace diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9359  HIT anti-tnf per diem                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9361  HIT diuretic infus diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9363  HIT anti-spasmotic diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9364  HIT tpn total diem                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9365  HIT tpn 1 liter diem                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9366  HIT tpn 2 liter diem                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9367  HIT tpn 3 liter diem                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9368  HIT tpn over 3l diem                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9370  HT inj antiemetic diem                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9372  HT inj anticoag diem                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9373  HIT hydra total diem                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9374  HIT hydra 1 liter diem                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9375  HIT hydra 2 liter diem                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9376  HIT hydra 3 liter diem                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9377  HIT hydra over 3l diem                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9379  HIT noc per diem                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9381  HIT high risk/escort                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9401  Anticoag clinic per session                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9430  Pharmacy comp/disp serv                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9434  Mod solid food suppl                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9435  Medical foods for inborn err                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9436  Lamaze class                                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9437  Childbirth refresher class                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9438  Cesarean birth class                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9439  VBAC class                                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9441  Asthma education                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9442  Birthing class                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9443  Lactation class                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9444  Parenting class                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9445  PT education noc individ                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9446  PT education noc group                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9447  Infant safety class                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9449  Weight mgmt class                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9451  Exercise class                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9452  Nutrition class                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9453  Smoking cessation class                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9454  Stress mgmt class                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9455  Diabetic Management Program,                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9460  Diabetic Management Program,                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9465  Diabetic Management Program,                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9470  Nutritional counseling, diet                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9472  Cardiac rehabilitation progr                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9473  Pulmonary rehabilitation pro                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9474  Enterostomal therapy by a re                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9475  Ambulatory setting substance                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9476  Vestibular rehab per diem                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9480  Intensive outpatient psychia                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9482  Family stabilization 15 min                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9484  Crisis intervention per hour                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9485  Crisis intervention mental h                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9490  HIT corticosteroid/diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9494  HIT antibiotic total diem                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9497  HIT antibiotic q3h diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9500  HIT antibiotic q24h diem                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9501  HIT antibiotic q12h diem                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9502  HIT antibiotic q8h diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9503  HIT antibiotic q6h diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9504  HIT antibiotic q4h diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9529  Venipuncture home/snf                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9537  HT hem horm inj diem                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9538  HIT blood products diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9542  HT inj noc per diem                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9558  HT inj growth horm diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9559  HIT inj interferon diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9560  HT inj hormone diem                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9562  HT inj palivizumab diem                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9590  HT irrigation diem                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9810  HT pharm per hour                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9900  Christian Sci Pract visit                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9970  Health club membership yr                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9975  Transplant related per diem                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9976  Lodging per diem                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9977  Meals per diem                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9981  Med record copy admin                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9982  Med record copy per page                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9986  Not medically necessary svc                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9988  Serv part of phase I trial                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9989  Services outside US                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9990  Services provided as part of                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9991  Services provided as part of                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9992  Transportation costs to and                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9994  Lodging costs (e.g. hotel ch                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9996  Meals for clinical trial par                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
S9999  Sales tax                                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1000  Private duty/independent nsg                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1001  Nursing assessment/evaluatn                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1002  RN services up to 15 minutes                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1003  LPN/LVN services up to 15min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1004  Nsg aide service up to 15min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1005  Respite care service 15 min                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1006  Family/Couple Counseling                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1007  Treatment Plan Development                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1009  Child Sitting Services                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1010  Meals when Receive Services                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1012  Alcohol/Substance Abuse Skil                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1013  Sign Lang/Oral Interpreter                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1014  Telehealth transmit, per min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1015  Clinic service                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1016  Case management                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1017  Targeted case management                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1018  School-based IEP ser bundled                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1019  Personal care ser per 15 min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1020  Personal care ser per diem                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1021  HH Aide or cn aide per visit                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1022  Contracted services per day                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1023  Program intake assessment                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1024  Team evaluation & management                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1025  Ped compr care pkg, per diem                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1026  Ped compr care pkg, per hour                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1027  Family training & counseling                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1028  Home environment assessment                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1029  Dwelling lead investigation                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1030  RN home care per diem                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1031  LPN home care per diem                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1502  Medication admin visit                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T1999  NOC retail items andsupplies                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2001  N-et; patient attend/escort                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2002  N-et; per diem                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2003  N-et; encounter/trip                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2004  N-et; commerc carrier pass                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2005  N-et; stretcher van                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2007  Non-emer transport wait time                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2010  PASRR Level I                                     I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2011  PASRR Level II                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2012  Habil ed waiver, per diem                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2013  Habil ed waiver per hour                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2014  Habil prevoc waiver, per d                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2015  Habil prevoc waiver per hr                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2016  Habil res waiver per diem                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2017  Habil res waiver 15 min                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2018  Habil sup empl waiver/diem                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2019  Habil sup empl waiver 15min                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2020  Day habil waiver per diem                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2021  Day habil waiver per 15 min                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2022  Case management, per month                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2023  Targeted case mgmt per month                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2024  Serv asmnt/care plan waiver                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2025  Waiver service, nos                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2026  Special childcare waiver/d                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2027  Spec childcare waiver 15 min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2028  Special supply, nos waiver                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2029  Special med equip, noswaiver                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2030  Assist living waiver/month                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2031  Assist living waiver/diem                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2032  Res care, nos waiver/month                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2033  Res, nos waiver per diem                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2034  Crisis interven waiver/diem                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2035  Utility services waiver                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2036  Camp overnite waiver/session                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2037  Camp day waiver/session                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2038  Comm trans waiver/service                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2039  Vehicle mod waiver/service                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2040  Financial mgt waiver/15min                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2041  Support broker waiver/15 min                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2042  Hospice routine home care                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2043  Hospice continuous home care                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2044  Hospice respite care                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2045  Hospice general care                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2046  Hospice long term care, r&b                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2048  Bh ltc res r&b, per diem                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2049  N-ET; stretcher van, mileage                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T2101  Breast milk proc/store/dist                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4521  Adult size brief/diaper sm                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4522  Adult size brief/diaper med                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4523  Adult size brief/diaper lg                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4524  Adult size brief/diaper xl                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4525  Adult size pull-on sm                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4526  Adult size pull-on med                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4527  Adult size pull-on lg                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4528  Adult size pull-on xl                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4529  Ped size brief/diaper sm/med                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4530  Ped size brief/diaper lg                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4531  Ped size pull-on sm/med                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4532  Ped size pull-on lg                               N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4533  Youth size brief/diaper                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4534  Youth size pull-on                                N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4535  Disposable liner/shield/pad                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4536  Reusable pull-on any size                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4537  Reusable underpad bed size                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4538  Diaper serv reusable diaper                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4539  Reuse diaper/brief any size                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4540  Reusable underpad chair size                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4541  Large disposable underpad                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4542  Small disposable underpad                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T4543  Disp bariatric brief/diaper                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T5001  Position seat spec orth need                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
T5999  Supply, nos                                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2020  Vision svcs frames purchases                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2025  Eyeglasses delux frames                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2100  Lens spher single plano 4.00                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2101  Single visn sphere 4.12-7.00                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2102  Singl visn sphere 7.12-20.00                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2103  Spherocylindr 4.00d/12-2.00d                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2104  Spherocylindr 4.00d/2.12-4d                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2105  Spherocylinder 4.00d/4.25-6d                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2106  Spherocylinder 4.00d/>6.00d                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2107  Spherocylinder 4.25d/12-2d                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2108  Spherocylinder 4.25d/2.12-4d                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2109  Spherocylinder 4.25d/4.25-6d                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2110  Spherocylinder 4.25d/over 6d                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2111  Spherocylindr 7.25d/.25-2.25                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2112  Spherocylindr 7.25d/2.25-4d                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2113  Spherocylindr 7.25d/4.25-6d                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2114  Spherocylinder over 12.00d                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2115  Lens lenticular bifocal                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2118  Lens aniseikonic single                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2121  Lenticular lens, single                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2199  Lens single vision not oth c                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2200  Lens spher bifoc plano 4.00d                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2201  Lens sphere bifocal 4.12-7.0                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2202  Lens sphere bifocal 7.12-20.                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2203  Lens sphcyl bifocal 4.00d/.1                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2204  Lens sphcy bifocal 4.00d/2.1                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2205  Lens sphcy bifocal 4.00d/4.2                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2206  Lens sphcy bifocal 4.00d/ove                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2207  Lens sphcy bifocal 4.25-7d/.                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2208  Lens sphcy bifocal 4.25-7/2.                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2209  Lens sphcy bifocal 4.25-7/4.                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2210  Lens sphcy bifocal 4.25-7/ov                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2211  Lens sphcy bifo 7.25-12/.25-                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2212  Lens sphcyl bifo 7.25-12/2.2                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2213  Lens sphcyl bifo 7.25-12/4.2                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2214  Lens sphcyl bifocal over 12.                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2215  Lens lenticular bifocal                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2218  Lens aniseikonic bifocal                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2219  Lens bifocal seg width over                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2220  Lens bifocal add over 3.25d                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2221  Lenticular lens, bifocal                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2299  Lens bifocal speciality                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2300  Lens sphere trifocal 4.00d                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2301  Lens sphere trifocal 4.12-7.                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2302  Lens sphere trifocal 7.12-20                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2303  Lens sphcy trifocal 4.0/.12-                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2304  Lens sphcy trifocal 4.0/2.25                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2305  Lens sphcy trifocal 4.0/4.25                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2306  Lens sphcyl trifocal 4.00/>6                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2307  Lens sphcy trifocal 4.25-7/.                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2308  Lens sphc trifocal 4.25-7/2.                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2309  Lens sphc trifocal 4.25-7/4.                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2310  Lens sphc trifocal 4.25-7/>6                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2311  Lens sphc trifo 7.25-12/.25-                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2312  Lens sphc trifo 7.25-12/2.25                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2313  Lens sphc trifo 7.25-12/4.25                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2314  Lens sphcyl trifocal over 12                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2315  Lens lenticular trifocal                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2318  Lens aniseikonic trifocal                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2319  Lens trifocal seg width > 28                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2320  Lens trifocal add over 3.25d                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2321  Lenticular lens, trifocal                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2399  Lens trifocal speciality                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2410  Lens variab asphericity sing                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2430  Lens variable asphericity bi                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2499  Variable asphericity lens                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2500  Contact lens pmma spherical                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2501  Cntct lens pmma-toric/prism                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2502  Contact lens pmma bifocal                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2503  Cntct lens pmma color vision                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2510  Cntct gas permeable sphericl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2511  Cntct toric prism ballast                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2512  Cntct lens gas permbl bifocl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2513  Contact lens extended wear                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2520  Contact lens hydrophilic                          P   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2521  Cntct lens hydrophilic toric                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2522  Cntct lens hydrophil bifocl                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2523  Cntct lens hydrophil extend                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2530  Contact lens gas impermeable                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2531  Contact lens gas permeable                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2599  Contact lens/es other type                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2600  Hand held low vision aids                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2610  Single lens spectacle mount                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2615  Telescop/othr compound lens                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2623  Plastic eye prosth custom                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2624  Polishing artifical eye                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2625  Enlargemnt of eye prosthesis                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2626  Reduction of eye prosthesis                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2627  Scleral cover shell                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2628  Fabrication & fitting                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2629  Prosthetic eye other type                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2630  Anter chamber intraocul lens                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2631  Iris support intraoclr lens                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2632  Post chmbr intraocular lens                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2700  Balance lens                                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2702  Deluxe lens feature                               N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2710  Glass/plastic slab off prism                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2715  Prism lens/es                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2718  Fresnell prism press-on lens                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2730  Special base curve                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2744  Tint photochromatic lens/es                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2745  Tint, any color/solid/grad                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2750  Anti-reflective coating                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2755  UV lens/es                                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2756  Eye glass case                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2760  Scratch resistant coating                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2761  Mirror coating                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2762  Polarization, any lens                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2770  Occluder lens/es                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2780  Oversize lens/es                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2781  Progressive lens per lens                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2782  Lens, 1.54-1.65 p/1.60-1.79g                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2783  Lens, >= 1.66 p/>=1.80 g                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2784  Lens polycarb or equal                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2785  Corneal tissue processing                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2786  Occupational multifocal lens                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2788  Presbyopia-correct function                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2790  Amniotic membrane                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2797  Vis item/svc in other code                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V2799  Miscellaneous vision service                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5008  Hearing screening                                 N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5010  Assessment for hearing aid                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5011  Hearing aid fitting/checking                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5014  Hearing aid repair/modifying                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5020  Conformity evaluation                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5030  Body-worn hearing aid air                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5040  Body-worn hearing aid bone                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5050  Hearing aid monaural in ear                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5060  Behind ear hearing aid                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5070  Glasses air conduction                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5080  Glasses bone conduction                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5090  Hearing aid dispensing fee                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5095  Implant mid ear hearing pros                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5100  Body-worn bilat hearing aid                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5110  Hearing aid dispensing fee                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5120  Body-worn binaur hearing aid                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5130  In ear binaural hearing aid                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5140  Behind ear binaur hearing ai                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5150  Glasses binaural hearing aid                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5160  Dispensing fee binaural                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5170  Within ear cros hearing aid                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5180  Behind ear cros hearing aid                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5190  Glasses cros hearing aid                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5200  Cros hearing aid dispens fee                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5210  In ear bicros hearing aid                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5220  Behind ear bicros hearing ai                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5230  Glasses bicros hearing aid                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5240  Dispensing fee bicros                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5241  Dispensing fee, monaural                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5242  Hearing aid, monaural, cic                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5243  Hearing aid, monaural, itc                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5244  Hearing aid, prog, mon, cic                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5245  Hearing aid, prog, mon, itc                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5246  Hearing aid, prog, mon, ite                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5247  Hearing aid, prog, mon, bte                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5248  Hearing aid, binaural, cic                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5249  Hearing aid, binaural, itc                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5250  Hearing aid, prog, bin, cic                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5251  Hearing aid, prog, bin, itc                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5252  Hearing aid, prog, bin, ite                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5253  Hearing aid, prog, bin, bte                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5254  Hearing id, digit, mon, cic                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5255  Hearing aid, digit, mon, itc                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5256  Hearing aid, digit, mon, ite                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5257  Hearing aid, digit, mon, bte                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5258  Hearing aid, digit, bin, cic                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5259  Hearing aid, digit, bin, itc                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5260  Hearing aid, digit, bin, ite                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5261  Hearing aid, digit, bin, bte                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5262  Hearing aid, disp, monaural                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5263  Hearing aid, disp, binaural                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5264  Ear mold/insert                                   N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5265  Ear mold/insert, disp                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5266  Battery for hearing device                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5267  Hearing aid supply/accessory                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5268  ALD Telephone Amplifier                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5269  Alerting device, any type                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5270  ALD, TV amplifier, any type                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5271  ALD, TV caption decoder                           N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5272  Tdd                                               N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5273  ALD for cochlear implant                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5274  ALD unspecified                                   N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5275  Ear impression                                    N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5298  Hearing aid noc                                   N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5299  Hearing service                                   R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
V5336  Repair communication device                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
V5362  Speech screening                                  N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 010 99     0.00   0.00   0.00
V5363  Language screening                                N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 010 99     0.00   0.00   0.00
V5364  Dysphagia screening                               N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 010 99     0.00   0.00   0.00
0001F  Heart failure composite                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0005F  Osteoarthritis composite                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00100  Anesth, salivary gland                            J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00102  Anesth, repair of cleft lip                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00103  Anesth, blepharoplasty                            J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00104  Anesth, electroshock                              J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0012F  Cap bacterial assess                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00120  Anesth, ear surgery                               J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00124  Anesth, ear exam                                  J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00126  Anesth, tympanotomy                               J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00140  Anesth, procedures on eye                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00142  Anesth, lens surgery                              J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00144  Anesth, corneal transplant                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00145  Anesth, vitreoretinal surg                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00147  Anesth, iridectomy                                J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00148  Anesth, eye exam                                  J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0016T  Thermotx choroid vasc lesion                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
00160  Anesth, nose/sinus surgery                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00162  Anesth, nose/sinus surgery                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00164  Anesth, biopsy of nose                            J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0017T  Photocoagulat macular drusen                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
00170  Anesth, procedure on mouth                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00172  Anesth, cleft palate repair                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00174  Anesth, pharyngeal surgery                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00176  Anesth, pharyngeal surgery                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0019T  Extracorp shock wv tx,ms nos                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00190  Anesth, face/skull bone surg                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00192  Anesth, facial bone surgery                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00210  Anesth, open head surgery                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00212  Anesth, skull drainage                            J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00214  Anesth, skull drainage                            J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00215  Anesth, skull repair/fract                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00216  Anesth, head vessel surgery                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00218  Anesth, special head surgery                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00220  Anesth, intrcrn nerve                             J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00222  Anesth, head nerve surgery                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0024T  Transcath cardiac reduction                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0026T  Measure remnant lipoproteins                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0027T  Endoscopic epidural lysis                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0028T  Dexa body composition study                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0029T  Magnetic tx for incontinence                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0030T  Antiprothrombin antibody                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00300  Anesth, head/neck/ptrunk                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0031T  Speculoscopy                                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0032T  Speculoscopy w/direct sample                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00320  Anesth, neck organ, 1 & over                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00322  Anesth, biopsy of thyroid                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00326  Anesth, larynx/trach, < 1 yr                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00350  Anesth, neck vessel surgery                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00352  Anesth, neck vessel surgery                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00400  Anesth, skin, ext/per/atrunk                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00402  Anesth, surgery of breast                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00404  Anesth, surgery of breast                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00406  Anesth, surgery of breast                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0041T  Detect ur infect agnt w/cpas                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00410  Anesth, correct heart rhythm                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0042T  Ct perfusion w/contrast, cbf                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0043T  Co expired gas analysis                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00450  Anesth, surgery of shoulder                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00452  Anesth, surgery of shoulder                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00454  Anesth, collar bone biopsy                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0046T  Cath lavage, mammary duct(s)                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0047T  Cath lavage, mammary duct(s)                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00470  Anesth, removal of rib                            J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00472  Anesth, chest wall repair                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00474  Anesth, surgery of rib(s)                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0048T  Implant ventricular device                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0049T  External circulation assist                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0050T  Removal circulation assist                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00500  Anesth, esophageal surgery                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0051T  Implant total heart system                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0052T  Replace component heart syst                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00520  Anesth, chest procedure                           J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00522  Anesth, chest lining biopsy                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00524  Anesth, chest drainage                            J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00528  Anesth, chest partition view                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00529  Anesth, chest partition view                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0053T  Replace component heart syst                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00530  Anesth, pacemaker insertion                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00532  Anesth, vascular access                           J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00534  Anesth, cardioverter/defib                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00537  Anesth, cardiac electrophys                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00539  Anesth, trach-bronch reconst                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0054T  Bone surgery using computer                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00540  Anesth, chest surgery                             J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00541  Anesth, one lung ventilation                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00542  Anesth, release of lung                           J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00546  Anesth, lung,chest wall surg                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00548  Anesth, trachea,bronchi surg                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0055T  Bone surgery using computer                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00550  Anesth, sternal debridement                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0056T  Bone surgery using computer                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00560  Anesth, heart surg w/o pump                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00561  Anesth, heart surg < age 1                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00562  Anesth, heart surg w/pump                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00563  Anesth, heart surg w/arrest                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00566  Anesth, cabg w/o pump                             J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0058T  Cryopreservation, ovary tiss                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00580  Anesth, heart/lung transplnt                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0059T  Cryopreservation, oocyte                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0060T  Electrical impedance scan                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00600  Anesth, spine, cord surgery                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00604  Anesth, sitting procedure                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0061T  Destruction of tumor, breast                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0062T  Rep intradisc annulus;1 lev                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00620  Anesth, spine, cord surgery                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00622  Anesth, removal of nerves                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00625  Anes spine tranthor w/o vent                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00626  Anes, spine transthor w/vent                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0063T  Rep intradisc annulus;>1lev                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00630  Anesth, spine, cord surgery                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00632  Anesth, removal of nerves                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00634  Anesth for chemonucleolysis                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00635  Anesth, lumbar puncture                           J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0064T  Spectroscop eval expired gas                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00640  Anesth, spine manipulation                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0065T  Ocular photoscreen bilat                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0066T  Ct colonography;screen                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0066TTCCt colonography;screen                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0066T26Ct colonography;screen                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0067T  Ct colonography;dx                                C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0040000             37.8975 090 02     0.00   0.00   0.00
0067TTCCt colonography;dx                                C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0040000             37.8975 090 02     7.62   7.62   0.23
0067T26Ct colonography;dx                                C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00670  Anesth, spine, cord surgery                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0068T  Interp/rept heart sound                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0069T  Analysis only heart sound                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0070T  Interp only heart sound                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00700  Anesth, abdominal wall surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00702  Anesth, for liver biopsy                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0071T  U/s leiomyomata ablate <200                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0072T  U/s leiomyomata ablate >200                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0073T  Delivery, comp imrt                               A   0.00  16.80    13.15    16.80NA  13.15 NA  0.13  16.93  13.28  16.93  13.28  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00730  Anesth, abdominal wall surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0074T  Online physician e/m                              N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00740  Anesth, upper gi visualize                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0075T  Perq stent/chest vert art                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0075TTCPerq stent/chest vert art                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0075T26Perq stent/chest vert art                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00750  Anesth, repair of hernia                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00752  Anesth, repair of hernia                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00754  Anesth, repair of hernia                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00756  Anesth, repair of hernia                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0076T  S&i stent/chest vert art                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0076TTCS&i stent/chest vert art                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0076T26S&i stent/chest vert art                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0077T  Cereb therm perfusion probe                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00770  Anesth, blood vessel repair                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0078T  Endovasc aort repr w/device                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0079T  Endovasc visc extnsn repr                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00790  Anesth, surg upper abdomen                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00792  Anesth, hemorr/excise liver                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00794  Anesth, pancreas removal                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00796  Anesth, for liver transplant                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00797  Anesth, surgery for obesity                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0080T  Endovasc aort repr rad s&i                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00800  Anesth, abdominal wall surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00802  Anesth, fat layer removal                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0081T  Endovasc visc extnsn s&i                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00810  Anesth, low intestine scope                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00820  Anesth, abdominal wall surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00830  Anesth, repair of hernia                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00832  Anesth, repair of hernia                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00834  Anesth, hernia repair< 1 yr                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00836  Anesth hernia repair preemie                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0084T  Temp prostate urethral stent                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00840  Anesth, surg lower abdomen                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00842  Anesth, amniocentesis                             J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00844  Anesth, pelvis surgery                            J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00846  Anesth, hysterectomy                              J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00848  Anesth, pelvic organ surg                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0085T  Breath test heart reject                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00851  Anesth, tubal ligation                            J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0086T  L ventricle fill pressure                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00860  Anesth, surgery of abdomen                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00862  Anesth, kidney/ureter surg                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00864  Anesth, removal of bladder                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00865  Anesth, removal of prostate                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00866  Anesth, removal of adrenal                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00868  Anesth, kidney transplant                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0087T  Sperm eval hyaluronan                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00870  Anesth, bladder stone surg                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00872  Anesth kidney stone destruct                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00873  Anesth kidney stone destruct                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0088T  Rf tongue base vol reduxn                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00880  Anesth, abdomen vessel surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00882  Anesth, major vein ligation                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0089T  Actigraphy testing, 3-day                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0090T  Cervical artific disc                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00902  Anesth, anorectal surgery                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00904  Anesth, perineal surgery                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00906  Anesth, removal of vulva                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00908  Anesth, removal of prostate                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00910  Anesth, bladder surgery                           J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00912  Anesth, bladder tumor surg                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00914  Anesth, removal of prostate                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00916  Anesth, bleeding control                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00918  Anesth, stone removal                             J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0092T  Artific disc addl                                 C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00920  Anesth, genitalia surgery                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00921  Anesth, vasectomy                                 J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00922  Anesth, sperm duct surgery                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00924  Anesth, testis exploration                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00926  Anesth, removal of testis                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00928  Anesth, removal of testis                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0093T  Cervical artific diskectomy                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00930  Anesth, testis suspension                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00932  Anesth, amputation of penis                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00934  Anesth, penis, nodes removal                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00936  Anesth, penis, nodes removal                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00938  Anesth, insert penis device                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00940  Anesth, vaginal procedures                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00942  Anesth, surg on vag/urethral                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00944  Anesth, vaginal hysterectomy                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00948  Anesth, repair of cervix                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0095T  Artific diskectomy addl                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
00950  Anesth, vaginal endoscopy                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
00952  Anesth, hysteroscope/graph                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0096T  Rev cervical artific disc                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0098T  Rev artific disc addl                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0099T  Implant corneal ring                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0100T  Prosth retina receive&gen                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0101T  Extracorp shockwv tx,hi enrg                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0102T  Extracorp shockwv tx,anesth                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0103T  Holotranscobalamin                                C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0104T  At rest cardio gas rebreathe                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0105T  Exerc cardio gas rebreathe                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0106T  Touch quant sensory test                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0107T  Vibrate quant sensory test                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0108T  Cool quant sensory test                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0109T  Heat quant sensory test                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0110T  Nos quant sensory test                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0111T  Rbc membranes fatty acids                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01112  Anesth, bone aspirate/bx                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01120  Anesth, pelvis surgery                            J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01130  Anesth, body cast procedure                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01140  Anesth, amputation at pelvis                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0115T  Med tx mngmt 15 min                               N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01150  Anesth, pelvic tumor surgery                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0116T  Med tx mngmt subsqt                               N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01160  Anesth, pelvis procedure                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0117T  Med tx mngmt addl 15 min                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01170  Anesth, pelvis surgery                            J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01173  Anesth, fx repair, pelvis                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01180  Anesth, pelvis nerve removal                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01190  Anesth, pelvis nerve removal                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01200  Anesth, hip joint procedure                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01202  Anesth, arthroscopy of hip                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01210  Anesth, hip joint surgery                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01212  Anesth, hip disarticulation                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01214  Anesth, hip arthroplasty                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01215  Anesth, revise hip repair                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01220  Anesth, procedure on femur                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0123T  Scleral fistulization                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01230  Anesth, surgery of femur                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01232  Anesth, amputation of femur                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01234  Anesth, radical femur surg                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0124T  Conjunctival drug placement                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01250  Anesth, upper leg surgery                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0126T  Chd risk imt study                                C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01260  Anesth, upper leg veins surg                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01270  Anesth, thigh arteries surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01272  Anesth, femoral artery surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01274  Anesth, femoral embolectomy                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0130T  Chron care drug investigatn                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01320  Anesth, knee area surgery                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0133T  Esophageal implant injexn                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01340  Anesth, knee area procedure                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0135T  Perq cryoablate renal tumor                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01360  Anesth, knee area surgery                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0137T  Prostate saturation sampling                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01380  Anesth, knee joint procedure                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01382  Anesth, dx knee arthroscopy                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01390  Anesth, knee area procedure                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01392  Anesth, knee area surgery                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0140T  Exhaled breath condensate ph                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01400  Anesth, knee joint surgery                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01402  Anesth, knee arthroplasty                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01404  Anesth, amputation at knee                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0141T  Perq islet transplant                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0142T  Open islet transplant                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01420  Anesth, knee joint casting                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0143T  Laparoscopic islet transplnt                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01430  Anesth, knee veins surgery                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01432  Anesth, knee vessel surg                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0144T  CT heart wo dye; qual calc                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0144TTCCT heart wo dye; qual calc                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     6.49   6.49   0.20
0144T26CT heart wo dye; qual calc                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01440  Anesth, knee arteries surg                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01442  Anesth, knee artery surg                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01444  Anesth, knee artery repair                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0145T  CT heart w/wo dye funct                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0145TTCCT heart w/wo dye funct                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     7.84   7.84   0.24
0145T26CT heart w/wo dye funct                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0146T  CCTA w/wo dye                                     C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0146TTCCCTA w/wo dye                                     C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     7.84   7.84   0.24
0146T26CCTA w/wo dye                                     C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01462  Anesth, lower leg procedure                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01464  Anesth, ankle/ft arthroscopy                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0147T  CCTA w/wo, quan calcium                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0147TTCCCTA w/wo, quan calcium                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     7.84   7.84   0.24
0147T26CCTA w/wo, quan calcium                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01470  Anesth, lower leg surgery                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01472  Anesth, achilles tendon surg                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01474  Anesth, lower leg surgery                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0148T  CCTA w/wo, strxr                                  C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0148TTCCCTA w/wo, strxr                                  C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    10.23  10.23   0.31
0148T26CCTA w/wo, strxr                                  C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01480  Anesth, lower leg bone surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01482  Anesth, radical leg surgery                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01484  Anesth, lower leg revision                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01486  Anesth, ankle replacement                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0149T  CCTA w/wo, strxr quan calc                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0149TTCCCTA w/wo, strxr quan calc                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    10.23  10.23   0.31
0149T26CCTA w/wo, strxr quan calc                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01490  Anesth, lower leg casting                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0150T  CCTA w/wo, disease strxr                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0150TTCCCTA w/wo, disease strxr                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     6.49   6.49   0.20
0150T26CCTA w/wo, disease strxr                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01500  Anesth, leg arteries surg                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01502  Anesth, lwr leg embolectomy                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0151T  CT heart funct add-on                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0151TTCCT heart funct add-on                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     2.42   2.42   0.07
0151T26CT heart funct add-on                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01520  Anesth, lower leg vein surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01522  Anesth, lower leg vein surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0153T  Tcath sensor aneurysm sac                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0154T  Study sensor aneurysm sac                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0155T  Lap impl gast curve electrd                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0156T  Lap remv gast curve electrd                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0157T  Open impl gast curve electrd                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0158T  Open remv gast curve electrd                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0159T  Cad breast mri                                    C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0159TTCCad breast mri                                    C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0159T26Cad breast mri                                    C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0160T  Tcranial magn stim tx plan                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0161T  Tcranial magn stim tx deliv                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01610  Anesth, surgery of shoulder                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0162T  Anal program gast neurostim                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01620  Anesth, shoulder procedure                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01622  Anes dx shoulder arthroscopy                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0163T  Lumb artif diskectomy addl                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01630  Anesth, surgery of shoulder                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01632  Anesth, surgery of shoulder                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01634  Anesth, shoulder joint amput                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01636  Anesth, forequarter amput                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01638  Anesth, shoulder replacement                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0164T  Remove lumb artif disc addl                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0165T  Revise lumb artif disc addl                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01650  Anesth, shoulder artery surg                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01652  Anesth, shoulder vessel surg                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01654  Anesth, shoulder vessel surg                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01656  Anesth, arm-leg vessel surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0166T  Tcath vsd close w/o bypass                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0167T  Tcath vsd close w bypass                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01670  Anesth, shoulder vein surg                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0168T  Rhinophototx light app bilat                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01680  Anesth, shoulder casting                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01682  Anesth, airplane cast                             J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0169T  Place stereo cath brain                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0170T  Anorectal fistula plug rpr                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0171T  Lumbar spine proces distract                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01710  Anesth, elbow area surgery                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01712  Anesth, uppr arm tendon surg                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01714  Anesth, uppr arm tendon surg                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01716  Anesth, biceps tendon repair                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0172T  Lumbar spine proces addl                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
0173T  Iop monit io pressure                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01730  Anesth, uppr arm procedure                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01732  Anesth, dx elbow arthroscopy                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0174T  Cad cxr with interp                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01740  Anesth, upper arm surgery                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01742  Anesth, humerus surgery                           J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01744  Anesth, humerus repair                            J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0175T  Cad cxr remote                                    C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01756  Anesth, radical humerus surg                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01758  Anesth, humeral lesion surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0176T  Aqu canal dilat w/o retent                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01760  Anesth, elbow replacement                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0177T  Aqu canal dilat w retent                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
01770  Anesth, uppr arm artery surg                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01772  Anesth, uppr arm embolectomy                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0178T  64 Lead ECG w I&R                                 C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  4XXX.00.00.0099999             37.8975 010 99     0.00   0.00   0.00
01780  Anesth, upper arm vein surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01782  Anesth, uppr arm vein repair                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0179T  64 Lead ECG w tracing                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  3XXX.00.00.0099999             37.8975 010 99     0.00   0.00   0.00
0180T  64 Lead ECG w i&r only                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  2XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0181T  Corneal hysteresis                                C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0090999             37.8975 090 99     0.00   0.00   0.00
01810  Anesth, lower arm surgery                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0182T  HDR elec brachytherapy                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  3XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01820  Anesth, lower arm procedure                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01829  Anesth, dx wrist arthroscopy                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01830  Anesth, lower arm surgery                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01832  Anesth, wrist replacement                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01840  Anesth, lwr arm artery surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01842  Anesth, lwr arm embolectomy                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01844  Anesth, vascular shunt surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01850  Anesth, lower arm vein surg                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01852  Anesth, lwr arm vein repair                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01860  Anesth, lower arm casting                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01905  Anes, spine inject, x-ray/re                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01916  Anesth, dx arteriography                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01920  Anesth, catheterize heart                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01922  Anesth, cat or MRI scan                           J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01924  Anes, ther interven rad, art                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01925  Anes, ther interven rad, car                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01926  Anes, tx interv rad hrt/cran                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01930  Anes, ther interven rad, vei                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01931  Anes, ther interven rad, tip                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01932  Anes, tx interv rad, th vein                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01933  Anes, tx interv rad, cran v                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01951  Anesth, burn, less 4 percent                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01952  Anesth, burn, 4-9 percent                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01953  Anesth, burn, each 9 percent                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01958  Anesth, antepartum manipul                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01960  Anesth, vaginal delivery                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01961  Anesth, cs delivery                               J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01962  Anesth, emer hysterectomy                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01963  Anesth, cs hysterectomy                           J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01965  Anesth, inc/missed ab proc                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01966  Anesth, induced ab procedure                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01967  Anesth/analg, vag delivery                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01968  Anes/analg cs deliver add-on                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01969  Anesth/analg cs hyst add-on                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01990  Support for organ donor                           J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01991  Anesth, nerve block/inj                           J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01992  Anesth, n block/inj, prone                        J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01996  Hosp manage cont drug admin                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
01999  Unlisted anesth procedure                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0500F  Initial prenatal care visit                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0501F  Prenatal flow sheet                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0502F  Subsequent prenatal care                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0503F  Postpartum care visit                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0505F  Hemodialysis plan docd                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0507F  Periton dialysis plan docd                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
0509F  Urine incon plan docd                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1000F  Tobacco use assessed                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1002F  Assess anginal symptom/level                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
10021  Fna w/o image                                     A   1.27   2.14     2.11     0.50     0.36     0.10   3.51   3.48   1.87   1.73  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
10022  Fna w/image                                       A   1.27   2.41     2.02     0.40     0.35     0.08   3.76   3.37   1.75   1.70  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
1003F  Level of activity assess                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1004F  Clin symp vol ovrld assess                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
10040  Acne surgery                                      A   1.19   1.09     1.32     0.84     0.99     0.05   2.33   2.56   2.08   2.23  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
1005F  Asthma symptoms evaluate                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1006F  Osteoarthritis assess                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
10060  Drainage of skin abscess                          A   1.19   1.29     1.51     0.97     1.09     0.12   2.60   2.82   2.28   2.40  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
10061  Drainage of skin abscess                          A   2.42   1.89     2.09     1.51     1.54     0.26   4.57   4.77   4.19   4.22  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
1007F  Anti-inflm/anlgsc otc assess                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1008F  Gi/renal risk assess                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
10080  Drainage of pilonidal cyst                        A   1.19   2.99     2.65     1.11     1.10     0.11   4.29   3.95   2.41   2.40  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
10081  Drainage of pilonidal cyst                        A   2.47   3.92     3.47     1.49     1.45     0.24   6.63   6.18   4.20   4.16  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
10120  Remove foreign body                               A   1.23   2.12     1.95     0.97     0.95     0.12   3.47   3.30   2.32   2.30  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
10121  Remove foreign body                               A   2.71   3.51     3.51     1.75     1.66     0.33   6.55   6.55   4.79   4.70  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
10140  Drainage of hematoma/fluid                        A   1.55   1.89     2.26     1.29     1.30     0.19   3.63   4.00   3.03   3.04  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
1015F  Copd symptoms assess                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
10160  Puncture drainage of lesion                       A   1.22   1.66     1.84     1.08     1.07     0.14   3.02   3.20   2.44   2.43  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
1018F  Assess dyspnea not present                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
10180  Complex drainage, wound                           A   2.27   3.06     3.28     1.94     1.83     0.35   5.68   5.90   4.56   4.45  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
1019F  Assess dyspnea present                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1022F  Pneumo imm status assess                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1026F  Co-morbid condition assess                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1030F  Influenza imm status assess                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1034F  Current tobacco smoker                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1035F  Smokeless tobacco user                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1036F  Tobacco non-user                                  M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1038F  Persistent asthma                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1039F  Intermittent asthma                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1040F  DSM-IV info mdd docd                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1050F  History of mole changes                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1055F  Visual funct status assess                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1060F  Doc perm/cont/parox atr. fib                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1061F  Doc lack perm+cont+parox fib                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1065F  Ischm stroke symp lt3 hrsb/4                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1066F  Ischm stroke symp ge3 hrsb/4                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1070F  Alarm symp assessed-absent                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1071F  Alarm symp assessed-1+ prsnt                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1080F  Decis mkr/advncd plan docd                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1090F  Pres/absn urine incon assess                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1091F  Urine incon characterized                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1100F  Ptfalls assess-docd ge2+/yr                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
11000  Debride infected skin                             A   0.60   0.62     0.73     0.21     0.17     0.07   1.29   1.40   0.88   0.84  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
11001  Debride infected skin add-on                      A   0.30   0.23     0.23     0.10     0.08     0.04   0.57   0.57   0.44   0.42  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
11004  Debride genitalia & perineum                      A  10.80   3.73NA   3.23NA   3.73     3.23     0.67  15.20  14.70  15.20  14.70  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
11005  Debride abdom wall                                A  14.24   5.23NA   4.23NA   5.23     4.23     0.96  20.43  19.43  20.43  19.43  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
11006  Debride genit/per/abdom wall                      A  13.10   4.59NA   3.82NA   4.59     3.82     1.28  18.97  18.20  18.97  18.20  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
11008  Remove mesh from abd wall                         A   5.00   1.86NA   1.37NA   1.86     1.37     0.61   7.47   6.98   7.47   6.98  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
1101F  Pt falls assess-docd le1/yr                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
11010  Debride skin, fx                                  A   4.19   6.83     6.72     2.55     2.34     0.66  11.68  11.57   7.40   7.19  0010.10.80.1022100             37.8975 090 99     0.00   0.00   0.00
11011  Debride skin/muscle, fx                           A   4.94   7.88     7.04     2.27     2.05     0.74  13.56  12.72   7.95   7.73  0000.00.00.0022100             37.8975 090 99     0.00   0.00   0.00
11012  Debride skin/muscle/bone, fx                      A   6.87  11.32     8.98     3.67     3.14     1.16  19.35  17.01  11.70  11.17  0000.00.00.0022100             37.8975 090 99     0.00   0.00   0.00
11040  Debride skin, partial                             A   0.50   0.56     0.68     0.20     0.17     0.06   1.12   1.24   0.76   0.73  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
11041  Debride skin, full                                A   0.60   0.68     0.73     0.30     0.19     0.10   1.38   1.43   1.00   0.89  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
11042  Debride skin/tissue                               A   0.80   0.97     0.96     0.39     0.25     0.13   1.90   1.89   1.32   1.18  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
11043  Debride tissue/muscle                             A   3.04   3.45     3.64     2.62     2.71     0.32   6.81   7.00   5.98   6.07  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11044  Debride tissue/muscle/bone                        A   4.11   4.58     4.95     3.73     3.68     0.43   9.12   9.49   8.27   8.22  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11055  Trim skin lesion                                  R   0.43   0.63     0.82     0.16     0.12     0.05   1.11   1.30   0.64   0.60  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
11056  Trim skin lesions, 2 to 4                         R   0.61   0.70     0.89     0.22     0.17     0.07   1.38   1.57   0.90   0.85  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
11057  Trim skin lesions, over 4                         R   0.79   0.81     1.00     0.28     0.21     0.10   1.70   1.89   1.17   1.10  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
1110F  Pt lft inpt fac w/in 60 days                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
11100  Biopsy, skin lesion                               A   0.81   1.41     1.89     0.38     0.40     0.03   2.25   2.73   1.22   1.24  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
11101  Biopsy, skin add-on                               A   0.41   0.35     0.42     0.20     0.21     0.02   0.78   0.85   0.63   0.64  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
1111F  Dschrg med/current med merge                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
1116F  Auric/peri pain assessed                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
11200  Removal of skin tags                              A   0.79   1.09     1.23     0.80     0.90     0.04   1.92   2.06   1.63   1.73  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11201  Remove skin tags add-on                           A   0.29   0.16     0.16     0.12     0.11     0.02   0.47   0.47   0.43   0.42  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
11300  Shave skin lesion                                 A   0.51   1.04     1.19     0.21     0.21     0.03   1.58   1.73   0.75   0.75  0000.00.00.0029000             37.8975 090 99     0.00   0.00   0.00
11301  Shave skin lesion                                 A   0.85   1.21     1.51     0.38     0.39     0.04   2.10   2.40   1.27   1.28  0000.00.00.0029000             37.8975 090 99     0.00   0.00   0.00
11302  Shave skin lesion                                 A   1.05   1.42     1.78     0.47     0.50     0.05   2.52   2.88   1.57   1.60  0000.00.00.0029000             37.8975 090 99     0.00   0.00   0.00
11303  Shave skin lesion                                 A   1.24   1.69     2.03     0.53     0.57     0.07   3.00   3.34   1.84   1.88  0000.00.00.0029000             37.8975 090 99     0.00   0.00   0.00
11305  Shave skin lesion                                 A   0.67   0.91     1.07     0.26     0.21     0.07   1.65   1.81   1.00   0.95  0000.00.00.0029000             37.8975 090 99     0.00   0.00   0.00
11306  Shave skin lesion                                 A   0.99   1.18     1.43     0.41     0.39     0.07   2.24   2.49   1.47   1.45  0000.00.00.0029000             37.8975 090 99     0.00   0.00   0.00
11307  Shave skin lesion                                 A   1.14   1.40     1.71     0.49     0.49     0.07   2.61   2.92   1.70   1.70  0000.00.00.0029000             37.8975 090 99     0.00   0.00   0.00
11308  Shave skin lesion                                 A   1.41   1.53     1.75     0.58     0.53     0.13   3.07   3.29   2.12   2.07  0000.00.00.0029000             37.8975 090 99     0.00   0.00   0.00
11310  Shave skin lesion                                 A   0.73   1.18     1.39     0.32     0.33     0.04   1.95   2.16   1.09   1.10  0000.00.00.0029000             37.8975 090 99     0.00   0.00   0.00
11311  Shave skin lesion                                 A   1.05   1.34     1.65     0.49     0.50     0.05   2.44   2.75   1.59   1.60  0000.00.00.0029000             37.8975 090 99     0.00   0.00   0.00
11312  Shave skin lesion                                 A   1.20   1.55     1.94     0.56     0.58     0.06   2.81   3.20   1.82   1.84  0000.00.00.0029000             37.8975 090 99     0.00   0.00   0.00
11313  Shave skin lesion                                 A   1.62   1.90     2.21     0.73     0.76     0.10   3.62   3.93   2.45   2.48  0000.00.00.0029000             37.8975 090 99     0.00   0.00   0.00
11400  Exc tr-ext b9+marg 0.5 < cm                       A   0.87   1.96     1.88     0.90     0.94     0.06   2.89   2.81   1.83   1.87  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11401  Exc tr-ext b9+marg 0.6-1 cm                       A   1.25   2.08     2.18     1.05     1.15     0.10   3.43   3.53   2.40   2.50  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11402  Exc tr-ext b9+marg 1.1-2 cm                       A   1.42   2.26     2.39     1.11     1.21     0.13   3.81   3.94   2.66   2.76  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11403  Exc tr-ext b9+marg 2.1-3 cm                       A   1.81   2.43     2.55     1.38     1.57     0.17   4.41   4.53   3.36   3.55  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11404  Exc tr-ext b9+marg 3.1-4 cm                       A   2.08   2.74     2.86     1.46     1.64     0.21   5.03   5.15   3.75   3.93  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11406  Exc tr-ext b9+marg > 4.0 cm                       A   3.47   3.17     3.50     1.76     2.08     0.32   6.96   7.29   5.55   5.87  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11420  Exc h-f-nk-sp b9+marg 0.5 <                       A   1.00   1.78     1.83     0.93     0.94     0.09   2.87   2.92   2.02   2.03  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11421  Exc h-f-nk-sp b9+marg 0.6-1                       A   1.44   2.10     2.22     1.13     1.17     0.13   3.67   3.79   2.70   2.74  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11422  Exc h-f-nk-sp b9+marg 1.1-2                       A   1.65   2.29     2.42     1.38     1.53     0.16   4.10   4.23   3.19   3.34  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11423  Exc h-f-nk-sp b9+marg 2.1-3                       A   2.03   2.60     2.65     1.50     1.66     0.20   4.83   4.88   3.73   3.89  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11424  Exc h-f-nk-sp b9+marg 3.1-4                       A   2.45   2.84     2.97     1.65     1.78     0.25   5.54   5.67   4.35   4.48  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11426  Exc h-f-nk-sp b9+marg > 4 cm                      A   4.04   3.51     3.59     2.16     2.32     0.44   7.99   8.07   6.64   6.80  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11440  Exc face-mm b9+marg 0.5 < cm                      A   1.02   2.15     2.01     1.31     1.32     0.08   3.25   3.11   2.41   2.42  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11441  Exc face-mm b9+marg 0.6-1 cm                      A   1.50   2.35     2.39     1.51     1.56     0.13   3.98   4.02   3.14   3.19  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11442  Exc face-mm b9+marg 1.1-2 cm                      A   1.74   2.56     2.63     1.59     1.66     0.16   4.46   4.53   3.49   3.56  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11443  Exc face-mm b9+marg 2.1-3 cm                      A   2.31   2.90     2.87     1.82     1.84     0.22   5.43   5.40   4.35   4.37  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11444  Exc face-mm b9+marg 3.1-4 cm                      A   3.16   3.42     3.28     2.16     2.09     0.30   6.88   6.74   5.62   5.55  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11446  Exc face-mm b9+marg > 4 cm                        A   4.75   4.05     4.06     2.75     2.67     0.43   9.23   9.24   7.93   7.85  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11450  Removal, sweat gland lesion                       A   3.14   5.06     5.14     2.12     2.43     0.34   8.54   8.62   5.60   5.91  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
11451  Removal, sweat gland lesion                       A   4.35   6.48     6.11     2.60     2.79     0.53  11.36  10.99   7.48   7.67  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
11462  Removal, sweat gland lesion                       A   2.92   5.16     5.31     2.13     2.48     0.32   8.40   8.55   5.37   5.72  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
11463  Removal, sweat gland lesion                       A   4.35   6.77     6.61     2.76     2.99     0.54  11.66  11.50   7.65   7.88  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
11470  Removal, sweat gland lesion                       A   3.66   5.19     5.58     2.37     2.71     0.40   9.25   9.64   6.43   6.77  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
11471  Removal, sweat gland lesion                       A   4.81   6.64     6.46     2.82     3.00     0.58  12.03  11.85   8.21   8.39  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
11600  Exc tr-ext mlg+marg 0.5 < cm                      A   1.58   2.66     2.75     1.02     1.15     0.10   4.34   4.43   2.70   2.83  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11601  Exc tr-ext mlg+marg 0.6-1 cm                      A   2.02   2.89     3.46     1.30     1.53     0.12   5.03   5.60   3.44   3.67  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11602  Exc tr-ext mlg+marg 1.1-2 cm                      A   2.22   3.08     3.85     1.38     1.72     0.12   5.42   6.19   3.72   4.06  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11603  Exc tr-ext mlg+marg 2.1-3 cm                      A   2.77   3.32     4.06     1.47     1.89     0.16   6.25   6.99   4.40   4.82  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11604  Exc tr-ext mlg+marg 3.1-4 cm                      A   3.12   3.62     4.36     1.53     1.96     0.20   6.94   7.68   4.85   5.28  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11606  Exc tr-ext mlg+marg > 4 cm                        A   4.97   4.42     5.49     1.92     2.48     0.36   9.75  10.82   7.25   7.81  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11620  Exc h-f-nk-sp mlg+marg 0.5 <                      A   1.59   2.66     2.85     1.01     1.20     0.09   4.34   4.53   2.69   2.88  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11621  Exc h-f-nk-sp mlg+marg 0.6-1                      A   2.03   2.90     3.51     1.32     1.56     0.12   5.05   5.66   3.47   3.71  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11622  Exc h-f-nk-sp mlg+marg 1.1-2                      A   2.36   3.20     3.91     1.49     1.77     0.14   5.70   6.41   3.99   4.27  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11623  Exc h-f-nk-sp mlg+marg 2.1-3                      A   3.06   3.53     4.13     1.68     1.98     0.20   6.79   7.39   4.94   5.24  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11624  Exc h-f-nk-sp mlg+marg 3.1-4                      A   3.57   3.92     4.44     1.86     2.11     0.27   7.76   8.28   5.70   5.95  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11626  Exc h-f-nk-sp mlg+mar > 4 cm                      A   4.56   4.71     4.96     2.38     2.35     0.45   9.72   9.97   7.39   7.36  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11640  Exc face-mm malig+marg 0.5 <                      A   1.62   2.75     3.06     1.16     1.30     0.11   4.48   4.79   2.89   3.03  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11641  Exc face-mm malig+marg 0.6-1                      A   2.12   3.18     3.64     1.56     1.63     0.16   5.46   5.92   3.84   3.91  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11642  Exc face-mm malig+marg 1.1-2                      A   2.57   3.56     4.04     1.75     1.86     0.19   6.32   6.80   4.51   4.62  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11643  Exc face-mm malig+marg 2.1-3                      A   3.37   3.92     4.29     2.00     2.13     0.26   7.55   7.92   5.63   5.76  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11644  Exc face-mm malig+marg 3.1-4                      A   4.29   4.78     5.06     2.46     2.48     0.37   9.44   9.72   7.12   7.14  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11646  Exc face-mm mlg+marg > 4 cm                       A   6.21   5.78     5.88     3.39     3.15     0.61  12.60  12.70  10.21   9.97  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11719  Trim nail(s)                                      R   0.17   0.28     0.38     0.07     0.05     0.02   0.47   0.57   0.26   0.24  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
11720  Debride nail, 1-5                                 A   0.32   0.37     0.47     0.11     0.09     0.04   0.73   0.83   0.47   0.45  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
11721  Debride nail, 6 or more                           A   0.54   0.47     0.55     0.20     0.15     0.07   1.08   1.16   0.81   0.76  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
11730  Removal of nail plate                             A   1.10   1.11     1.35     0.40     0.30     0.14   2.35   2.59   1.64   1.54  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
11732  Remove nail plate, add-on                         A   0.57   0.47     0.55     0.20     0.15     0.07   1.11   1.19   0.84   0.79  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
11740  Drain blood from under nail                       A   0.37   0.61     0.80     0.37     0.44     0.04   1.02   1.21   0.78   0.85  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
11750  Removal of nail bed                               A   2.40   2.37     2.99     1.79     1.92     0.22   4.99   5.61   4.41   4.54  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11752  Remove nail bed/finger tip                        A   3.48   3.28     4.14     2.95     2.84     0.35   7.11   7.97   6.78   6.67  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11755  Biopsy, nail unit                                 A   1.31   1.69     2.04     0.77     0.77     0.14   3.14   3.49   2.22   2.22  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
11760  Repair of nail bed                                A   1.60   2.83     3.45     1.70     1.45     0.21   4.64   5.26   3.51   3.26  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11762  Reconstruction of nail bed                        A   2.91   3.10     3.74     2.19     1.72     0.36   6.37   7.01   5.46   4.99  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11765  Excision of nail fold, toe                        A   0.71   2.01     2.69     0.83     1.02     0.08   2.80   3.48   1.62   1.81  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11770  Removal of pilonidal lesion                       A   2.63   3.48     3.47     1.51     1.54     0.33   6.44   6.43   4.47   4.50  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
11771  Removal of pilonidal lesion                       A   5.98   5.90     6.66     3.41     3.72     0.74  12.62  13.38  10.13  10.44  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
11772  Removal of pilonidal lesion                       A   7.23   7.62     7.97     5.18     5.52     0.89  15.74  16.09  13.30  13.64  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
11900  Injection into skin lesions                       A   0.52   0.72     0.92     0.22     0.26     0.02   1.26   1.46   0.76   0.80  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
11901  Added skin lesions injection                      A   0.80   0.75     1.02     0.37     0.41     0.03   1.58   1.85   1.20   1.24  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
11920  Correct skin color defects                        R   1.61   3.38     2.42     1.11     1.15     0.24   5.23   4.27   2.96   3.00  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
11921  Correct skin color defects                        R   1.93   3.65     2.70     1.28     1.30     0.29   5.87   4.92   3.50   3.52  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
11922  Correct skin color defects                        R   0.49   1.09     0.94     0.25     0.23     0.07   1.65   1.50   0.81   0.79  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
11950  Therapy for contour defects                       R   0.84   1.07     0.87     0.38     0.36     0.06   1.97   1.77   1.28   1.26  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
11951  Therapy for contour defects                       R   1.19   1.42     1.19     0.52     0.54     0.11   2.72   2.49   1.82   1.84  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
11952  Therapy for contour defects                       R   1.69   1.83     1.75     0.72     0.84     0.16   3.68   3.60   2.57   2.69  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
11954  Therapy for contour defects                       R   1.85   2.27     1.77     0.87     0.78     0.25   4.37   3.87   2.97   2.88  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
11960  Insert tissue expander(s)                         A  11.01  10.48NA  10.76NA  10.48    10.76     1.31  22.80  23.08  22.80  23.08  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
11970  Replace tissue expander                           A   7.86   6.19NA   6.35NA   6.19     6.35     1.05  15.10  15.26  15.10  15.26  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
11971  Remove tissue expander(s)                         A   3.21   8.70     7.48     3.87     4.09     0.32  12.23  11.01   7.40   7.62  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
11975  Insert contraceptive cap                          N+  1.48   1.45     1.52     0.51     0.34     0.17   3.10   3.17   2.16   1.99  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
11976  Removal of contraceptive cap                      R   1.78   1.72     1.70     0.63     0.47     0.21   3.71   3.69   2.62   2.46  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
11977  Removal/reinsert contra cap                       N+  3.30   2.20     1.97     1.14     0.76     0.37   5.87   5.64   4.81   4.43  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
11980  Implant hormone pellet(s)                         A   1.48   1.10     1.16     0.55     0.56     0.13   2.71   2.77   2.16   2.17  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
11981  Insert drug implant device                        A   1.48   1.76     1.92     0.66     0.60     0.12   3.36   3.52   2.26   2.20  0XXX.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
11982  Remove drug implant device                        A   1.78   1.97     2.04     0.81     0.73     0.17   3.92   3.99   2.76   2.68  0XXX.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
11983  Remove/insert drug implant                        A   3.30   2.38     2.68     1.44     1.36     0.23   5.91   6.21   4.97   4.89  0XXX.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
12001  Repair superficial wound(s)                       A   1.72   1.92     1.73     0.76     0.73     0.15   3.79   3.60   2.63   2.60  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12002  Repair superficial wound(s)                       A   1.88   1.98     1.79     0.89     0.84     0.17   4.03   3.84   2.94   2.89  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12004  Repair superficial wound(s)                       A   2.26   2.26     2.07     0.99     0.93     0.21   4.73   4.54   3.46   3.40  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12005  Repair superficial wound(s)                       A   2.88   2.75     2.52     1.17     1.08     0.27   5.90   5.67   4.32   4.23  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12006  Repair superficial wound(s)                       A   3.68   3.30     3.03     1.46     1.31     0.35   7.33   7.06   5.49   5.34  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12007  Repair superficial wound(s)                       A   4.13   3.71     3.39     1.73     1.50     0.45   8.29   7.97   6.31   6.08  0010.10.80.1020110             37.8975 090 99     0.00   0.00   0.00
12011  Repair superficial wound(s)                       A   1.78   2.07     1.90     0.78     0.76     0.16   4.01   3.84   2.72   2.70  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12013  Repair superficial wound(s)                       A   2.01   2.22     2.06     0.92     0.89     0.18   4.41   4.25   3.11   3.08  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12014  Repair superficial wound(s)                       A   2.48   2.50     2.28     1.04     0.98     0.23   5.21   4.99   3.75   3.69  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12015  Repair superficial wound(s)                       A   3.21   3.04     2.76     1.22     1.13     0.29   6.54   6.26   4.72   4.63  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12016  Repair superficial wound(s)                       A   3.94   3.45     3.16     1.47     1.30     0.37   7.76   7.47   5.78   5.61  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12017  Repair superficial wound(s)                       A   4.72   1.79NA   1.50NA   1.79     1.50     0.47   6.98   6.69   6.98   6.69  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
12018  Repair superficial wound(s)                       A   5.54   2.19NA   2.01NA   2.19     2.01     0.64   8.37   8.19   8.37   8.19  0010.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
12020  Closure of split wound                            A   2.64   3.80     3.75     1.89     1.79     0.30   6.74   6.69   4.83   4.73  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12021  Closure of split wound                            A   1.86   1.83     1.85     1.39     1.33     0.24   3.93   3.95   3.49   3.43  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12031  Layer closure of wound(s)                         A   2.17   2.69     3.90     1.17     1.79     0.17   5.03   6.24   3.51   4.13  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12032  Layer closure of wound(s)                         A   2.49   4.19     5.22     1.92     2.30     0.16   6.84   7.87   4.57   4.95  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12034  Layer closure of wound(s)                         A   2.94   3.54     4.58     1.59     2.00     0.25   6.73   7.77   4.78   5.19  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12035  Layer closure of wound(s)                         A   3.44   5.21     5.26     2.14     2.11     0.39   9.04   9.09   5.97   5.94  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12036  Layer closure of wound(s)                         A   4.06   5.51     5.37     2.47     2.24     0.55  10.12   9.98   7.08   6.85  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12037  Layer closure of wound(s)                         A   4.68   6.05     5.94     2.88     2.62     0.66  11.39  11.28   8.22   7.96  0010.10.80.1020010             37.8975 090 99     0.00   0.00   0.00
12041  Layer closure of wound(s)                         A   2.39   2.87     3.85     1.29     1.78     0.19   5.45   6.43   3.87   4.36  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12042  Layer closure of wound(s)                         A   2.76   3.57     4.49     1.63     2.14     0.17   6.50   7.42   4.56   5.07  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12044  Layer closure of wound(s)                         A   3.16   3.74     5.34     1.69     1.94     0.27   7.17   8.77   5.12   5.37  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12045  Layer closure of wound(s)                         A   3.65   5.21     5.07     2.23     2.08     0.41   9.27   9.13   6.29   6.14  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12046  Layer closure of wound(s)                         A   4.26   6.28     5.63     2.64     2.29     0.54  11.08  10.43   7.44   7.09  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
12047  Layer closure of wound(s)                         A   4.66   6.30     6.17     2.95     2.54     0.58  11.54  11.41   8.19   7.78  0010.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
12051  Layer closure of wound(s)                         A   2.49   3.48     4.12     1.57     1.94     0.20   6.17   6.81   4.26   4.63  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12052  Layer closure of wound(s)                         A   2.81   3.64     4.89     1.72     2.60     0.17   6.62   7.87   4.70   5.58  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12053  Layer closure of wound(s)                         A   3.14   3.77     5.36     1.68     2.13     0.23   7.14   8.73   5.05   5.50  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12054  Layer closure of wound(s)                         A   3.47   4.02     5.40     1.74     2.08     0.30   7.79   9.17   5.51   5.85  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12055  Layer closure of wound(s)                         A   4.44   4.87     6.05     2.13     2.15     0.45   9.76  10.94   7.02   7.04  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
12056  Layer closure of wound(s)                         A   5.25   6.62     6.23     2.89     2.42     0.59  12.46  12.07   8.73   8.26  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
12057  Layer closure of wound(s)                         A   5.97   6.47     7.47     3.53     2.86     0.56  13.00  14.00  10.06   9.39  0010.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
13100  Repair of wound or lesion                         A   3.14   4.15     4.44     2.35     2.49     0.26   7.55   7.84   5.75   5.89  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
13101  Repair of wound or lesion                         A   3.93   4.99     5.99     2.77     3.02     0.26   9.18  10.18   6.96   7.21  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
13102  Repair wound/lesion add-on                        A   1.24   1.22     1.37     0.57     0.55     0.13   2.59   2.74   1.94   1.92  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
13120  Repair of wound or lesion                         A   3.32   4.26     4.60     2.41     2.61     0.26   7.84   8.18   5.99   6.19  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
13121  Repair of wound or lesion                         A   4.36   5.32     6.74     3.02     3.69     0.25   9.93  11.35   7.63   8.30  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
13122  Repair wound/lesion add-on                        A   1.44   1.48     1.40     0.63     0.61     0.15   3.07   2.99   2.22   2.20  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
13131  Repair of wound or lesion                         A   3.80   4.53     5.03     2.74     2.91     0.26   8.59   9.09   6.80   6.97  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
13132  Repair of wound or lesion                         A   6.48   6.42     7.97     4.38     5.04     0.32  13.22  14.77  11.18  11.84  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
13133  Repair wound/lesion add-on                        A   2.19   1.72     1.88     1.02     1.00     0.18   4.09   4.25   3.39   3.37  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
13150  Repair of wound or lesion                         A   3.82   4.83     4.72     2.76     2.74     0.34   8.99   8.88   6.92   6.90  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
13151  Repair of wound or lesion                         A   4.46   4.99     5.55     3.17     3.27     0.31   9.76  10.32   7.94   8.04  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
13152  Repair of wound or lesion                         A   6.34   6.42     7.60     4.03     3.99     0.40  13.16  14.34  10.77  10.73  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
13153  Repair wound/lesion add-on                        A   2.38   1.96     2.03     1.11     1.03     0.24   4.58   4.65   3.73   3.65  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
13160  Late closure of wound                             A  11.84   7.15NA   7.13NA   7.15     7.13     1.54  20.53  20.51  20.53  20.51  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
14000  Skin tissue rearrangement                         A   6.83   8.14     9.00     5.63     6.12     0.59  15.56  16.42  13.05  13.54  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
14001  Skin tissue rearrangement                         A   9.60   9.86    11.20     7.22     7.67     0.82  20.28  21.62  17.64  18.09  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
14020  Skin tissue rearrangement                         A   7.66   8.98    10.07     6.64     6.95     0.64  17.28  18.37  14.94  15.25  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
14021  Skin tissue rearrangement                         A  11.18  10.63    12.57     8.41     8.79     0.81  22.62  24.56  20.40  20.78  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
14040  Skin tissue rearrangement                         A   8.44   9.17    10.26     7.17     7.07     0.62  18.23  19.32  16.23  16.13  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
14041  Skin tissue rearrangement                         A  12.67  11.37    13.72     8.88     9.51     0.73  24.77  27.12  22.28  22.91  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
14060  Skin tissue rearrangement                         A   9.07   9.02     9.74     7.39     7.25     0.68  18.77  19.49  17.14  17.00  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
14061  Skin tissue rearrangement                         A  13.67  12.45    15.01     9.72    10.37     0.76  26.88  29.44  24.15  24.80  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
14300  Skin tissue rearrangement                         A  13.26  11.77    13.67     9.28     9.62     1.16  26.19  28.09  23.70  24.04  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
14350  Skin tissue rearrangement                         A  10.82   7.12NA   7.05NA   7.12     7.05     1.34  19.28  19.21  19.28  19.21  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15002  Wnd prep, ch/inf, trk/arm/lg                      A   3.65   4.12     4.12     1.65     1.65     0.49   8.26   8.26   5.79   5.79  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
15003  Wnd prep, ch/inf addl 100 cm                      A   0.80   0.92     0.92     0.28     0.28     0.11   1.83   1.83   1.19   1.19  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
15004  Wnd prep ch/inf, f/n/hf/g                         A   4.58   4.77     4.77     1.97     1.97     0.62   9.97   9.97   7.17   7.17  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
15005  Wnd prep, f/n/hf/g, addl cm                       A   1.60   1.28     1.28     0.56     0.56     0.22   3.10   3.10   2.38   2.38  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
15040  Harvest cultured skin graft                       A   2.00   4.39     3.86     1.11     1.05     0.24   6.63   6.10   3.35   3.29  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15050  Skin pinch graft                                  A   5.37   7.11     7.71     5.11     5.09     0.57  13.05  13.65  11.05  11.03  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15100  Skin splt grft, trnk/arm/leg                      A   9.74  11.91     9.91     7.57     6.82     1.28  22.93  20.93  18.59  17.84  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15101  Skin splt grft t/a/l, add-on                      A   1.72   3.43     2.51     1.10     0.88     0.24   5.39   4.47   3.06   2.84  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15110  Epidrm autogrft trnk/arm/leg                      A  10.88  10.26     9.01     6.90     6.61     1.31  22.45  21.20  19.09  18.80  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15111  Epidrm autogrft t/a/l add-on                      A   1.85   1.19     0.90     0.76     0.65     0.26   3.30   3.01   2.87   2.76  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15115  Epidrm a-grft face/nck/hf/g                       A  11.19   9.24     9.31     7.22     6.83     1.15  21.58  21.65  19.56  19.17  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15116  Epidrm a-grft f/n/hf/g addl                       A   2.50   1.50     1.24     1.07     0.91     0.33   4.33   4.07   3.90   3.74  0ZZZ.00.00.0000110             37.8975 090 99     0.00   0.00   0.00
15120  Skn splt a-grft fac/nck/hf/g                      A  10.96  10.87    11.33     7.71     7.48     1.16  22.99  23.45  19.83  19.60  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15121  Skn splt a-grft f/n/hf/g add                      A   2.67   4.24     3.47     1.72     1.34     0.36   7.27   6.50   4.75   4.37  0ZZZ.00.00.0000110             37.8975 090 99     0.00   0.00   0.00
15130  Derm autograft, trnk/arm/leg                      A   7.41   9.42     8.09     6.18     5.71     0.97  17.80  16.47  14.56  14.09  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15131  Derm autograft t/a/l add-on                       A   1.50   0.98     0.71     0.61     0.53     0.21   2.69   2.42   2.32   2.24  0ZZZ.00.00.0000110             37.8975 090 99     0.00   0.00   0.00
15135  Derm autograft face/nck/hf/g                      A  10.91   9.79     9.56     7.88     7.14     1.23  21.93  21.70  20.02  19.28  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15136  Derm autograft, f/n/hf/g add                      A   1.50   0.84     0.69     0.64     0.55     0.20   2.54   2.39   2.34   2.25  0ZZZ.00.00.0000110             37.8975 090 99     0.00   0.00   0.00
15150  Cult epiderm grft t/arm/leg                       A   9.30   8.17     7.29     6.33     6.01     1.14  18.61  17.73  16.77  16.45  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15151  Cult epiderm grft t/a/l addl                      A   2.00   1.21     0.92     0.82     0.71     0.28   3.49   3.20   3.10   2.99  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15152  Cult epiderm graft t/a/l +%                       A   2.50   1.44     1.09     1.02     0.89     0.35   4.29   3.94   3.87   3.74  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15155  Cult epiderm graft, f/n/hf/g                      A  10.05   7.80     7.74     6.82     6.40     1.05  18.90  18.84  17.92  17.50  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15156  Cult epidrm grft f/n/hfg add                      A   2.75   1.47     1.20     1.18     1.00     0.36   4.58   4.31   4.29   4.11  0ZZZ.00.00.0000110             37.8975 090 99     0.00   0.00   0.00
15157  Cult epiderm grft f/n/hfg +%                      A   3.00   1.68     1.39     1.29     1.09     0.39   5.07   4.78   4.68   4.48  0ZZZ.00.00.0000110             37.8975 090 99     0.00   0.00   0.00
15170  Acell graft trunk/arms/legs                       A   5.99   3.79     3.68     2.37     2.39     0.55  10.33  10.22   8.91   8.93  0090.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
15171  Acell graft t/arm/leg add-on                      A   1.55   0.68     0.66     0.60     0.52     0.19   2.42   2.40   2.34   2.26  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15175  Acellular graft, f/n/hf/g                         A   7.99   5.40     5.33     3.96     3.84     0.82  14.21  14.14  12.77  12.65  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15176  Acell graft, f/n/hf/g add-on                      A   2.45   1.10     1.08     0.95     0.83     0.29   3.84   3.82   3.69   3.57  0ZZZ.00.00.0000110             37.8975 090 99     0.00   0.00   0.00
15200  Skin full graft, trunk                            A   8.97   9.54     9.97     6.26     6.42     0.98  19.49  19.92  16.21  16.37  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15201  Skin full graft trunk add-on                      A   1.32   2.45     2.13     0.61     0.58     0.19   3.96   3.64   2.12   2.09  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
15220  Skin full graft sclp/arm/leg                      A   7.95   9.50    10.46     6.69     6.73     0.84  18.29  19.25  15.48  15.52  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15221  Skin full graft add-on                            A   1.19   2.25     2.03     0.55     0.52     0.16   3.60   3.38   1.90   1.87  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15240  Skin full grft face/genit/hf                      A  10.15  10.66    12.05     8.20     8.94     0.92  21.73  23.12  19.27  20.01  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15241  Skin full graft add-on                            A   1.86   2.47     2.54     0.89     0.83     0.23   4.56   4.63   2.98   2.92  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15260  Skin full graft een & lips                        A  11.39  10.93    13.08     8.79     9.43     0.69  23.01  25.16  20.87  21.51  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15261  Skin full graft add-on                            A   2.23   2.76     2.97     1.34     1.17     0.21   5.20   5.41   3.78   3.61  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15300  Apply skinallogrft, t/arm/lg                      A   4.65   3.25     3.38     2.21     2.13     0.49   8.39   8.52   7.35   7.27  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15301  Apply sknallogrft t/a/l addl                      A   1.00   0.47     0.48     0.39     0.34     0.14   1.61   1.62   1.53   1.48  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15320  Apply skin allogrft f/n/hf/g                      A   5.36   3.66     3.77     2.49     2.35     0.58   9.60   9.71   8.43   8.29  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15321  Aply sknallogrft f/n/hfg add                      A   1.50   0.69     0.69     0.57     0.51     0.21   2.40   2.40   2.28   2.22  0ZZZ.00.00.0000110             37.8975 090 99     0.00   0.00   0.00
15330  Aply acell alogrft t/arm/leg                      A   3.99   3.18     3.16     2.15     1.93     0.49   7.66   7.64   6.63   6.41  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15331  Aply acell grft t/a/l add-on                      A   1.00   0.46     0.47     0.39     0.34     0.14   1.60   1.61   1.53   1.48  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15335  Apply acell graft, f/n/hf/g                       A   4.50   3.46     3.42     2.35     2.09     0.55   8.51   8.47   7.40   7.14  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15336  Aply acell grft f/n/hf/g add                      A   1.43   0.70     0.72     0.55     0.49     0.20   2.33   2.35   2.18   2.12  0ZZZ.00.00.0000110             37.8975 090 99     0.00   0.00   0.00
15340  Apply cult skin substitute                        A   3.76   3.95     3.80     2.75     2.74     0.41   8.12   7.97   6.92   6.91  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
15341  Apply cult skin sub add-on                        A   0.50   0.64     0.72     0.19     0.17     0.06   1.20   1.28   0.75   0.73  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15360  Apply cult derm sub, t/a/l                        A   3.93   4.47     4.46     3.13     3.27     0.43   8.83   8.82   7.49   7.63  0090.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
15361  Aply cult derm sub t/a/l add                      A   1.15   0.58     0.58     0.44     0.39     0.14   1.87   1.87   1.73   1.68  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15365  Apply cult derm sub f/n/hf/g                      A   4.21   4.50     4.36     3.20     3.21     0.46   9.17   9.03   7.87   7.88  0090.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
15366  Apply cult derm f/hf/g add                        A   1.45   0.70     0.69     0.56     0.49     0.17   2.32   2.31   2.18   2.11  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15400  Apply skin xenograft, t/a/l                       A   4.38   4.25     4.97     3.95     3.76     0.47   9.10   9.82   8.80   8.61  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15401  Apply skn xenogrft t/a/l add                      A   1.00   1.67     1.02     0.42     0.35     0.14   2.81   2.16   1.56   1.49  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15420  Apply skin xgraft, f/n/hf/g                       A   4.89   4.86     5.11     3.83     3.93     0.52  10.27  10.52   9.24   9.34  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15421  Apply skn xgrft f/n/hf/g add                      A   1.50   1.29     1.20     0.60     0.53     0.21   3.00   2.91   2.31   2.24  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15430  Apply acellular xenograft                         A   5.93   6.95     7.11     6.59     6.53     0.66  13.54  13.70  13.18  13.12  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15431  Apply acellular xgraft add                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
15570  Form skin pedicle flap                            A  10.00  11.09    10.45     6.71     6.57     1.34  22.43  21.79  18.05  17.91  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15572  Form skin pedicle flap                            A   9.94   9.59     9.89     6.53     6.78     1.20  20.73  21.03  17.67  17.92  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15574  Form skin pedicle flap                            A  10.52  10.64    10.50     7.60     7.04     1.20  22.36  22.22  19.32  18.76  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15576  Form skin pedicle flap                            A   9.24   9.74     9.72     6.81     6.60     0.87  19.85  19.83  16.92  16.71  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15600  Skin graft                                        A   1.95   7.03     5.31     2.98     2.75     0.27   9.25   7.53   5.20   4.97  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15610  Skin graft                                        A   2.46   4.92     5.59     3.33     3.07     0.35   7.73   8.40   6.14   5.88  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15620  Skin graft                                        A   3.62   7.44     6.40     3.88     3.87     0.35  11.41  10.37   7.85   7.84  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15630  Skin graft                                        A   3.95   7.04     7.03     4.19     4.31     0.34  11.33  11.32   8.48   8.60  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15650  Transfer skin pedicle flap                        A   4.64   7.14     7.12     4.23     4.30     0.42  12.20  12.18   9.29   9.36  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15731  Forehead flap w/vasc pedicle                      A  14.12  12.13    12.13     9.56     9.56     1.28  27.53  27.53  24.96  24.96  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15732  Muscle-skin graft, head/neck                      A  19.70  17.27    14.97    12.01    11.41     2.00  38.97  36.67  33.71  33.11  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
15734  Muscle-skin graft, trunk                          A  19.62  17.58    16.00    12.32    12.16     2.62  39.82  38.24  34.56  34.40  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
15736  Muscle-skin graft, arm                            A  16.92  17.17    13.99    10.96    10.18     2.46  36.55  33.37  30.34  29.56  0090.10.71.1920110             37.8975 090 99     0.00   0.00   0.00
15738  Muscle-skin graft, leg                            A  18.92  17.04    14.24    11.45    10.63     2.66  38.62  35.82  33.03  32.21  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
15740  Island pedicle flap graft                         A  11.57  11.01    13.63     8.58     9.52     0.63  23.21  25.83  20.78  21.72  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15750  Neurovascular pedicle graft                       A  12.73   9.04NA   9.04NA   9.04     9.04     1.42  23.19  23.19  23.19  23.19  0090.10.71.1920200             37.8975 090 99     0.00   0.00   0.00
15756  Free myo/skin flap microvasc                      A  36.74  20.15NA  18.90NA  20.15    18.90     4.62  61.51  60.26  61.51  60.26  0090.10.71.1920220             37.8975 090 99     0.00   0.00   0.00
15757  Free skin flap, microvasc                         A  36.95  20.46NA  17.08NA  20.46    17.08     3.90  61.31  57.93  61.31  57.93  0090.10.71.1920220             37.8975 090 99     0.00   0.00   0.00
15758  Free fascial flap, microvasc                      A  36.70  20.41NA  16.92NA  20.41    16.92     4.24  61.35  57.86  61.35  57.86  0090.10.71.1920220             37.8975 090 99     0.00   0.00   0.00
15760  Composite skin graft                              A   9.68  10.10    10.35     7.21     7.04     0.85  20.63  20.88  17.74  17.57  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15770  Derma-fat-fascia graft                            A   8.73   6.68NA   6.66NA   6.68     6.66     1.05  16.46  16.44  16.46  16.44  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
15775  Hair transplant punch grafts                      R   3.95   4.05     3.50     1.41     1.72     0.52   8.52   7.97   5.88   6.19  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
15776  Hair transplant punch grafts                      R   5.53   4.99     3.91     2.50     1.60     0.72  11.24  10.16   8.75   7.85  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
15780  Abrasion treatment of skin                        A   8.50  11.60    11.84     7.92     6.91     0.67  20.77  21.01  17.09  16.08  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15781  Abrasion treatment of skin                        A   4.91   7.35     8.68     5.44     5.68     0.34  12.60  13.93  10.69  10.93  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15782  Abrasion treatment of skin                        A   4.36   9.80     9.63     6.31     5.58     0.34  14.50  14.33  11.01  10.28  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15783  Abrasion treatment of skin                        A   4.33   7.19     8.13     4.42     5.13     0.28  11.80  12.74   9.03   9.74  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15786  Abrasion, lesion, single                          A   2.05   3.47     3.81     1.31     1.26     0.11   5.63   5.97   3.47   3.42  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
15787  Abrasion, lesions, add-on                         A   0.33   1.03     0.83     0.15     0.11     0.04   1.40   1.20   0.52   0.48  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
15788  Chemical peel, face, epiderm                      R   2.09   7.17     8.55     3.24     3.73     0.11   9.37  10.75   5.44   5.93  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15789  Chemical peel, face, dermal                       R   4.91   8.38     9.26     5.04     5.77     0.20  13.49  14.37  10.15  10.88  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15792  Chemical peel, nonfacial                          R   1.86   7.03     6.83     4.21     3.47     0.13   9.02   8.82   6.20   5.46  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15793  Chemical peel, nonfacial                          A   3.82   6.10     5.56     4.11     3.31     0.19  10.11   9.57   8.12   7.32  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15819  Plastic surgery, neck                             A  10.45   7.09NA   6.83NA   7.09     6.83     0.97  18.51  18.25  18.51  18.25  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15820  Revision of lower eyelid                          A   6.09   6.86     6.53     5.50     5.32     0.40  13.35  13.02  11.99  11.81  0090.10.71.1921000             37.8975 090 99     0.00   0.00   0.00
15821  Revision of lower eyelid                          A   6.66   7.21     6.78     5.65     5.47     0.45  14.32  13.89  12.76  12.58  0090.10.71.1921000             37.8975 090 99     0.00   0.00   0.00
15822  Revision of upper eyelid                          A   4.51   5.72     5.38     4.43     4.23     0.37  10.60  10.26   9.31   9.11  0090.10.71.1921100             37.8975 090 99     0.00   0.00   0.00
15823  Revision of upper eyelid                          A   8.12   7.80     7.65     6.41     6.36     0.50  16.42  16.27  15.03  14.98  0090.10.71.1921100             37.8975 090 99     0.00   0.00   0.00
15824  Removal of forehead wrinkles                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
15825  Removal of neck wrinkles                          R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
15826  Removal of brow wrinkles                          R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
15828  Removal of face wrinkles                          R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
15829  Removal of skin wrinkles                          R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
15830  Exc skin abd                                      R  16.90  10.15NA  10.15NA  10.15    10.15     2.93  29.98  29.98  29.98  29.98  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
15832  Excise excessive skin tissue                      A  12.65   8.36NA   8.43NA   8.36     8.43     1.66  22.67  22.74  22.67  22.74  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
15833  Excise excessive skin tissue                      A  11.70   7.95NA   7.16NA   7.95     7.16     1.49  21.14  20.35  21.14  20.35  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15834  Excise excessive skin tissue                      A  11.97   7.73NA   7.86NA   7.73     7.86     1.61  21.31  21.44  21.31  21.44  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15835  Excise excessive skin tissue                      A  12.79   7.64NA   7.92NA   7.64     7.92     1.60  22.03  22.31  22.03  22.31  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15836  Excise excessive skin tissue                      A  10.41   6.87NA   7.12NA   6.87     7.12     1.34  18.62  18.87  18.62  18.87  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15837  Excise excessive skin tissue                      A   9.37   8.61     8.77     6.98     5.80     1.18  19.16  19.32  17.53  16.35  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15838  Excise excessive skin tissue                      A   8.07   5.79NA   4.97NA   5.79     4.97     0.58  14.44  13.62  14.44  13.62  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15839  Excise excessive skin tissue                      A  10.32   8.97     9.42     6.36     6.25     1.22  20.51  20.96  17.90  17.79  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15840  Graft for face nerve palsy                        A  14.76   9.67NA   8.75NA   9.67     8.75     1.32  25.75  24.83  25.75  24.83  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15841  Graft for face nerve palsy                        A  25.69  14.58NA  13.33NA  14.58    13.33     2.55  42.82  41.57  42.82  41.57  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
15842  Flap for face nerve palsy                         A  40.68  22.59NA  21.64NA  22.59    21.64     4.94  68.21  67.26  68.21  67.26  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
15845  Skin and muscle repair, face                      A  14.04   9.20NA   8.90NA   9.20     8.90     0.81  24.05  23.75  24.05  23.75  0090.10.71.1920200             37.8975 090 99     0.00   0.00   0.00
15847  Exc skin abd add-on                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
15850  Removal of sutures                                B+  0.78   1.47     1.19     0.27     0.18     0.05   2.30   2.02   1.10   1.01  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
15851  Removal of sutures                                A   0.86   1.59     1.33     0.29     0.24     0.06   2.51   2.25   1.21   1.16  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
15852  Dressing change not for burn                      A   0.86   0.31NA   0.26NA   0.31     0.26     0.09   1.26   1.21   1.26   1.21  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
15860  Test for blood flow in graft                      A   1.95   0.76NA   0.71NA   0.76     0.71     0.27   2.98   2.93   2.98   2.93  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
15876  Suction assisted lipectomy                        R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
15877  Suction assisted lipectomy                        R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
15878  Suction assisted lipectomy                        R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
15879  Suction assisted lipectomy                        R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
15920  Removal of tail bone ulcer                        A   8.15   5.63NA   5.86NA   5.63     5.86     1.04  14.82  15.05  14.82  15.05  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15922  Removal of tail bone ulcer                        A  10.23   7.19NA   7.11NA   7.19     7.11     1.42  18.84  18.76  18.84  18.76  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
15931  Remove sacrum pressure sore                       A   9.96   5.65NA   5.57NA   5.65     5.57     1.25  16.86  16.78  16.86  16.78  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15933  Remove sacrum pressure sore                       A  11.60   7.74NA   7.39NA   7.74     7.39     1.52  20.86  20.51  20.86  20.51  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15934  Remove sacrum pressure sore                       A  13.54   7.96NA   7.72NA   7.96     7.72     1.79  23.29  23.05  23.29  23.05  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15935  Remove sacrum pressure sore                       A  15.58  10.33NA  10.34NA  10.33    10.34     2.10  28.01  28.02  28.01  28.02  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
15936  Remove sacrum pressure sore                       A  13.04   8.07NA   7.60NA   8.07     7.60     1.77  22.88  22.41  22.88  22.41  0090.10.71.1920110             37.8975 090 99     0.00   0.00   0.00
15937  Remove sacrum pressure sore                       A  15.00   9.65NA   9.14NA   9.65     9.14     2.07  26.72  26.21  26.72  26.21  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
15940  Remove hip pressure sore                          A  10.11   6.11NA   5.91NA   6.11     5.91     1.31  17.53  17.33  17.53  17.33  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15941  Remove hip pressure sore                          A  12.24   9.25NA   8.66NA   9.25     8.66     1.66  23.15  22.56  23.15  22.56  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15944  Remove hip pressure sore                          A  12.27   8.56NA   8.42NA   8.56     8.42     1.65  22.48  22.34  22.48  22.34  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15945  Remove hip pressure sore                          A  13.57   9.57NA   9.35NA   9.57     9.35     1.85  24.99  24.77  24.99  24.77  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
15946  Remove hip pressure sore                          A  23.80  14.34NA  14.26NA  14.34    14.26     3.17  41.31  41.23  41.31  41.23  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
15950  Remove thigh pressure sore                        A   7.91   5.42NA   5.43NA   5.42     5.43     1.04  14.37  14.38  14.37  14.38  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
15951  Remove thigh pressure sore                        A  11.41   7.92NA   8.11NA   7.92     8.11     1.49  20.82  21.01  20.82  21.01  0090.10.71.1920010             37.8975 090 99     0.00   0.00   0.00
15952  Remove thigh pressure sore                        A  12.14   7.79NA   7.90NA   7.79     7.90     1.60  21.53  21.64  21.53  21.64  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
15953  Remove thigh pressure sore                        A  13.39   9.06NA   9.28NA   9.06     9.28     1.80  24.25  24.47  24.25  24.47  0090.10.71.1920110             37.8975 090 99     0.00   0.00   0.00
15956  Remove thigh pressure sore                        A  16.59  10.53NA   9.79NA  10.53     9.79     2.22  29.34  28.60  29.34  28.60  0090.10.71.1920110             37.8975 090 99     0.00   0.00   0.00
15958  Remove thigh pressure sore                        A  16.55  10.90NA  10.48NA  10.90    10.48     2.26  29.71  29.29  29.71  29.29  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
15999  Removal of pressure sore                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
16000  Initial treatment of burn(s)                      A   0.89   0.83     0.73     0.26     0.24     0.08   1.80   1.70   1.23   1.21  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
16020  Dress/debrid p-thick burn, s                      A   0.80   1.25     1.11     0.58     0.56     0.08   2.13   1.99   1.46   1.44  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
16025  Dress/debrid p-thick burn, m                      A   1.85   1.72     1.61     0.94     0.89     0.19   3.76   3.65   2.98   2.93  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
16030  Dress/debrid p-thick burn, l                      A   2.08   2.12     1.98     1.08     0.97     0.24   4.44   4.30   3.40   3.29  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
16035  Incision of burn scab, initi                      A   3.74   1.51NA   1.29NA   1.51     1.29     0.46   5.71   5.49   5.71   5.49  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
16036  Escharotomy; addl incision                       A   1.50   0.57NA   0.49NA   0.57     0.49     0.20   2.27   2.19   2.27   2.19  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
17000  Destruct premalg lesion                           A   0.62   1.08     1.42     0.59     0.75     0.03   1.73   2.07   1.24   1.40  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17003  Destruct premalg les, 2-14                        A   0.07   0.11     0.10     0.06     0.03     0.01   0.19   0.18   0.14   0.11  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
17004  Destroy premlg lesions 15+                        A   1.82   2.33     2.43     1.54     1.39     0.11   4.26   4.36   3.47   3.32  0010.10.80.1000100             37.8975 090 99     0.00   0.00   0.00
17106  Destruction of skin lesions                       A   4.62   4.63     4.72     3.33     3.32     0.35   9.60   9.69   8.30   8.29  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
17107  Destruction of skin lesions                       A   9.19   7.24     7.36     5.41     5.27     0.63  17.06  17.18  15.23  15.09  0090.10.71.1920100             37.8975 090 99     0.00   0.00   0.00
17108  Destruction of skin lesions                       A  13.22   9.34     9.56     7.49     6.99     0.54  23.10  23.32  21.25  20.75  0090.10.71.1920000             37.8975 090 99     0.00   0.00   0.00
17110  Destruct b9 lesion, 1-14                          A   0.67   1.66     1.76     0.74     0.87     0.05   2.38   2.48   1.46   1.59  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17111  Destruct lesion, 15 or more                       A   0.94   1.83     2.29     0.89     1.14     0.05   2.82   3.28   1.88   2.13  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17250  Chemical cautery, tissue                          A   0.50   1.25     1.32     0.35     0.38     0.06   1.81   1.88   0.91   0.94  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
17260  Destruction of skin lesions                       A   0.93   1.32     1.43     0.69     0.73     0.04   2.29   2.40   1.66   1.70  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17261  Destruction of skin lesions                       A   1.19   1.84     2.51     0.90     1.09     0.05   3.08   3.75   2.14   2.33  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17262  Destruction of skin lesions                       A   1.60   2.13     2.86     1.09     1.30     0.06   3.79   4.52   2.75   2.96  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17263  Destruction of skin lesions                       A   1.81   2.31     3.09     1.17     1.40     0.07   4.19   4.97   3.05   3.28  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17264  Destruction of skin lesions                       A   1.96   2.49     3.30     1.21     1.47     0.08   4.53   5.34   3.25   3.51  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17266  Destruction of skin lesions                       A   2.36   2.77     3.56     1.33     1.64     0.09   5.22   6.01   3.78   4.09  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17270  Destruction of skin lesions                       A   1.34   1.89     2.46     0.93     1.12     0.05   3.28   3.85   2.32   2.51  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17271  Destruction of skin lesions                       A   1.51   2.00     2.69     1.05     1.25     0.06   3.57   4.26   2.62   2.82  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17272  Destruction of skin lesions                       A   1.79   2.24     3.00     1.18     1.40     0.07   4.10   4.86   3.04   3.26  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17273  Destruction of skin lesions                       A   2.07   2.46     3.25     1.29     1.53     0.08   4.61   5.40   3.44   3.68  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17274  Destruction of skin lesions                       A   2.61   2.84     3.66     1.53     1.79     0.10   5.55   6.37   4.24   4.50  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17276  Destruction of skin lesions                       A   3.22   3.19     3.95     1.77     2.04     0.16   6.57   7.33   5.15   5.42  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17280  Destruction of skin lesions                       A   1.19   1.80     2.38     0.87     1.05     0.05   3.04   3.62   2.11   2.29  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17281  Destruction of skin lesions                       A   1.74   2.12     2.77     1.16     1.36     0.07   3.93   4.58   2.97   3.17  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17282  Destruction of skin lesions                       A   2.06   2.41     3.18     1.31     1.53     0.08   4.55   5.32   3.45   3.67  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17283  Destruction of skin lesions                       A   2.66   2.81     3.60     1.57     1.81     0.11   5.58   6.37   4.34   4.58  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17284  Destruction of skin lesions                       A   3.23   3.20     4.05     1.84     2.09     0.13   6.56   7.41   5.20   5.45  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17286  Destruction of skin lesions                       A   4.45   3.87     4.45     2.46     2.52     0.23   8.55   9.13   7.14   7.20  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17311  Mohs, 1 stage, h/n/hf/g                           A   6.20  10.79    10.79     3.16     3.16     0.24  17.23  17.23   9.60   9.60  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
17312  Mohs addl stage                                   A   3.30   6.92     6.92     1.68     1.68     0.13  10.35  10.35   5.11   5.11  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
17313  Mohs, 1 stage, t/a/l                              A   5.56   9.95     9.95     2.83     2.83     0.22  15.73  15.73   8.61   8.61  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
17314  Mohs, addl stage, t/a/l                           A   3.06   6.41     6.41     1.55     1.55     0.12   9.59   9.59   4.73   4.73  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
17315  Mohs surg, addl block                             A   0.87   1.15     1.15     0.44     0.44     0.03   2.05   2.05   1.34   1.34  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
17340  Cryotherapy of skin                               A   0.76   0.36     0.34     0.36     0.34     0.05   1.17   1.15   1.17   1.15  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17360  Skin peel therapy                                 A   1.44   1.54     1.85     0.91     1.02     0.06   3.04   3.35   2.41   2.52  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
17380  Hair removal by electrolysis                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
17999  Skin tissue procedure                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
19000  Drainage of breast lesion                         A   0.84   1.94     1.82     0.29     0.23     0.08   2.86   2.74   1.21   1.15  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
19001  Drain breast lesion add-on                        A   0.42   0.25     0.23     0.14     0.12     0.04   0.71   0.69   0.60   0.58  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
19020  Incision of breast lesion                         A   3.74   6.39     6.58     2.76     3.02     0.45  10.58  10.77   6.95   7.21  0090.10.71.1921100             37.8975 090 99     0.00   0.00   0.00
19030  Injection for breast x-ray                        A   1.53   2.76     2.46     0.48     0.43     0.09   4.38   4.08   2.10   2.05  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
19100  Bx breast percut w/o image                        A   1.27   2.07     2.05     0.40     0.33     0.16   3.50   3.48   1.83   1.76  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
19101  Biopsy of breast, open                            A   3.20   4.45     4.28     1.87     1.75     0.39   8.04   7.87   5.46   5.34  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
19102  Bx breast percut w/image                          A   2.00   3.68     3.22     0.64     0.56     0.14   5.82   5.36   2.78   2.70  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
19103  Bx breast percut w/device                         A   3.69  11.01     9.55     1.18     1.01     0.30  15.00  13.54   5.17   5.00  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
19105  Cryosurg ablate fa, each                          A   3.69  45.93    45.93     1.00     1.00     0.30  49.92  49.92   4.99   4.99  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
19110  Nipple exploration                                A   4.35   5.93     6.35     2.96     3.24     0.57  10.85  11.27   7.88   8.16  0090.10.71.1921100             37.8975 090 99     0.00   0.00   0.00
19112  Excise breast duct fistula                        A   3.72   6.10     6.22     2.80     3.14     0.48  10.30  10.42   7.00   7.34  0090.10.71.1921000             37.8975 090 99     0.00   0.00   0.00
19120  Removal of breast lesion                          A   5.84   4.67     5.06     3.14     3.36     0.73  11.24  11.63   9.71   9.93  0090.10.71.1921100             37.8975 090 99     0.00   0.00   0.00
19125  Excision, breast lesion                           A   6.59   4.97     5.53     3.37     3.64     0.80  12.36  12.92  10.76  11.03  0090.10.71.1921110             37.8975 090 99     0.00   0.00   0.00
19126  Excision, addl breast lesion                      A   2.93   0.94NA   0.76NA   0.94     0.76     0.38   4.25   4.07   4.25   4.07  0ZZZ.00.00.0000110             37.8975 090 99     0.00   0.00   0.00
19260  Removal of chest wall lesion                      A  17.60  10.93NA  10.26NA  10.93    10.26     2.14  30.67  30.00  30.67  30.00  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
19271  Revision of chest wall                            A  21.86  17.43NA  15.88NA  17.43    15.88     2.63  41.92  40.37  41.92  40.37  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
19272  Extensive chest wall surgery                      A  24.82  18.45NA  16.99NA  18.45    16.99     3.00  46.27  44.81  46.27  44.81  0090.10.71.1920210             37.8975 090 99     0.00   0.00   0.00
19290  Place needle wire, breast                         A   1.27   2.81     2.68     0.41     0.36     0.07   4.15   4.02   1.75   1.70  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
19291  Place needle wire, breast                         A   0.63   1.17     1.05     0.20     0.18     0.04   1.84   1.72   0.87   0.85  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
19295  Place breast clip, percut                         A   0.00   2.57     2.19     2.02     0.00     0.01   2.58   2.20   2.03   0.01  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
19296  Place po breast cath for rad                      A   3.63 114.92    83.51     1.45     1.20     0.36 118.91  87.50   5.44   5.19  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
19297  Place breast cath for rad                         A   1.72   0.60NA   0.47NA   0.60     0.47     0.17   2.49   2.36   2.49   2.36  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
19298  Place breast rad tube/caths                       A   6.00  37.39    23.09     2.36     2.20     0.43  43.82  29.52   8.79   8.63  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
19300  Removal of breast tissue                          A   5.20   7.34     7.95     3.50     3.82     0.69  13.23  13.84   9.39   9.71  0090.10.71.1921100             37.8975 090 99     0.00   0.00   0.00
19301  Partial mastectomy                                A   6.03   3.47NA   3.60NA   3.47     3.60     0.79  10.29  10.42  10.29  10.42  0090.10.71.1921000             37.8975 090 99     0.00   0.00   0.00
19302  P-mastectomy w/ln removal                         A  13.88   6.29NA   6.15NA   6.29     6.15     1.80  21.97  21.83  21.97  21.83  0090.10.71.1921210             37.8975 090 99     0.00   0.00   0.00
19303  Mast, simple, complete                            A  15.67   5.52NA   7.00NA   5.52     7.00     1.18  22.37  23.85  22.37  23.85  0090.10.71.1921210             37.8975 090 99     0.00   0.00   0.00
19304  Mast, subq                                        A   7.81   4.80NA   4.93NA   4.80     4.93     1.04  13.65  13.78  13.65  13.78  0090.10.71.1921210             37.8975 090 99     0.00   0.00   0.00
19305  Mast, radical                                     A  17.23   8.01NA   8.16NA   8.01     8.16     1.93  27.17  27.32  27.17  27.32  0090.10.71.1921210             37.8975 090 99     0.00   0.00   0.00
19306  Mast, rad, urban type                             A  17.85   8.33NA   8.62NA   8.33     8.62     2.08  28.26  28.55  28.26  28.55  0090.10.71.1921210             37.8975 090 99     0.00   0.00   0.00
19307  Mast, mod rad                                     A  17.95   8.34NA   8.77NA   8.34     8.77     2.13  28.42  28.85  28.42  28.85  0090.10.71.1921210             37.8975 090 99     0.00   0.00   0.00
19316  Suspension of breast                              A  10.98   7.45NA   7.28NA   7.45     7.28     1.64  20.07  19.90  20.07  19.90  0090.10.71.1921210             37.8975 090 99     0.00   0.00   0.00
19318  Reduction of large breast                         A  15.91  10.94NA  10.25NA  10.94    10.25     2.93  29.78  29.09  29.78  29.09  0090.10.71.1921210             37.8975 090 99     0.00   0.00   0.00
19324  Enlarge breast                                    A   6.65   4.84NA   4.69NA   4.84     4.69     0.84  12.33  12.18  12.33  12.18  0090.10.71.1921000             37.8975 090 99     0.00   0.00   0.00
19325  Enlarge breast with implant                       A   8.52   6.55NA   6.62NA   6.55     6.62     1.33  16.40  16.47  16.40  16.47  0090.10.71.1921000             37.8975 090 99     0.00   0.00   0.00
19328  Removal of breast implant                         A   6.35   5.05NA   5.13NA   5.05     5.13     0.91  12.31  12.39  12.31  12.39  0090.10.71.1921100             37.8975 090 99     0.00   0.00   0.00
19330  Removal of implant material                       A   8.39   6.11NA   6.34NA   6.11     6.34     1.26  15.76  15.99  15.76  15.99  0090.10.71.1921100             37.8975 090 99     0.00   0.00   0.00
19340  Immediate breast prosthesis                       A   6.32   3.07NA   2.96NA   3.07     2.96     1.06  10.45  10.34  10.45  10.34  0ZZZ.00.00.0021110             37.8975 090 99     0.00   0.00   0.00
19342  Delayed breast prosthesis                         A  12.40   9.00NA   9.23NA   9.00     9.23     1.84  23.24  23.47  23.24  23.47  0090.10.71.1921010             37.8975 090 99     0.00   0.00   0.00
19350  Breast reconstruction                             A   8.99  12.90    10.09     7.07     6.77     1.41  23.30  20.49  17.47  17.17  0090.10.71.1921100             37.8975 090 99     0.00   0.00   0.00
19355  Correct inverted nipple(s)                        A   8.37   9.65     7.85     4.78     5.03     0.92  18.94  17.14  14.07  14.32  0090.10.71.1921000             37.8975 090 99     0.00   0.00   0.00
19357  Breast reconstruction                             A  20.57  15.69NA  15.91NA  15.69    15.91     2.94  39.20  39.42  39.20  39.42  0090.10.71.1921210             37.8975 090 99     0.00   0.00   0.00
19361  Breast reconstr w/lat flap                        A  23.17  13.65NA  17.30NA  13.65    17.30     2.93  39.75  43.40  39.75  43.40  0090.10.71.1921210             37.8975 090 99     0.00   0.00   0.00
19364  Breast reconstruction                             A  42.40  23.55NA  23.56NA  23.55    23.56     6.24  72.19  72.20  72.19  72.20  0090.10.71.1921210             37.8975 090 99     0.00   0.00   0.00
19366  Breast reconstruction                             A  21.70  11.26NA  10.28NA  11.26    10.28     3.25  36.21  35.23  36.21  35.23  0090.10.71.1921210             37.8975 090 99     0.00   0.00   0.00
19367  Breast reconstruction                             A  26.59  16.46NA  15.75NA  16.46    15.75     4.04  47.09  46.38  47.09  46.38  0090.10.71.1921210             37.8975 090 99     0.00   0.00   0.00
19368  Breast reconstruction                             A  33.61  18.89NA  18.79NA  18.89    18.79     5.54  58.04  57.94  58.04  57.94  0090.10.71.1921210             37.8975 090 99     0.00   0.00   0.00
19369  Breast reconstruction                             A  31.02  17.90NA  16.41NA  17.90    16.41     4.51  53.43  51.94  53.43  51.94  0090.10.71.1921210             37.8975 090 99     0.00   0.00   0.00
19370  Surgery of breast capsule                         A   8.99   6.93NA   7.02NA   6.93     7.02     1.29  17.21  17.30  17.21  17.30  0090.10.71.1921100             37.8975 090 99     0.00   0.00   0.00
19371  Removal of breast capsule                         A  10.42   7.85NA   7.92NA   7.85     7.92     1.62  19.89  19.96  19.89  19.96  0090.10.71.1921100             37.8975 090 99     0.00   0.00   0.00
19380  Revise breast reconstruction                      A  10.21   7.74NA   7.85NA   7.74     7.85     1.44  19.39  19.50  19.39  19.50  0090.10.71.1921100             37.8975 090 99     0.00   0.00   0.00
19396  Design custom breast implant                      A   2.17   1.95     4.54     1.06     1.27     0.30   4.42   7.01   3.53   3.74  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
19499  Breast surgery procedure                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021011             37.8975 090 99     0.00   0.00   0.00
2000F  Blood pressure measure                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
20000  Incision of abscess                               A   2.14   2.71     2.78     1.68     1.53     0.25   5.10   5.17   4.07   3.92  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
20005  Incision of deep abscess                          A   3.55   3.54     3.70     2.20     2.04     0.46   7.55   7.71   6.21   6.05  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
2001F  Weight recorded                                   M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
2002F  Clin sign vol ovrld assess                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
2004F  Initial exam involved joints                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
2010F  Vital signs recorded                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
20100  Explore wound, neck                               A  10.33   4.26NA   3.67NA   4.26     3.67     1.21  15.80  15.21  15.80  15.21  0010.10.80.1021200             37.8975 090 99     0.00   0.00   0.00
20101  Explore wound, chest                              A   3.22   6.03     6.37     1.59     1.51     0.44   9.69  10.03   5.25   5.17  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
20102  Explore wound, abdomen                            A   3.95   7.32     6.89     1.89     1.85     0.49  11.76  11.33   6.33   6.29  0010.10.80.1020200             37.8975 090 99     0.00   0.00   0.00
20103  Explore wound, extremity                          A   5.31   8.36     7.68     3.23     2.75     0.75  14.42  13.74   9.29   8.81  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
2014F  Mental status assess                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
20150  Excise epiphyseal bar                             A  14.60   7.23NA   7.81NA   7.23     7.81     2.04  23.87  24.45  23.87  24.45  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
2018F  Hydration status assess                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
2019F  Dilated macul exam done                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
2020F  Dilated fundus eval done                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
20200  Muscle biopsy                                     A   1.46   3.06     3.13     0.74     0.70     0.23   4.75   4.82   2.43   2.39  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
20205  Deep muscle biopsy                                A   2.35   3.87     3.81     1.17     1.11     0.33   6.55   6.49   3.85   3.79  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
20206  Needle biopsy, muscle                             A   0.99   6.12     4.99     0.60     0.50     0.07   7.18   6.05   1.66   1.56  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
2021F  Dilat macul+exam done                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
2022F  Dil retina exam interp rev                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
20220  Bone biopsy, trocar/needle                        A   1.27   4.07     2.59     0.75     0.61     0.08   5.42   3.94   2.10   1.96  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
20225  Bone biopsy, trocar/needle                        A   1.87  21.49    12.62     1.10     0.99     0.22  23.58  14.71   3.19   3.08  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
2024F  7 field photo interp doc rev                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
20240  Bone biopsy, excisional                           A   3.25   2.44NA   2.09NA   2.44     2.09     0.44   6.13   5.78   6.13   5.78  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
20245  Bone biopsy, excisional                           A   8.77   6.38NA   5.82NA   6.38     5.82     1.31  16.46  15.90  16.46  15.90  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
20250  Open bone biopsy                                  A   5.16   3.56NA   3.73NA   3.56     3.73     1.02   9.74   9.91   9.74   9.91  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
20251  Open bone biopsy                                  A   5.69   4.10NA   3.91NA   4.10     3.91     1.15  10.94  10.75  10.94  10.75  0010.10.80.1020200             37.8975 090 99     0.00   0.00   0.00
2026F  Eye image valid to dx rev                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
2027F  Optic nerve head eval done                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
2028F  Foot exam performed                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
2029F  Complete phys skin exam done                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
2030F  H2O stat docd, normal                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
2031F  H2O stat docd, dehydrated                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
2035F  Tymp memb motion examd                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
20500  Injection of sinus tract                          A   1.25   2.01     1.27     1.36     0.83     0.12   3.38   2.64   2.73   2.20  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
20501  Inject sinus tract for x-ray                      A   0.76   2.74     2.22     0.24     0.22     0.04   3.54   3.02   1.04   1.02  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
20520  Removal of foreign body                           A   1.87   2.83     2.58     1.68     1.45     0.21   4.91   4.66   3.76   3.53  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
20525  Removal of foreign body                           A   3.51   8.62     7.05     2.52     2.21     0.51  12.64  11.07   6.54   6.23  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
20526  Ther injection, carp tunnel                       A   0.94   0.93     0.82     0.50     0.42     0.13   2.00   1.89   1.57   1.49  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
20550  Inj tendon sheath/ligament                        A   0.75   0.69     0.63     0.25     0.29     0.09   1.53   1.47   1.09   1.13  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
20551  Inj tendon origin/insertion                       A   0.75   0.67     0.63     0.32     0.29     0.08   1.50   1.46   1.15   1.12  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
20552  Inj trigger point, 1/2 muscl                      A   0.66   0.69     0.58     0.21     0.25     0.05   1.40   1.29   0.92   0.96  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
20553  Inject trigger points, =/> 3                      A   0.75   0.78     0.64     0.23     0.27     0.04   1.57   1.43   1.02   1.06  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
20600  Drain/inject, joint/bursa                         A   0.66   0.66     0.67     0.34     0.32     0.08   1.40   1.41   1.08   1.06  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
20605  Drain/inject, joint/bursa                         A   0.68   0.76     0.74     0.35     0.33     0.08   1.52   1.50   1.11   1.09  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
20610  Drain/inject, joint/bursa                         A   0.79   0.98     1.06     0.42     0.40     0.11   1.88   1.96   1.32   1.30  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
20612  Aspirate/inj ganglion cyst                        A   0.70   0.71     0.70     0.35     0.32     0.10   1.51   1.50   1.15   1.12  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
20615  Treatment of bone cyst                            A   2.30   3.31     2.70     1.73     1.41     0.20   5.81   5.20   4.23   3.91  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
20650  Insert and remove bone pin                        A   2.25   2.40     2.51     1.54     1.49     0.31   4.96   5.07   4.10   4.05  0010.10.80.1020110             37.8975 090 99     0.00   0.00   0.00
20660  Apply, rem fixation device                        A   2.51   3.14     3.39     1.59     1.52     0.59   6.24   6.49   4.69   4.62  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
20661  Application of head brace                         A   5.14   5.19NA   6.03NA   5.19     6.03     1.14  11.47  12.31  11.47  12.31  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
20662  Application of pelvis brace                       A   6.26   5.36NA   4.89NA   5.36     4.89     0.56  12.18  11.71  12.18  11.71  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
20663  Application of thigh brace                        A   5.62   4.92NA   5.17NA   4.92     5.17     0.94  11.48  11.73  11.48  11.73  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
20664  Halo brace application                            A   9.86   7.33NA   8.19NA   7.33     8.19     1.75  18.94  19.80  18.94  19.80  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
20665  Removal of fixation device                        A   1.33   1.98     1.45     1.27     1.03     0.19   3.50   2.97   2.79   2.55  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
20670  Removal of support implant                        A   1.76  10.32     6.65     2.00     1.69     0.28  12.36   8.69   4.04   3.73  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
20680  Removal of support implant                        A   5.90   8.63     8.16     3.82     4.11     0.56  15.09  14.62  10.28  10.57  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
20690  Apply bone fixation device                        A   3.67   2.46NA   2.29NA   2.46     2.29     0.59   6.72   6.55   6.72   6.55  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
20692  Apply bone fixation device                        A   6.40   3.65NA   3.30NA   3.65     3.30     1.05  11.10  10.75  11.10  10.75  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
20693  Adjust bone fixation device                       A   5.97   5.22NA   4.54NA   5.22     4.54     0.98  12.17  11.49  12.17  11.49  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
20694  Remove bone fixation device                       A   4.20   6.69     5.35     3.92     3.57     0.71  11.60  10.26   8.83   8.48  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
20802  Replantation, arm, complete                       A  42.30  21.91NA  24.78NA  21.91    24.78     3.82  68.03  70.90  68.03  70.90  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
20805  Replant forearm, complete                         A  51.14  32.26NA  26.11NA  32.26    26.11     4.85  88.25  82.10  88.25  82.10  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
20808  Replantation hand, complete                       A  62.77  41.60NA  39.72NA  41.60    39.72     6.88 111.25 109.37 111.25 109.37  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
20816  Replantation digit, complete                      A  31.74  34.50NA  24.63NA  34.50    24.63     4.53  70.77  60.90  70.77  60.90  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
20822  Replantation digit, complete                      A  26.42  31.58NA  22.54NA  31.58    22.54     4.19  62.19  53.15  62.19  53.15  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
20824  Replantation thumb, complete                      A  31.74  33.89NA  25.93NA  33.89    25.93     4.62  70.25  62.29  70.25  62.29  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
20827  Replantation thumb, complete                      A  27.24  33.38NA  24.10NA  33.38    24.10     3.67  64.29  55.01  64.29  55.01  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
20838  Replantation foot, complete                       A  42.56  20.09NA  13.52NA  20.09    13.52     1.12  63.77  57.20  63.77  57.20  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
20900  Removal of bone for graft                         A   5.77   8.65     9.30     5.50     4.97     0.94  15.36  16.01  12.21  11.68  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
20902  Removal of bone for graft                         A   7.98   6.63NA   5.87NA   6.63     5.87     1.30  15.91  15.15  15.91  15.15  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
20910  Remove cartilage for graft                        A   5.41   5.06NA   4.69NA   5.06     4.69     0.71  11.18  10.81  11.18  10.81  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
20912  Remove cartilage for graft                        A   6.42   5.53NA   4.76NA   5.53     4.76     0.69  12.64  11.87  12.64  11.87  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
20920  Removal of fascia for graft                       A   5.42   4.27NA   4.40NA   4.27     4.40     0.66  10.35  10.48  10.35  10.48  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
20922  Removal of fascia for graft                       A   6.84   7.55     7.57     4.91     5.02     0.70  15.09  15.11  12.45  12.56  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
20924  Removal of tendon for graft                       A   6.59   5.67NA   5.04NA   5.67     5.04     1.04  13.30  12.67  13.30  12.67  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
20926  Removal of tissue for graft                       A   5.70   4.67NA   4.44NA   4.67     4.44     0.87  11.24  11.01  11.24  11.01  0090.10.69.2100100             37.8975 090 99     0.00   0.00   0.00
20930  Spinal bone allograft                             B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
20931  Spinal bone allograft                             A   1.81   0.87NA   0.70NA   0.87     0.70     0.43   3.11   2.94   3.11   2.94  0ZZZ.00.00.0000110             37.8975 090 99     0.00   0.00   0.00
20936  Spinal bone autograft                             B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
20937  Spinal bone autograft                             A   2.79   1.37NA   1.11NA   1.37     1.11     0.54   4.70   4.44   4.70   4.44  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
20938  Spinal bone autograft                             A   3.02   1.47NA   1.18NA   1.47     1.18     0.64   5.13   4.84   5.13   4.84  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
20950  Fluid pressure, muscle                            A   1.26   6.17     4.14     0.96     0.88     0.20   7.63   5.60   2.42   2.34  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
20955  Fibula bone graft, microvasc                      A  40.02  22.83NA  18.50NA  22.83    18.50     4.90  67.75  63.42  67.75  63.42  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
20956  Iliac bone graft, microvasc                       A  40.93  23.79NA  20.95NA  23.79    20.95     7.03  71.75  68.91  71.75  68.91  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
20957  Mt bone graft, microvasc                          A  42.33  19.12NA  19.65NA  19.12    19.65     7.07  68.52  69.05  68.52  69.05  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
20962  Other bone graft, microvasc                       A  39.21  25.26NA  21.46NA  25.26    21.46     6.57  71.04  67.24  71.04  67.24  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
20969  Bone/skin graft, microvasc                        A  45.11  25.17NA  20.79NA  25.17    20.79     4.80  75.08  70.70  75.08  70.70  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
20970  Bone/skin graft, iliac crest                      A  44.26  24.17NA  20.52NA  24.17    20.52     6.62  75.05  71.40  75.05  71.40  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
20972  Bone/skin graft, metatarsal                       A  44.19  19.89NA  17.83NA  19.89    17.83     5.32  69.40  67.34  69.40  67.34  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
20973  Bone/skin graft, great toe                        A  46.95  22.67NA  15.20NA  22.67    15.20     5.56  75.18  67.71  75.18  67.71  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
20974  Electrical bone stimulation                       A   0.62   0.77     0.99     0.53     0.49     0.11   1.50   1.72   1.26   1.22  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
20975  Electrical bone stimulation                       A   2.60   1.66NA   1.49NA   1.66     1.49     0.51   4.77   4.60   4.77   4.60  0000.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
20979  Us bone stimulation                               A   0.62   0.75     0.58     0.31     0.20     0.09   1.46   1.29   1.02   0.91  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
20982  Ablate, bone tumor(s) perq                        A   7.27 101.76    78.40     2.82     2.35     0.69 109.72  86.36  10.78  10.31  0000.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
20999  Musculoskeletal surgery                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
21010  Incision of jaw joint                             A  10.90   6.81NA   5.97NA   6.81     5.97     1.11  18.82  17.98  18.82  17.98  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
21015  Resection of facial tumor                         A   5.59   4.85NA   4.35NA   4.85     4.35     0.70  11.14  10.64  11.14  10.64  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21025  Excision of bone, lower jaw                       A  11.07  12.32    12.54     9.21     8.77     1.32  24.71  24.93  21.60  21.16  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21026  Excision of facial bone(s)                        A   5.54   8.08     8.74     6.21     5.89     0.60  14.22  14.88  12.35  12.03  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21029  Contour of face bone lesion                       A   8.26   9.36     9.34     6.85     6.37     0.94  18.56  18.54  16.05  15.57  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21030  Excise max/zygoma b9 tumor                        A   4.80   6.55     7.20     4.95     4.71     0.54  11.89  12.54  10.29  10.05  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21031  Remove exostosis, mandible                        A   3.26   5.37     5.98     3.60     3.53     0.48   9.11   9.72   7.34   7.27  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21032  Remove exostosis, maxilla                         A   3.28   5.52     6.07     3.48     3.40     0.47   9.27   9.82   7.23   7.15  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21034  Excise max/zygoma mlg tumor                       A  17.17  15.27    13.31    11.91     9.67     1.72  34.16  32.20  30.80  28.56  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21040  Excise mandible lesion                            A   4.80   6.61     7.27     4.72     4.71     0.54  11.95  12.61  10.06  10.05  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21044  Removal of jaw bone lesion                        A  12.61   8.93NA   7.60NA   8.93     7.60     1.12  22.66  21.33  22.66  21.33  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21045  Extensive jaw surgery                             A  18.13  11.81NA  10.18NA  11.81    10.18     1.52  31.46  29.83  31.46  29.83  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21046  Remove mandible cyst complex                      A  13.97  11.86NA  11.72NA  11.86    11.72     1.86  27.69  27.55  27.69  27.55  0090.10.69.2120010             37.8975 090 99     0.00   0.00   0.00
21047  Excise lwr jaw cyst w/repair                      A  19.83  12.56NA   9.92NA  12.56     9.92     2.13  34.52  31.88  34.52  31.88  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21048  Remove maxilla cyst complex                       A  14.47  11.97NA  11.48NA  11.97    11.48     1.77  28.21  27.72  28.21  27.72  0090.10.69.2120010             37.8975 090 99     0.00   0.00   0.00
21049  Excis uppr jaw cyst w/repair                      A  19.08  12.08NA   9.25NA  12.08     9.25     1.59  32.75  29.92  32.75  29.92  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21050  Removal of jaw joint                              A  11.54   9.15NA   8.28NA   9.15     8.28     1.47  22.16  21.29  22.16  21.29  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
21060  Remove jaw joint cartilage                        A  10.91   8.36NA   7.61NA   8.36     7.61     1.38  20.65  19.90  20.65  19.90  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
21070  Remove coronoid process                           A   8.50   6.88NA   6.21NA   6.88     6.21     1.27  16.65  15.98  16.65  15.98  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
21076  Prepare face/oral prosthesis                      A  13.40  11.26     7.97     8.73     4.90     2.00  26.66  23.37  24.13  20.30  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
21077  Prepare face/oral prosthesis                      A  33.70  28.19    18.75    22.64    12.57     4.56  66.45  57.01  60.90  50.83  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
21079  Prepare face/oral prosthesis                      A  22.31  19.60    13.89    14.98     8.45     3.16  45.07  39.36  40.45  33.92  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21080  Prepare face/oral prosthesis                      A  25.06  22.39    16.10    16.87     9.41     3.75  51.20  44.91  45.68  38.22  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21081  Prepare face/oral prosthesis                      A  22.85  20.44    14.84    15.28     8.66     3.21  46.50  40.90  41.34  34.72  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21082  Prepare face/oral prosthesis                      A  20.84  18.26    15.02    13.94     8.57     3.12  42.22  38.98  37.90  32.53  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21083  Prepare face/oral prosthesis                      A  19.27  17.79    14.79    12.84     8.05     2.89  39.95  36.95  35.00  30.21  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21084  Prepare face/oral prosthesis                      A  22.48  20.92    16.37    15.52     8.99     2.19  45.59  41.04  40.19  33.66  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21085  Prepare face/oral prosthesis                      A   8.99   7.94     6.90     6.00     3.64     1.27  18.20  17.16  16.26  13.90  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
21086  Prepare face/oral prosthesis                      A  24.88  21.04    12.93    16.78     8.82     3.72  49.64  41.53  45.38  37.42  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
21087  Prepare face/oral prosthesis                      A  24.88  20.75    13.17    16.65     9.02     3.45  49.08  41.50  44.98  37.35  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21088  Prepare face/oral prosthesis                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0090.10.69.2100000             37.8975 090 99     0.00   0.00   0.00
21089  Prepare face/oral prosthesis                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0090.10.69.2100100             37.8975 090 99     0.00   0.00   0.00
21100  Maxillofacial fixation                            A   4.56  12.09    13.76     4.83     5.11     0.34  16.99  18.66   9.73  10.01  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21110  Interdental fixation                              A   5.80  10.49    13.27     8.75     9.91     0.72  17.01  19.79  15.27  16.43  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21116  Injection, jaw joint x-ray                        A   0.81   3.84     2.38     0.30     0.21     0.06   4.71   3.25   1.17   1.08  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
21120  Reconstruction of chin                            A   4.99  10.46    10.09     7.36     6.96     0.60  16.05  15.68  12.95  12.55  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
21121  Reconstruction of chin                            A   7.70   9.96    10.63     7.76     7.56     0.90  18.56  19.23  16.36  16.16  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21122  Reconstruction of chin                            A   8.59   8.40NA   7.75NA   8.40     7.75     1.07  18.06  17.41  18.06  17.41  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21123  Reconstruction of chin                            A  11.22  10.64NA  10.14NA  10.64    10.14     1.40  23.26  22.76  23.26  22.76  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21125  Augmentation, lower jaw bone                      A  10.68  58.55    68.54     8.03     7.14     0.79  70.02  80.01  19.50  18.61  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21127  Augmentation, lower jaw bone                      A  12.24  53.91    87.23     9.09     8.01     1.52  67.67 100.99  22.85  21.77  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21137  Reduction of forehead                             A  10.12   7.41NA   6.43NA   7.41     6.43     1.32  18.85  17.87  18.85  17.87  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21138  Reduction of forehead                             A  12.73   9.36NA   8.83NA   9.36     8.83     1.75  23.84  23.31  23.84  23.31  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21139  Reduction of forehead                             A  14.90  10.42NA   8.50NA  10.42     8.50     1.18  26.50  24.58  26.50  24.58  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21141  Reconstruct midface, lefort                       A  19.27  13.16NA  11.69NA  13.16    11.69     2.36  34.79  33.32  34.79  33.32  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21142  Reconstruct midface, lefort                       A  19.98  12.28NA  10.64NA  12.28    10.64     2.39  34.65  33.01  34.65  33.01  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21143  Reconstruct midface, lefort                       A  20.75  12.93NA   8.80NA  12.93     8.80     1.66  35.34  31.21  35.34  31.21  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21145  Reconstruct midface, lefort                       A  23.64  13.61NA  12.72NA  13.61    12.72     2.85  40.10  39.21  40.10  39.21  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21146  Reconstruct midface, lefort                       A  24.54  13.79NA   9.16NA  13.79     9.16     3.10  41.43  36.80  41.43  36.80  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21147  Reconstruct midface, lefort                       A  26.14  14.73NA  13.75NA  14.73    13.75     1.85  42.72  41.74  42.72  41.74  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21150  Reconstruct midface, lefort                       A  25.78  15.83NA  13.05NA  15.83    13.05     2.56  44.17  41.39  44.17  41.39  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21151  Reconstruct midface, lefort                       A  28.84  20.11NA  11.57NA  20.11    11.57     2.31  51.26  42.72  51.26  42.72  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21154  Reconstruct midface, lefort                       A  31.05  22.79NA  21.78NA  22.79    21.78     2.49  56.33  55.32  56.33  55.32  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21155  Reconstruct midface, lefort                       A  34.98  21.24NA  13.28NA  21.24    13.28     6.66  62.88  54.92  62.88  54.92  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21159  Reconstruct midface, lefort                       A  42.90  25.59NA  15.10NA  25.59    15.10     8.20  76.69  66.20  76.69  66.20  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21160  Reconstruct midface, lefort                       A  46.95  26.64NA  24.15NA  26.64    24.15     4.14  77.73  75.24  77.73  75.24  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21172  Reconstruct orbit/forehead                        A  28.07  13.78NA  13.88NA  13.78    13.88     3.56  45.41  45.51  45.41  45.51  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21175  Reconstruct orbit/forehead                        A  33.43  16.64NA  13.17NA  16.64    13.17     4.84  54.91  51.44  54.91  51.44  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21179  Reconstruct entire forehead                       A  22.53  13.39NA  11.17NA  13.39    11.17     2.81  38.73  36.51  38.73  36.51  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21180  Reconstruct entire forehead                       A  25.46  14.73NA  12.78NA  14.73    12.78     3.49  43.68  41.73  43.68  41.73  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21181  Contour cranial bone lesion                       A  10.18   7.37NA   7.10NA   7.37     7.10     1.32  18.87  18.60  18.87  18.60  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21182  Reconstruct cranial bone                          A  32.45  17.93NA  14.40NA  17.93    14.40     2.81  53.19  49.66  53.19  49.66  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21183  Reconstruct cranial bone                          A  35.57  19.52NA  15.57NA  19.52    15.57     4.48  59.57  55.62  59.57  55.62  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21184  Reconstruct cranial bone                          A  38.49  21.81NA  21.42NA  21.81    21.42     5.72  66.02  65.63  66.02  65.63  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21188  Reconstruction of midface                         A  22.97  17.89NA  14.93NA  17.89    14.93     1.70  42.56  39.60  42.56  39.60  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21193  Reconst lwr jaw w/o graft                         A  18.65  11.97NA   9.93NA  11.97     9.93     2.24  32.86  30.82  32.86  30.82  0090.10.69.2122210             37.8975 090 99     0.00   0.00   0.00
21194  Reconst lwr jaw w/graft                           A  21.54  13.18NA  11.48NA  13.18    11.48     2.03  36.75  35.05  36.75  35.05  0090.10.69.2122200             37.8975 090 99     0.00   0.00   0.00
21195  Reconst lwr jaw w/o fixation                      A  18.88  14.48NA  13.47NA  14.48    13.47     1.64  35.00  33.99  35.00  33.99  0090.10.69.2122200             37.8975 090 99     0.00   0.00   0.00
21196  Reconst lwr jaw w/fixation                        A  20.55  15.12NA  13.41NA  15.12    13.41     2.08  37.75  36.04  37.75  36.04  0090.10.69.2122210             37.8975 090 99     0.00   0.00   0.00
21198  Reconstr lwr jaw segment                          A  15.48  12.33NA  11.21NA  12.33    11.21     1.44  29.25  28.13  29.25  28.13  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21199  Reconstr lwr jaw w/advance                        A  16.62   8.57NA   6.96NA   8.57     6.96     1.39  26.58  24.97  26.58  24.97  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21206  Reconstruct upper jaw bone                        A  15.36  12.29NA  11.25NA  12.29    11.25     1.33  28.98  27.94  28.98  27.94  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21208  Augmentation of facial bones                      A  11.15  24.85    32.41     9.14     7.83     1.09  37.09  44.65  21.38  20.07  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21209  Reduction of facial bones                         A   7.58  11.20    12.40     7.93     7.52     0.90  19.68  20.88  16.41  16.00  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21210  Face bone graft                                   A  11.40  29.58    43.70     8.97     7.81     1.30  42.28  56.40  21.67  20.51  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21215  Lower jaw bone graft                              A  11.94  52.95    86.14     9.05     8.10     1.53  66.42  99.61  22.52  21.57  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
21230  Rib cartilage graft                               A  11.06   7.77NA   6.94NA   7.77     6.94     1.29  20.12  19.29  20.12  19.29  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21235  Ear cartilage graft                               A   7.31   9.85     9.88     6.32     6.05     0.61  17.77  17.80  14.24  13.97  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21240  Reconstruction of jaw joint                       A  15.77  11.45NA   9.64NA  11.45     9.64     2.25  29.47  27.66  29.47  27.66  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
21242  Reconstruction of jaw joint                       A  14.32  10.87NA   8.95NA  10.87     8.95     1.79  26.98  25.06  26.98  25.06  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
21243  Reconstruction of jaw joint                       A  24.03  16.62NA  14.17NA  16.62    14.17     3.26  43.91  41.46  43.91  41.46  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
21244  Reconstruction of lower jaw                       A  13.35  11.84NA  11.07NA  11.84    11.07     1.25  26.44  25.67  26.44  25.67  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21245  Reconstruction of jaw                             A  12.88  14.17    13.48     9.42     8.14     1.19  28.24  27.55  23.49  22.21  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21246  Reconstruction of jaw                             A  12.78   8.48NA   6.81NA   8.48     6.81     1.35  22.61  20.94  22.61  20.94  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21247  Reconstruct lower jaw bone                        A  24.05  16.04NA  12.11NA  16.04    12.11     2.84  42.93  39.00  42.93  39.00  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21248  Reconstruction of jaw                             A  12.54  12.26    12.64     8.95     7.59     1.55  26.35  26.73  23.04  21.68  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21249  Reconstruction of jaw                             A  18.57  16.60    16.25    12.04    10.10     2.49  37.66  37.31  33.10  31.16  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21255  Reconstruct lower jaw bone                        A  18.14  15.48NA  13.51NA  15.48    13.51     2.39  36.01  34.04  36.01  34.04  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21256  Reconstruction of orbit                           A  17.42  11.36NA   9.98NA  11.36     9.98     1.50  30.28  28.90  30.28  28.90  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21260  Revise eye sockets                                A  17.74  11.92NA   9.39NA  11.92     9.39     0.97  30.63  28.10  30.63  28.10  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21261  Revise eye sockets                                A  33.78  21.85NA  14.69NA  21.85    14.69     3.43  59.06  51.90  59.06  51.90  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21263  Revise eye sockets                                A  30.72  17.80NA  13.99NA  17.80    13.99     2.63  51.15  47.34  51.15  47.34  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21267  Revise eye sockets                                A  20.45  18.91NA  16.34NA  18.91    16.34     1.71  41.07  38.50  41.07  38.50  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21268  Revise eye sockets                                A  26.78  19.17NA  16.04NA  19.17    16.04     3.66  49.61  46.48  49.61  46.48  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21270  Augmentation, cheek bone                          A  10.52  11.55    11.23     6.94     5.99     0.72  22.79  22.47  18.18  17.23  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21275  Revision, orbitofacial bones                      A  11.65   8.02NA   7.58NA   8.02     7.58     1.29  20.96  20.52  20.96  20.52  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21280  Revision of eyelid                                A   6.92   5.92NA   5.91NA   5.92     5.91     0.42  13.26  13.25  13.26  13.25  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
21282  Revision of eyelid                                A   4.11   4.44NA   4.30NA   4.44     4.30     0.26   8.81   8.67   8.81   8.67  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
21295  Revision of jaw muscle/bone                       A   1.82   2.55NA   2.61NA   2.55     2.61     0.16   4.53   4.59   4.53   4.59  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21296  Revision of jaw muscle/bone                       A   4.67   5.06NA   5.49NA   5.06     5.49     0.34  10.07  10.50  10.07  10.50  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21299  Cranio/maxillofacial surgery                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
21310  Treatment of nose fracture                        A   0.58   2.20     1.96     0.14     0.11     0.05   2.83   2.59   0.77   0.74  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
21315  Treatment of nose fracture                        A   1.78   4.29     4.47     1.83     1.67     0.14   6.21   6.39   3.75   3.59  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
21320  Treatment of nose fracture                        A   1.86   3.95     4.06     1.53     1.27     0.18   5.99   6.10   3.57   3.31  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
21325  Treatment of nose fracture                        A   4.07   8.16NA   6.79NA   8.16     6.79     0.31  12.54  11.17  12.54  11.17  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21330  Treatment of nose fracture                        A   5.68   9.16NA   7.52NA   9.16     7.52     0.56  15.40  13.76  15.40  13.76  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21335  Treatment of nose fracture                        A   8.91   9.18NA   7.84NA   9.18     7.84     0.74  18.83  17.49  18.83  17.49  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21336  Treat nasal septal fracture                       A   6.56   9.27NA   8.24NA   9.27     8.24     0.55  16.38  15.35  16.38  15.35  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21337  Treat nasal septal fracture                       A   3.26   6.07     5.91     3.53     3.41     0.28   9.61   9.45   7.07   6.95  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21338  Treat nasoethmoid fracture                        A   6.76  12.95NA   9.73NA  12.95     9.73     0.82  20.53  17.31  20.53  17.31  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21339  Treat nasoethmoid fracture                        A   8.39  13.13NA  10.80NA  13.13    10.80     0.96  22.48  20.15  22.48  20.15  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21340  Treatment of nose fracture                        A  11.33   8.10NA   7.21NA   8.10     7.21     1.15  20.58  19.69  20.58  19.69  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21343  Treatment of sinus fracture                       A  14.11  14.77NA  12.68NA  14.77    12.68     1.47  30.35  28.26  30.35  28.26  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21344  Treatment of sinus fracture                       A  21.36  15.72NA  13.37NA  15.72    13.37     2.44  39.52  37.17  39.52  37.17  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
21345  Treat nose/jaw fracture                           A   8.87   9.82     9.76     6.90     6.07     0.92  19.61  19.55  16.69  15.86  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21346  Treat nose/jaw fracture                           A  11.29  11.87NA  10.87NA  11.87    10.87     1.21  24.37  23.37  24.37  23.37  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
21347  Treat nose/jaw fracture                           A  13.37  15.08NA  11.73NA  15.08    11.73     1.47  29.92  26.57  29.92  26.57  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21348  Treat nose/jaw fracture                           A  17.36   9.91NA   6.29NA   9.91     6.29     2.49  29.76  26.14  29.76  26.14  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
21355  Treat cheek bone fracture                         A   4.32   6.08     5.63     3.37     3.04     0.34  10.74  10.29   8.03   7.70  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
21356  Treat cheek bone fracture                         A   4.70   7.05     6.84     4.41     3.99     0.46  12.21  12.00   9.57   9.15  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
21360  Treat cheek bone fracture                         A   7.03   5.79NA   5.35NA   5.79     5.35     0.74  13.56  13.12  13.56  13.12  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21365  Treat cheek bone fracture                         A  16.52  10.40NA   9.11NA  10.40     9.11     1.70  28.62  27.33  28.62  27.33  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21366  Treat cheek bone fracture                         A  18.44  11.11NA  10.46NA  11.11    10.46     2.50  32.05  31.40  32.05  31.40  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
21385  Treat eye socket fracture                         A   9.46   7.96NA   7.01NA   7.96     7.01     0.97  18.39  17.44  18.39  17.44  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21386  Treat eye socket fracture                         A   9.46   6.77NA   5.86NA   6.77     5.86     0.97  17.20  16.29  17.20  16.29  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21387  Treat eye socket fracture                         A  10.00   8.56NA   7.38NA   8.56     7.38     1.08  19.64  18.46  19.64  18.46  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21390  Treat eye socket fracture                         A  11.07   7.64NA   7.17NA   7.64     7.17     0.90  19.61  19.14  19.61  19.14  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21395  Treat eye socket fracture                         A  14.62   8.76NA   7.96NA   8.76     7.96     1.44  24.82  24.02  24.82  24.02  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21400  Treat eye socket fracture                         A   1.44   2.64     2.74     1.90     1.98     0.15   4.23   4.33   3.49   3.57  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21401  Treat eye socket fracture                         A   3.57   7.80     7.24     3.41     3.15     0.38  11.75  11.19   7.36   7.10  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21406  Treat eye socket fracture                         A   7.31   5.85NA   5.17NA   5.85     5.17     0.73  13.89  13.21  13.89  13.21  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21407  Treat eye socket fracture                         A   8.91   6.64NA   5.99NA   6.64     5.99     0.94  16.49  15.84  16.49  15.84  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21408  Treat eye socket fracture                         A  12.67   8.68NA   8.08NA   8.68     8.08     1.44  22.79  22.19  22.79  22.19  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
21421  Treat mouth roof fracture                         A   5.80  10.03    12.12     8.49     9.01     0.73  16.56  18.65  15.02  15.54  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21422  Treat mouth roof fracture                         A   8.62   7.78NA   6.88NA   7.78     6.88     0.99  17.39  16.49  17.39  16.49  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21423  Treat mouth roof fracture                         A  10.71   8.84NA   7.41NA   8.84     7.41     1.27  20.82  19.39  20.82  19.39  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
21431  Treat craniofacial fracture                       A   7.74   9.49NA   9.40NA   9.49     9.40     0.70  17.93  17.84  17.93  17.84  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21432  Treat craniofacial fracture                       A   8.76   7.86NA   7.26NA   7.86     7.26     0.81  17.43  16.83  17.43  16.83  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21433  Treat craniofacial fracture                       A  26.13  15.44NA  12.56NA  15.44    12.56     2.79  44.36  41.48  44.36  41.48  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21435  Treat craniofacial fracture                       A  20.02  12.21NA  10.73NA  12.21    10.73     1.99  34.22  32.74  34.22  32.74  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21436  Treat craniofacial fracture                       A  30.01  17.28NA  14.45NA  17.28    14.45     3.10  50.39  47.56  50.39  47.56  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
21440  Treat dental ridge fracture                       A   3.28   7.90    10.30     6.53     7.65     0.38  11.56  13.96  10.19  11.31  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21445  Treat dental ridge fracture                       A   6.04  10.44    12.49     8.44     8.65     0.78  17.26  19.31  15.26  15.47  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21450  Treat lower jaw fracture                          A   3.55   8.13    10.39     7.07     7.65     0.33  12.01  14.27  10.95  11.53  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21451  Treat lower jaw fracture                          A   5.46  10.25    12.93     8.71     9.65     0.63  16.34  19.02  14.80  15.74  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21452  Treat lower jaw fracture                          A   2.29  12.70    11.74     4.93     5.90     0.27  15.26  14.30   7.49   8.46  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21453  Treat lower jaw fracture                          A   6.40  11.75    14.76    10.96    11.63     0.74  18.89  21.90  18.10  18.77  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21454  Treat lower jaw fracture                          A   7.17   6.14NA   5.76NA   6.14     5.76     0.82  14.13  13.75  14.13  13.75  0090.10.69.2120010             37.8975 090 99     0.00   0.00   0.00
21461  Treat lower jaw fracture                          A   9.07  28.64    41.16    12.66    12.67     0.98  38.69  51.21  22.71  22.72  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21462  Treat lower jaw fracture                          A  10.77  31.30    42.36    12.85    13.25     1.27  43.34  54.40  24.89  25.29  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21465  Treat lower jaw fracture                          A  12.88   9.46NA   8.42NA   9.46     8.42     1.50  23.84  22.80  23.84  22.80  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21470  Treat lower jaw fracture                          A  17.24  11.58NA  10.26NA  11.58    10.26     1.97  30.79  29.47  30.79  29.47  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21480  Reset dislocated jaw                              A   0.61   1.70     1.50     0.19     0.18     0.06   2.37   2.17   0.86   0.85  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
21485  Reset dislocated jaw                              A   4.58   9.21    12.19     8.04     9.19     0.51  14.30  17.28  13.13  14.28  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
21490  Repair dislocated jaw                             A  12.71   9.26NA   7.95NA   9.26     7.95     1.97  23.94  22.63  23.94  22.63  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
21495  Treat hyoid bone fracture                         A   6.55   8.73NA   9.65NA   8.73     9.65     0.46  15.74  16.66  15.74  16.66  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21497  Interdental wiring                                A   4.45   9.33    11.98     8.03     9.18     0.50  14.28  16.93  12.98  14.13  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21499  Head surgery procedure                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
21501  Drain neck/chest lesion                           A   3.87   6.41     6.39     3.73     3.44     0.43  10.71  10.69   8.03   7.74  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21502  Drain chest lesion                                A   7.43   5.42NA   4.78NA   5.42     4.78     0.97  13.82  13.18  13.82  13.18  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21510  Drainage of bone lesion                           A   6.06   5.43NA   4.74NA   5.43     4.74     0.80  12.29  11.60  12.29  11.60  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21550  Biopsy of neck/chest                              A   2.08   3.75     4.26     1.72     1.73     0.16   5.99   6.50   3.96   3.97  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
21555  Remove lesion, neck/chest                         A   4.40   5.57     5.74     3.25     3.41     0.56  10.53  10.70   8.21   8.37  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21556  Remove lesion, neck/chest                         A   5.63   4.08NA   4.02NA   4.08     4.02     0.65  10.36  10.30  10.36  10.30  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21557  Remove tumor, neck/chest                          A   8.91   5.13NA   4.46NA   5.13     4.46     1.08  15.12  14.45  15.12  14.45  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21600  Partial removal of rib                            A   7.14   5.75NA   5.82NA   5.75     5.82     0.99  13.88  13.95  13.88  13.95  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21610  Partial removal of rib                            A  15.76   8.70NA   8.21NA   8.70     8.21     3.08  27.54  27.05  27.54  27.05  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21615  Removal of rib                                    A  10.31   6.38NA   5.47NA   6.38     5.47     1.45  18.14  17.23  18.14  17.23  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
21616  Removal of rib and nerves                         A  12.54   7.80NA   7.12NA   7.80     7.12     1.87  22.21  21.53  22.21  21.53  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
21620  Partial removal of sternum                        A   7.16   5.70NA   4.90NA   5.70     4.90     0.98  13.84  13.04  13.84  13.04  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21627  Sternal debridement                               A   7.18   6.14NA   5.64NA   6.14     5.64     1.02  14.34  13.84  14.34  13.84  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21630  Extensive sternum surgery                         A  19.01  11.57NA  10.75NA  11.57    10.75     2.59  33.17  32.35  33.17  32.35  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21632  Extensive sternum surgery                         A  19.51  10.73NA   9.58NA  10.73     9.58     2.66  32.90  31.75  32.90  31.75  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21685  Hyoid myotomy & suspension                        A  14.89   9.48NA   7.99NA   9.48     7.99     1.06  25.43  23.94  25.43  23.94  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
21700  Revision of neck muscle                           A   6.23   4.34NA   4.03NA   4.34     4.03     0.32  10.89  10.58  10.89  10.58  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21705  Revision of neck muscle/rib                       A   9.83   5.36NA   4.71NA   5.36     4.71     1.43  16.62  15.97  16.62  15.97  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21720  Revision of neck muscle                           A   5.72   2.94NA   4.36NA   2.94     4.36     0.91   9.57  10.99   9.57  10.99  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21725  Revision of neck muscle                           A   7.10   5.23NA   4.60NA   5.23     4.60     1.21  13.54  12.91  13.54  12.91  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21740  Reconstruction of sternum                         A  17.47   8.60NA   8.85NA   8.60     8.85     2.37  28.44  28.69  28.44  28.69  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21742  Repair stern/nuss w/o scope                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21743  Repair sternum/nuss w/scope                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21750  Repair of sternum separation                      A  11.35   5.94NA   5.43NA   5.94     5.43     1.63  18.92  18.41  18.92  18.41  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21800  Treatment of rib fracture                         A   0.98   1.34     1.35     1.34     1.35     0.09   2.41   2.42   2.41   2.42  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21805  Treatment of rib fracture                         A   2.80   3.28NA   3.53NA   3.28     3.53     0.38   6.46   6.71   6.46   6.71  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
21810  Treatment of rib fracture(s)                      A   6.92   5.03NA   5.21NA   5.03     5.21     0.94  12.89  13.07  12.89  13.07  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
21820  Treat sternum fracture                            A   1.31   1.82     1.80     1.77     1.80     0.16   3.29   3.27   3.24   3.27  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21825  Treat sternum fracture                            A   7.65   6.16NA   5.46NA   6.16     5.46     1.11  14.92  14.22  14.92  14.22  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
21899  Neck/chest surgery procedure                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
21920  Biopsy soft tissue of back                        A   2.08   3.57     4.42     1.58     1.89     0.14   5.79   6.64   3.80   4.11  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
21925  Biopsy soft tissue of back                        A   4.54   5.24     5.44     3.29     3.43     0.60  10.38  10.58   8.43   8.57  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21930  Remove lesion, back or flank                      A   5.06   5.79     6.01     3.49     3.76     0.66  11.51  11.73   9.21   9.48  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
21935  Remove tumor, back                                A  18.38   9.37NA   8.60NA   9.37     8.60     2.48  30.23  29.46  30.23  29.46  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
22010  I&d, p-spine, c/t/cerv-thor                       A  12.57   8.63NA   7.87NA   8.63     7.87     1.74  22.94  22.18  22.94  22.18  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
22015  I&d, p-spine, l/s/ls                              A  12.46   8.57NA   7.83NA   8.57     7.83     1.72  22.75  22.01  22.75  22.01  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
22100  Remove part of neck vertebra                      A  10.80   7.67NA   8.09NA   7.67     8.09     2.14  20.61  21.03  20.61  21.03  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22101  Remove part, thorax vertebra                      A  10.88   7.82NA   8.02NA   7.82     8.02     1.91  20.61  20.81  20.61  20.81  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22102  Remove part, lumbar vertebra                      A  10.88   7.90NA   7.27NA   7.90     7.27     1.88  20.66  20.03  20.66  20.03  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22103  Remove extra spine segment                        A   2.34   1.13NA   0.90NA   1.13     0.90     0.44   3.91   3.68   3.91   3.68  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
22110  Remove part of neck vertebra                      A  13.80   9.16NA   9.17NA   9.16     9.17     2.77  25.73  25.74  25.73  25.74  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22112  Remove part, thorax vertebra                      A  13.87   9.21NA   9.02NA   9.21     9.02     2.53  25.61  25.42  25.61  25.42  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22114  Remove part, lumbar vertebra                      A  13.87   9.22NA   9.12NA   9.22     9.12     2.64  25.73  25.63  25.73  25.63  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22116  Remove extra spine segment                        A   2.32   1.10NA   0.89NA   1.10     0.89     0.50   3.92   3.71   3.92   3.71  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
22210  Revision of neck spine                            A  25.13  15.27NA  14.86NA  15.27    14.86     5.46  45.86  45.45  45.86  45.45  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22212  Revision of thorax spine                          A  20.74  13.09NA  12.55NA  13.09    12.55     3.91  37.74  37.20  37.74  37.20  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
22214  Revision of lumbar spine                          A  20.77  13.53NA  12.67NA  13.53    12.67     3.92  38.22  37.36  38.22  37.36  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22216  Revise, extra spine segment                       A   6.03   2.95NA   2.39NA   2.95     2.39     1.29  10.27   9.71  10.27   9.71  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
22220  Revision of neck spine                            A  22.69  13.61NA  13.56NA  13.61    13.56     5.08  41.38  41.33  41.38  41.33  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22222  Revision of thorax spine                          A  22.84  11.42NA  12.30NA  11.42    12.30     4.13  38.39  39.27  38.39  39.27  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
22224  Revision of lumbar spine                          A  22.84  13.98NA  13.25NA  13.98    13.25     4.19  41.01  40.28  41.01  40.28  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22226  Revise, extra spine segment                       A   6.03   2.86NA   2.18NA   2.86     2.18     1.29  10.18   9.50  10.18   9.50  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
22305  Treat spine process fracture                      A   2.08   2.27     2.15     1.89     1.81     0.39   4.74   4.62   4.36   4.28  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
22310  Treat spine fracture                              A   3.69   2.85     3.01     2.40     2.53     0.50   7.04   7.20   6.59   6.72  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
22315  Treat spine fracture                              A   9.91   9.72     9.82     7.36     7.43     1.86  21.49  21.59  19.13  19.20  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
22318  Treat odontoid fx w/o graft                       A  22.54  13.39NA  13.42NA  13.39    13.42     5.30  41.23  41.26  41.23  41.26  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
22319  Treat odontoid fx w/graft                         A  25.15  14.58NA  14.18NA  14.58    14.18     6.05  45.78  45.38  45.78  45.38  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
22325  Treat spine fracture                              A  19.62  12.08NA  12.10NA  12.08    12.10     3.88  35.58  35.60  35.58  35.60  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22326  Treat neck spine fracture                         A  20.64  12.59NA  12.24NA  12.59    12.24     4.43  37.66  37.31  37.66  37.31  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22327  Treat thorax spine fracture                       A  20.52  12.36NA  12.37NA  12.36    12.37     3.99  36.87  36.88  36.87  36.88  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22328  Treat each add spine fx                           A   4.60   2.15NA   1.83NA   2.15     1.83     0.94   7.69   7.37   7.69   7.37  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
22505  Manipulation of spine                             A   1.87   0.97NA   1.06NA   0.97     1.06     0.36   3.20   3.29   3.20   3.29  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
22520  Percut vertebroplasty thor                        A   9.17  56.83    42.34     4.84     4.07     1.72  67.72  53.23  15.73  14.96  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
22521  Percut vertebroplasty lumb                        A   8.60  52.87    43.56     4.69     3.90     1.60  63.07  53.76  14.89  14.10  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
22522  Percut vertebroplasty addl                       A   4.30   1.59NA   1.30NA   1.59     1.30     0.82   6.71   6.42   6.71   6.42  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
22523  Percut kyphoplasty, thor                          A   9.21   5.60NA   4.69NA   5.60     4.69     1.72  16.53  15.62  16.53  15.62  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
22524  Percut kyphoplasty, lumbar                        A   8.81   5.40NA   4.54NA   5.40     4.54     1.60  15.81  14.95  15.81  14.95  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
22525  Percut kyphoplasty, add-on                        A   4.47   2.12NA   1.66NA   2.12     1.66     0.82   7.41   6.95   7.41   6.95  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
22526  Idet, single level                                A   6.07  46.51    46.51     2.08     2.08     1.16  53.74  53.74   9.31   9.31  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
22527  Idet, 1 or more levels                            A   3.03  39.89    39.89     0.70     0.70     0.58  43.50  43.50   4.31   4.31  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
22532  Lat thorax spine fusion                           A  25.81  14.60NA  13.92NA  14.60    13.92     4.35  44.76  44.08  44.76  44.08  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
22533  Lat lumbar spine fusion                           A  24.61  13.57NA  13.52NA  13.57    13.52     3.16  41.34  41.29  41.34  41.29  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
22534  Lat thor/lumb, addl seg                          A   5.99   2.86NA   2.35NA   2.86     2.35     1.25  10.10   9.59  10.10   9.59  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
22548  Neck spine fusion                                 A  26.86  15.68NA  15.32NA  15.68    15.32     5.61  48.15  47.79  48.15  47.79  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
22554  Neck spine fusion                                 A  17.54  11.97NA  10.84NA  11.97    10.84     4.46  33.97  32.84  33.97  32.84  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
22556  Thorax spine fusion                               A  24.50  14.34NA  13.15NA  14.34    13.15     4.35  43.19  42.00  43.19  42.00  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
22558  Lumbar spine fusion                               A  23.33  12.86NA  11.57NA  12.86    11.57     3.16  39.35  38.06  39.35  38.06  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
22585  Additional spinal fusion                          A   5.52   2.62NA   2.12NA   2.62     2.12     1.25   9.39   8.89   9.39   8.89  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
22590  Spine & skull spinal fusion                       A  21.56  13.30NA  13.24NA  13.30    13.24     4.79  39.65  39.59  39.65  39.59  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
22595  Neck spinal fusion                                A  20.44  12.81NA  12.74NA  12.81    12.74     4.41  37.66  37.59  37.66  37.59  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
22600  Neck spine fusion                                 A  17.20  11.24NA  11.37NA  11.24    11.37     3.73  32.17  32.30  32.17  32.30  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
22610  Thorax spine fusion                               A  17.08  11.30NA  10.96NA  11.30    10.96     3.53  31.91  31.57  31.91  31.57  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
22612  Lumbar spine fusion                               A  23.38  13.83NA  12.72NA  13.83    12.72     4.47  41.68  40.57  41.68  40.57  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
22614  Spine fusion, extra segment                       A   6.43   3.15NA   2.53NA   3.15     2.53     1.38  10.96  10.34  10.96  10.34  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
22630  Lumbar spine fusion                               A  21.89  13.39NA  12.75NA  13.39    12.75     4.73  40.01  39.37  40.01  39.37  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
22632  Spine fusion, extra segment                       A   5.22   2.51NA   2.04NA   2.51     2.04     1.16   8.89   8.42   8.89   8.42  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
22800  Fusion of spine                                   A  19.30  12.38NA  11.22NA  12.38    11.22     3.76  35.44  34.28  35.44  34.28  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22802  Fusion of spine                                   A  31.91  18.76NA  16.28NA  18.76    16.28     6.17  56.84  54.36  56.84  54.36  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22804  Fusion of spine                                   A  37.30  21.60NA  18.33NA  21.60    18.33     7.00  65.90  62.63  65.90  62.63  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22808  Fusion of spine                                   A  27.31  15.71NA  13.94NA  15.71    13.94     4.93  47.95  46.18  47.95  46.18  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22810  Fusion of spine                                   A  31.30  17.52NA  15.00NA  17.52    15.00     5.15  53.97  51.45  53.97  51.45  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22812  Fusion of spine                                   A  34.00  19.27NA  16.90NA  19.27    16.90     5.30  58.57  56.20  58.57  56.20  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22818  Kyphectomy, 1-2 segments                          A  34.18  18.34NA  16.75NA  18.34    16.75     6.47  58.99  57.40  58.99  57.40  0090.11.76.1320222             37.8975 090 99     0.00   0.00   0.00
22819  Kyphectomy, 3 or more                             A  39.18  19.94NA  19.61NA  19.94    19.61     7.67  66.79  66.46  66.79  66.46  0090.11.76.1320222             37.8975 090 99     0.00   0.00   0.00
22830  Exploration of spinal fusion                      A  11.13   7.76NA   7.15NA   7.76     7.15     2.30  21.19  20.58  21.19  20.58  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22840  Insert spine fixation device                      A  12.52   6.10NA   4.91NA   6.10     4.91     2.79  21.41  20.22  21.41  20.22  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
22841  Insert spine fixation device                      B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
22842  Insert spine fixation device                      A  12.56   6.11NA   4.93NA   6.11     4.93     2.75  21.42  20.24  21.42  20.24  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
22843  Insert spine fixation device                      A  13.44   6.28NA   5.32NA   6.28     5.32     2.86  22.58  21.62  22.58  21.62  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
22844  Insert spine fixation device                      A  16.42   8.20NA   6.54NA   8.20     6.54     3.19  27.81  26.15  27.81  26.15  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
22845  Insert spine fixation device                      A  11.94   5.71NA   4.62NA   5.71     4.62     2.86  20.51  19.42  20.51  19.42  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
22846  Insert spine fixation device                      A  12.40   5.95NA   4.80NA   5.95     4.80     2.96  21.31  20.16  21.31  20.16  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
22847  Insert spine fixation device                      A  13.78   6.62NA   5.42NA   6.62     5.42     3.00  23.40  22.20  23.40  22.20  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
22848  Insert pelv fixation device                       A   5.99   2.98NA   2.39NA   2.98     2.39     1.15  10.12   9.53  10.12   9.53  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
22849  Reinsert spinal fixation                          A  19.08  11.39NA  10.37NA  11.39    10.37     3.90  34.37  33.35  34.37  33.35  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22850  Remove spine fixation device                      A   9.74   6.88NA   6.55NA   6.88     6.55     2.05  18.67  18.34  18.67  18.34  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22851  Apply spine prosth device                         A   6.70   3.18NA   2.62NA   3.18     2.62     1.49  11.37  10.81  11.37  10.81  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
22852  Remove spine fixation device                      A   9.29   6.66NA   6.26NA   6.66     6.26     1.90  17.85  17.45  17.85  17.45  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22855  Remove spine fixation device                      A  15.77   9.59NA   9.38NA   9.59     9.38     3.52  28.88  28.67  28.88  28.67  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22857  Lumbar artif diskectomy                           R  26.93   8.80NA   8.80NA   8.80     8.80     3.56  39.29  39.29  39.29  39.29  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
22862  Revise lumbar artif disc                          R  32.43  10.07NA  10.07NA  10.07    10.07     5.36  47.86  47.86  47.86  47.86  0090.10.71.1920222             37.8975 090 99     0.00   0.00   0.00
22865  Remove lumb artif disc                            R  31.55   9.87NA   9.87NA   9.87     9.87     5.18  46.60  46.60  46.60  46.60  0090.10.71.1920222             37.8975 090 99     0.00   0.00   0.00
22899  Spine surgery procedure                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
22900  Remove abdominal wall lesion                      A   6.14   3.30NA   3.53NA   3.30     3.53     0.76  10.20  10.43  10.20  10.43  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
22999  Abdomen surgery procedure                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
23000  Removal of calcium deposits                       A   4.40   8.34     7.78     4.24     3.69     0.68  13.42  12.86   9.32   8.77  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
23020  Release shoulder joint                            A   9.24   7.30NA   6.53NA   7.30     6.53     1.54  18.08  17.31  18.08  17.31  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
23030  Drain shoulder lesion                             A   3.44   7.11     6.27     2.78     2.42     0.57  11.12  10.28   6.79   6.43  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
23031  Drain shoulder bursa                              A   2.76   7.51     6.45     2.60     2.22     0.46  10.73   9.67   5.82   5.44  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
23035  Drain shoulder bone lesion                        A   9.04   7.96NA   7.04NA   7.96     7.04     1.47  18.47  17.55  18.47  17.55  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
23040  Exploratory shoulder surgery                      A   9.63   7.60NA   6.82NA   7.60     6.82     1.60  18.83  18.05  18.83  18.05  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23044  Exploratory shoulder surgery                      A   7.48   6.22NA   5.60NA   6.22     5.60     1.24  14.94  14.32  14.94  14.32  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
23065  Biopsy shoulder tissues                           A   2.28   2.60     2.96     1.65     1.74     0.20   5.08   5.44   4.13   4.22  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
23066  Biopsy shoulder tissues                           A   4.21   7.66     7.64     3.88     3.59     0.63  12.50  12.48   8.72   8.43  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23075  Removal of shoulder lesion                        A   2.41   3.67     3.70     1.77     1.74     0.34   6.42   6.45   4.52   4.49  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
23076  Removal of shoulder lesion                        A   7.77   5.50NA   5.33NA   5.50     5.33     1.13  14.40  14.23  14.40  14.23  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23077  Remove tumor of shoulder                          A  18.08  10.12NA   9.85NA  10.12     9.85     2.34  30.54  30.27  30.54  30.27  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23100  Biopsy of shoulder joint                          A   6.09   5.53NA   5.16NA   5.53     5.16     1.04  12.66  12.29  12.66  12.29  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23101  Shoulder joint surgery                            A   5.63   5.14NA   4.58NA   5.14     4.58     0.96  11.73  11.17  11.73  11.17  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
23105  Remove shoulder joint lining                      A   8.36   6.88NA   6.14NA   6.88     6.14     1.42  16.66  15.92  16.66  15.92  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23106  Incision of collarbone joint                      A   6.02   5.43NA   4.62NA   5.43     4.62     0.99  12.44  11.63  12.44  11.63  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
23107  Explore treat shoulder joint                      A   8.75   7.12NA   6.29NA   7.12     6.29     1.49  17.36  16.53  17.36  16.53  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23120  Partial removal, collar bone                      A   7.23   6.22NA   5.51NA   6.22     5.51     1.23  14.68  13.97  14.68  13.97  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
23125  Removal of collar bone                            A   9.52   7.27NA   6.38NA   7.27     6.38     1.62  18.41  17.52  18.41  17.52  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23130  Remove shoulder bone, part                        A   7.63   6.88NA   6.12NA   6.88     6.12     1.30  15.81  15.05  15.81  15.05  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
23140  Removal of bone lesion                            A   7.01   5.12NA   4.81NA   5.12     4.81     1.08  13.21  12.90  13.21  12.90  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23145  Removal of bone lesion                            A   9.28   7.04NA   5.84NA   7.04     5.84     1.49  17.81  16.61  17.81  16.61  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23146  Removal of bone lesion                            A   7.96   6.83NA   6.00NA   6.83     6.00     1.35  16.14  15.31  16.14  15.31  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
23150  Removal of humerus lesion                         A   8.79   6.71NA   6.09NA   6.71     6.09     1.32  16.82  16.20  16.82  16.20  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23155  Removal of humerus lesion                         A  10.72   8.09NA   7.38NA   8.09     7.38     1.81  20.62  19.91  20.62  19.91  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23156  Removal of humerus lesion                         A   8.99   7.15NA   6.44NA   7.15     6.44     1.50  17.64  16.93  17.64  16.93  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
23170  Remove collar bone lesion                         A   7.10   5.79NA   5.08NA   5.79     5.08     1.12  14.01  13.30  14.01  13.30  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23172  Remove shoulder blade lesion                      A   7.20   5.97NA   5.03NA   5.97     5.03     1.01  14.18  13.24  14.18  13.24  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
23174  Remove humerus lesion                             A   9.90   8.10NA   7.33NA   8.10     7.33     1.65  19.65  18.88  19.65  18.88  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23180  Remove collar bone lesion                         A   8.85   8.52NA   7.09NA   8.52     7.09     1.47  18.84  17.41  18.84  17.41  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
23182  Remove shoulder blade lesion                      A   8.47   8.14NA   6.92NA   8.14     6.92     1.37  17.98  16.76  17.98  16.76  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
23184  Remove humerus lesion                             A   9.76   8.87NA   7.56NA   8.87     7.56     1.63  20.26  18.95  20.26  18.95  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23190  Partial removal of scapula                        A   7.36   5.99NA   5.44NA   5.99     5.44     1.17  14.52  13.97  14.52  13.97  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23195  Removal of head of humerus                        A  10.24   7.50NA   6.82NA   7.50     6.82     1.71  19.45  18.77  19.45  18.77  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23200  Removal of collar bone                            A  12.69   8.42NA   7.51NA   8.42     7.51     1.94  23.05  22.14  23.05  22.14  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23210  Removal of shoulder blade                         A  13.16   8.81NA   8.28NA   8.81     8.28     2.03  24.00  23.47  24.00  23.47  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23220  Partial removal of humerus                        A  15.36  10.40NA   9.12NA  10.40     9.12     2.49  28.25  26.97  28.25  26.97  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23221  Partial removal of humerus                        A  18.41  10.44NA   6.61NA  10.44     6.61     3.06  31.91  28.08  31.91  28.08  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
23222  Partial removal of humerus                        A  25.44  15.25NA  13.64NA  15.25    13.64     3.95  44.64  43.03  44.64  43.03  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23330  Remove shoulder foreign body                      A   1.87   3.60     3.36     1.80     1.54     0.24   5.71   5.47   3.91   3.65  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
23331  Remove shoulder foreign body                      A   7.51   6.57NA   5.91NA   6.57     5.91     1.27  15.35  14.69  15.35  14.69  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
23332  Remove shoulder foreign body                      A  12.23   9.01NA   8.06NA   9.01     8.06     2.03  23.27  22.32  23.27  22.32  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23350  Injection for shoulder x-ray                      A   1.00   3.23     2.55     0.32     0.29     0.06   4.29   3.61   1.38   1.35  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
23395  Muscle transfer,shoulder/arm                      A  18.29  12.48NA  11.32NA  12.48    11.32     2.94  33.71  32.55  33.71  32.55  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
23397  Muscle transfers                                  A  16.62  10.97NA   9.75NA  10.97     9.75     2.74  30.33  29.11  30.33  29.11  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
23400  Fixation of shoulder blade                        A  13.73   9.70NA   8.60NA   9.70     8.60     2.30  25.73  24.63  25.73  24.63  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23405  Incision of tendon & muscle                       A   8.43   6.69NA   5.99NA   6.69     5.99     1.45  16.57  15.87  16.57  15.87  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
23406  Incise tendon(s) & muscle(s)                      A  10.90   8.00NA   6.98NA   8.00     6.98     1.88  20.78  19.76  20.78  19.76  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
23410  Repair rotator cuff, acute                        A  12.63   9.02NA   7.87NA   9.02     7.87     2.17  23.82  22.67  23.82  22.67  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23412  Repair rotator cuff, chronic                      A  13.55   9.49NA   8.27NA   9.49     8.27     2.32  25.36  24.14  25.36  24.14  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23415  Release of shoulder ligament                      A  10.09   7.65NA   6.64NA   7.65     6.64     1.74  19.48  18.47  19.48  18.47  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
23420  Repair of shoulder                                A  14.75  10.59NA   9.82NA  10.59     9.82     2.32  27.66  26.89  27.66  26.89  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23430  Repair biceps tendon                              A  10.05   7.78NA   6.83NA   7.78     6.83     1.74  19.57  18.62  19.57  18.62  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23440  Remove/transplant tendon                          A  10.53   7.91NA   6.85NA   7.91     6.85     1.83  20.27  19.21  20.27  19.21  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23450  Repair shoulder capsule                           A  13.58   9.44NA   8.24NA   9.44     8.24     2.33  25.35  24.15  25.35  24.15  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23455  Repair shoulder capsule                           A  14.55   9.99NA   8.64NA   9.99     8.64     2.50  27.04  25.69  27.04  25.69  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23460  Repair shoulder capsule                           A  15.68  10.88NA   9.40NA  10.88     9.40     2.67  29.23  27.75  29.23  27.75  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23462  Repair shoulder capsule                           A  15.60  10.35NA   9.15NA  10.35     9.15     2.60  28.55  27.35  28.55  27.35  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23465  Repair shoulder capsule                           A  16.16  10.80NA   9.66NA  10.80     9.66     2.77  29.73  28.59  29.73  28.59  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23466  Repair shoulder capsule                           A  15.55  11.06NA  10.14NA  11.06    10.14     2.47  29.08  28.16  29.08  28.16  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23470  Reconstruct shoulder joint                        A  17.75  11.75NA  10.25NA  11.75    10.25     2.99  32.49  30.99  32.49  30.99  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23472  Reconstruct shoulder joint                        A  22.47  13.89NA  12.32NA  13.89    12.32     3.67  40.03  38.46  40.03  38.46  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23480  Revision of collar bone                           A  11.42   8.43NA   7.40NA   8.43     7.40     1.95  21.80  20.77  21.80  20.77  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
23485  Revision of collar bone                           A  13.79   9.51NA   8.38NA   9.51     8.38     2.34  25.64  24.51  25.64  24.51  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23490  Reinforce clavicle                                A  12.04   8.16NA   6.55NA   8.16     6.55     1.47  21.67  20.06  21.67  20.06  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
23491  Reinforce shoulder bones                          A  14.40  10.27NA   8.93NA  10.27     8.93     2.47  27.14  25.80  27.14  25.80  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23500  Treat clavicle fracture                           A   2.13   2.81     2.64     2.55     2.64     0.30   5.24   5.07   4.98   5.07  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23505  Treat clavicle fracture                           A   3.74   4.31     4.02     3.79     3.63     0.61   8.66   8.37   8.14   7.98  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23515  Treat clavicle fracture                           A   7.47   6.32NA   5.61NA   6.32     5.61     1.28  15.07  14.36  15.07  14.36  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23520  Treat clavicle dislocation                        A   2.21   2.80     2.64     2.72     2.64     0.34   5.35   5.19   5.27   5.19  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
23525  Treat clavicle dislocation                        A   3.67   4.53     4.51     3.94     3.93     0.46   8.66   8.64   8.07   8.06  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
23530  Treat clavicle dislocation                        A   7.37   5.77NA   5.29NA   5.77     5.29     1.20  14.34  13.86  14.34  13.86  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
23532  Treat clavicle dislocation                        A   8.08   6.75NA   6.10NA   6.75     6.10     1.38  16.21  15.56  16.21  15.56  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
23540  Treat clavicle dislocation                        A   2.28   2.80     2.62     2.43     2.62     0.29   5.37   5.19   5.00   5.19  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23545  Treat clavicle dislocation                        A   3.32   4.08     3.75     3.34     3.28     0.35   7.75   7.42   7.01   6.95  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
23550  Treat clavicle dislocation                        A   7.48   6.16NA   5.54NA   6.16     5.54     1.25  14.89  14.27  14.89  14.27  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23552  Treat clavicle dislocation                        A   8.70   7.06NA   6.29NA   7.06     6.29     1.46  17.22  16.45  17.22  16.45  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23570  Treat shoulder blade fx                           A   2.28   2.96     2.80     2.87     2.80     0.36   5.60   5.44   5.51   5.44  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23575  Treat shoulder blade fx                           A   4.12   4.75     4.36     4.20     3.87     0.59   9.46   9.07   8.91   8.58  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
23585  Treat scapula fracture                            A   9.15   7.37NA   6.54NA   7.37     6.54     1.54  18.06  17.23  18.06  17.23  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23600  Treat humerus fracture                            A   3.00   4.43     4.08     3.58     3.66     0.48   7.91   7.56   7.06   7.14  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23605  Treat humerus fracture                            A   4.94   5.97     5.42     4.99     4.63     0.84  11.75  11.20  10.77  10.41  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23615  Treat humerus fracture                            A  10.93   8.71NA   8.35NA   8.71     8.35     1.62  21.26  20.90  21.26  20.90  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23616  Treat humerus fracture                            A  21.68  13.51NA  11.62NA  13.51    11.62     3.70  38.89  37.00  38.89  37.00  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
23620  Treat humerus fracture                            A   2.46   3.56     3.42     3.02     3.15     0.40   6.42   6.28   5.88   6.01  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23625  Treat humerus fracture                            A   3.99   4.82     4.44     4.19     3.92     0.67   9.48   9.10   8.85   8.58  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23630  Treat humerus fracture                            A   7.47   6.40NA   5.71NA   6.40     5.71     1.27  15.14  14.45  15.14  14.45  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23650  Treat shoulder dislocation                        A   3.44   3.65     3.27     2.77     2.81     0.30   7.39   7.01   6.51   6.55  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23655  Treat shoulder dislocation                        A   4.64   4.17NA   4.18NA   4.17     4.18     0.69   9.50   9.51   9.50   9.51  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23660  Treat shoulder dislocation                        A   7.55   6.20NA   5.65NA   6.20     5.65     1.29  15.04  14.49  15.04  14.49  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23665  Treat dislocation/fracture                        A   4.54   5.21     4.84     4.61     4.26     0.71  10.46  10.09   9.86   9.51  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23670  Treat dislocation/fracture                        A   8.02   6.60NA   5.90NA   6.60     5.90     1.36  15.98  15.28  15.98  15.28  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23675  Treat dislocation/fracture                        A   6.13   6.66     6.16     5.67     5.18     1.01  13.80  13.30  12.81  12.32  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
23680  Treat dislocation/fracture                        A  10.30   7.84NA   7.04NA   7.84     7.04     1.76  19.90  19.10  19.90  19.10  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23700  Fixation of shoulder                              A   2.54   2.11NA   1.92NA   2.11     1.92     0.44   5.09   4.90   5.09   4.90  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
23800  Fusion of shoulder joint                          A  14.59   9.72NA   7.64NA   9.72     7.64     2.36  26.67  24.59  26.67  24.59  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
23802  Fusion of shoulder joint                          A  18.17  10.40NA  11.08NA  10.40    11.08     2.71  31.28  31.96  31.28  31.96  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
23900  Amputation of arm & girdle                        A  20.57  11.47NA  10.73NA  11.47    10.73     3.19  35.23  34.49  35.23  34.49  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
23920  Amputation at shoulder joint                      A  16.03   9.84NA   9.60NA   9.84     9.60     2.47  28.34  28.10  28.34  28.10  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
23921  Amputation follow-up surgery                      A   5.61   5.03NA   4.89NA   5.03     4.89     0.78  11.42  11.28  11.42  11.28  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
23929  Shoulder surgery procedure                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
23930  Drainage of arm lesion                            A   2.96   5.98     4.94     2.23     1.98     0.43   9.37   8.33   5.62   5.37  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
23931  Drainage of arm bursa                             A   1.81   5.51     4.31     2.07     1.75     0.28   7.60   6.40   4.16   3.84  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
23935  Drain arm/elbow bone lesion                       A   6.27   5.72NA   5.15NA   5.72     5.15     1.05  13.04  12.47  13.04  12.47  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
24000  Exploratory elbow surgery                         A   5.99   5.26NA   4.79NA   5.26     4.79     0.97  12.22  11.75  12.22  11.75  0090.10.69.2121010             37.8975 090 99     0.00   0.00   0.00
24006  Release elbow joint                               A   9.62   7.49NA   6.71NA   7.49     6.71     1.50  18.61  17.83  18.61  17.83  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
24065  Biopsy arm/elbow soft tissue                      A   2.10   3.45     4.16     1.79     1.93     0.17   5.72   6.43   4.06   4.20  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
24066  Biopsy arm/elbow soft tissue                      A   5.26   8.76     8.25     4.08     3.93     0.80  14.82  14.31  10.14   9.99  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24075  Remove arm/elbow lesion                           A   3.96   7.30     7.16     3.37     3.27     0.56  11.82  11.68   7.89   7.79  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24076  Remove arm/elbow lesion                           A   6.36   4.80NA   4.60NA   4.80     4.60     0.95  12.11  11.91  12.11  11.91  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24077  Remove tumor of arm/elbow                         A  11.95   7.56NA   7.00NA   7.56     7.00     1.73  21.24  20.68  21.24  20.68  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24100  Biopsy elbow joint lining                         A   4.98   4.46NA   4.29NA   4.46     4.29     0.85  10.29  10.12  10.29  10.12  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24101  Explore/treat elbow joint                         A   6.19   5.72NA   5.10NA   5.72     5.10     1.03  12.94  12.32  12.94  12.32  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24102  Remove elbow joint lining                         A   8.15   6.61NA   5.85NA   6.61     5.85     1.33  16.09  15.33  16.09  15.33  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24105  Removal of elbow bursa                            A   3.67   4.30NA   4.04NA   4.30     4.04     0.61   8.58   8.32   8.58   8.32  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24110  Remove humerus lesion                             A   7.46   6.42NA   5.68NA   6.42     5.68     1.28  15.16  14.42  15.16  14.42  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
24115  Remove/graft bone lesion                          A  10.00   7.12NA   6.85NA   7.12     6.85     1.68  18.80  18.53  18.80  18.53  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24116  Remove/graft bone lesion                          A  12.11   8.73NA   7.70NA   8.73     7.70     2.06  22.90  21.87  22.90  21.87  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24120  Remove elbow lesion                               A   6.71   5.75NA   5.23NA   5.75     5.23     1.10  13.56  13.04  13.56  13.04  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
24125  Remove/graft bone lesion                          A   8.02   6.13NA   6.05NA   6.13     6.05     1.06  15.21  15.13  15.21  15.13  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24126  Remove/graft bone lesion                          A   8.50   6.83NA   6.24NA   6.83     6.24     1.16  16.49  15.90  16.49  15.90  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24130  Removal of head of radius                         A   6.31   5.80NA   5.15NA   5.80     5.15     1.04  13.15  12.50  13.15  12.50  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
24134  Removal of arm bone lesion                        A  10.10   8.52NA   7.52NA   8.52     7.52     1.64  20.26  19.26  20.26  19.26  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24136  Remove radius bone lesion                         A   8.29   6.84NA   5.70NA   6.84     5.70     1.38  16.51  15.37  16.51  15.37  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24138  Remove elbow bone lesion                          A   8.33   7.52NA   6.74NA   7.52     6.74     1.34  17.19  16.41  17.19  16.41  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24140  Partial removal of arm bone                       A   9.43   8.64NA   7.24NA   8.64     7.24     1.51  19.58  18.18  19.58  18.18  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24145  Partial removal of radius                         A   7.70   7.63NA   6.32NA   7.63     6.32     1.25  16.58  15.27  16.58  15.27  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
24147  Partial removal of elbow                          A   7.69   8.18NA   6.93NA   8.18     6.93     1.30  17.17  15.92  17.17  15.92  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
24149  Radical resection of elbow                        A  15.92  11.45NA  10.94NA  11.45    10.94     2.35  29.72  29.21  29.72  29.21  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24150  Extensive humerus surgery                         A  13.70   9.64NA   8.58NA   9.64     8.58     2.33  25.67  24.61  25.67  24.61  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24151  Extensive humerus surgery                         A  16.08  11.09NA   9.82NA  11.09     9.82     2.60  29.77  28.50  29.77  28.50  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24152  Extensive radius surgery                          A  10.24   7.39NA   6.35NA   7.39     6.35     1.48  19.11  18.07  19.11  18.07  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24153  Extensive radius surgery                          A  11.73   5.40NA   4.87NA   5.40     4.87     0.74  17.87  17.34  17.87  17.34  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
24155  Removal of elbow joint                            A  11.97   8.21NA   7.64NA   8.21     7.64     1.93  22.11  21.54  22.11  21.54  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24160  Remove elbow joint implant                        A   7.89   6.63NA   5.85NA   6.63     5.85     1.30  15.82  15.04  15.82  15.04  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
24164  Remove radius head implant                        A   6.34   5.56NA   4.94NA   5.56     4.94     1.03  12.93  12.31  12.93  12.31  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
24200  Removal of arm foreign body                       A   1.78   3.25     2.76     1.57     1.38     0.20   5.23   4.74   3.55   3.36  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
24201  Removal of arm foreign body                       A   4.61   9.32     7.85     4.10     3.70     0.72  14.65  13.18   9.43   9.03  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24220  Injection for elbow x-ray                         A   1.31   3.35     2.50     0.43     0.39     0.08   4.74   3.89   1.82   1.78  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
24300  Manipulate elbow w/anesth                         A   3.86   5.58NA   5.19NA   5.58     5.19     0.65  10.09   9.70  10.09   9.70  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24301  Muscle/tendon transfer                            A  10.26   7.86NA   6.91NA   7.86     6.91     1.66  19.78  18.83  19.78  18.83  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
24305  Arm tendon lengthening                            A   7.51   6.46NA   5.72NA   6.46     5.72     1.15  15.12  14.38  15.12  14.38  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
24310  Revision of arm tendon                            A   6.03   5.39NA   4.80NA   5.39     4.80     0.96  12.38  11.79  12.38  11.79  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
24320  Repair of arm tendon                              A  10.74   7.44NA   7.15NA   7.44     7.15     1.74  19.92  19.63  19.92  19.63  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
24330  Revision of arm muscles                           A   9.67   7.58NA   6.69NA   7.58     6.69     1.60  18.85  17.96  18.85  17.96  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24331  Revision of arm muscles                           A  10.83   8.15NA   6.57NA   8.15     6.57     1.78  20.76  19.18  20.76  19.18  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24332  Tenolysis, triceps                                A   7.77   6.53NA   5.81NA   6.53     5.81     1.23  15.53  14.81  15.53  14.81  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24340  Repair of biceps tendon                           A   7.96   6.74NA   6.02NA   6.74     6.02     1.36  16.06  15.34  16.06  15.34  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24341  Repair arm tendon/muscle                          A   9.24   7.83NA   7.54NA   7.83     7.54     1.36  18.43  18.14  18.43  18.14  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24342  Repair of ruptured tendon                         A  10.74   8.18NA   7.15NA   8.18     7.15     1.86  20.78  19.75  20.78  19.75  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24343  Repr elbow lat ligmnt w/tiss                      A   8.99   7.88NA   7.06NA   7.88     7.06     1.43  18.30  17.48  18.30  17.48  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24344  Reconstruct elbow lat ligmnt                      A  14.97  11.17NA  10.11NA  11.17    10.11     2.37  28.51  27.45  28.51  27.45  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24345  Repr elbw med ligmnt w/tissu                      A   8.99   7.77NA   7.01NA   7.77     7.01     1.44  18.20  17.44  18.20  17.44  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24346  Reconstruct elbow med ligmnt                      A  14.97  11.03NA  10.11NA  11.03    10.11     2.34  28.34  27.42  28.34  27.42  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24350  Repair of tennis elbow                            A   5.32   5.41NA   4.90NA   5.41     4.90     0.87  11.60  11.09  11.60  11.09  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
24351  Repair of tennis elbow                            A   5.97   5.70NA   5.02NA   5.70     5.02     1.02  12.69  12.01  12.69  12.01  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
24352  Repair of tennis elbow                            A   6.49   5.95NA   5.24NA   5.95     5.24     1.10  13.54  12.83  13.54  12.83  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24354  Repair of tennis elbow                            A   6.54   5.93NA   5.27NA   5.93     5.27     1.07  13.54  12.88  13.54  12.88  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24356  Revision of tennis elbow                          A   6.74   6.07NA   5.35NA   6.07     5.35     1.11  13.92  13.20  13.92  13.20  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
24360  Reconstruct elbow joint                           A  12.53   9.11NA   8.01NA   9.11     8.01     2.06  23.70  22.60  23.70  22.60  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24361  Reconstruct elbow joint                           A  14.27  10.15NA   8.86NA  10.15     8.86     2.19  26.61  25.32  26.61  25.32  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24362  Reconstruct elbow joint                           A  15.18   9.87NA   9.37NA   9.87     9.37     2.61  27.66  27.16  27.66  27.16  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24363  Replace elbow joint                               A  22.47  13.37NA  12.36NA  13.37    12.36     3.02  38.86  37.85  38.86  37.85  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24365  Reconstruct head of radius                        A   8.51   6.89NA   5.96NA   6.89     5.96     1.41  16.81  15.88  16.81  15.88  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24366  Reconstruct head of radius                        A   9.25   7.24NA   6.35NA   7.24     6.35     1.52  18.01  17.12  18.01  17.12  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24400  Revision of humerus                               A  11.19   8.55NA   7.65NA   8.55     7.65     1.93  21.67  20.77  21.67  20.77  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24410  Revision of humerus                               A  14.96  10.08NA   9.37NA  10.08     9.37     2.58  27.62  26.91  27.62  26.91  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24420  Revision of humerus                               A  13.58  10.13NA   8.89NA  10.13     8.89     2.18  25.89  24.65  25.89  24.65  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24430  Repair of humerus                                 A  15.07   9.64NA   9.34NA   9.64     9.34     2.22  26.93  26.63  26.93  26.63  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24435  Repair humerus with graft                         A  14.74  10.64NA   9.90NA  10.64     9.90     2.28  27.66  26.92  27.66  26.92  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24470  Revision of elbow joint                           A   8.81   7.40NA   6.44NA   7.40     6.44     1.48  17.69  16.73  17.69  16.73  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24495  Decompression of forearm                          A   8.30   8.22NA   6.65NA   8.22     6.65     1.18  17.70  16.13  17.70  16.13  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
24498  Reinforce humerus                                 A  12.16   8.89NA   7.78NA   8.89     7.78     2.07  23.12  22.01  23.12  22.01  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24500  Treat humerus fracture                            A   3.29   4.75     4.44     3.71     3.81     0.50   8.54   8.23   7.50   7.60  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24505  Treat humerus fracture                            A   5.25   6.42     5.86     5.27     4.91     0.89  12.56  12.00  11.41  11.05  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24515  Treat humerus fracture                            A  11.97   9.07NA   8.12NA   9.07     8.12     2.03  23.07  22.12  23.07  22.12  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24516  Treat humerus fracture                            A  12.07   8.77NA   7.74NA   8.77     7.74     2.03  22.87  21.84  22.87  21.84  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
24530  Treat humerus fracture                            A   3.57   5.08     4.73     4.03     4.01     0.57   9.22   8.87   8.17   8.15  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24535  Treat humerus fracture                            A   6.96   7.59     6.82     6.44     5.88     1.18  15.73  14.96  14.58  14.02  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24538  Treat humerus fracture                            A   9.63   8.34NA   7.25NA   8.34     7.25     1.64  19.61  18.52  19.61  18.52  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24545  Treat humerus fracture                            A  10.88   8.16NA   7.27NA   8.16     7.27     1.83  20.87  19.98  20.87  19.98  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24546  Treat humerus fracture                            A  15.99  10.88NA   9.54NA  10.88     9.54     2.74  29.61  28.27  29.61  28.27  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
24560  Treat humerus fracture                            A   2.87   4.37     4.04     3.24     3.38     0.44   7.68   7.35   6.55   6.69  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24565  Treat humerus fracture                            A   5.64   6.42     5.86     5.39     4.99     0.93  12.99  12.43  11.96  11.56  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24566  Treat humerus fracture                            A   8.86   7.87NA   6.99NA   7.87     6.99     1.30  18.03  17.15  18.03  17.15  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24575  Treat humerus fracture                            A  11.02   8.13NA   7.30NA   8.13     7.30     1.87  21.02  20.19  21.02  20.19  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24576  Treat humerus fracture                            A   2.94   4.68     4.43     3.72     3.73     0.46   8.08   7.83   7.12   7.13  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24577  Treat humerus fracture                            A   5.87   6.70     6.02     5.65     5.09     0.95  13.52  12.84  12.47  11.91  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24579  Treat humerus fracture                            A  11.96   8.60NA   7.90NA   8.60     7.90     2.03  22.59  21.89  22.59  21.89  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24582  Treat humerus fracture                            A   9.89   8.89NA   8.23NA   8.89     8.23     1.48  20.26  19.60  20.26  19.60  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24586  Treat elbow fracture                              A  15.64  10.78NA   9.41NA  10.78     9.41     2.65  29.07  27.70  29.07  27.70  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24587  Treat elbow fracture                              A  15.65  10.62NA   9.43NA  10.62     9.43     2.53  28.80  27.61  28.80  27.61  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24600  Treat elbow dislocation                           A   4.28   4.61     3.87     3.45     3.30     0.50   9.39   8.65   8.23   8.08  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24605  Treat elbow dislocation                           A   5.50   5.26NA   4.97NA   5.26     4.97     0.89  11.65  11.36  11.65  11.36  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24615  Treat elbow dislocation                           A   9.72   7.52NA   6.61NA   7.52     6.61     1.60  18.84  17.93  18.84  17.93  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24620  Treat elbow fracture                              A   7.07   6.06NA   5.49NA   6.06     5.49     1.07  14.20  13.63  14.20  13.63  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
24635  Treat elbow fracture                              A  13.56  13.10NA  10.25NA  13.10    10.25     2.29  28.95  26.10  28.95  26.10  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24640  Treat elbow dislocation                           A   1.22   1.75     1.47     0.80     0.81     0.12   3.09   2.81   2.14   2.15  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
24650  Treat radius fracture                             A   2.22   3.69     3.43     2.81     3.00     0.35   6.26   6.00   5.38   5.57  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24655  Treat radius fracture                             A   4.48   5.76     5.19     4.70     4.42     0.70  10.94  10.37   9.88   9.60  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24665  Treat radius fracture                             A   8.22   7.27NA   6.55NA   7.27     6.55     1.41  16.90  16.18  16.90  16.18  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24666  Treat radius fracture                             A   9.74   7.81NA   7.02NA   7.81     7.02     1.62  19.17  18.38  19.17  18.38  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24670  Treat ulnar fracture                              A   2.60   4.02     3.73     3.09     3.16     0.41   7.03   6.74   6.10   6.17  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24675  Treat ulnar fracture                              A   4.79   5.83     5.30     4.86     4.51     0.81  11.43  10.90  10.46  10.11  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
24685  Treat ulnar fracture                              A   8.92   7.27NA   6.50NA   7.27     6.50     1.52  17.71  16.94  17.71  16.94  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24800  Fusion of elbow joint                             A  11.27   8.48NA   7.68NA   8.48     7.68     1.63  21.38  20.58  21.38  20.58  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24802  Fusion/graft of elbow joint                       A  14.18   9.94NA   8.61NA   9.94     8.61     2.38  26.50  25.17  26.50  25.17  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24900  Amputation of upper arm                           A  10.04   6.92NA   6.49NA   6.92     6.49     1.53  18.49  18.06  18.49  18.06  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24920  Amputation of upper arm                           A  10.02   6.83NA   6.50NA   6.83     6.50     1.61  18.46  18.13  18.46  18.13  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
24925  Amputation follow-up surgery                      A   7.19   5.80NA   4.95NA   5.80     4.95     1.14  14.13  13.28  14.13  13.28  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24930  Amputation follow-up surgery                      A  10.72   6.91NA   5.93NA   6.91     5.93     1.68  19.31  18.33  19.31  18.33  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24931  Amputate upper arm & implant                      A  13.32   6.40NA   8.42NA   6.40     8.42     1.90  21.62  23.64  21.62  23.64  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24935  Revision of amputation                            A  16.30   8.24NA   8.90NA   8.24     8.90     2.14  26.68  27.34  26.68  27.34  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
24940  Revision of upper arm                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
24999  Upper arm/elbow surgery                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021011             37.8975 090 99     0.00   0.00   0.00
25000  Incision of tendon sheath                         A   3.44   6.42NA   5.06NA   6.42     5.06     0.55  10.41   9.05  10.41   9.05  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25001  Incise flexor carpi radialis                      A   3.68   4.14NA   3.87NA   4.14     3.87     0.55   8.37   8.10   8.37   8.10  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25020  Decompress forearm 1 space                        A   5.97   8.90NA   6.90NA   8.90     6.90     0.93  15.80  13.80  15.80  13.80  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25023  Decompress forearm 1 space                        A  13.69  14.09NA  11.53NA  14.09    11.53     2.04  29.82  27.26  29.82  27.26  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25024  Decompress forearm 2 spaces                       A  10.62   7.42NA   7.27NA   7.42     7.27     1.36  19.40  19.25  19.40  19.25  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25025  Decompress forearm 2 spaces                       A  17.77   9.76NA   9.14NA   9.76     9.14     1.83  29.36  28.74  29.36  28.74  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25028  Drainage of forearm lesion                        A   5.30   7.68NA   6.24NA   7.68     6.24     0.81  13.79  12.35  13.79  12.35  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25031  Drainage of forearm bursa                         A   4.18   7.31NA   5.46NA   7.31     5.46     0.63  12.12  10.27  12.12  10.27  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25035  Treat forearm bone lesion                         A   7.54  12.41NA   8.87NA  12.41     8.87     1.24  21.19  17.65  21.19  17.65  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25040  Explore/treat wrist joint                         A   7.41   6.96NA   5.93NA   6.96     5.93     1.15  15.52  14.49  15.52  14.49  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25065  Biopsy forearm soft tissues                       A   2.01   3.49     4.29     1.92     1.97     0.15   5.65   6.45   4.08   4.13  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
25066  Biopsy forearm soft tissues                       A   4.18   6.66NA   5.46NA   6.66     5.46     0.64  11.48  10.28  11.48  10.28  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25075  Removal forearm lesion subcu                      A   3.78   5.64NA   4.89NA   5.64     4.89     0.55   9.97   9.22   9.97   9.22  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25076  Removal forearm lesion deep                       A   4.97   8.88NA   6.89NA   8.88     6.89     0.74  14.59  12.60  14.59  12.60  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25077  Remove tumor, forearm/wrist                       A   9.90  11.30NA   8.95NA  11.30     8.95     1.42  22.62  20.27  22.62  20.27  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25085  Incision of wrist capsule                         A   5.55   6.71NA   5.48NA   6.71     5.48     0.85  13.11  11.88  13.11  11.88  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25100  Biopsy of wrist joint                             A   3.94   5.03NA   4.30NA   5.03     4.30     0.59   9.56   8.83   9.56   8.83  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25101  Explore/treat wrist joint                         A   4.74   5.63NA   4.84NA   5.63     4.84     0.75  11.12  10.33  11.12  10.33  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25105  Remove wrist joint lining                         A   5.91   6.94NA   5.85NA   6.94     5.85     0.92  13.77  12.68  13.77  12.68  0090.10.69.2121010             37.8975 090 99     0.00   0.00   0.00
25107  Remove wrist joint cartilage                      A   7.50   8.06NA   7.20NA   8.06     7.20     0.99  16.55  15.69  16.55  15.69  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25109  Excise tendon forearm/wrist                       A   6.81   5.32NA   5.32NA   5.32     5.32     0.96  13.09  13.09  13.09  13.09  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25110  Remove wrist tendon lesion                        A   3.96   6.61NA   5.28NA   6.61     5.28     0.62  11.19   9.86  11.19   9.86  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25111  Remove wrist tendon lesion                        A   3.44   4.55NA   4.11NA   4.55     4.11     0.53   8.52   8.08   8.52   8.08  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25112  Reremove wrist tendon lesion                      A   4.58   5.08NA   4.56NA   5.08     4.56     0.70  10.36   9.84  10.36   9.84  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25115  Remove wrist/forearm lesion                       A   9.89  13.09NA  10.27NA  13.09    10.27     1.31  24.29  21.47  24.29  21.47  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25116  Remove wrist/forearm lesion                       A   7.38  12.13NA   9.11NA  12.13     9.11     1.11  20.62  17.60  20.62  17.60  0090.10.69.2121010             37.8975 090 99     0.00   0.00   0.00
25118  Excise wrist tendon sheath                        A   4.42   5.47NA   4.66NA   5.47     4.66     0.68  10.57   9.76  10.57   9.76  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25119  Partial removal of ulna                           A   6.10   7.17NA   5.89NA   7.17     5.89     0.96  14.23  12.95  14.23  12.95  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25120  Removal of forearm lesion                         A   6.16  11.04NA   7.92NA  11.04     7.92     1.00  18.20  15.08  18.20  15.08  0090.10.69.2121010             37.8975 090 99     0.00   0.00   0.00
25125  Remove/graft forearm lesion                       A   7.55  11.82NA   8.77NA  11.82     8.77     1.06  20.43  17.38  20.43  17.38  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25126  Remove/graft forearm lesion                       A   7.62  11.96NA   8.80NA  11.96     8.80     1.27  20.85  17.69  20.85  17.69  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25130  Removal of wrist lesion                           A   5.32   6.12NA   5.23NA   6.12     5.23     0.80  12.24  11.35  12.24  11.35  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25135  Remove & graft wrist lesion                       A   6.96   7.18NA   6.17NA   7.18     6.17     1.02  15.16  14.15  15.16  14.15  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25136  Remove & graft wrist lesion                       A   6.03   6.33NA   5.55NA   6.33     5.55     1.03  13.39  12.61  13.39  12.61  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25145  Remove forearm bone lesion                        A   6.43  11.08NA   8.13NA  11.08     8.13     1.01  18.52  15.57  18.52  15.57  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25150  Partial removal of ulna                           A   7.27   7.76NA   6.41NA   7.76     6.41     1.14  16.17  14.82  16.17  14.82  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
25151  Partial removal of radius                         A   7.57  11.67NA   8.53NA  11.67     8.53     1.18  20.42  17.28  20.42  17.28  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25170  Extensive forearm surgery                         A  11.34  14.00NA  10.54NA  14.00    10.54     1.78  27.12  23.66  27.12  23.66  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25210  Removal of wrist bone                             A   6.01   6.49NA   5.58NA   6.49     5.58     0.88  13.38  12.47  13.38  12.47  0090.10.69.2120010             37.8975 090 99     0.00   0.00   0.00
25215  Removal of wrist bones                            A   8.02   8.28NA   6.88NA   8.28     6.88     1.19  17.49  16.09  17.49  16.09  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
25230  Partial removal of radius                         A   5.28   5.85NA   4.99NA   5.85     4.99     0.79  11.92  11.06  11.92  11.06  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
25240  Partial removal of ulna                           A   5.22   6.54NA   5.29NA   6.54     5.29     0.81  12.57  11.32  12.57  11.32  0090.10.69.2121010             37.8975 090 99     0.00   0.00   0.00
25246  Injection for wrist x-ray                         A   1.45   3.22     2.55     0.47     0.44     0.09   4.76   4.09   2.01   1.98  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
25248  Remove forearm foreign body                       A   5.20   8.03NA   6.54NA   8.03     6.54     0.72  13.95  12.46  13.95  12.46  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25250  Removal of wrist prosthesis                       A   6.66   5.92NA   5.37NA   5.92     5.37     1.01  13.59  13.04  13.59  13.04  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25251  Removal of wrist prosthesis                       A   9.70   7.63NA   6.77NA   7.63     6.77     1.26  18.59  17.73  18.59  17.73  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
25259  Manipulate wrist w/anesthes                       A   3.86   5.58NA   5.15NA   5.58     5.15     0.62  10.06   9.63  10.06   9.63  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25260  Repair forearm tendon/muscle                      A   7.89  12.30NA   9.28NA  12.30     9.28     1.19  21.38  18.36  21.38  18.36  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
25263  Repair forearm tendon/muscle                      A   7.90  12.20NA   9.00NA  12.20     9.00     1.18  21.28  18.08  21.28  18.08  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
25265  Repair forearm tendon/muscle                      A   9.96  13.25NA  10.08NA  13.25    10.08     1.47  24.68  21.51  24.68  21.51  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
25270  Repair forearm tendon/muscle                      A   6.06  11.00NA   7.92NA  11.00     7.92     0.95  18.01  14.93  18.01  14.93  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
25272  Repair forearm tendon/muscle                      A   7.10  11.69NA   8.38NA  11.69     8.38     1.11  19.90  16.59  19.90  16.59  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
25274  Repair forearm tendon/muscle                      A   8.82  12.53NA   9.24NA  12.53     9.24     1.36  22.71  19.42  22.71  19.42  0090.10.69.2120010             37.8975 090 99     0.00   0.00   0.00
25275  Repair forearm tendon sheath                      A   8.82   7.33NA   6.57NA   7.33     6.57     1.31  17.46  16.70  17.46  16.70  0090.10.69.2121010             37.8975 090 99     0.00   0.00   0.00
25280  Revise wrist/forearm tendon                       A   7.28  11.60NA   8.49NA  11.60     8.49     1.08  19.96  16.85  19.96  16.85  0090.10.69.2120010             37.8975 090 99     0.00   0.00   0.00
25290  Incise wrist/forearm tendon                       A   5.34  13.53NA   9.15NA  13.53     9.15     0.82  19.69  15.31  19.69  15.31  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
25295  Release wrist/forearm tendon                      A   6.61  11.16NA   8.17NA  11.16     8.17     1.00  18.77  15.78  18.77  15.78  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
25300  Fusion of tendons at wrist                        A   8.88   8.16NA   7.29NA   8.16     7.29     1.26  18.30  17.43  18.30  17.43  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25301  Fusion of tendons at wrist                        A   8.47   7.75NA   6.80NA   7.75     6.80     1.29  17.51  16.56  17.51  16.56  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25310  Transplant forearm tendon                         A   8.26  11.99NA   8.85NA  11.99     8.85     1.21  21.46  18.32  21.46  18.32  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
25312  Transplant forearm tendon                         A   9.70  12.87NA   9.65NA  12.87     9.65     1.41  23.98  20.76  23.98  20.76  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
25315  Revise palsy hand tendon(s)                       A  10.56  13.32NA  10.08NA  13.32    10.08     1.58  25.46  22.22  25.46  22.22  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25316  Revise palsy hand tendon(s)                       A  12.76  14.94NA  11.10NA  14.94    11.10     1.75  29.45  25.61  29.45  25.61  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25320  Repair/revise wrist joint                         A  12.38  11.16NA  10.46NA  11.16    10.46     1.61  25.15  24.45  25.15  24.45  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25332  Revise wrist joint                                A  11.60   8.83NA   7.81NA   8.83     7.81     1.84  22.27  21.25  22.27  21.25  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25335  Realignment of hand                               A  13.25  10.46NA   7.07NA  10.46     7.07     1.93  25.64  22.25  25.64  22.25  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25337  Reconstruct ulna/radioulnar                       A  11.44  10.67NA   9.45NA  10.67     9.45     1.61  23.72  22.50  23.72  22.50  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25350  Revision of radius                                A   8.97  12.80NA   9.28NA  12.80     9.28     1.46  23.23  19.71  23.23  19.71  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25355  Revision of radius                                A  10.41  13.48NA  10.08NA  13.48    10.08     1.74  25.63  22.23  25.63  22.23  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25360  Revision of ulna                                  A   8.62  12.68NA   9.12NA  12.68     9.12     1.41  22.71  19.15  22.71  19.15  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25365  Revise radius & ulna                              A  12.77  14.50NA  11.08NA  14.50    11.08     2.16  29.43  26.01  29.43  26.01  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25370  Revise radius or ulna                             A  13.93  15.04NA  11.96NA  15.04    11.96     2.29  31.26  28.18  31.26  28.18  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25375  Revise radius & ulna                              A  13.41  15.15NA  11.32NA  15.15    11.32     2.27  30.83  27.00  30.83  27.00  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25390  Shorten radius or ulna                            A  10.58  13.43NA   9.98NA  13.43     9.98     1.65  25.66  22.21  25.66  22.21  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25391  Lengthen radius or ulna                           A  14.14  15.34NA  11.71NA  15.34    11.71     2.22  31.70  28.07  31.70  28.07  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25392  Shorten radius & ulna                             A  14.44  14.94NA  11.86NA  14.94    11.86     2.11  31.49  28.41  31.49  28.41  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25393  Lengthen radius & ulna                            A  16.42  16.55NA  13.47NA  16.55    13.47     2.77  35.74  32.66  35.74  32.66  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25394  Repair carpal bone, shorten                       A  10.71   7.76NA   6.85NA   7.76     6.85     1.59  20.06  19.15  20.06  19.15  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25400  Repair radius or ulna                             A  11.16  13.94NA  10.19NA  13.94    10.19     1.83  26.93  23.18  26.93  23.18  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25405  Repair/graft radius or ulna                       A  14.87  15.94NA  11.95NA  15.94    11.95     2.33  33.14  29.15  33.14  29.15  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25415  Repair radius & ulna                              A  13.66  15.14NA  11.02NA  15.14    11.02     2.18  30.98  26.86  30.98  26.86  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25420  Repair/graft radius & ulna                        A  16.89  16.91NA  12.83NA  16.91    12.83     2.62  36.42  32.34  36.42  32.34  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25425  Repair/graft radius or ulna                       A  13.58  19.59NA  14.17NA  19.59    14.17     2.09  35.26  29.84  35.26  29.84  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25426  Repair/graft radius & ulna                        A  16.31  15.54NA  12.50NA  15.54    12.50     2.55  34.40  31.36  34.40  31.36  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25430  Vasc graft into carpal bone                       A   9.57   7.28NA   7.11NA   7.28     7.11     1.27  18.12  17.95  18.12  17.95  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25431  Repair nonunion carpal bone                       A  10.75   8.13NA   7.33NA   8.13     7.33     1.91  20.79  19.99  20.79  19.99  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25440  Repair/graft wrist bone                           A  10.56   8.94NA   7.56NA   8.94     7.56     1.63  21.13  19.75  21.13  19.75  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25441  Reconstruct wrist joint                           A  13.15   9.66NA   8.62NA   9.66     8.62     2.08  24.89  23.85  24.89  23.85  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25442  Reconstruct wrist joint                           A  10.98   8.52NA   7.42NA   8.52     7.42     1.53  21.03  19.93  21.03  19.93  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25443  Reconstruct wrist joint                           A  10.52   8.25NA   6.69NA   8.25     6.69     1.37  20.14  18.58  20.14  18.58  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25444  Reconstruct wrist joint                           A  11.28   8.71NA   7.75NA   8.71     7.75     1.72  21.71  20.75  21.71  20.75  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25445  Reconstruct wrist joint                           A   9.76   7.69NA   6.78NA   7.69     6.78     1.55  19.00  18.09  19.00  18.09  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
25446  Wrist replacement                                 A  17.16  11.44NA   9.99NA  11.44     9.99     2.48  31.08  29.63  31.08  29.63  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25447  Repair wrist joint(s)                             A  10.95   8.48NA   7.95NA   8.48     7.95     1.61  21.04  20.51  21.04  20.51  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25449  Remove wrist joint implant                        A  14.80  10.30NA   9.19NA  10.30     9.19     2.22  27.32  26.21  27.32  26.21  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25450  Revision of wrist joint                           A   7.94   9.46NA   7.28NA   9.46     7.28     1.36  18.76  16.58  18.76  16.58  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25455  Revision of wrist joint                           A   9.57   9.75NA   6.41NA   9.75     6.41     0.96  20.28  16.94  20.28  16.94  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25490  Reinforce radius                                  A   9.61  12.67NA   9.50NA  12.67     9.50     1.43  23.71  20.54  23.71  20.54  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25491  Reinforce ulna                                    A  10.03  13.27NA   9.71NA  13.27     9.71     1.60  24.90  21.34  24.90  21.34  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25492  Reinforce radius and ulna                         A  12.52  14.12NA  10.56NA  14.12    10.56     2.15  28.79  25.23  28.79  25.23  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25500  Treat fracture of radius                          A   2.51   3.51     3.33     2.76     2.89     0.35   6.37   6.19   5.62   5.75  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25505  Treat fracture of radius                          A   5.30   6.37     5.87     5.32     5.03     0.90  12.57  12.07  11.52  11.23  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25515  Treat fracture of radius                          A   9.37   7.29NA   6.78NA   7.29     6.78     1.59  18.25  17.74  18.25  17.74  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25520  Treat fracture of radius                          A   6.35   6.65     6.00     5.90     5.43     1.08  14.08  13.43  13.33  12.86  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25525  Treat fracture of radius                          A  12.69   9.69NA   8.78NA   9.69     8.78     2.13  24.51  23.60  24.51  23.60  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
25526  Treat fracture of radius                          A  13.43  12.69NA  10.26NA  12.69    10.26     2.20  28.32  25.89  28.32  25.89  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
25530  Treat fracture of ulna                            A   2.15   3.69     3.46     2.89     2.96     0.34   6.18   5.95   5.38   5.45  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25535  Treat fracture of ulna                            A   5.22   5.93     5.69     5.21     4.95     0.89  12.04  11.80  11.32  11.06  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25545  Treat fracture of ulna                            A   9.09   7.41NA   6.67NA   7.41     6.67     1.53  18.03  17.29  18.03  17.29  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25560  Treat fracture radius & ulna                      A   2.50   3.61     3.38     2.67     2.87     0.35   6.46   6.23   5.52   5.72  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25565  Treat fracture radius & ulna                      A   5.71   6.52     5.97     5.32     5.00     0.93  13.16  12.61  11.96  11.64  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25574  Treat fracture radius & ulna                      A   7.47   7.06NA   6.65NA   7.06     6.65     1.21  15.74  15.33  15.74  15.33  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
25575  Treat fracture radius/ulna                        A  12.02   9.39NA   9.02NA   9.39     9.02     1.82  23.23  22.86  23.23  22.86  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25600  Treat fracture radius/ulna                        A   2.69   3.99     3.68     3.02     3.18     0.42   7.10   6.79   6.13   6.29  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25605  Treat fracture radius/ulna                        A   7.02   7.15     6.91     6.21     6.19     1.00  15.17  14.93  14.23  14.21  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25606  Treat fx distal radial                            A   8.10   8.41NA   6.75NA   8.41     6.75     1.26  17.77  16.11  17.77  16.11  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25607  Treat fx rad extra-articul                        A   9.35   7.26NA   7.26NA   7.26     7.26     1.36  17.97  17.97  17.97  17.97  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25608  Treat fx rad intra-articul                        A  10.86   7.88NA   7.88NA   7.88     7.88     1.84  20.58  20.58  20.58  20.58  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25609  Treat fx radial 3+ frag                           A  14.12   9.77NA   9.77NA   9.77     9.77     2.38  26.27  26.27  26.27  26.27  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25622  Treat wrist bone fracture                         A   2.68   4.18     3.90     3.17     3.36     0.41   7.27   6.99   6.26   6.45  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25624  Treat wrist bone fracture                         A   4.62   6.12     5.59     4.99     4.74     0.76  11.50  10.97  10.37  10.12  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25628  Treat wrist bone fracture                         A   9.50   7.71NA   7.38NA   7.71     7.38     1.37  18.58  18.25  18.58  18.25  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25630  Treat wrist bone fracture                         A   2.94   4.08     3.76     3.02     3.25     0.45   7.47   7.15   6.41   6.64  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25635  Treat wrist bone fracture                         A   4.47   5.80     5.39     4.07     4.57     0.74  11.01  10.60   9.28   9.78  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25645  Treat wrist bone fracture                         A   7.31   6.43NA   5.84NA   6.43     5.84     1.20  14.94  14.35  14.94  14.35  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25650  Treat wrist bone fracture                         A   3.12   4.20     3.85     3.24     3.46     0.45   7.77   7.42   6.81   7.03  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25651  Pin ulnar styloid fracture                        A   5.68   5.40NA   5.15NA   5.40     5.15     0.86  11.94  11.69  11.94  11.69  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25652  Treat fracture ulnar styloid                      A   7.92   6.81NA   6.25NA   6.81     6.25     1.21  15.94  15.38  15.94  15.38  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
25660  Treat wrist dislocation                           A   4.84   4.66NA   4.49NA   4.66     4.49     0.58  10.08   9.91  10.08   9.91  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25670  Treat wrist dislocation                           A   7.98   6.75NA   6.02NA   6.75     6.02     1.28  16.01  15.28  16.01  15.28  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25671  Pin radioulnar dislocation                        A   6.32   6.00NA   5.55NA   6.00     5.55     1.00  13.32  12.87  13.32  12.87  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25675  Treat wrist dislocation                           A   4.75   5.46     4.89     4.53     4.16     0.62  10.83  10.26   9.90   9.53  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25676  Treat wrist dislocation                           A   8.17   7.05NA   6.31NA   7.05     6.31     1.34  16.56  15.82  16.56  15.82  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25680  Treat wrist fracture                              A   6.08   4.66NA   4.40NA   4.66     4.40     0.78  11.52  11.26  11.52  11.26  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25685  Treat wrist fracture                              A   9.97   7.54NA   6.74NA   7.54     6.74     1.60  19.11  18.31  19.11  18.31  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25690  Treat wrist dislocation                           A   5.58   5.34NA   4.85NA   5.34     4.85     0.88  11.80  11.31  11.80  11.31  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25695  Treat wrist dislocation                           A   8.40   6.88NA   6.23NA   6.88     6.23     1.32  16.60  15.95  16.60  15.95  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25800  Fusion of wrist joint                             A   9.95   8.65NA   7.33NA   8.65     7.33     1.57  20.17  18.85  20.17  18.85  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25805  Fusion/graft of wrist joint                       A  11.59   9.75NA   8.23NA   9.75     8.23     1.81  23.15  21.63  23.15  21.63  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25810  Fusion/graft of wrist joint                       A  11.75   9.58NA   8.62NA   9.58     8.62     1.68  23.01  22.05  23.01  22.05  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25820  Fusion of hand bones                              A   7.52   7.47NA   6.32NA   7.47     6.32     1.22  16.21  15.06  16.21  15.06  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25825  Fuse hand bones with graft                        A   9.54   8.83NA   7.63NA   8.83     7.63     1.41  19.78  18.58  19.78  18.58  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25830  Fusion, radioulnar jnt/ulna                       A  10.69  13.43NA  10.48NA  13.43    10.48     1.55  25.67  22.72  25.67  22.72  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
25900  Amputation of forearm                             A   9.46  11.74NA   9.28NA  11.74     9.28     1.30  22.50  20.04  22.50  20.04  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25905  Amputation of forearm                             A   9.48  11.34NA   8.47NA  11.34     8.47     1.40  22.22  19.35  22.22  19.35  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25907  Amputation follow-up surgery                      A   7.98  10.77NA   7.78NA  10.77     7.78     1.10  19.85  16.86  19.85  16.86  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25909  Amputation follow-up surgery                      A   9.20  11.47NA   9.05NA  11.47     9.05     1.44  22.11  19.69  22.11  19.69  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25915  Amputation of forearm                             A  17.38  16.19NA   8.13NA  16.19     8.13     2.94  36.51  28.45  36.51  28.45  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25920  Amputate hand at wrist                            A   8.92   7.58NA   6.78NA   7.58     6.78     1.35  17.85  17.05  17.85  17.05  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25922  Amputate hand at wrist                            A   7.54   6.93NA   6.55NA   6.93     6.55     1.12  15.59  15.21  15.59  15.21  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25924  Amputation follow-up surgery                      A   8.70   7.76NA   6.77NA   7.76     6.77     1.32  17.78  16.79  17.78  16.79  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25927  Amputation of hand                                A   8.98  10.92NA   8.65NA  10.92     8.65     1.27  21.17  18.90  21.17  18.90  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
25929  Amputation follow-up surgery                      A   7.71   5.77NA   5.46NA   5.77     5.46     1.14  14.62  14.31  14.62  14.31  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
25931  Amputation follow-up surgery                      A   7.93  10.74NA   8.58NA  10.74     8.58     1.15  19.82  17.66  19.82  17.66  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
25999  Forearm or wrist surgery                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021011             37.8975 090 99     0.00   0.00   0.00
26010  Drainage of finger abscess                        A   1.56   5.17     4.00     1.60     1.51     0.18   6.91   5.74   3.34   3.25  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
26011  Drainage of finger abscess                        A   2.21   8.17     6.26     2.24     1.99     0.33  10.71   8.80   4.78   4.53  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
26020  Drain hand tendon sheath                          A   4.97   5.21NA   4.78NA   5.21     4.78     0.73  10.91  10.48  10.91  10.48  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26025  Drainage of palm bursa                            A   4.99   4.96NA   4.49NA   4.96     4.49     0.76  10.71  10.24  10.71  10.24  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26030  Drainage of palm bursa(s)                         A   6.16   5.55NA   5.03NA   5.55     5.03     0.92  12.63  12.11  12.63  12.11  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26034  Treat hand bone lesion                            A   6.49   6.16NA   5.58NA   6.16     5.58     1.01  13.66  13.08  13.66  13.08  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26035  Decompress fingers/hand                           A  11.14   7.93NA   8.11NA   7.93     8.11     1.47  20.54  20.72  20.54  20.72  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26037  Decompress fingers/hand                           A   7.48   6.13NA   5.57NA   6.13     5.57     1.13  14.74  14.18  14.74  14.18  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26040  Release palm contracture                          A   3.38   3.95NA   3.63NA   3.95     3.63     0.53   7.86   7.54   7.86   7.54  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
26045  Release palm contracture                          A   5.62   5.46NA   4.90NA   5.46     4.90     0.93  12.01  11.45  12.01  11.45  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
26055  Incise finger tendon sheath                       A   3.00  13.02     9.03     3.92     3.84     0.43  16.45  12.46   7.35   7.27  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26060  Incision of finger tendon                         A   2.85   3.40NA   3.07NA   3.40     3.07     0.45   6.70   6.37   6.70   6.37  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26070  Explore/treat hand joint                          A   3.73   3.28NA   3.04NA   3.28     3.04     0.48   7.49   7.25   7.49   7.25  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
26075  Explore/treat finger joint                        A   3.83   3.69NA   3.43NA   3.69     3.43     0.53   8.05   7.79   8.05   7.79  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
26080  Explore/treat finger joint                        A   4.36   4.73NA   4.37NA   4.73     4.37     0.66   9.75   9.39   9.75   9.39  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26100  Biopsy hand joint lining                          A   3.71   3.99NA   3.58NA   3.99     3.58     0.54   8.24   7.83   8.24   7.83  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
26105  Biopsy finger joint lining                        A   3.75   4.11NA   3.76NA   4.11     3.76     0.59   8.45   8.10   8.45   8.10  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
26110  Biopsy finger joint lining                        A   3.57   3.94NA   3.62NA   3.94     3.62     0.53   8.04   7.72   8.04   7.72  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26115  Removal hand lesion subcut                        A   3.92  12.27     9.82     4.64     4.25     0.59  16.78  14.33   9.15   8.76  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26116  Removal hand lesion, deep                         A   5.61   5.84NA   5.34NA   5.84     5.34     0.84  12.29  11.79  12.29  11.79  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26117  Remove tumor, hand/finger                         A   8.62   6.87NA   6.29NA   6.87     6.29     1.26  16.75  16.17  16.75  16.17  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26121  Release palm contracture                          A   7.61   6.72NA   5.99NA   6.72     5.99     1.17  15.50  14.77  15.50  14.77  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
26123  Release palm contracture                          A  10.63   8.72NA   8.31NA   8.72     8.31     1.43  20.78  20.37  20.78  20.37  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
26125  Release palm contracture                          A   4.60   2.31NA   1.93NA   2.31     1.93     0.70   7.61   7.23   7.61   7.23  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
26130  Remove wrist joint lining                         A   5.48   5.23NA   4.88NA   5.23     4.88     0.94  11.65  11.30  11.65  11.30  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
26135  Revise finger joint, each                         A   7.02   6.23NA   5.55NA   6.23     5.55     1.07  14.32  13.64  14.32  13.64  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26140  Revise finger joint, each                         A   6.23   5.84NA   5.22NA   5.84     5.22     0.92  12.99  12.37  12.99  12.37  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26145  Tendon excision, palm/finger                      A   6.38   5.85NA   5.23NA   5.85     5.23     0.97  13.20  12.58  13.20  12.58  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26160  Remove tendon sheath lesion                       A   3.46  11.53     8.99     4.08     3.94     0.49  15.48  12.94   8.03   7.89  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26170  Removal of palm tendon, each                      A   4.82   4.81NA   4.40NA   4.81     4.40     0.69  10.32   9.91  10.32   9.91  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26180  Removal of finger tendon                          A   5.24   5.26NA   4.81NA   5.26     4.81     0.78  11.28  10.83  11.28  10.83  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26185  Remove finger bone                                A   6.32   5.98NA   5.84NA   5.98     5.84     0.81  13.11  12.97  13.11  12.97  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
26200  Remove hand bone lesion                           A   5.56   5.16NA   4.60NA   5.16     4.60     0.88  11.60  11.04  11.60  11.04  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26205  Remove/graft bone lesion                          A   7.82   6.64NA   5.90NA   6.64     5.90     1.20  15.66  14.92  15.66  14.92  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26210  Removal of finger lesion                          A   5.21   5.26NA   4.79NA   5.26     4.79     0.79  11.26  10.79  11.26  10.79  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26215  Remove/graft finger lesion                        A   7.16   6.13NA   5.58NA   6.13     5.58     0.98  14.27  13.72  14.27  13.72  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26230  Partial removal of hand bone                      A   6.38   5.70NA   5.05NA   5.70     5.05     1.01  13.09  12.44  13.09  12.44  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26235  Partial removal, finger bone                      A   6.24   5.61NA   5.00NA   5.61     5.00     0.95  12.80  12.19  12.80  12.19  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26236  Partial removal, finger bone                      A   5.37   5.14NA   4.59NA   5.14     4.59     0.81  11.32  10.77  11.32  10.77  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26250  Extensive hand surgery                            A   7.61   6.13NA   5.24NA   6.13     5.24     1.07  14.81  13.92  14.81  13.92  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26255  Extensive hand surgery                            A  12.80   9.16NA   8.51NA   9.16     8.51     1.69  23.65  23.00  23.65  23.00  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26260  Extensive finger surgery                          A   7.09   5.99NA   5.41NA   5.99     5.41     1.01  14.09  13.51  14.09  13.51  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26261  Extensive finger surgery                          A   9.28   6.39NA   7.05NA   6.39     7.05     1.14  16.81  17.47  16.81  17.47  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26262  Partial removal of finger                         A   5.72   5.17NA   4.70NA   5.17     4.70     0.88  11.77  11.30  11.77  11.30  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26320  Removal of implant from hand                      A   4.02   4.19NA   3.81NA   4.19     3.81     0.59   8.80   8.42   8.80   8.42  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26340  Manipulate finger w/anesth                        A   2.62   4.82NA   4.63NA   4.82     4.63     0.39   7.83   7.64   7.83   7.64  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
26350  Repair finger/hand tendon                         A   6.07  13.33NA   9.48NA  13.33     9.48     0.93  20.33  16.48  20.33  16.48  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26352  Repair/graft hand tendon                          A   7.75  14.03NA  10.05NA  14.03    10.05     1.13  22.91  18.93  22.91  18.93  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26356  Repair finger/hand tendon                         A  10.22  17.22NA  13.76NA  17.22    13.76     1.21  28.65  25.19  28.65  25.19  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26357  Repair finger/hand tendon                         A   8.65  14.29NA  10.28NA  14.29    10.28     1.33  24.27  20.26  24.27  20.26  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26358  Repair/graft hand tendon                          A   9.22  15.19NA  10.85NA  15.19    10.85     1.38  25.79  21.45  25.79  21.45  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26370  Repair finger/hand tendon                         A   7.17  13.71NA   9.51NA  13.71     9.51     1.12  22.00  17.80  22.00  17.80  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26372  Repair/graft hand tendon                          A   8.89  15.03NA  10.52NA  15.03    10.52     1.40  25.32  20.81  25.32  20.81  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26373  Repair finger/hand tendon                         A   8.29  14.58NA  10.18NA  14.58    10.18     1.23  24.10  19.70  24.10  19.70  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26390  Revise hand/finger tendon                         A   9.31  12.24NA   9.13NA  12.24     9.13     1.40  22.95  19.84  22.95  19.84  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26392  Repair/graft hand tendon                          A  10.38  15.31NA  11.07NA  15.31    11.07     1.57  27.26  23.02  27.26  23.02  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26410  Repair hand tendon                                A   4.68  10.85NA   7.56NA  10.85     7.56     0.73  16.26  12.97  16.26  12.97  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26412  Repair/graft hand tendon                          A   6.37  12.09NA   8.56NA  12.09     8.56     0.97  19.43  15.90  19.43  15.90  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26415  Excision, hand/finger tendon                      A   8.40  10.52NA   6.73NA  10.52     6.73     0.98  19.90  16.11  19.90  16.11  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26416  Graft hand or finger tendon                       A   9.44  13.12NA   8.71NA  13.12     8.71     0.79  23.35  18.94  23.35  18.94  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26418  Repair finger tendon                              A   4.33  11.26NA   8.08NA  11.26     8.08     0.67  16.26  13.08  16.26  13.08  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26420  Repair/graft finger tendon                        A   6.83  12.41NA   8.75NA  12.41     8.75     1.07  20.31  16.65  20.31  16.65  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26426  Repair finger/hand tendon                         A   6.21  12.01NA   8.54NA  12.01     8.54     0.95  19.17  15.70  19.17  15.70  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26428  Repair/graft finger tendon                        A   7.28  12.72NA   9.28NA  12.72     9.28     1.09  21.09  17.65  21.09  17.65  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26432  Repair finger tendon                              A   4.07   9.37NA   6.70NA   9.37     6.70     0.64  14.08  11.41  14.08  11.41  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26433  Repair finger tendon                              A   4.61   9.83NA   6.95NA   9.83     6.95     0.72  15.16  12.28  15.16  12.28  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26434  Repair/graft finger tendon                        A   6.15  10.63NA   7.90NA  10.63     7.90     0.93  17.71  14.98  17.71  14.98  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26437  Realignment of tendons                            A   5.88  10.61NA   7.73NA  10.61     7.73     0.89  17.38  14.50  17.38  14.50  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26440  Release palm/finger tendon                        A   5.07  12.18NA   8.44NA  12.18     8.44     0.75  18.00  14.26  18.00  14.26  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26442  Release palm & finger tendon                      A   9.50  14.87NA  11.66NA  14.87    11.66     1.20  25.57  22.36  25.57  22.36  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26445  Release hand/finger tendon                        A   4.36  11.88NA   8.10NA  11.88     8.10     0.65  16.89  13.11  16.89  13.11  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26449  Release forearm/hand tendon                       A   8.34  14.66NA  11.33NA  14.66    11.33     1.06  24.06  20.73  24.06  20.73  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26450  Incision of palm tendon                           A   3.71   6.78NA   5.12NA   6.78     5.12     0.59  11.08   9.42  11.08   9.42  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26455  Incision of finger tendon                         A   3.68   6.73NA   5.06NA   6.73     5.06     0.58  10.99   9.32  10.99   9.32  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26460  Incise hand/finger tendon                         A   3.50   6.61NA   5.02NA   6.61     5.02     0.55  10.66   9.07  10.66   9.07  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26471  Fusion of finger tendons                          A   5.79  10.35NA   7.69NA  10.35     7.69     0.88  17.02  14.36  17.02  14.36  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26474  Fusion of finger tendons                          A   5.38  10.42NA   7.50NA  10.42     7.50     0.76  16.56  13.64  16.56  13.64  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26476  Tendon lengthening                                A   5.24  10.05NA   7.42NA  10.05     7.42     0.79  16.08  13.45  16.08  13.45  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26477  Tendon shortening                                 A   5.21  10.17NA   7.48NA  10.17     7.48     0.81  16.19  13.50  16.19  13.50  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
26478  Lengthening of hand tendon                        A   5.86  10.79NA   7.65NA  10.79     7.65     0.90  17.55  14.41  17.55  14.41  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26479  Shortening of hand tendon                         A   5.80  10.60NA   7.71NA  10.60     7.71     0.92  17.32  14.43  17.32  14.43  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26480  Transplant hand tendon                            A   6.76  13.68NA   9.58NA  13.68     9.58     1.02  21.46  17.36  21.46  17.36  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26483  Transplant/graft hand tendon                      A   8.36  14.18NA  10.22NA  14.18    10.22     1.26  23.80  19.84  23.80  19.84  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26485  Transplant palm tendon                            A   7.77  14.01NA   9.96NA  14.01     9.96     1.15  22.93  18.88  22.93  18.88  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26489  Transplant/graft palm tendon                      A   9.74  11.62NA  10.29NA  11.62    10.29     1.26  22.62  21.29  22.62  21.29  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26490  Revise thumb tendon                               A   8.48  11.85NA   8.94NA  11.85     8.94     1.21  21.54  18.63  21.54  18.63  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26492  Tendon transfer with graft                        A   9.70  12.66NA   9.82NA  12.66     9.82     1.40  23.76  20.92  23.76  20.92  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26494  Hand tendon/muscle transfer                       A   8.54  11.98NA   9.02NA  11.98     9.02     1.28  21.80  18.84  21.80  18.84  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26496  Revise thumb tendon                               A   9.66  12.30NA   9.50NA  12.30     9.50     1.45  23.41  20.61  23.41  20.61  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26497  Finger tendon transfer                            A   9.64  12.54NA   9.46NA  12.54     9.46     1.41  23.59  20.51  23.59  20.51  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26498  Finger tendon transfer                            A  14.07  15.02NA  11.58NA  15.02    11.58     2.11  31.20  27.76  31.20  27.76  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26499  Revision of finger                                A   9.05  11.98NA   8.80NA  11.98     8.80     1.35  22.38  19.20  22.38  19.20  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26500  Hand tendon reconstruction                        A   6.02  10.54NA   7.82NA  10.54     7.82     0.90  17.46  14.74  17.46  14.74  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26502  Hand tendon reconstruction                        A   7.20  11.11NA   8.39NA  11.11     8.39     1.13  19.44  16.72  19.44  16.72  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26508  Release thumb contracture                         A   6.07  10.70NA   7.76NA  10.70     7.76     0.98  17.75  14.81  17.75  14.81  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26510  Thumb tendon transfer                             A   5.49  10.40NA   7.59NA  10.40     7.59     0.79  16.68  13.87  16.68  13.87  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26516  Fusion of knuckle joint                           A   7.21  11.23NA   8.24NA  11.23     8.24     1.10  19.54  16.55  19.54  16.55  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26517  Fusion of knuckle joints                          A   8.96  12.45NA   9.28NA  12.45     9.28     1.41  22.82  19.65  22.82  19.65  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26518  Fusion of knuckle joints                          A   9.15  12.35NA   9.23NA  12.35     9.23     1.35  22.85  19.73  22.85  19.73  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26520  Release knuckle contracture                       A   5.36  12.62NA   8.82NA  12.62     8.82     0.80  18.78  14.98  18.78  14.98  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26525  Release finger contracture                        A   5.39  12.69NA   8.83NA  12.69     8.83     0.81  18.89  15.03  18.89  15.03  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
26530  Revise knuckle joint                              A   6.76   5.97NA   5.47NA   5.97     5.47     1.04  13.77  13.27  13.77  13.27  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26531  Revise knuckle with implant                       A   7.99   6.90NA   6.22NA   6.90     6.22     1.17  16.06  15.38  16.06  15.38  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26535  Revise finger joint                               A   5.30   3.83NA   4.10NA   3.83     4.10     0.71   9.84  10.11   9.84  10.11  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26536  Revise/implant finger joint                       A   6.44   9.53NA   9.16NA   9.53     9.16     0.96  16.93  16.56  16.93  16.56  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26540  Repair hand joint                                 A   6.49  10.91NA   8.01NA  10.91     8.01     0.99  18.39  15.49  18.39  15.49  0090.10.69.2120010             37.8975 090 99     0.00   0.00   0.00
26541  Repair hand joint with graft                      A   8.69  12.31NA   9.08NA  12.31     9.08     1.28  22.28  19.05  22.28  19.05  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26542  Repair hand joint with graft                      A   6.84  11.06NA   8.14NA  11.06     8.14     1.02  18.92  16.00  18.92  16.00  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26545  Reconstruct finger joint                          A   6.99  11.19NA   8.37NA  11.19     8.37     1.05  19.23  16.41  19.23  16.41  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26546  Repair nonunion hand                              A  10.53  14.14NA  11.46NA  14.14    11.46     1.44  26.11  23.43  26.11  23.43  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
26548  Reconstruct finger joint                          A   8.10  11.85NA   8.83NA  11.85     8.83     1.20  21.15  18.13  21.15  18.13  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26550  Construct thumb replacement                       A  21.54  17.06NA  15.48NA  17.06    15.48     2.46  41.06  39.48  41.06  39.48  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26551  Great toe-hand transfer                           A  48.23  29.76NA  21.70NA  29.76    21.70     7.98  85.97  77.91  85.97  77.91  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26553  Single transfer, toe-hand                         A  47.92  22.18NA  20.69NA  22.18    20.69     2.42  72.52  71.03  72.52  71.03  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26554  Double transfer, toe-hand                         A  56.73  32.99NA  19.35NA  32.99    19.35     9.44  99.16  85.52  99.16  85.52  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26555  Positional change of finger                       A  16.94  17.12NA  13.95NA  17.12    13.95     2.49  36.55  33.38  36.55  33.38  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26556  Toe joint transfer                                A  49.43  29.45NA  17.83NA  29.45    17.83     2.58  81.46  69.84  81.46  69.84  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26560  Repair of web finger                              A   5.43   9.13NA   7.10NA   9.13     7.10     0.85  15.41  13.38  15.41  13.38  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26561  Repair of web finger                              A  10.98  11.63NA   9.48NA  11.63     9.48     1.45  24.06  21.91  24.06  21.91  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26562  Repair of web finger                              A  16.40  16.39NA  14.12NA  16.39    14.12     2.24  35.03  32.76  35.03  32.76  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26565  Correct metacarpal flaw                           A   6.80  10.99NA   7.91NA  10.99     7.91     1.00  18.79  15.71  18.79  15.71  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26567  Correct finger deformity                          A   6.88  11.01NA   8.18NA  11.01     8.18     1.04  18.93  16.10  18.93  16.10  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26568  Lengthen metacarpal/finger                        A   9.15  14.12NA  10.18NA  14.12    10.18     1.49  24.76  20.82  24.76  20.82  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26580  Repair hand deformity                             A  19.50  13.07NA  11.36NA  13.07    11.36     2.29  34.86  33.15  34.86  33.15  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26587  Reconstruct extra finger                          A  14.36   9.03NA   8.49NA   9.03     8.49     1.53  24.92  24.38  24.92  24.38  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26590  Repair finger deformity                           A  18.51  13.09NA  10.52NA  13.09    10.52     2.78  34.38  31.81  34.38  31.81  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26591  Repair muscles of hand                            A   3.30   8.79NA   6.28NA   8.79     6.28     0.48  12.57  10.06  12.57  10.06  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26593  Release muscles of hand                           A   5.38  10.29NA   7.76NA  10.29     7.76     0.78  16.45  13.92  16.45  13.92  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26596  Excision constricting tissue                      A   9.02   8.49NA   7.50NA   8.49     7.50     1.43  18.94  17.95  18.94  17.95  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26600  Treat metacarpal fracture                         A   2.48   3.67     3.83     2.86     3.48     0.30   6.45   6.61   5.64   6.26  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26605  Treat metacarpal fracture                         A   2.92   4.44     4.08     3.62     3.51     0.49   7.85   7.49   7.03   6.92  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26607  Treat metacarpal fracture                         A   5.40   5.93NA   4.91NA   5.93     4.91     0.87  12.20  11.18  12.20  11.18  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26608  Treat metacarpal fracture                         A   5.43   6.01NA   5.27NA   6.01     5.27     0.88  12.32  11.58  12.32  11.58  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26615  Treat metacarpal fracture                         A   5.38   5.17NA   4.78NA   5.17     4.78     0.86  11.41  11.02  11.41  11.02  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26641  Treat thumb dislocation                           A   4.01   4.47     4.17     3.53     3.52     0.39   8.87   8.57   7.93   7.92  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26645  Treat thumb fracture                              A   4.47   5.03     4.60     4.12     3.92     0.67  10.17   9.74   9.26   9.06  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26650  Treat thumb fracture                              A   5.80   6.43NA   5.65NA   6.43     5.65     0.94  13.17  12.39  13.17  12.39  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26665  Treat thumb fracture                              A   7.72   6.44NA   5.93NA   6.44     5.93     0.90  15.06  14.55  15.06  14.55  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
26670  Treat hand dislocation                            A   3.74   4.08     3.54     2.95     2.96     0.39   8.21   7.67   7.08   7.09  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26675  Treat hand dislocation                            A   4.71   5.32     4.88     4.40     4.18     0.77  10.80  10.36   9.88   9.66  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26676  Pin hand dislocation                              A   5.60   6.42NA   5.59NA   6.42     5.59     0.91  12.93  12.10  12.93  12.10  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26685  Treat hand dislocation                            A   7.09   5.97NA   5.47NA   5.97     5.47     1.09  14.15  13.65  14.15  13.65  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
26686  Treat hand dislocation                            A   8.06   6.72NA   6.18NA   6.72     6.18     1.24  16.02  15.48  16.02  15.48  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
26700  Treat knuckle dislocation                         A   3.74   3.65     3.33     2.89     2.96     0.35   7.74   7.42   6.98   7.05  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26705  Treat knuckle dislocation                         A   4.26   5.20     4.82     4.25     4.11     0.66  10.12   9.74   9.17   9.03  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26706  Pin knuckle dislocation                           A   5.19   5.00NA   4.74NA   5.00     4.74     0.81  11.00  10.74  11.00  10.74  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26715  Treat knuckle dislocation                         A   5.79   5.37NA   4.95NA   5.37     4.95     0.91  12.07  11.65  12.07  11.65  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26720  Treat finger fracture, each                       A   1.70   2.73     2.58     2.12     2.31     0.24   4.67   4.52   4.06   4.25  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26725  Treat finger fracture, each                       A   3.39   4.60     4.09     3.48     3.43     0.53   8.52   8.01   7.40   7.35  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26727  Treat finger fracture, each                       A   5.30   5.98NA   5.24NA   5.98     5.24     0.84  12.12  11.38  12.12  11.38  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26735  Treat finger fracture, each                       A   6.03   5.42NA   5.04NA   5.42     5.04     0.95  12.40  12.02  12.40  12.02  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26740  Treat finger fracture, each                       A   1.99   3.09     2.95     2.69     2.67     0.31   5.39   5.25   4.99   4.97  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26742  Treat finger fracture, each                       A   3.90   4.83     4.35     3.82     3.64     0.58   9.31   8.83   8.30   8.12  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26746  Treat finger fracture, each                       A   5.86   5.42NA   5.01NA   5.42     5.01     0.91  12.19  11.78  12.19  11.78  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26750  Treat finger fracture, each                       A   1.74   2.42     2.24     2.07     2.24     0.22   4.38   4.20   4.03   4.20  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26755  Treat finger fracture, each                       A   3.15   4.27     3.80     3.00     2.99     0.42   7.84   7.37   6.57   6.56  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26756  Pin finger fracture, each                         A   4.46   5.51NA   4.89NA   5.51     4.89     0.71  10.68  10.06  10.68  10.06  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26765  Treat finger fracture, each                       A   4.21   4.30NA   4.04NA   4.30     4.04     0.66   9.17   8.91   9.17   8.91  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26770  Treat finger dislocation                          A   3.07   3.30     2.91     2.44     2.54     0.27   6.64   6.25   5.78   5.88  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26775  Treat finger dislocation                          A   3.78   5.03     4.56     3.82     3.83     0.54   9.35   8.88   8.14   8.15  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26776  Pin finger dislocation                            A   4.87   5.76NA   5.04NA   5.76     5.04     0.77  11.40  10.68  11.40  10.68  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26785  Treat finger dislocation                          A   4.25   4.42NA   4.10NA   4.42     4.10     0.68   9.35   9.03   9.35   9.03  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26820  Thumb fusion with graft                           A   8.33  12.12NA   8.71NA  12.12     8.71     1.30  21.75  18.34  21.75  18.34  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26841  Fusion of thumb                                   A   7.21  12.10NA   8.69NA  12.10     8.69     1.18  20.49  17.08  20.49  17.08  0090.10.69.2120010             37.8975 090 99     0.00   0.00   0.00
26842  Thumb fusion with graft                           A   8.37  12.27NA   8.97NA  12.27     8.97     1.32  21.96  18.66  21.96  18.66  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26843  Fusion of hand joint                              A   7.67  11.31NA   8.19NA  11.31     8.19     1.15  20.13  17.01  20.13  17.01  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26844  Fusion/graft of hand joint                        A   8.86  12.32NA   9.18NA  12.32     9.18     1.33  22.51  19.37  22.51  19.37  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26850  Fusion of knuckle                                 A   7.03  11.23NA   8.31NA  11.23     8.31     1.06  19.32  16.40  19.32  16.40  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26852  Fusion of knuckle with graft                      A   8.59  11.96NA   9.17NA  11.96     9.17     1.22  21.77  18.98  21.77  18.98  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26860  Fusion of finger joint                            A   4.76  10.28NA   7.54NA  10.28     7.54     0.73  15.77  13.03  15.77  13.03  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26861  Fusion of finger jnt, add-on                      A   1.74   0.88NA   0.72NA   0.88     0.72     0.27   2.89   2.73   2.89   2.73  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
26862  Fusion/graft of finger joint                      A   7.44  11.44NA   8.72NA  11.44     8.72     1.10  19.98  17.26  19.98  17.26  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
26863  Fuse/graft added joint                            A   3.89   1.99NA   1.61NA   1.99     1.61     0.56   6.44   6.06   6.44   6.06  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
26910  Amputate metacarpal bone                          A   7.67  10.50NA   8.32NA  10.50     8.32     1.16  19.33  17.15  19.33  17.15  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26951  Amputation of finger/thumb                        A   5.85   9.71NA   8.39NA   9.71     8.39     0.71  16.27  14.95  16.27  14.95  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26952  Amputation of finger/thumb                        A   6.37  10.74NA   7.99NA  10.74     7.99     0.95  18.06  15.31  18.06  15.31  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26989  Hand/finger surgery                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020101             37.8975 090 99     0.00   0.00   0.00
26990  Drainage of pelvis lesion                         A   7.84   6.98NA   6.28NA   6.98     6.28     1.22  16.04  15.34  16.04  15.34  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
26991  Drainage of pelvis bursa                          A   6.97  10.51     8.55     5.29     4.86     1.11  18.59  16.63  13.37  12.94  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
26992  Drainage of bone lesion                           A  13.37   9.95NA   8.67NA   9.95     8.67     2.17  25.49  24.21  25.49  24.21  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
27000  Incision of hip tendon                            A   5.66   5.10NA   4.57NA   5.10     4.57     0.98  11.74  11.21  11.74  11.21  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27001  Incision of hip tendon                            A   7.05   5.88NA   5.24NA   5.88     5.24     1.24  14.17  13.53  14.17  13.53  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27003  Incision of hip tendon                            A   7.70   6.32NA   5.85NA   6.32     5.85     1.12  15.14  14.67  15.14  14.67  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27005  Incision of hip tendon                            A   9.96   7.57NA   6.82NA   7.57     6.82     1.73  19.26  18.51  19.26  18.51  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27006  Incision of hip tendons                           A   9.99   7.70NA   6.86NA   7.70     6.86     1.70  19.39  18.55  19.39  18.55  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27025  Incision of hip/thigh fascia                      A  12.66   8.44NA   8.12NA   8.44     8.12     1.85  22.95  22.63  22.95  22.63  0090.10.69.2121010             37.8975 090 99     0.00   0.00   0.00
27030  Drainage of hip joint                             A  13.54   9.27NA   8.14NA   9.27     8.14     2.27  25.08  23.95  25.08  23.95  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27033  Exploration of hip joint                          A  13.99   9.56NA   8.49NA   9.56     8.49     2.33  25.88  24.81  25.88  24.81  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27035  Denervation of hip joint                          A  17.23  10.86NA   9.74NA  10.86     9.74     2.16  30.25  29.13  30.25  29.13  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27036  Excision of hip joint/muscle                      A  14.18   9.75NA   9.01NA   9.75     9.01     2.27  26.20  25.46  26.20  25.46  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27040  Biopsy of soft tissues                            A   2.89   5.17     4.99     1.95     1.77     0.27   8.33   8.15   5.11   4.93  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
27041  Biopsy of soft tissues                            A  10.07   6.41NA   5.70NA   6.41     5.70     1.35  17.83  17.12  17.83  17.12  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27047  Remove hip/pelvis lesion                          A   7.51   7.10     7.07     4.72     4.55     1.03  15.64  15.61  13.26  13.09  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27048  Remove hip/pelvis lesion                          A   6.44   4.76NA   4.64NA   4.76     4.64     0.92  12.12  12.00  12.12  12.00  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27049  Remove tumor, hip/pelvis                          A  15.20   8.36NA   8.24NA   8.36     8.24     2.07  25.63  25.51  25.63  25.51  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27050  Biopsy of sacroiliac joint                        A   4.65   4.26NA   3.76NA   4.26     3.76     0.60   9.51   9.01   9.51   9.01  0090.10.69.2121010             37.8975 090 99     0.00   0.00   0.00
27052  Biopsy of hip joint                               A   7.27   5.83NA   5.68NA   5.83     5.68     1.08  14.18  14.03  14.18  14.03  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27054  Removal of hip joint lining                       A   9.09   7.13NA   6.51NA   7.13     6.51     1.47  17.69  17.07  17.69  17.07  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27060  Removal of ischial bursa                          A   5.78   4.39NA   4.43NA   4.39     4.43     0.80  10.97  11.01  10.97  11.01  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27062  Remove femur lesion/bursa                         A   5.66   5.05NA   4.64NA   5.05     4.64     0.93  11.64  11.23  11.64  11.23  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27065  Removal of hip bone lesion                        A   6.44   5.36NA   5.12NA   5.36     5.12     1.01  12.81  12.57  12.81  12.57  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27066  Removal of hip bone lesion                        A  11.06   8.20NA   7.49NA   8.20     7.49     1.80  21.06  20.35  21.06  20.35  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27067  Remove/graft hip bone lesion                      A  14.57  10.21NA   8.86NA  10.21     8.86     1.85  26.63  25.28  26.63  25.28  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27070  Partial removal of hip bone                       A  11.44   8.84NA   7.97NA   8.84     7.97     1.75  22.03  21.16  22.03  21.16  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27071  Partial removal of hip bone                       A  12.25   9.73NA   8.56NA   9.73     8.56     1.93  23.91  22.74  23.91  22.74  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27075  Extensive hip surgery                             A  36.77  18.59NA  16.74NA  18.59    16.74     5.66  61.02  59.17  61.02  59.17  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
27076  Extensive hip surgery                             A  24.25  14.09NA  12.83NA  14.09    12.83     3.71  42.05  40.79  42.05  40.79  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
27077  Extensive hip surgery                             A  42.54  22.02NA  20.10NA  22.02    20.10     6.14  70.70  68.78  70.70  68.78  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
27078  Extensive hip surgery                             A  14.54   9.67NA   8.87NA   9.67     8.87     2.23  26.44  25.64  26.44  25.64  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
27079  Extensive hip surgery                             A  14.91   9.03NA   7.50NA   9.03     7.50     1.95  25.89  24.36  25.89  24.36  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
27080  Removal of tail bone                              A   6.80   4.81NA   4.75NA   4.81     4.75     0.93  12.54  12.48  12.54  12.48  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
27086  Remove hip foreign body                           A   1.89   4.35     3.75     1.75     1.54     0.25   6.49   5.89   3.89   3.68  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
27087  Remove hip foreign body                           A   8.72   6.41NA   5.67NA   6.41     5.67     1.35  16.48  15.74  16.48  15.74  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27090  Removal of hip prosthesis                         A  11.57   8.45NA   7.47NA   8.45     7.47     1.95  21.97  20.99  21.97  20.99  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27091  Removal of hip prosthesis                         A  24.15  13.77NA  13.11NA  13.77    13.11     3.85  41.77  41.11  41.77  41.11  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27093  Injection for hip x-ray                           A   1.30   4.09     2.97     0.47     0.42     0.13   5.52   4.40   1.90   1.85  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
27095  Injection for hip x-ray                           A   1.50   5.19     3.61     0.51     0.48     0.14   6.83   5.25   2.15   2.12  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
27096  Inject sacroiliac joint                           A   1.40   3.88     2.48     0.33     0.33     0.08   5.36   3.96   1.81   1.81  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
27097  Revision of hip tendon                            A   9.16   6.40NA   6.36NA   6.40     6.36     1.57  17.13  17.09  17.13  17.09  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27098  Transfer tendon to pelvis                         A   9.20   6.49NA   4.89NA   6.49     4.89     0.95  16.64  15.04  16.64  15.04  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27100  Transfer of abdominal muscle                      A  11.21   8.35NA   7.41NA   8.35     7.41     1.86  21.42  20.48  21.42  20.48  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27105  Transfer of spinal muscle                         A  11.90   8.86NA   7.96NA   8.86     7.96     1.73  22.49  21.59  22.49  21.59  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27110  Transfer of iliopsoas muscle                      A  13.63   9.00NA   8.67NA   9.00     8.67     2.19  24.82  24.49  24.82  24.49  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27111  Transfer of iliopsoas muscle                      A  12.46   8.89NA   8.17NA   8.89     8.17     1.95  23.30  22.58  23.30  22.58  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27120  Reconstruction of hip socket                      A  19.10  11.59NA  10.85NA  11.59    10.85     3.09  33.78  33.04  33.78  33.04  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27122  Reconstruction of hip socket                      A  15.95  10.67NA   9.54NA  10.67     9.54     2.62  29.24  28.11  29.24  28.11  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27125  Partial hip replacement                           A  16.46  10.40NA   9.72NA  10.40     9.72     2.55  29.41  28.73  29.41  28.73  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27130  Total hip arthroplasty                            A  21.61  12.96NA  11.95NA  12.96    11.95     3.51  38.08  37.07  38.08  37.07  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27132  Total hip arthroplasty                            A  25.49  15.13NA  13.64NA  15.13    13.64     4.05  44.67  43.18  44.67  43.18  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27134  Revise hip joint replacement                      A  30.13  17.08NA  14.94NA  17.08    14.94     4.95  52.16  50.02  52.16  50.02  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27137  Revise hip joint replacement                      A  22.55  13.42NA  11.90NA  13.42    11.90     3.68  39.65  38.13  39.65  38.13  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27138  Revise hip joint replacement                      A  23.55  13.87NA  12.30NA  13.87    12.30     3.85  41.27  39.70  41.27  39.70  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27140  Transplant femur ridge                            A  12.66   9.02NA   7.84NA   9.02     7.84     2.12  23.80  22.62  23.80  22.62  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27146  Incision of hip bone                              A  18.72  11.79NA  10.78NA  11.79    10.78     2.97  33.48  32.47  33.48  32.47  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27147  Revision of hip bone                              A  21.87  12.95NA  12.05NA  12.95    12.05     3.58  38.40  37.50  38.40  37.50  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27151  Incision of hip bones                             A  23.92   9.09NA  12.50NA   9.09    12.50     3.92  36.93  40.34  36.93  40.34  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27156  Revision of hip bones                             A  26.03  15.45NA  13.61NA  15.45    13.61     4.22  45.70  43.86  45.70  43.86  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27158  Revision of pelvis                                A  20.89  10.01NA   7.12NA  10.01     7.12     3.17  34.07  31.18  34.07  31.18  0090.10.69.2122200             37.8975 090 99     0.00   0.00   0.00
27161  Incision of neck of femur                         A  17.74  11.69NA  10.47NA  11.69    10.47     2.95  32.38  31.16  32.38  31.16  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27165  Incision/fixation of femur                        A  20.06  12.63NA  11.77NA  12.63    11.77     3.11  35.80  34.94  35.80  34.94  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27170  Repair/graft femur head/neck                      A  17.46  10.94NA   9.86NA  10.94     9.86     2.82  31.22  30.14  31.22  30.14  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27175  Treat slipped epiphysis                           A   9.29   6.46NA   5.83NA   6.46     5.83     1.46  17.21  16.58  17.21  16.58  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27176  Treat slipped epiphysis                           A  12.78   8.83NA   8.30NA   8.83     8.30     2.23  23.84  23.31  23.84  23.31  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27177  Treat slipped epiphysis                           A  15.94  10.60NA   9.74NA  10.60     9.74     2.62  29.16  28.30  29.16  28.30  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27178  Treat slipped epiphysis                           A  12.78   8.39NA   8.29NA   8.39     8.29     2.09  23.26  23.16  23.26  23.16  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27179  Revise head/neck of femur                         A  13.83   9.64NA   8.59NA   9.64     8.59     2.26  25.73  24.68  25.73  24.68  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27181  Treat slipped epiphysis                           A  15.98  10.12NA   9.86NA  10.12     9.86     1.57  27.67  27.41  27.67  27.41  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27185  Revision of femur epiphysis                       A   9.67   7.32NA   6.71NA   7.32     6.71     2.40  19.39  18.78  19.39  18.78  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27187  Reinforce hip bones                               A  14.09   9.93NA   8.76NA   9.93     8.76     2.38  26.40  25.23  26.40  25.23  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27193  Treat pelvic ring fracture                        A   5.98   4.98     4.66     4.98     4.66     0.96  11.92  11.60  11.92  11.60  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27194  Treat pelvic ring fracture                        A  10.08   7.40NA   6.65NA   7.40     6.65     1.65  19.13  18.38  19.13  18.38  0090.10.69.2120020             37.8975 090 99     0.00   0.00   0.00
27200  Treat tail bone fracture                          A   1.87   2.19     2.08     2.13     2.08     0.28   4.34   4.23   4.28   4.23  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
27202  Treat tail bone fracture                          A   7.25  15.43NA  11.14NA  15.43    11.14     1.06  23.74  19.45  23.74  19.45  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
27215  Treat pelvic fracture(s)                          A  10.45   6.95NA   6.55NA   6.95     6.55     1.98  19.38  18.98  19.38  18.98  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
27216  Treat pelvic ring fracture                        A  15.73   9.52NA   9.29NA   9.52     9.29     2.64  27.89  27.66  27.89  27.66  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
27217  Treat pelvic ring fracture                        A  14.65   9.79NA   8.74NA   9.79     8.74     2.42  26.86  25.81  26.86  25.81  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
27218  Treat pelvic ring fracture                        A  20.93  11.41NA  11.45NA  11.41    11.45     3.49  35.83  35.87  35.83  35.87  0090.10.69.2120220             37.8975 090 99     0.00   0.00   0.00
27220  Treat hip socket fracture                         A   6.72   5.61     5.29     5.52     5.19     1.07  13.40  13.08  13.31  12.98  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27222  Treat hip socket fracture                         A  13.97   9.61NA   8.52NA   9.61     8.52     2.20  25.78  24.69  25.78  24.69  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27226  Treat hip wall fracture                           A  15.45   8.12NA   9.04NA   8.12     9.04     2.49  26.06  26.98  26.06  26.98  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27227  Treat hip fracture(s)                             A  25.21  14.93NA  13.50NA  14.93    13.50     4.06  44.20  42.77  44.20  42.77  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27228  Treat hip fracture(s)                             A  29.13  16.99NA  15.10NA  16.99    15.10     4.67  50.79  48.90  50.79  48.90  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27230  Treat thigh fracture                              A   5.69   5.38     4.99     5.06     4.92     0.95  12.02  11.63  11.70  11.56  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27232  Treat thigh fracture                              A  11.66   6.88NA   6.02NA   6.88     6.02     1.86  20.40  19.54  20.40  19.54  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27235  Treat thigh fracture                              A  12.88   9.11NA   8.08NA   9.11     8.08     2.12  24.11  23.08  24.11  23.08  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27236  Treat thigh fracture                              A  17.43  10.85NA  10.26NA  10.85    10.26     2.72  31.00  30.41  31.00  30.41  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27238  Treat thigh fracture                              A   5.64   5.03NA   4.70NA   5.03     4.70     0.89  11.56  11.23  11.56  11.23  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27240  Treat thigh fracture                              A  13.66   9.13NA   8.12NA   9.13     8.12     2.17  24.96  23.95  24.96  23.95  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27244  Treat thigh fracture                              A  17.08  10.91NA   9.75NA  10.91     9.75     2.78  30.77  29.61  30.77  29.61  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27245  Treat thigh fracture                              A  21.09  13.19NA  11.52NA  13.19    11.52     3.53  37.81  36.14  37.81  36.14  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27246  Treat thigh fracture                              A   4.75   4.33     3.94     4.30     3.94     0.81   9.89   9.50   9.86   9.50  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27248  Treat thigh fracture                              A  10.80   7.92NA   7.03NA   7.92     7.03     1.82  20.54  19.65  20.54  19.65  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27250  Treat hip dislocation                             A   7.21   4.54NA   4.30NA   4.54     4.30     0.62  12.37  12.13  12.37  12.13  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27252  Treat hip dislocation                             A  10.92   7.21NA   6.53NA   7.21     6.53     1.66  19.79  19.11  19.79  19.11  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27253  Treat hip dislocation                             A  13.46   9.41NA   8.28NA   9.41     8.28     2.25  25.12  23.99  25.12  23.99  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27254  Treat hip dislocation                             A  18.80  11.67NA  10.61NA  11.67    10.61     3.18  33.65  32.59  33.65  32.59  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27256  Treat hip dislocation                             A   4.25   3.24     2.40     1.91     1.41     0.46   7.95   7.11   6.62   6.12  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
27257  Treat hip dislocation                             A   5.35   2.75NA   2.56NA   2.75     2.56     0.69   8.79   8.60   8.79   8.60  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
27258  Treat hip dislocation                             A  16.04  10.53NA   9.50NA  10.53     9.50     2.65  29.22  28.19  29.22  28.19  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27259  Treat hip dislocation                             A  23.03  13.83NA  12.96NA  13.83    12.96     3.75  40.61  39.74  40.61  39.74  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27265  Treat hip dislocation                             A   5.12   4.59NA   3.99NA   4.59     3.99     0.63  10.34   9.74  10.34   9.74  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27266  Treat hip dislocation                             A   7.67   6.15NA   5.57NA   6.15     5.57     1.29  15.11  14.53  15.11  14.53  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27275  Manipulation of hip joint                         A   2.29   2.05NA   1.90NA   2.05     1.90     0.39   4.73   4.58   4.73   4.58  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
27280  Fusion of sacroiliac joint                        A  14.49   9.97NA   9.10NA   9.97     9.10     2.54  27.00  26.13  27.00  26.13  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27282  Fusion of pubic bones                             A  11.71   7.97NA   7.86NA   7.97     7.86     1.87  21.55  21.44  21.55  21.44  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
27284  Fusion of hip joint                               A  24.91  14.30NA  12.92NA  14.30    12.92     3.93  43.14  41.76  43.14  41.76  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27286  Fusion of hip joint                               A  24.97  15.23NA  13.54NA  15.23    13.54     3.13  43.33  41.64  43.33  41.64  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27290  Amputation of leg at hip                          A  24.38  13.69NA  12.56NA  13.69    12.56     3.44  41.51  40.38  41.51  40.38  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
27295  Amputation of leg at hip                          A  19.54  10.94NA   9.83NA  10.94     9.83     2.96  33.44  32.33  33.44  32.33  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
27299  Pelvis/hip joint surgery                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021211             37.8975 090 99     0.00   0.00   0.00
27301  Drain thigh/knee lesion                           A   6.67   9.60     8.18     5.02     4.67     1.04  17.31  15.89  12.73  12.38  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27303  Drainage of bone lesion                           A   8.52   6.76NA   6.09NA   6.76     6.09     1.43  16.71  16.04  16.71  16.04  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27305  Incise thigh tendon & fascia                      A   6.09   5.04NA   4.63NA   5.04     4.63     1.01  12.14  11.73  12.14  11.73  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27306  Incision of thigh tendon                          A   4.66   4.56NA   4.07NA   4.56     4.07     0.85  10.07   9.58  10.07   9.58  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27307  Incision of thigh tendons                         A   5.97   5.24NA   4.82NA   5.24     4.82     1.04  12.25  11.83  12.25  11.83  0090.10.69.2121010             37.8975 090 99     0.00   0.00   0.00
27310  Exploration of knee joint                         A   9.88   7.40NA   6.85NA   7.40     6.85     1.61  18.89  18.34  18.89  18.34  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27323  Biopsy, thigh soft tissues                        A   2.30   3.66     4.12     1.89     1.91     0.24   6.20   6.66   4.43   4.45  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
27324  Biopsy, thigh soft tissues                        A   4.95   4.10NA   3.84NA   4.10     3.84     0.75   9.80   9.54   9.80   9.54  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27325  Neurectomy, hamstring                             A   7.09   5.08NA   5.45NA   5.08     5.45     1.09  13.26  13.63  13.26  13.63  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27326  Neurectomy, popliteal                             A   6.36   5.12NA   4.77NA   5.12     4.77     1.06  12.54  12.19  12.54  12.19  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27327  Removal of thigh lesion                           A   4.52   6.00     6.04     3.69     3.61     0.64  11.16  11.20   8.85   8.77  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27328  Removal of thigh lesion                           A   5.62   4.29NA   4.06NA   4.29     4.06     0.84  10.75  10.52  10.75  10.52  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27329  Remove tumor, thigh/knee                          A  15.68   8.91NA   8.58NA   8.91     8.58     2.15  26.74  26.41  26.74  26.41  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27330  Biopsy, knee joint lining                         A   5.02   4.46NA   4.12NA   4.46     4.12     0.86  10.34  10.00  10.34  10.00  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27331  Explore/treat knee joint                          A   5.93   5.35NA   4.85NA   5.35     4.85     1.02  12.30  11.80  12.30  11.80  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27332  Removal of knee cartilage                         A   8.34   6.88NA   6.17NA   6.88     6.17     1.43  16.65  15.94  16.65  15.94  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27333  Removal of knee cartilage                         A   7.43   6.44NA   5.74NA   6.44     5.74     1.26  15.13  14.43  15.13  14.43  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27334  Remove knee joint lining                          A   9.07   7.19NA   6.51NA   7.19     6.51     1.51  17.77  17.09  17.77  17.09  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27335  Remove knee joint lining                          A  10.43   7.94NA   7.08NA   7.94     7.08     1.75  20.12  19.26  20.12  19.26  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27340  Removal of kneecap bursa                          A   4.23   4.43NA   4.05NA   4.43     4.05     0.72   9.38   9.00   9.38   9.00  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27345  Removal of knee cyst                              A   5.98   5.44NA   4.90NA   5.44     4.90     1.00  12.42  11.88  12.42  11.88  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27347  Remove knee cyst                                  A   6.58   5.38NA   5.26NA   5.38     5.26     0.98  12.94  12.82  12.94  12.82  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27350  Removal of kneecap                                A   8.54   7.01NA   6.30NA   7.01     6.30     1.41  16.96  16.25  16.96  16.25  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27355  Remove femur lesion                               A   7.89   6.55NA   5.88NA   6.55     5.88     1.32  15.76  15.09  15.76  15.09  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27356  Remove femur lesion/graft                         A   9.97   7.61NA   6.88NA   7.61     6.88     1.65  19.23  18.50  19.23  18.50  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27357  Remove femur lesion/graft                         A  11.02   8.42NA   7.56NA   8.42     7.56     1.96  21.40  20.54  21.40  20.54  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27358  Remove femur lesion/fixation                      A   4.73   2.37NA   1.91NA   2.37     1.91     0.82   7.92   7.46   7.92   7.46  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
27360  Partial removal, leg bone(s)                      A  11.34   9.20NA   8.15NA   9.20     8.15     1.84  22.38  21.33  22.38  21.33  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27365  Extensive leg surgery                             A  17.93  11.40NA  10.56NA  11.40    10.56     2.80  32.13  31.29  32.13  31.29  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27370  Injection for knee x-ray                          A   0.96   3.47     2.72     0.32     0.32     0.08   4.51   3.76   1.36   1.36  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
27372  Removal of foreign body                           A   5.12   9.61     8.28     4.53     4.05     0.84  15.57  14.24  10.49  10.01  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27380  Repair of kneecap tendon                          A   7.34   6.98NA   6.09NA   6.98     6.09     1.24  15.56  14.67  15.56  14.67  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27381  Repair/graft kneecap tendon                       A  10.64   8.71NA   7.58NA   8.71     7.58     1.80  21.15  20.02  21.15  20.02  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27385  Repair of thigh muscle                            A   8.00   7.32NA   6.37NA   7.32     6.37     1.36  16.68  15.73  16.68  15.73  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27386  Repair/graft of thigh muscle                      A  10.99   9.13NA   8.00NA   9.13     8.00     1.86  21.98  20.85  21.98  20.85  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27390  Incision of thigh tendon                          A   5.44   4.98NA   4.57NA   4.98     4.57     0.92  11.34  10.93  11.34  10.93  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
27391  Incision of thigh tendons                         A   7.38   6.31NA   5.55NA   6.31     5.55     1.23  14.92  14.16  14.92  14.16  0090.10.69.2120010             37.8975 090 99     0.00   0.00   0.00
27392  Incision of thigh tendons                         A   9.51   7.38NA   6.76NA   7.38     6.76     1.57  18.46  17.84  18.46  17.84  0090.10.69.2122210             37.8975 090 99     0.00   0.00   0.00
27393  Lengthening of thigh tendon                       A   6.50   5.63NA   5.02NA   5.63     5.02     1.10  13.23  12.62  13.23  12.62  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
27394  Lengthening of thigh tendons                      A   8.68   6.97NA   6.21NA   6.97     6.21     1.47  17.12  16.36  17.12  16.36  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
27395  Lengthening of thigh tendons                      A  12.10   9.00NA   8.02NA   9.00     8.02     2.05  23.15  22.17  23.15  22.17  0090.10.69.2122210             37.8975 090 99     0.00   0.00   0.00
27396  Transplant of thigh tendon                        A   8.04   6.74NA   5.94NA   6.74     5.94     1.34  16.12  15.32  16.12  15.32  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
27397  Transplants of thigh tendons                      A  12.46   8.89NA   8.44NA   8.89     8.44     1.83  23.18  22.73  23.18  22.73  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
27400  Revise thigh muscles/tendons                      A   9.21   6.99NA   6.19NA   6.99     6.19     1.31  17.51  16.71  17.51  16.71  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27403  Repair of knee cartilage                          A   8.51   6.91NA   6.11NA   6.91     6.11     1.44  16.86  16.06  16.86  16.06  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27405  Repair of knee ligament                           A   8.96   7.23NA   6.46NA   7.23     6.46     1.51  17.70  16.93  17.70  16.93  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27407  Repair of knee ligament                           A  10.71   7.92NA   6.71NA   7.92     6.71     1.79  20.42  19.21  20.42  19.21  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27409  Repair of knee ligaments                          A  13.57   9.58NA   8.47NA   9.58     8.47     2.25  25.40  24.29  25.40  24.29  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27412  Autochondrocyte implant knee                      A  24.53  14.53NA  13.71NA  14.53    13.71     4.36  43.42  42.60  43.42  42.60  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27415  Osteochondral knee allograft                      A  19.79  12.39NA  11.90NA  12.39    11.90     4.36  36.54  36.05  36.54  36.05  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27418  Repair degenerated kneecap                        A  11.46   8.59NA   7.64NA   8.59     7.64     1.89  21.94  20.99  21.94  20.99  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27420  Revision of unstable kneecap                      A  10.14   7.83NA   6.98NA   7.83     6.98     1.72  19.69  18.84  19.69  18.84  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27422  Revision of unstable kneecap                      A  10.09   7.82NA   6.93NA   7.82     6.93     1.71  19.62  18.73  19.62  18.73  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27424  Revision/removal of kneecap                       A  10.12   7.80NA   6.94NA   7.80     6.94     1.71  19.63  18.77  19.63  18.77  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27425  Lat retinacular release open                      A   5.28   5.32NA   4.72NA   5.32     4.72     0.90  11.50  10.90  11.50  10.90  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27427  Reconstruction, knee                              A   9.67   7.53NA   6.73NA   7.53     6.73     1.63  18.83  18.03  18.83  18.03  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27428  Reconstruction, knee                              A  15.33  10.97NA  10.16NA  10.97    10.16     2.43  28.73  27.92  28.73  27.92  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27429  Reconstruction, knee                              A  17.24  12.15NA  11.37NA  12.15    11.37     2.71  32.10  31.32  32.10  31.32  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27430  Revision of thigh muscles                         A  10.04   7.73NA   6.91NA   7.73     6.91     1.70  19.47  18.65  19.47  18.65  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27435  Incision of knee joint                            A  10.68   8.29NA   7.71NA   8.29     7.71     1.70  20.67  20.09  20.67  20.09  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27437  Revise kneecap                                    A   8.82   6.99NA   6.25NA   6.99     6.25     1.49  17.30  16.56  17.30  16.56  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27438  Revise kneecap with implant                       A  11.77   8.31NA   7.60NA   8.31     7.60     1.96  22.04  21.33  22.04  21.33  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27440  Revision of knee joint                            A  10.97   6.29NA   7.19NA   6.29     7.19     1.82  19.08  19.98  19.08  19.98  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27441  Revision of knee joint                            A  11.42   6.92NA   7.54NA   6.92     7.54     1.89  20.23  20.85  20.23  20.85  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27442  Revision of knee joint                            A  12.25   8.64NA   7.81NA   8.64     7.81     2.10  22.99  22.16  22.99  22.16  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27443  Revision of knee joint                            A  11.29   8.40NA   7.43NA   8.40     7.43     1.91  21.60  20.63  21.60  20.63  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27445  Revision of knee joint                            A  18.52  11.91NA  10.58NA  11.91    10.58     3.09  33.52  32.19  33.52  32.19  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27446  Revision of knee joint                            A  16.26  10.81NA   9.41NA  10.81     9.41     2.81  29.88  28.48  29.88  28.48  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27447  Total knee arthroplasty                           A  23.04  14.14NA  12.75NA  14.14    12.75     3.80  40.98  39.59  40.98  39.59  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27448  Incision of thigh                                 A  11.48   8.32NA   7.46NA   8.32     7.46     1.95  21.75  20.89  21.75  20.89  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27450  Incision of thigh                                 A  14.47  10.15NA   8.85NA  10.15     8.85     2.43  27.05  25.75  27.05  25.75  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27454  Realignment of thigh bone                         A  18.97  12.07NA  10.79NA  12.07    10.79     3.13  34.17  32.89  34.17  32.89  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27455  Realignment of knee                               A  13.24   9.52NA   8.43NA   9.52     8.43     2.25  25.01  23.92  25.01  23.92  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27457  Realignment of knee                               A  13.92   9.51NA   8.29NA   9.51     8.29     2.35  25.78  24.56  25.78  24.56  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27465  Shortening of thigh bone                          A  18.44  10.27NA  10.40NA  10.27    10.40     2.48  31.19  31.32  31.19  31.32  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27466  Lengthening of thigh bone                         A  17.13  11.42NA  10.20NA  11.42    10.20     2.78  31.33  30.11  31.33  30.11  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27468  Shorten/lengthen thighs                           A  19.82  12.10NA  11.33NA  12.10    11.33     3.31  35.23  34.46  35.23  34.46  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27470  Repair of thigh                                   A  16.97  11.41NA  10.26NA  11.41    10.26     2.80  31.18  30.03  31.18  30.03  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27472  Repair/graft of thigh                             A  18.57  12.20NA  10.77NA  12.20    10.77     3.08  33.85  32.42  33.85  32.42  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27475  Surgery to stop leg growth                        A   8.82   7.13NA   6.88NA   7.13     6.88     1.36  17.31  17.06  17.31  17.06  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27477  Surgery to stop leg growth                        A  10.03   7.47NA   6.67NA   7.47     6.67     1.74  19.24  18.44  19.24  18.44  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27479  Surgery to stop leg growth                        A  13.04   8.50NA   5.06NA   8.50     5.06     2.79  24.33  20.89  24.33  20.89  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27485  Surgery to stop leg growth                        A   9.02   7.12NA   6.26NA   7.12     6.26     1.53  17.67  16.81  17.67  16.81  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27486  Revise/replace knee joint                         A  20.92  13.07NA  11.79NA  13.07    11.79     3.37  37.36  36.08  37.36  36.08  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27487  Revise/replace knee joint                         A  26.91  15.97NA  14.21NA  15.97    14.21     4.40  47.28  45.52  47.28  45.52  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27488  Removal of knee prosthesis                        A  17.40  11.37NA  10.38NA  11.37    10.38     2.75  31.52  30.53  31.52  30.53  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27495  Reinforce thigh                                   A  16.40  10.99NA   9.74NA  10.99     9.74     2.72  30.11  28.86  30.11  28.86  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27496  Decompression of thigh/knee                       A   6.66   5.46NA   5.02NA   5.46     5.02     0.99  13.11  12.67  13.11  12.67  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27497  Decompression of thigh/knee                       A   7.70   5.24NA   4.67NA   5.24     4.67     1.15  14.09  13.52  14.09  13.52  0090.10.69.2121020             37.8975 090 99     0.00   0.00   0.00
27498  Decompression of thigh/knee                       A   8.54   5.81NA   5.37NA   5.81     5.37     1.24  15.59  15.15  15.59  15.15  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27499  Decompression of thigh/knee                       A   9.31   6.58NA   5.84NA   6.58     5.84     1.47  17.36  16.62  17.36  16.62  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27500  Treatment of thigh fracture                       A   6.21   5.95     5.44     4.91     4.66     1.02  13.18  12.67  12.14  11.89  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27501  Treatment of thigh fracture                       A   6.34   5.61     5.05     5.28     4.96     1.03  12.98  12.42  12.65  12.33  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27502  Treatment of thigh fracture                       A  11.24   7.82NA   6.95NA   7.82     6.95     1.79  20.85  19.98  20.85  19.98  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27503  Treatment of thigh fracture                       A  11.13   8.04NA   7.29NA   8.04     7.29     1.85  21.02  20.27  21.02  20.27  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27506  Treatment of thigh fracture                       A  19.42  12.40NA  11.26NA  12.40    11.26     3.04  34.86  33.72  34.86  33.72  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27507  Treatment of thigh fracture                       A  14.39   9.44NA   8.23NA   9.44     8.23     2.43  26.26  25.05  26.26  25.05  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27508  Treatment of thigh fracture                       A   6.08   6.27     5.71     5.38     5.08     0.97  13.32  12.76  12.43  12.13  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27509  Treatment of thigh fracture                       A   8.02   7.61NA   6.57NA   7.61     6.57     1.34  16.97  15.93  16.97  15.93  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27510  Treatment of thigh fracture                       A   9.68   7.09NA   6.36NA   7.09     6.36     1.53  18.30  17.57  18.30  17.57  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27511  Treatment of thigh fracture                       A  13.94  10.68NA   9.13NA  10.68     9.13     2.38  27.00  25.45  27.00  25.45  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27513  Treatment of thigh fracture                       A  19.45  13.38NA  11.89NA  13.38    11.89     3.13  35.96  34.47  35.96  34.47  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27514  Treatment of thigh fracture                       A  19.09  13.02NA  12.01NA  13.02    12.01     3.01  35.12  34.11  35.12  34.11  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27516  Treat thigh fx growth plate                       A   5.45   6.19     5.69     5.40     5.06     0.81  12.45  11.95  11.66  11.32  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27517  Treat thigh fx growth plate                       A   8.98   7.11NA   6.07NA   7.11     6.07     1.22  17.31  16.27  17.31  16.27  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27519  Treat thigh fx growth plate                       A  15.80  11.17NA   9.92NA  11.17     9.92     2.56  29.53  28.28  29.53  28.28  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27520  Treat kneecap fracture                            A   2.93   4.43     4.10     3.46     3.53     0.47   7.83   7.50   6.86   6.93  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27524  Treat kneecap fracture                            A  10.25   7.92NA   7.00NA   7.92     7.00     1.75  19.92  19.00  19.92  19.00  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27530  Treat knee fracture                               A   3.97   5.19     4.83     4.38     4.27     0.65   9.81   9.45   9.00   8.89  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27532  Treat knee fracture                               A   7.43   7.13     6.45     6.26     5.68     1.26  15.82  15.14  14.95  14.37  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27535  Treat knee fracture                               A  11.80   9.65NA   8.28NA   9.65     8.28     2.01  23.46  22.09  23.46  22.09  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27536  Treat knee fracture                               A  17.19  11.29NA  10.33NA  11.29    10.33     2.74  31.22  30.26  31.22  30.26  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27538  Treat knee fracture(s)                            A   4.95   5.98     5.54     5.12     4.92     0.84  11.77  11.33  10.91  10.71  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27540  Treat knee fracture                               A  13.45   9.15NA   8.05NA   9.15     8.05     2.28  24.88  23.78  24.88  23.78  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27550  Treat knee dislocation                            A   5.84   5.84     5.31     4.85     4.61     0.76  12.44  11.91  11.45  11.21  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27552  Treat knee dislocation                            A   8.04   6.75NA   6.14NA   6.75     6.14     1.36  16.15  15.54  16.15  15.54  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27556  Treat knee dislocation                            A  14.95  11.08NA   9.35NA  11.08     9.35     2.51  28.54  26.81  28.54  26.81  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27557  Treat knee dislocation                            A  17.31  12.50NA  10.63NA  12.50    10.63     2.98  32.79  30.92  32.79  30.92  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27558  Treat knee dislocation                            A  18.01  12.45NA  10.66NA  12.45    10.66     3.09  33.55  31.76  33.55  31.76  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27560  Treat kneecap dislocation                         A   3.88   4.61     3.93     3.24     3.41     0.40   8.89   8.21   7.52   7.69  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27562  Treat kneecap dislocation                         A   5.86   4.69NA   4.46NA   4.69     4.46     0.94  11.49  11.26  11.49  11.26  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27566  Treat kneecap dislocation                         A  12.59   8.96NA   7.89NA   8.96     7.89     2.13  23.68  22.61  23.68  22.61  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27570  Fixation of knee joint                            A   1.76   1.73NA   1.62NA   1.73     1.62     0.30   3.79   3.68   3.79   3.68  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
27580  Fusion of knee                                    A  20.90  14.20NA  12.38NA  14.20    12.38     3.38  38.48  36.66  38.48  36.66  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27590  Amputate leg at thigh                             A  13.35   6.53NA   6.12NA   6.53     6.12     1.75  21.63  21.22  21.63  21.22  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27591  Amputate leg at thigh                             A  13.82   8.34NA   7.44NA   8.34     7.44     2.03  24.19  23.29  24.19  23.29  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27592  Amputate leg at thigh                             A  10.86   6.00NA   5.48NA   6.00     5.48     1.45  18.31  17.79  18.31  17.79  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27594  Amputation follow-up surgery                      A   7.17   5.07NA   4.75NA   5.07     4.75     1.02  13.26  12.94  13.26  12.94  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27596  Amputation follow-up surgery                      A  11.15   6.62NA   6.05NA   6.62     6.05     1.57  19.34  18.77  19.34  18.77  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27598  Amputate lower leg at knee                        A  11.08   6.85NA   6.34NA   6.85     6.34     1.65  19.58  19.07  19.58  19.07  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27599  Leg surgery procedure                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021211             37.8975 090 99     0.00   0.00   0.00
27600  Decompression of lower leg                        A   5.94   4.36NA   3.84NA   4.36     3.84     0.86  11.16  10.64  11.16  10.64  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27601  Decompression of lower leg                        A   5.94   4.70NA   4.26NA   4.70     4.26     0.80  11.44  11.00  11.44  11.00  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27602  Decompression of lower leg                        A   7.71   4.94NA   4.37NA   4.94     4.37     1.10  13.75  13.18  13.75  13.18  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27603  Drain lower leg lesion                            A   5.12   7.37     7.01     4.10     3.90     0.74  13.23  12.87   9.96   9.76  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27604  Drain lower leg bursa                             A   4.51   6.18     6.46     3.83     3.44     0.69  11.38  11.66   9.03   8.64  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27605  Incision of achilles tendon                       A   2.89   7.08     5.27     2.19     1.80     0.41  10.38   8.57   5.49   5.10  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
27606  Incision of achilles tendon                       A   4.15   3.19NA   2.68NA   3.19     2.68     0.69   8.03   7.52   8.03   7.52  0010.10.80.1021110             37.8975 090 99     0.00   0.00   0.00
27607  Treat lower leg bone lesion                       A   8.51   6.08NA   5.79NA   6.08     5.79     1.31  15.90  15.61  15.90  15.61  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27610  Explore/treat ankle joint                         A   9.01   6.80NA   6.20NA   6.80     6.20     1.40  17.21  16.61  17.21  16.61  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27612  Exploration of ankle joint                        A   8.01   5.92NA   5.39NA   5.92     5.39     1.13  15.06  14.53  15.06  14.53  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27613  Biopsy lower leg soft tissue                      A   2.19   3.39     3.86     1.79     1.76     0.20   5.78   6.25   4.18   4.15  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
27614  Biopsy lower leg soft tissue                      A   5.71   7.32     7.87     4.34     4.03     0.78  13.81  14.36  10.83  10.52  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27615  Remove tumor, lower leg                           A  12.93   9.07NA   8.12NA   9.07     8.12     1.84  23.84  22.89  23.84  22.89  0090.10.69.2121010             37.8975 090 99     0.00   0.00   0.00
27618  Remove lower leg lesion                           A   5.14   6.10     6.38     3.94     3.79     0.72  11.96  12.24   9.80   9.65  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27619  Remove lower leg lesion                           A   8.47   9.65    10.05     5.79     5.32     1.25  19.37  19.77  15.51  15.04  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27620  Explore/treat ankle joint                         A   6.04   5.25NA   4.62NA   5.25     4.62     0.97  12.26  11.63  12.26  11.63  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27625  Remove ankle joint lining                         A   8.37   6.25NA   5.63NA   6.25     5.63     1.28  15.90  15.28  15.90  15.28  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27626  Remove ankle joint lining                         A   8.98   6.69NA   5.99NA   6.69     5.99     1.48  17.15  16.45  17.15  16.45  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27630  Removal of tendon lesion                          A   4.85   7.66     7.94     4.24     3.81     0.74  13.25  13.53   9.83   9.40  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27635  Remove lower leg bone lesion                      A   7.91   6.48NA   5.70NA   6.48     5.70     1.31  15.70  14.92  15.70  14.92  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27637  Remove/graft leg bone lesion                      A  10.17   8.02NA   7.19NA   8.02     7.19     1.66  19.85  19.02  19.85  19.02  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27638  Remove/graft leg bone lesion                      A  10.87   7.97NA   7.01NA   7.97     7.01     1.85  20.69  19.73  20.69  19.73  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27640  Partial removal of tibia                          A  12.10   9.79NA   8.24NA   9.79     8.24     1.89  23.78  22.23  23.78  22.23  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27641  Partial removal of fibula                         A   9.73   7.96NA   6.82NA   7.96     6.82     1.46  19.15  18.01  19.15  18.01  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27645  Extensive lower leg surgery                       A  14.78  11.42NA   9.54NA  11.42     9.54     2.42  28.62  26.74  28.62  26.74  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27646  Extensive lower leg surgery                       A  13.21  10.39NA   8.45NA  10.39     8.45     2.06  25.66  23.72  25.66  23.72  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27647  Extensive ankle/heel surgery                      A  12.85   7.38NA   6.70NA   7.38     6.70     1.76  21.99  21.31  21.99  21.31  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27648  Injection for ankle x-ray                         A   0.96   3.30     2.62     0.32     0.30     0.08   4.34   3.66   1.36   1.34  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
27650  Repair achilles tendon                            A   9.94   7.22NA   6.34NA   7.22     6.34     1.59  18.75  17.87  18.75  17.87  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27652  Repair/graft achilles tendon                      A  10.64   7.65NA   6.51NA   7.65     6.51     1.72  20.01  18.87  20.01  18.87  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27654  Repair of achilles tendon                         A  10.32   6.86NA   6.03NA   6.86     6.03     1.58  18.76  17.93  18.76  17.93  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27656  Repair leg fascia defect                          A   4.62   8.41     8.06     3.75     3.69     0.69  13.72  13.37   9.06   9.00  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27658  Repair of leg tendon, each                        A   5.03   4.40NA   3.92NA   4.40     3.92     0.79  10.22   9.74  10.22   9.74  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
27659  Repair of leg tendon, each                        A   6.99   5.46NA   4.91NA   5.46     4.91     1.09  13.54  12.99  13.54  12.99  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
27664  Repair of leg tendon, each                        A   4.64   4.40NA   3.95NA   4.40     3.95     0.76   9.80   9.35   9.80   9.35  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
27665  Repair of leg tendon, each                        A   5.46   4.85NA   4.50NA   4.85     4.50     0.89  11.20  10.85  11.20  10.85  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
27675  Repair lower leg tendons                          A   7.24   5.49NA   4.78NA   5.49     4.78     1.11  13.84  13.13  13.84  13.13  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27676  Repair lower leg tendons                          A   8.61   6.51NA   5.80NA   6.51     5.80     1.37  16.49  15.78  16.49  15.78  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27680  Release of lower leg tendon                       A   5.79   4.93NA   4.40NA   4.93     4.40     0.93  11.65  11.12  11.65  11.12  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
27681  Release of lower leg tendons                      A   6.94   5.63NA   4.79NA   5.63     4.79     1.15  13.72  12.88  13.72  12.88  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
27685  Revision of lower leg tendon                      A   6.57   7.68     8.84     5.26     4.65     0.97  15.22  16.38  12.80  12.19  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
27686  Revise lower leg tendons                          A   7.64   6.22NA   5.41NA   6.22     5.41     1.24  15.10  14.29  15.10  14.29  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
27687  Revision of calf tendon                           A   6.30   5.12NA   4.56NA   5.12     4.56     1.00  12.42  11.86  12.42  11.86  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27690  Revise lower leg tendon                           A   8.96   6.15NA   5.53NA   6.15     5.53     1.33  16.44  15.82  16.44  15.82  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27691  Revise lower leg tendon                           A  10.28   7.51NA   6.76NA   7.51     6.76     1.64  19.43  18.68  19.43  18.68  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27692  Revise additional leg tendon                      A   1.87   0.88NA   0.73NA   0.88     0.73     0.32   3.07   2.92   3.07   2.92  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
27695  Repair of ankle ligament                          A   6.58   5.66NA   5.03NA   5.66     5.03     1.05  13.29  12.66  13.29  12.66  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27696  Repair of ankle ligaments                         A   8.46   6.19NA   5.47NA   6.19     5.47     1.28  15.93  15.21  15.93  15.21  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27698  Repair of ankle ligament                          A   9.49   6.70NA   5.97NA   6.70     5.97     1.47  17.66  16.93  17.66  16.93  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27700  Revision of ankle joint                           A   9.54   5.56NA   5.21NA   5.56     5.21     1.30  16.40  16.05  16.40  16.05  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27702  Reconstruct ankle joint                           A  14.28  10.04NA   8.77NA  10.04     8.77     2.38  26.70  25.43  26.70  25.43  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27703  Reconstruction, ankle joint                       A  16.79  10.91NA   9.95NA  10.91     9.95     2.77  30.47  29.51  30.47  29.51  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27704  Removal of ankle implant                          A   7.69   5.62NA   5.72NA   5.62     5.72     1.27  14.58  14.68  14.58  14.68  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27705  Incision of tibia                                 A  10.74   7.87NA   6.95NA   7.87     6.95     1.81  20.42  19.50  20.42  19.50  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27707  Incision of fibula                                A   4.67   4.83NA   4.51NA   4.83     4.51     0.76  10.26   9.94  10.26   9.94  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27709  Incision of tibia & fibula                        A  17.32   8.60NA   9.99NA   8.60     9.99     1.74  27.66  29.05  27.66  29.05  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27712  Realignment of lower leg                          A  15.67  10.36NA   9.23NA  10.36     9.23     2.48  28.51  27.38  28.51  27.38  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27715  Revision of lower leg                             A  15.36  10.34NA   9.06NA  10.34     9.06     2.50  28.20  26.92  28.20  26.92  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27720  Repair of tibia                                   A  12.22   9.05NA   8.00NA   9.05     8.00     2.05  23.32  22.27  23.32  22.27  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27722  Repair/graft of tibia                             A  12.31   8.87NA   8.10NA   8.87     8.10     2.06  23.24  22.47  23.24  22.47  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27724  Repair/graft of tibia                             A  19.18  11.87NA  10.38NA  11.87    10.38     3.17  34.22  32.73  34.22  32.73  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27725  Repair of lower leg                               A  17.15  11.59NA  10.63NA  11.59    10.63     2.72  31.46  30.50  31.46  30.50  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27727  Repair of lower leg                               A  14.69   9.92NA   8.65NA   9.92     8.65     2.44  27.05  25.78  27.05  25.78  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27730  Repair of tibia epiphysis                         A   7.59   6.15NA   5.32NA   6.15     5.32     1.73  15.47  14.64  15.47  14.64  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27732  Repair of fibula epiphysis                        A   5.37   4.87NA   4.69NA   4.87     4.69     0.77  11.01  10.83  11.01  10.83  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27734  Repair lower leg epiphyses                        A   8.72   6.27NA   6.22NA   6.27     6.22     1.35  16.34  16.29  16.34  16.29  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27740  Repair of leg epiphyses                           A   9.49   7.66NA   6.67NA   7.66     6.67     1.62  18.77  17.78  18.77  17.78  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27742  Repair of leg epiphyses                           A  10.49   5.65NA   5.93NA   5.65     5.93     1.80  17.94  18.22  17.94  18.22  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27745  Reinforce tibia                                   A  10.37   7.89NA   7.04NA   7.89     7.04     1.76  20.02  19.17  20.02  19.17  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27750  Treatment of tibia fracture                       A   3.26   4.65     4.32     3.82     3.74     0.55   8.46   8.13   7.63   7.55  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27752  Treatment of tibia fracture                       A   6.15   6.48     5.98     5.54     5.15     1.01  13.64  13.14  12.70  12.31  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27756  Treatment of tibia fracture                       A   7.33   6.29NA   5.78NA   6.29     5.78     1.17  14.79  14.28  14.79  14.28  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27758  Treatment of tibia fracture                       A  12.40   8.91NA   8.09NA   8.91     8.09     2.04  23.35  22.53  23.35  22.53  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27759  Treatment of tibia fracture                       A  14.31   9.92NA   8.76NA   9.92     8.76     2.39  26.62  25.46  26.62  25.46  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27760  Treatment of ankle fracture                       A   3.09   4.58     4.29     3.62     3.69     0.48   8.15   7.86   7.19   7.26  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27762  Treatment of ankle fracture                       A   5.33   6.14     5.58     5.14     4.76     0.85  12.32  11.76  11.32  10.94  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27766  Treatment of ankle fracture                       A   8.73   6.99NA   6.31NA   6.99     6.31     1.44  17.16  16.48  17.16  16.48  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27780  Treatment of fibula fracture                      A   2.72   4.11     3.89     3.24     3.33     0.41   7.24   7.02   6.37   6.46  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27781  Treatment of fibula fracture                      A   4.47   5.36     4.97     4.57     4.35     0.73  10.56  10.17   9.77   9.55  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27784  Treatment of fibula fracture                      A   7.41   6.26NA   5.63NA   6.26     5.63     1.23  14.90  14.27  14.90  14.27  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27786  Treatment of ankle fracture                       A   2.91   4.36     4.06     3.36     3.44     0.46   7.73   7.43   6.73   6.81  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27788  Treatment of ankle fracture                       A   4.52   5.48     5.00     4.56     4.28     0.74  10.74  10.26   9.82   9.54  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27792  Treatment of ankle fracture                       A   7.91   6.71NA   5.97NA   6.71     5.97     1.32  15.94  15.20  15.94  15.20  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27808  Treatment of ankle fracture                       A   2.91   4.70     4.39     3.70     3.71     0.46   8.07   7.76   7.07   7.08  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27810  Treatment of ankle fracture                       A   5.20   6.05     5.46     5.02     4.61     0.82  12.07  11.48  11.04  10.63  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27814  Treatment of ankle fracture                       A  11.10   8.25NA   7.31NA   8.25     7.31     1.86  21.21  20.27  21.21  20.27  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27816  Treatment of ankle fracture                       A   2.96   4.29     4.02     3.40     3.36     0.43   7.68   7.41   6.79   6.75  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27818  Treatment of ankle fracture                       A   5.57   6.14     5.44     5.00     4.48     0.82  12.53  11.83  11.39  10.87  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27822  Treatment of ankle fracture                       A  12.12  10.21NA   8.89NA  10.21     8.89     1.92  24.25  22.93  24.25  22.93  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27823  Treatment of ankle fracture                       A  14.26  10.99NA   9.54NA  10.99     9.54     2.26  27.51  26.06  27.51  26.06  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27824  Treat lower leg fracture                          A   3.20   3.98     3.74     3.56     3.55     0.45   7.63   7.39   7.21   7.20  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27825  Treat lower leg fracture                          A   6.60   6.42     5.88     5.25     4.86     1.02  14.04  13.50  12.87  12.48  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27826  Treat lower leg fracture                          A   8.97   8.37NA   7.03NA   8.37     7.03     1.47  18.81  17.47  18.81  17.47  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27827  Treat lower leg fracture                          A  15.75  12.28NA  10.85NA  12.28    10.85     2.44  30.47  29.04  30.47  29.04  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27828  Treat lower leg fracture                          A  18.19  13.55NA  12.39NA  13.55    12.39     2.82  34.56  33.40  34.56  33.40  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27829  Treat lower leg joint                             A   5.68   6.47NA   5.53NA   6.47     5.53     0.95  13.10  12.16  13.10  12.16  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
27830  Treat lower leg dislocation                       A   3.85   4.37     4.31     3.83     3.76     0.54   8.76   8.70   8.22   8.15  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27831  Treat lower leg dislocation                       A   4.62   4.35NA   4.01NA   4.35     4.01     0.73   9.70   9.36   9.70   9.36  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27832  Treat lower leg dislocation                       A   6.67   5.82NA   4.77NA   5.82     4.77     1.03  13.52  12.47  13.52  12.47  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27840  Treat ankle dislocation                           A   4.65   3.73NA   3.64NA   3.73     3.64     0.46   8.84   8.75   8.84   8.75  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27842  Treat ankle dislocation                           A   6.34   5.07NA   4.92NA   5.07     4.92     1.00  12.41  12.26  12.41  12.26  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27846  Treat ankle dislocation                           A  10.16   7.67NA   6.90NA   7.67     6.90     1.71  19.54  18.77  19.54  18.77  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27848  Treat ankle dislocation                           A  11.56   9.22NA   7.75NA   9.22     7.75     1.95  22.73  21.26  22.73  21.26  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27860  Fixation of ankle joint                           A   2.36   1.91NA   1.70NA   1.91     1.70     0.39   4.66   4.45   4.66   4.45  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
27870  Fusion of ankle joint, open                       A  15.21  10.20NA   9.24NA  10.20     9.24     2.37  27.78  26.82  27.78  26.82  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27871  Fusion of tibiofibular joint                      A   9.42   7.32NA   6.55NA   7.32     6.55     1.59  18.33  17.56  18.33  17.56  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27880  Amputation of lower leg                           A  15.24   7.04NA   6.77NA   7.04     6.77     1.76  24.04  23.77  24.04  23.77  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27881  Amputation of lower leg                           A  13.32   8.50NA   7.47NA   8.50     7.47     1.99  23.81  22.78  23.81  22.78  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27882  Amputation of lower leg                           A   9.67   6.24NA   5.52NA   6.24     5.52     1.29  17.20  16.48  17.20  16.48  0090.10.69.2121010             37.8975 090 99     0.00   0.00   0.00
27884  Amputation follow-up surgery                      A   8.64   5.59NA   5.10NA   5.59     5.10     1.22  15.45  14.96  15.45  14.96  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
27886  Amputation follow-up surgery                      A   9.88   6.32NA   5.75NA   6.32     5.75     1.40  17.60  17.03  17.60  17.03  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27888  Amputation of foot at ankle                       A  10.23   7.19NA   6.27NA   7.19     6.27     1.51  18.93  18.01  18.93  18.01  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
27889  Amputation of foot at ankle                       A  10.72   6.19NA   5.33NA   6.19     5.33     1.46  18.37  17.51  18.37  17.51  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
27892  Decompression of leg                              A   7.82   5.41NA   4.87NA   5.41     4.87     1.10  14.33  13.79  14.33  13.79  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27893  Decompression of leg                              A   7.78   5.38NA   5.14NA   5.38     5.14     1.10  14.26  14.02  14.26  14.02  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
27894  Decompression of leg                              A  12.42   7.67NA   7.38NA   7.67     7.38     1.65  21.74  21.45  21.74  21.45  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
27899  Leg/ankle surgery procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021011             37.8975 090 99     0.00   0.00   0.00
28001  Drainage of bursa of foot                         A   2.75   3.25     4.05     1.88     1.65     0.33   6.33   7.13   4.96   4.73  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
28002  Treatment of foot infection                       A   5.78   5.44     6.78     3.74     3.66     0.61  11.83  13.17  10.13  10.05  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
28003  Treatment of foot infection                       A   8.95   6.64     7.88     5.08     4.67     1.12  16.71  17.95  15.15  14.74  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28005  Treat foot bone lesion                            A   9.30   5.92NA   5.55NA   5.92     5.55     1.16  16.38  16.01  16.38  16.01  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28008  Incision of foot fascia                           A   4.50   4.97     6.24     3.17     3.06     0.57  10.04  11.31   8.24   8.13  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
28010  Incision of toe tendon                            A   2.89   2.50     2.90     2.37     2.38     0.36   5.75   6.15   5.62   5.63  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28011  Incision of toe tendons                           A   4.19   3.44     3.86     3.25     3.09     0.59   8.22   8.64   8.03   7.87  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28020  Exploration of foot joint                         A   5.06   6.40     7.57     4.03     3.71     0.72  12.18  13.35   9.81   9.49  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
28022  Exploration of foot joint                         A   4.72   5.63     6.95     3.73     3.37     0.62  10.97  12.29   9.07   8.71  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28024  Exploration of toe joint                          A   4.43   5.59     6.71     3.75     3.22     0.58  10.60  11.72   8.76   8.23  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28035  Decompression of tibia nerve                      A   5.14   6.27     7.51     4.00     3.71     0.70  12.11  13.35   9.84   9.55  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
28043  Excision of foot lesion                           A   3.58   4.07     4.85     3.08     2.79     0.46   8.11   8.89   7.12   6.83  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
28045  Excision of foot lesion                           A   4.77   5.81     7.13     3.53     3.33     0.63  11.21  12.53   8.93   8.73  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
28046  Resection of tumor, foot                          A  10.55   9.20    10.52     6.33     5.91     1.36  21.11  22.43  18.24  17.82  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
28050  Biopsy of foot joint lining                       A   4.30   5.40     6.92     3.52     3.30     0.60  10.30  11.82   8.42   8.20  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
28052  Biopsy of foot joint lining                       A   3.98   5.30     6.47     3.32     2.98     0.53   9.81  10.98   7.83   7.49  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
28054  Biopsy of toe joint lining                        A   3.49   5.10     6.25     3.13     2.81     0.46   9.05  10.20   7.08   6.76  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
28055  Neurectomy, foot                                  A   6.20   3.62NA   3.53NA   3.62     3.53     0.74  10.56  10.47  10.56  10.47  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28060  Partial removal, foot fascia                      A   5.29   5.90     7.20     3.81     3.64     0.70  11.89  13.19   9.80   9.63  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
28062  Removal of foot fascia                            A   6.58   6.87     7.94     3.99     3.92     0.83  14.28  15.35  11.40  11.33  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
28070  Removal of foot joint lining                      A   5.15   5.73     7.28     3.74     3.52     0.73  11.61  13.16   9.62   9.40  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28072  Removal of foot joint lining                      A   4.63   6.05     7.64     4.14     3.67     0.68  11.36  12.95   9.45   8.98  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28080  Removal of foot lesion                            A   4.65   5.77     7.74     3.83     4.26     0.47  10.89  12.86   8.95   9.38  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28086  Excise foot tendon sheath                         A   4.83   7.94     7.83     4.47     3.82     0.76  13.53  13.42  10.06   9.41  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28088  Excise foot tendon sheath                         A   3.90   6.06     7.00     3.72     3.21     0.61  10.57  11.51   8.23   7.72  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
28090  Removal of foot lesion                            A   4.46   5.57     6.84     3.40     3.24     0.59  10.62  11.89   8.45   8.29  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
28092  Removal of toe lesions                            A   3.69   5.55     6.55     3.40     3.05     0.49   9.73  10.73   7.58   7.23  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28100  Removal of ankle/heel lesion                      A   5.72   8.03     8.25     4.55     4.12     0.82  14.57  14.79  11.09  10.66  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28102  Remove/graft foot lesion                          A   7.80   5.71NA   5.01NA   5.71     5.01     1.14  14.65  13.95  14.65  13.95  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
28103  Remove/graft foot lesion                          A   6.56   4.51NA   4.22NA   4.51     4.22     0.91  11.98  11.69  11.98  11.69  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
28104  Removal of foot lesion                            A   5.17   5.94     7.30     3.82     3.53     0.70  11.81  13.17   9.69   9.40  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
28106  Remove/graft foot lesion                          A   7.23   4.45NA   4.52NA   4.45     4.52     0.97  12.65  12.72  12.65  12.72  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
28107  Remove/graft foot lesion                          A   5.62   6.87     7.90     4.10     3.80     0.74  13.23  14.26  10.46  10.16  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
28108  Removal of toe lesions                            A   4.21   5.05     6.43     3.20     3.05     0.53   9.79  11.17   7.94   7.79  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28110  Part removal of metatarsal                        A   4.13   5.66     7.02     3.20     3.13     0.54  10.33  11.69   7.87   7.80  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
28111  Part removal of metatarsal                        A   5.06   6.55     7.37     3.58     3.36     0.67  12.28  13.10   9.31   9.09  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
28112  Part removal of metatarsal                        A   4.54   6.18     7.30     3.51     3.33     0.61  11.33  12.45   8.66   8.48  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
28113  Part removal of metatarsal                        A   5.88   6.66     8.50     4.41     4.72     0.63  13.17  15.01  10.92  11.23  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
28114  Removal of metatarsal heads                       A  11.61  12.07    13.43     8.37     8.37     1.42  25.10  26.46  21.40  21.40  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28116  Revision of foot                                  A   8.94   7.49     9.60     5.25     5.47     1.03  17.46  19.57  15.22  15.44  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
28118  Removal of heel bone                              A   6.02   6.68     8.00     4.28     4.09     0.84  13.54  14.86  11.14  10.95  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28119  Removal of heel spur                              A   5.45   5.89     7.30     3.70     3.65     0.70  12.04  13.45   9.85   9.80  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
28120  Part removal of ankle/heel                        A   5.64   7.50     8.14     4.31     4.02     0.77  13.91  14.55  10.72  10.43  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
28122  Partial removal of foot bone                      A   7.56   7.27     8.60     5.17     4.89     0.98  15.81  17.14  13.71  13.43  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28124  Partial removal of toe                            A   4.88   5.46     6.85     3.62     3.52     0.60  10.94  12.33   9.10   9.00  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
28126  Partial removal of toe                            A   3.56   4.66     6.01     2.92     2.70     0.45   8.67  10.02   6.93   6.71  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28130  Removal of ankle bone                             A   9.30   6.52NA   5.96NA   6.52     5.96     1.26  17.08  16.52  17.08  16.52  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28140  Removal of metatarsal                             A   7.03   7.39     7.91     4.62     4.20     0.92  15.34  15.86  12.57  12.15  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
28150  Removal of toe                                    A   4.14   5.24     6.47     3.23     3.06     0.53   9.91  11.14   7.90   7.73  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28153  Partial removal of toe                            A   3.71   4.79     6.24     2.74     2.93     0.47   8.97  10.42   6.92   7.11  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28160  Partial removal of toe                            A   3.79   5.03     6.42     3.25     3.00     0.49   9.31  10.70   7.53   7.28  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28171  Extensive foot surgery                            A   9.85   5.42NA   5.43NA   5.42     5.43     1.33  16.60  16.61  16.60  16.61  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
28173  Extensive foot surgery                            A   9.05   7.92     8.89     5.08     4.75     1.12  18.09  19.06  15.25  14.92  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
28175  Extensive foot surgery                            A   6.17   6.08     7.22     3.70     3.70     0.73  12.98  14.12  10.60  10.60  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
28190  Removal of foot foreign body                      A   1.98   3.55     4.03     1.45     1.36     0.22   5.75   6.23   3.65   3.56  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
28192  Removal of foot foreign body                      A   4.69   5.80     6.80     3.55     3.26     0.61  11.10  12.10   8.85   8.56  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
28193  Removal of foot foreign body                      A   5.79   6.05     7.40     3.86     3.69     0.73  12.57  13.92  10.38  10.21  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
28200  Repair of foot tendon                             A   4.65   5.56     6.95     3.49     3.29     0.61  10.82  12.21   8.75   8.55  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
28202  Repair/graft of foot tendon                       A   6.96   7.42     8.05     4.40     4.14     0.91  15.29  15.92  12.27  12.01  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
28208  Repair of foot tendon                             A   4.42   5.29     6.73     3.28     3.23     0.58  10.29  11.73   8.28   8.23  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
28210  Repair/graft of foot tendon                       A   6.41   6.56     7.61     4.01     3.96     0.81  13.78  14.83  11.23  11.18  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
28220  Release of foot tendon                            A   4.58   5.12     6.47     3.35     3.13     0.57  10.27  11.62   8.50   8.28  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28222  Release of foot tendons                           A   5.67   5.67     6.97     3.94     3.39     0.69  12.03  13.33  10.30   9.75  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28225  Release of foot tendon                            A   3.70   4.73     6.09     2.87     2.78     0.46   8.89  10.25   7.03   6.94  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
28226  Release of foot tendons                           A   4.58   5.35     7.03     3.65     3.36     0.58  10.51  12.19   8.81   8.52  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28230  Incision of foot tendon(s)                        A   4.28   5.09     6.35     3.49     2.94     0.55   9.92  11.18   8.32   7.77  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28232  Incision of toe tendon                            A   3.43   4.89     5.99     3.16     2.72     0.44   8.76   9.86   7.03   6.59  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28234  Incision of foot tendon                           A   3.43   5.09     6.33     3.29     3.09     0.44   8.96  10.20   7.16   6.96  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28238  Revision of foot tendon                           A   7.85   7.54     8.43     4.81     4.43     1.06  16.45  17.34  13.72  13.34  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28240  Release of big toe                                A   4.40   5.09     6.48     3.37     3.04     0.58  10.07  11.46   8.35   8.02  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
28250  Revision of foot fascia                           A   5.97   6.09     7.50     4.05     3.82     0.82  12.88  14.29  10.84  10.61  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28260  Release of midfoot joint                          A   8.08   6.91     8.68     4.94     4.79     1.14  16.13  17.90  14.16  14.01  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28261  Revision of foot tendon                           A  12.91   9.17    10.85     7.10     6.50     1.57  23.65  25.33  21.58  20.98  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
28262  Revision of foot and ankle                        A  17.01  14.07    15.61    10.65     9.85     2.60  33.68  35.22  30.26  29.46  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28264  Release of midfoot joint                          A  10.53   8.42    10.49     6.99     6.11     1.54  20.49  22.56  19.06  18.18  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
28270  Release of foot contracture                       A   4.82   5.42     6.99     3.68     3.51     0.62  10.86  12.43   9.12   8.95  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
28272  Release of toe joint, each                        A   3.84   4.61     5.89     2.81     2.70     0.46   8.91  10.19   7.11   7.00  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
28280  Fusion of toes                                    A   5.24   6.53     7.41     4.27     3.63     0.73  12.50  13.38  10.24   9.60  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
28285  Repair of hammertoe                               A   4.65   5.34     6.78     3.42     3.41     0.59  10.58  12.02   8.66   8.65  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
28286  Repair of hammertoe                               A   4.61   5.23     6.56     3.21     3.10     0.57  10.41  11.74   8.39   8.28  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28288  Partial removal of foot bone                      A   5.81   6.62     8.70     4.86     4.78     0.65  13.08  15.16  11.32  11.24  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28289  Repair hallux rigidus                             A   8.11   8.37     9.53     5.68     5.44     1.02  17.50  18.66  14.81  14.57  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28290  Correction of bunion                              A   5.72   6.75     8.24     4.55     4.02     0.82  13.29  14.78  11.09  10.56  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
28292  Correction of bunion                              A   8.72   8.21    10.46     5.72     6.27     0.91  17.84  20.09  15.35  15.90  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28293  Correction of bunion                              A  11.10  11.72    14.65     6.34     7.07     1.13  23.95  26.88  18.57  19.30  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28294  Correction of bunion                              A   8.63   7.88     9.22     4.70     4.68     1.09  17.60  18.94  14.42  14.40  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28296  Correction of bunion                              A   9.31   8.54     9.71     5.29     4.91     1.19  19.04  20.21  15.79  15.41  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28297  Correction of bunion                              A   9.31   9.34    10.52     6.04     5.41     1.32  19.97  21.15  16.67  16.04  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28298  Correction of bunion                              A   8.01   7.74     9.32     4.91     4.65     1.05  16.80  18.38  13.97  13.71  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28299  Correction of bunion                              A  11.39   9.24    10.68     6.01     5.86     1.37  22.00  23.44  18.77  18.62  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28300  Incision of heel bone                             A   9.61   6.81NA   6.15NA   6.81     6.15     1.54  17.96  17.30  17.96  17.30  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28302  Incision of ankle bone                            A   9.62   6.61NA   5.81NA   6.61     5.81     1.42  17.65  16.85  17.65  16.85  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28304  Incision of midfoot bones                         A   9.29   8.36     9.61     5.59     5.16     1.27  18.92  20.17  16.15  15.72  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28305  Incise/graft midfoot bones                        A  10.63   6.47NA   5.70NA   6.47     5.70     1.27  18.37  17.60  18.37  17.60  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28306  Incision of metatarsal                            A   5.91   7.22     8.39     4.11     3.91     0.84  13.97  15.14  10.86  10.66  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28307  Incision of metatarsal                            A   6.39  10.65     9.55     5.09     4.51     0.90  17.94  16.84  12.38  11.80  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
28308  Incision of metatarsal                            A   5.36   6.30     7.96     3.73     3.88     0.70  12.36  14.02   9.79   9.94  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28309  Incision of metatarsals                           A  13.96   7.93NA   7.85NA   7.93     7.85     2.05  23.94  23.86  23.94  23.86  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
28310  Revision of big toe                               A   5.48   6.20     7.57     3.53     3.46     0.70  12.38  13.75   9.71   9.64  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
28312  Revision of toe                                   A   4.60   5.93     7.42     3.54     3.28     0.63  11.16  12.65   8.77   8.51  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
28313  Repair deformity of toe                           A   5.06   5.80     7.39     4.55     3.70     0.73  11.59  13.18  10.34   9.49  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28315  Removal of sesamoid bone                          A   4.91   5.36     6.76     3.32     3.30     0.63  10.90  12.30   8.86   8.84  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
28320  Repair of foot bones                              A   9.25   6.49NA   5.83NA   6.49     5.83     1.43  17.17  16.51  17.17  16.51  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
28322  Repair of metatarsals                             A   8.41   9.39    10.03     6.13     5.53     1.27  19.07  19.71  15.81  15.21  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
28340  Resect enlarged toe tissue                        A   7.04   6.86     8.13     4.22     4.14     0.84  14.74  16.01  12.10  12.02  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28341  Resect enlarged toe                               A   8.60   7.39     8.75     4.75     4.55     1.01  17.00  18.36  14.36  14.16  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28344  Repair extra toe(s)                               A   4.31   6.01     6.80     3.52     3.20     0.51  10.83  11.62   8.34   8.02  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
28345  Repair webbed toe(s)                              A   5.98   6.60     7.83     4.50     3.94     0.80  13.38  14.61  11.28  10.72  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28360  Reconstruct cleft foot                            A  14.67   9.45NA   6.32NA   9.45     6.32     2.29  26.41  23.28  26.41  23.28  0090.10.69.2120200             37.8975 090 99     0.00   0.00   0.00
28400  Treatment of heel fracture                        A   2.22   3.57     3.39     3.02     2.94     0.35   6.14   5.96   5.59   5.51  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
28405  Treatment of heel fracture                        A   4.63   4.76     4.55     4.41     3.79     0.73  10.12   9.91   9.77   9.15  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
28406  Treatment of heel fracture                        A   6.44   6.52NA   5.70NA   6.52     5.70     1.11  14.07  13.25  14.07  13.25  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
28415  Treat heel fracture                               A  17.54  12.71NA  10.98NA  12.71    10.98     2.67  32.92  31.19  32.92  31.19  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28420  Treat/graft heel fracture                         A  17.07  12.25NA  10.26NA  12.25    10.26     2.81  32.13  30.14  32.13  30.14  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28430  Treatment of ankle fracture                       A   2.14   3.33     3.14     2.57     2.59     0.31   5.78   5.59   5.02   5.04  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
28435  Treatment of ankle fracture                       A   3.45   3.86     3.78     3.58     3.09     0.55   7.86   7.78   7.58   7.09  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
28436  Treatment of ankle fracture                       A   4.78   5.69NA   5.01NA   5.69     5.01     0.81  11.28  10.60  11.28  10.60  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
28445  Treat ankle fracture                              A  17.07  10.72NA   9.80NA  10.72     9.80     2.59  30.38  29.46  30.38  29.46  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28450  Treat midfoot fracture, each                      A   1.95   3.07     2.94     2.46     2.44     0.28   5.30   5.17   4.69   4.67  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28455  Treat midfoot fracture, each                      A   3.15   3.49     3.70     3.33     3.07     0.44   7.08   7.29   6.92   6.66  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28456  Treat midfoot fracture                            A   2.75   4.02NA   3.63NA   4.02     3.63     0.44   7.21   6.82   7.21   6.82  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28465  Treat midfoot fracture, each                      A   7.13   6.01NA   5.10NA   6.01     5.10     1.10  14.24  13.33  14.24  13.33  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28470  Treat metatarsal fracture                         A   1.99   3.05     2.82     2.43     2.38     0.30   5.34   5.11   4.72   4.67  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28475  Treat metatarsal fracture                         A   2.97   3.29     3.18     3.05     2.56     0.44   6.70   6.59   6.46   5.97  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28476  Treat metatarsal fracture                         A   3.46   4.83NA   4.36NA   4.83     4.36     0.54   8.83   8.36   8.83   8.36  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28485  Treat metatarsal fracture                         A   5.77   5.23NA   4.60NA   5.23     4.60     0.83  11.83  11.20  11.83  11.20  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
28490  Treat big toe fracture                            A   1.12   2.04     2.11     1.65     1.69     0.14   3.30   3.37   2.91   2.95  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28495  Treat big toe fracture                            A   1.62   2.25     2.49     2.02     1.89     0.20   4.07   4.31   3.84   3.71  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28496  Treat big toe fracture                            A   2.39   7.99     7.19     3.12     2.91     0.36  10.74   9.94   5.87   5.66  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28505  Treat big toe fracture                            A   3.86   7.95     7.51     3.75     3.30     0.56  12.37  11.93   8.17   7.72  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28510  Treatment of toe fracture                         A   1.12   1.57     1.69     1.55     1.62     0.14   2.83   2.95   2.81   2.88  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28515  Treatment of toe fracture                         A   1.50   1.98     2.26     1.88     1.85     0.18   3.66   3.94   3.56   3.53  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28525  Treat toe fracture                                A   3.37   7.36     6.89     3.31     2.93     0.49  11.22  10.75   7.17   6.79  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28530  Treat sesamoid bone fracture                      A   1.08   1.49     1.65     1.42     1.36     0.14   2.71   2.87   2.64   2.58  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28531  Treat sesamoid bone fracture                      A   2.51   6.91     5.84     2.08     2.15     0.34   9.76   8.69   4.93   5.00  0090.10.69.2120120             37.8975 090 99     0.00   0.00   0.00
28540  Treat foot dislocation                            A   2.10   2.50     2.80     2.39     2.35     0.26   4.86   5.16   4.75   4.71  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28545  Treat foot dislocation                            A   2.51   2.59     3.33     2.44     2.74     0.37   5.47   6.21   5.32   5.62  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28546  Treat foot dislocation                            A   3.28   7.10     7.67     4.16     3.48     0.52  10.90  11.47   7.96   7.28  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28555  Repair foot dislocation                           A   6.42   9.88     9.82     5.50     5.00     1.04  17.34  17.28  12.96  12.46  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
28570  Treat foot dislocation                            A   1.70   2.47     2.60     2.25     2.01     0.23   4.40   4.53   4.18   3.94  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28575  Treat foot dislocation                            A   3.38   3.89     4.38     3.71     3.69     0.56   7.83   8.32   7.65   7.63  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28576  Treat foot dislocation                            A   4.48   4.14NA   4.03NA   4.14     4.03     0.69   9.31   9.20   9.31   9.20  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28585  Repair foot dislocation                           A   8.17   7.98     9.96     5.71     5.33     1.25  17.40  19.38  15.13  14.75  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
28600  Treat foot dislocation                            A   1.94   2.87     3.06     2.61     2.40     0.27   5.08   5.27   4.82   4.61  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28605  Treat foot dislocation                            A   2.78   3.28     3.77     3.13     3.17     0.40   6.46   6.95   6.31   6.35  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28606  Treat foot dislocation                            A   4.97   4.60NA   4.33NA   4.60     4.33     0.82  10.39  10.12  10.39  10.12  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28615  Repair foot dislocation                           A   8.96   7.79NA   7.02NA   7.79     7.02     1.30  18.05  17.28  18.05  17.28  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
28630  Treat toe dislocation                             A   1.72   1.67     1.96     0.99     0.96     0.20   3.59   3.88   2.91   2.88  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
28635  Treat toe dislocation                             A   1.93   2.09     2.28     1.48     1.34     0.26   4.28   4.47   3.67   3.53  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
28636  Treat toe dislocation                             A   2.77   3.99     4.35     2.48     2.05     0.43   7.19   7.55   5.68   5.25  0010.10.80.1020120             37.8975 090 99     0.00   0.00   0.00
28645  Repair toe dislocation                            A   4.27   5.44     6.89     3.26     3.23     0.57  10.28  11.73   8.10   8.07  0090.10.69.2120110             37.8975 090 99     0.00   0.00   0.00
28660  Treat toe dislocation                             A   1.25   1.27     1.31     0.79     0.79     0.13   2.65   2.69   2.17   2.17  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
28665  Treat toe dislocation                             A   1.94   1.54     1.86     1.41     1.36     0.26   3.74   4.06   3.61   3.56  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
28666  Treat toe dislocation                             A   2.66   2.42NA   1.93NA   2.42     1.93     0.43   5.51   5.02   5.51   5.02  0010.10.80.1020120             37.8975 090 99     0.00   0.00   0.00
28675  Repair of toe dislocation                         A   2.97   7.03     6.70     3.23     2.88     0.45  10.45  10.12   6.65   6.30  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28705  Fusion of foot bones                              A  20.12  12.04NA  10.85NA  12.04    10.85     3.09  35.25  34.06  35.25  34.06  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
28715  Fusion of foot bones                              A  14.40   9.46NA   8.58NA   9.46     8.58     2.17  26.03  25.15  26.03  25.15  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
28725  Fusion of foot bones                              A  11.97   7.93NA   7.00NA   7.93     7.00     1.87  21.77  20.84  21.77  20.84  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
28730  Fusion of foot bones                              A  12.21   8.32NA   7.85NA   8.32     7.85     1.71  22.24  21.77  22.24  21.77  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
28735  Fusion of foot bones                              A  12.03   7.63NA   7.04NA   7.63     7.04     1.69  21.35  20.76  21.35  20.76  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
28737  Revision of foot bones                            A  10.83   6.65NA   6.18NA   6.65     6.18     1.47  18.95  18.48  18.95  18.48  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
28740  Fusion of foot bones                              A   9.09  10.89    10.97     6.37     6.10     1.22  21.20  21.28  16.68  16.41  0090.10.69.2120210             37.8975 090 99     0.00   0.00   0.00
28750  Fusion of big toe joint                           A   8.37  11.65    10.88     6.49     5.99     1.13  21.15  20.38  15.99  15.49  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
28755  Fusion of big toe joint                           A   4.79   6.40     7.31     3.66     3.40     0.65  11.84  12.75   9.10   8.84  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
28760  Fusion of big toe joint                           A   8.94   8.49    10.03     5.49     5.41     1.05  18.48  20.02  15.48  15.40  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28800  Amputation of midfoot                             A   8.65   5.62NA   5.11NA   5.62     5.11     1.15  15.42  14.91  15.42  14.91  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28805  Amputation thru metatarsal                        A  12.55   5.74NA   6.04NA   5.74     6.04     1.18  19.47  19.77  19.47  19.77  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
28810  Amputation toe & metatarsal                       A   6.52   4.39NA   4.13NA   4.39     4.13     0.86  11.77  11.51  11.77  11.51  0090.10.69.2120000             37.8975 090 99     0.00   0.00   0.00
28820  Amputation of toe                                 A   4.89   7.60     7.73     3.74     3.61     0.61  13.10  13.23   9.24   9.11  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28825  Partial amputation of toe                         A   3.71   7.04     7.20     3.40     3.17     0.50  11.25  11.41   7.61   7.38  0090.10.69.2120100             37.8975 090 99     0.00   0.00   0.00
28890  High energy eswt, plantar f                       A   3.36   5.48     4.79     2.15     2.34     0.41   9.25   8.56   5.92   6.11  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
28899  Foot/toes surgery procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
29000  Application of body cast                          A   2.25   3.40     4.73     1.76     1.85     0.41   6.06   7.39   4.42   4.51  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29010  Application of body cast                          A   2.06   3.30     3.36     1.66     1.33     0.45   5.81   5.87   4.17   3.84  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29015  Application of body cast                          A   2.41   3.07     3.36     1.57     1.49     0.28   5.76   6.05   4.26   4.18  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29020  Application of body cast                          A   2.11   3.34     3.80     1.44     1.51     0.28   5.73   6.19   3.83   3.90  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29025  Application of body cast                          A   2.40   3.26     3.60     1.79     1.59     0.44   6.10   6.44   4.63   4.43  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29035  Application of body cast                          A   1.77   3.63     3.67     1.55     1.47     0.28   5.68   5.72   3.60   3.52  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29040  Application of body cast                          A   2.22   2.75     3.61     1.51     1.50     0.36   5.33   6.19   4.09   4.08  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29044  Application of body cast                          A   2.12   3.96     3.94     1.84     1.65     0.35   6.43   6.41   4.31   4.12  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29046  Application of body cast                          A   2.41   3.47     4.17     2.02     1.80     0.42   6.30   7.00   4.85   4.63  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29049  Application of figure eight                       A   0.89   1.26     1.12     0.55     0.60     0.13   2.28   2.14   1.57   1.62  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29055  Application of shoulder cast                      A   1.78   2.96     2.90     1.43     1.31     0.30   5.04   4.98   3.51   3.39  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29058  Application of shoulder cast                      A   1.31   1.48     1.25     0.71     0.69     0.17   2.96   2.73   2.19   2.17  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29065  Application of long arm cast                      A   0.87   1.32     1.27     0.74     0.70     0.15   2.34   2.29   1.76   1.72  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29075  Application of forearm cast                       A   0.77   1.25     1.23     0.68     0.66     0.13   2.15   2.13   1.58   1.56  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29085  Apply hand/wrist cast                             A   0.87   1.28     1.26     0.65     0.69     0.14   2.29   2.27   1.66   1.70  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29086  Apply finger cast                                 A   0.62   0.98     1.03     0.50     0.53     0.07   1.67   1.72   1.19   1.22  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29105  Apply long arm splint                             A   0.87   1.20     1.09     0.52     0.53     0.12   2.19   2.08   1.51   1.52  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29125  Apply forearm splint                              A   0.59   1.01     0.96     0.40     0.43     0.07   1.67   1.62   1.06   1.09  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29126  Apply forearm splint                              A   0.77   1.16     1.01     0.47     0.48     0.07   2.00   1.85   1.31   1.32  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29130  Application of finger splint                      A   0.50   0.46     0.43     0.18     0.19     0.06   1.02   0.99   0.74   0.75  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29131  Application of finger splint                      A   0.55   0.71     0.62     0.25     0.26     0.03   1.29   1.20   0.83   0.84  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29200  Strapping of chest                                A   0.65   0.69     0.61     0.34     0.35     0.04   1.38   1.30   1.03   1.04  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
29220  Strapping of low back                             A   0.64   0.69     0.61     0.38     0.35     0.04   1.37   1.29   1.06   1.03  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
29240  Strapping of shoulder                             A   0.71   0.81     0.67     0.37     0.39     0.06   1.58   1.44   1.14   1.16  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
29260  Strapping of elbow or wrist                       A   0.55   0.72     0.65     0.33     0.36     0.05   1.32   1.25   0.93   0.96  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29280  Strapping of hand or finger                       A   0.51   0.77     0.66     0.33     0.37     0.03   1.31   1.20   0.87   0.91  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29305  Application of hip cast                           A   2.03   3.35     3.37     1.72     1.61     0.35   5.73   5.75   4.10   3.99  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29325  Application of hip casts                          A   2.32   3.57     3.67     1.90     1.75     0.40   6.29   6.39   4.62   4.47  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29345  Application of long leg cast                      A   1.40   1.74     1.66     1.03     0.95     0.24   3.38   3.30   2.67   2.59  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29355  Application of long leg cast                      A   1.53   1.69     1.63     1.08     0.95     0.26   3.48   3.42   2.87   2.74  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29358  Apply long leg cast brace                         A   1.43   2.06     2.04     1.05     0.94     0.25   3.74   3.72   2.73   2.62  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29365  Application of long leg cast                      A   1.18   1.64     1.57     0.93     0.85     0.20   3.02   2.95   2.31   2.23  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29405  Apply short leg cast                              A   0.86   1.22     1.20     0.70     0.66     0.14   2.22   2.20   1.70   1.66  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29425  Apply short leg cast                              A   1.01   1.23     1.24     0.72     0.67     0.15   2.39   2.40   1.88   1.83  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29435  Apply short leg cast                              A   1.18   1.55     1.53     0.90     0.81     0.20   2.93   2.91   2.28   2.19  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29440  Addition of walker to cast                        A   0.57   0.67     0.62     0.27     0.25     0.08   1.32   1.27   0.92   0.90  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29445  Apply rigid leg cast                              A   1.78   1.76     1.62     0.96     0.94     0.27   3.81   3.67   3.01   2.99  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29450  Application of leg cast                           A   2.08   1.49     1.54     1.04     0.88     0.27   3.84   3.89   3.39   3.23  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29505  Application, long leg splint                      A   0.69   1.15     1.06     0.45     0.45     0.08   1.92   1.83   1.22   1.22  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29515  Application lower leg splint                      A   0.73   0.89     0.96     0.46     0.46     0.09   1.71   1.78   1.28   1.28  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29520  Strapping of hip                                  A   0.54   0.81     0.67     0.45     0.38     0.03   1.38   1.24   1.02   0.95  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29530  Strapping of knee                                 A   0.57   0.75     0.64     0.34     0.36     0.05   1.37   1.26   0.96   0.98  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
29540  Strapping of ankle and/or ft                      A   0.51   0.45     0.55     0.31     0.32     0.06   1.02   1.12   0.88   0.89  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
29550  Strapping of toes                                 A   0.47   0.46     0.57     0.29     0.31     0.06   0.99   1.10   0.82   0.84  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
29580  Application of paste boot                         A   0.55   0.67     0.72     0.35     0.34     0.07   1.29   1.34   0.97   0.96  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29590  Application of foot splint                        A   0.76   0.54     0.61     0.29     0.27     0.09   1.39   1.46   1.14   1.12  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
29700  Removal/revision of cast                          A   0.57   0.91     0.96     0.28     0.26     0.08   1.56   1.61   0.93   0.91  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
29705  Removal/revision of cast                          A   0.76   0.81     0.77     0.38     0.37     0.13   1.70   1.66   1.27   1.26  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
29710  Removal/revision of cast                          A   1.34   1.51     1.44     0.69     0.64     0.20   3.05   2.98   2.23   2.18  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
29715  Removal/revision of cast                          A   0.94   1.16     1.13     0.40     0.41     0.09   2.19   2.16   1.43   1.44  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
29720  Repair of body cast                               A   0.68   1.16     1.14     0.38     0.34     0.12   1.96   1.94   1.18   1.14  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
29730  Windowing of cast                                 A   0.75   0.80     0.75     0.35     0.35     0.12   1.67   1.62   1.22   1.22  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
29740  Wedging of cast                                   A   1.12   1.13     1.05     0.49     0.49     0.18   2.43   2.35   1.79   1.79  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
29750  Wedging of clubfoot cast                          A   1.26   1.03     0.92     0.55     0.45     0.21   2.50   2.39   2.02   1.92  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
29799  Casting/strapping procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
29800  Jaw arthroscopy/surgery                           A   6.73   6.47NA   4.96NA   6.47     4.96     0.99  14.19  12.68  14.19  12.68  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
29804  Jaw arthroscopy/surgery                           A   8.71   7.14NA   5.70NA   7.14     5.70     1.38  17.23  15.79  17.23  15.79  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
29805  Shoulder arthroscopy, dx                          A   5.94   5.44NA   4.75NA   5.44     4.75     1.02  12.40  11.71  12.40  11.71  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
29806  Shoulder arthroscopy/surgery                      A  14.95  10.73NA   9.45NA  10.73     9.45     2.50  28.18  26.90  28.18  26.90  0090.10.69.2131110       29805 37.8975 090 99     0.00   0.00   0.00
29807  Shoulder arthroscopy/surgery                      A  14.48  10.57NA   9.32NA  10.57     9.32     2.42  27.47  26.22  27.47  26.22  0090.10.69.2131110       29805 37.8975 090 99     0.00   0.00   0.00
29819  Shoulder arthroscopy/surgery                      A   7.68   6.51NA   5.68NA   6.51     5.68     1.32  15.51  14.68  15.51  14.68  0090.10.69.2131110       29805 37.8975 090 99     0.00   0.00   0.00
29820  Shoulder arthroscopy/surgery                      A   7.12   5.97NA   5.22NA   5.97     5.22     1.22  14.31  13.56  14.31  13.56  0090.10.69.2131210       29805 37.8975 090 99     0.00   0.00   0.00
29821  Shoulder arthroscopy/surgery                      A   7.78   6.53NA   5.70NA   6.53     5.70     1.33  15.64  14.81  15.64  14.81  0090.10.69.2131210       29805 37.8975 090 99     0.00   0.00   0.00
29822  Shoulder arthroscopy/surgery                      A   7.49   6.43NA   5.63NA   6.43     5.63     1.28  15.20  14.40  15.20  14.40  0090.10.69.2131200       29805 37.8975 090 99     0.00   0.00   0.00
29823  Shoulder arthroscopy/surgery                      A   8.24   6.94NA   6.09NA   6.94     6.09     1.41  16.59  15.74  16.59  15.74  0090.10.69.2131210       29805 37.8975 090 99     0.00   0.00   0.00
29824  Shoulder arthroscopy/surgery                      A   8.82   7.30NA   6.59NA   7.30     6.59     1.42  17.54  16.83  17.54  16.83  0090.10.69.2131210       29805 37.8975 090 99     0.00   0.00   0.00
29825  Shoulder arthroscopy/surgery                      A   7.68   6.49NA   5.69NA   6.49     5.69     1.32  15.49  14.69  15.49  14.69  0090.10.69.2131210       29805 37.8975 090 99     0.00   0.00   0.00
29826  Shoulder arthroscopy/surgery                      A   9.05   7.21NA   6.25NA   7.21     6.25     1.55  17.81  16.85  17.81  16.85  0090.10.69.2131210       29805 37.8975 090 99     0.00   0.00   0.00
29827  Arthroscop rotator cuff repr                      A  15.44  11.01NA   9.43NA  11.01     9.43     2.67  29.12  27.54  29.12  27.54  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
29830  Elbow arthroscopy                                 A   5.80   5.14NA   4.53NA   5.14     4.53     0.99  11.93  11.32  11.93  11.32  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
29834  Elbow arthroscopy/surgery                         A   6.33   5.60NA   4.89NA   5.60     4.89     1.08  13.01  12.30  13.01  12.30  0090.10.69.2131210       29830 37.8975 090 99     0.00   0.00   0.00
29835  Elbow arthroscopy/surgery                         A   6.53   5.66NA   5.01NA   5.66     5.01     1.13  13.32  12.67  13.32  12.67  0090.10.69.2131210       29830 37.8975 090 99     0.00   0.00   0.00
29836  Elbow arthroscopy/surgery                         A   7.61   6.49NA   5.60NA   6.49     5.60     1.22  15.32  14.43  15.32  14.43  0090.10.69.2131210       29830 37.8975 090 99     0.00   0.00   0.00
29837  Elbow arthroscopy/surgery                         A   6.92   5.89NA   5.17NA   5.89     5.17     1.19  14.00  13.28  14.00  13.28  0090.10.69.2131210       29830 37.8975 090 99     0.00   0.00   0.00
29838  Elbow arthroscopy/surgery                         A   7.77   6.60NA   5.72NA   6.60     5.72     1.30  15.67  14.79  15.67  14.79  0090.10.69.2131000       29830 37.8975 090 99     0.00   0.00   0.00
29840  Wrist arthroscopy                                 A   5.59   5.16NA   4.66NA   5.16     4.66     0.84  11.59  11.09  11.59  11.09  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
29843  Wrist arthroscopy/surgery                         A   6.06   5.45NA   4.95NA   5.45     4.95     0.92  12.43  11.93  12.43  11.93  0090.10.69.2131210       29840 37.8975 090 99     0.00   0.00   0.00
29844  Wrist arthroscopy/surgery                         A   6.42   5.61NA   4.99NA   5.61     4.99     1.04  13.07  12.45  13.07  12.45  0090.10.69.2131200       29840 37.8975 090 99     0.00   0.00   0.00
29845  Wrist arthroscopy/surgery                         A   7.58   6.24NA   5.55NA   6.24     5.55     0.99  14.81  14.12  14.81  14.12  0090.10.69.2131210       29840 37.8975 090 99     0.00   0.00   0.00
29846  Wrist arthroscopy/surgery                         A   6.80   5.82NA   5.14NA   5.82     5.14     1.07  13.69  13.01  13.69  13.01  0090.10.69.2131000       29840 37.8975 090 99     0.00   0.00   0.00
29847  Wrist arthroscopy/surgery                         A   7.13   5.95NA   5.21NA   5.95     5.21     1.08  14.16  13.42  14.16  13.42  0090.10.69.2131200       29840 37.8975 090 99     0.00   0.00   0.00
29848  Wrist endoscopy/surgery                           A   6.24   5.53NA   5.33NA   5.53     5.33     0.86  12.63  12.43  12.63  12.43  0090.10.69.2121100             37.8975 090 99     0.00   0.00   0.00
29850  Knee arthroscopy/surgery                          A   8.18   5.10NA   5.26NA   5.10     5.26     1.25  14.53  14.69  14.53  14.69  0090.10.69.2121020             37.8975 090 99     0.00   0.00   0.00
29851  Knee arthroscopy/surgery                          A  13.08   9.42NA   8.32NA   9.42     8.32     2.35  24.85  23.75  24.85  23.75  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
29855  Tibial arthroscopy/surgery                        A  10.60   8.42NA   7.38NA   8.42     7.38     1.85  20.87  19.83  20.87  19.83  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
29856  Tibial arthroscopy/surgery                        A  14.12  10.19NA   8.76NA  10.19     8.76     2.40  26.71  25.28  26.71  25.28  0090.10.69.2121220             37.8975 090 99     0.00   0.00   0.00
29860  Hip arthroscopy, dx                               A   8.85   6.78NA   6.25NA   6.78     6.25     1.36  16.99  16.46  16.99  16.46  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
29861  Hip arthroscopy/surgery                           A   9.95   7.17NA   6.66NA   7.17     6.66     1.59  18.71  18.20  18.71  18.20  0090.10.69.2131210       29860 37.8975 090 99     0.00   0.00   0.00
29862  Hip arthroscopy/surgery                           A  10.97   8.33NA   7.64NA   8.33     7.64     1.62  20.92  20.23  20.92  20.23  0090.10.69.2131210       29860 37.8975 090 99     0.00   0.00   0.00
29863  Hip arthroscopy/surgery                           A  10.97   8.27NA   7.55NA   8.27     7.55     1.42  20.66  19.94  20.66  19.94  0090.10.69.2131210       29860 37.8975 090 99     0.00   0.00   0.00
29866  Autgrft implnt, knee w/scope                      A  14.48  10.91NA   9.57NA  10.91     9.57     2.40  27.79  26.45  27.79  26.45  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
29867  Allgrft implnt, knee w/scope                      A  18.18  12.74NA  11.28NA  12.74    11.28     2.79  33.71  32.25  33.71  32.25  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
29868  Meniscal trnspl, knee w/scpe                      A  24.89  16.09NA  14.00NA  16.09    14.00     4.36  45.34  43.25  45.34  43.25  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
29870  Knee arthroscopy, dx                              A   5.11   4.72NA   4.19NA   4.72     4.19     0.85  10.68  10.15  10.68  10.15  0090.10.69.2121110             37.8975 090 99     0.00   0.00   0.00
29871  Knee arthroscopy/drainage                         A   6.60   5.66NA   5.04NA   5.66     5.04     1.14  13.40  12.78  13.40  12.78  0090.10.69.2131100       29870 37.8975 090 99     0.00   0.00   0.00
29873  Knee arthroscopy/surgery                          A   6.09   6.33NA   5.62NA   6.33     5.62     1.04  13.46  12.75  13.46  12.75  0090.10.69.2131110       29870 37.8975 090 99     0.00   0.00   0.00
29874  Knee arthroscopy/surgery                          A   7.10   5.85NA   5.20NA   5.85     5.20     1.11  14.06  13.41  14.06  13.41  0090.10.69.2131000       29870 37.8975 090 99     0.00   0.00   0.00
29875  Knee arthroscopy/surgery                          A   6.36   5.62NA   4.93NA   5.62     4.93     1.09  13.07  12.38  13.07  12.38  0090.10.69.2131000       29870 37.8975 090 99     0.00   0.00   0.00
29876  Knee arthroscopy/surgery                          A   8.72   6.83NA   6.24NA   6.83     6.24     1.37  16.92  16.33  16.92  16.33  0090.10.69.2131100       29870 37.8975 090 99     0.00   0.00   0.00
29877  Knee arthroscopy/surgery                          A   8.15   6.56NA   6.00NA   6.56     6.00     1.28  15.99  15.43  15.99  15.43  0090.10.69.2131000       29870 37.8975 090 99     0.00   0.00   0.00
29879  Knee arthroscopy/surgery                          A   8.84   6.91NA   6.29NA   6.91     6.29     1.39  17.14  16.52  17.14  16.52  0090.10.69.2131000       29870 37.8975 090 99     0.00   0.00   0.00
29880  Knee arthroscopy/surgery                          A   9.30   7.14NA   6.49NA   7.14     6.49     1.47  17.91  17.26  17.91  17.26  0090.10.69.2131010       29870 37.8975 090 99     0.00   0.00   0.00
29881  Knee arthroscopy/surgery                          A   8.56   6.77NA   6.19NA   6.77     6.19     1.34  16.67  16.09  16.67  16.09  0090.10.69.2131000       29870 37.8975 090 99     0.00   0.00   0.00
29882  Knee arthroscopy/surgery                          A   9.45   7.06NA   6.53NA   7.06     6.53     1.50  18.01  17.48  18.01  17.48  0090.10.69.2131100       29870 37.8975 090 99     0.00   0.00   0.00
29883  Knee arthroscopy/surgery                          A  11.61   8.71NA   7.67NA   8.71     7.67     1.93  22.25  21.21  22.25  21.21  0090.10.69.2131000       29870 37.8975 090 99     0.00   0.00   0.00
29884  Knee arthroscopy/surgery                          A   8.13   6.53NA   6.02NA   6.53     6.02     1.27  15.93  15.42  15.93  15.42  0090.10.69.2131210       29870 37.8975 090 99     0.00   0.00   0.00
29885  Knee arthroscopy/surgery                          A  10.03   7.75NA   7.07NA   7.75     7.07     1.58  19.36  18.68  19.36  18.68  0090.10.69.2131210       29870 37.8975 090 99     0.00   0.00   0.00
29886  Knee arthroscopy/surgery                          A   8.34   6.66NA   6.09NA   6.66     6.09     1.30  16.30  15.73  16.30  15.73  0090.10.69.2131100       29870 37.8975 090 99     0.00   0.00   0.00
29887  Knee arthroscopy/surgery                          A   9.98   7.71NA   7.06NA   7.71     7.06     1.57  19.26  18.61  19.26  18.61  0090.10.69.2131210       29870 37.8975 090 99     0.00   0.00   0.00
29888  Knee arthroscopy/surgery                          A  14.14   9.75NA   8.38NA   9.75     8.38     2.42  26.31  24.94  26.31  24.94  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
29889  Knee arthroscopy/surgery                          A  17.15  12.02NA  10.78NA  12.02    10.78     2.79  31.96  30.72  31.96  30.72  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
29891  Ankle arthroscopy/surgery                         A   9.47   7.31NA   6.72NA   7.31     6.72     1.39  18.17  17.58  18.17  17.58  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
29892  Ankle arthroscopy/surgery                         A  10.07   7.46NA   6.62NA   7.46     6.62     1.41  18.94  18.10  18.94  18.10  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
29893  Scope, plantar fasciotomy                         A   6.08   6.94     8.90     4.18     4.73     0.63  13.65  15.61  10.89  11.44  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
29894  Ankle arthroscopy/surgery                         A   7.26   5.29NA   4.74NA   5.29     4.74     1.15  13.70  13.15  13.70  13.15  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
29895  Ankle arthroscopy/surgery                         A   7.04   5.25NA   4.58NA   5.25     4.58     1.11  13.40  12.73  13.40  12.73  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
29897  Ankle arthroscopy/surgery                         A   7.23   5.66NA   4.99NA   5.66     4.99     1.17  14.06  13.39  14.06  13.39  0090.10.69.2121200             37.8975 090 99     0.00   0.00   0.00
29898  Ankle arthroscopy/surgery                         A   8.38   5.98NA   5.33NA   5.98     5.33     1.28  15.64  14.99  15.64  14.99  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
29899  Ankle arthroscopy/surgery                         A  15.21  10.24NA   9.34NA  10.24     9.34     2.41  27.86  26.96  27.86  26.96  0090.10.69.2121210             37.8975 090 99     0.00   0.00   0.00
29900  Mcp joint arthroscopy, dx                         A   5.74   5.60NA   4.80NA   5.60     4.80     0.94  12.28  11.48  12.28  11.48  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
29901  Mcp joint arthroscopy, surg                       A   6.45   6.09NA   5.57NA   6.09     5.57     1.06  13.60  13.08  13.60  13.08  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
29902  Mcp joint arthroscopy, surg                       A   7.02   5.83NA   3.68NA   5.83     3.68     1.12  13.97  11.82  13.97  11.82  0090.10.69.2121000             37.8975 090 99     0.00   0.00   0.00
29999  Arthroscopy of joint                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021010             37.8975 090 99     0.00   0.00   0.00
30000  Drainage of nose lesion                           A   1.45   3.98     3.72     1.35     1.24     0.12   5.55   5.29   2.92   2.81  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
30020  Drainage of nose lesion                           A   1.45   3.42     3.87     1.42     1.28     0.12   4.99   5.44   2.99   2.85  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
3006F  Cxr doc rev                                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30100  Intranasal biopsy                                 A   0.94   2.08     2.42     0.79     0.70     0.07   3.09   3.43   1.80   1.71  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
3011F  Lipid panel doc rev                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30110  Removal of nose polyp(s)                          A   1.65   3.34     3.64     1.51     1.34     0.14   5.13   5.43   3.30   3.13  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
30115  Removal of nose polyp(s)                          A   4.38   5.70NA   5.51NA   5.70     5.51     0.41  10.49  10.30  10.49  10.30  0090.10.76.1421100             37.8975 090 99     0.00   0.00   0.00
30117  Removal of intranasal lesion                      A   3.20  14.09    16.92     4.61     4.55     0.26  17.55  20.38   8.07   8.01  0090.10.76.1420100             37.8975 090 99     0.00   0.00   0.00
30118  Removal of intranasal lesion                      A   9.81   8.86NA   7.85NA   8.86     7.85     0.78  19.45  18.44  19.45  18.44  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
30120  Revision of nose                                  A   5.31   6.60     6.92     5.74     4.97     0.52  12.43  12.75  11.57  10.80  0090.10.76.1420100             37.8975 090 99     0.00   0.00   0.00
30124  Removal of nose lesion                            A   3.14   3.62NA   3.66NA   3.62     3.66     0.25   7.01   7.05   7.01   7.05  0090.10.76.1420100             37.8975 090 99     0.00   0.00   0.00
30125  Removal of nose lesion                            A   7.21   8.00NA   7.03NA   8.00     7.03     0.63  15.84  14.87  15.84  14.87  0090.10.76.1420200             37.8975 090 99     0.00   0.00   0.00
30130  Excise inferior turbinate                         A   3.41   5.52NA   5.31NA   5.52     5.31     0.31   9.24   9.03   9.24   9.03  0090.10.76.1421100             37.8975 090 99     0.00   0.00   0.00
3014F  Screen mammo doc rev                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30140  Resect inferior turbinate                         A   3.48   6.29NA   6.58NA   6.29     6.58     0.35  10.12  10.41  10.12  10.41  0090.10.76.1421100             37.8975 090 99     0.00   0.00   0.00
30150  Partial removal of nose                           A   9.44  10.42NA   8.64NA  10.42     8.64     0.93  20.79  19.01  20.79  19.01  0090.10.76.1420110             37.8975 090 99     0.00   0.00   0.00
30160  Removal of nose                                   A   9.88   9.71NA   8.21NA   9.71     8.21     0.88  20.47  18.97  20.47  18.97  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
3017F  Colorectal ca screen doc rev                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3020F  Lvf assess                                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30200  Injection treatment of nose                       A   0.78   1.69     1.88     0.71     0.62     0.06   2.53   2.72   1.55   1.46  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
3021F  Lvef mod/sever deprs syst                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30210  Nasal sinus therapy                               A   1.10   2.16     2.32     1.28     1.17     0.09   3.35   3.51   2.47   2.36  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
3022F  Lvef =40% systolic                                M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30220  Insert nasal septal button                        A   1.56   4.53     5.41     1.48     1.31     0.12   6.21   7.09   3.16   2.99  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
3023F  Spirom doc rev                                    M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3025F  Spirom fev/fvc<70% w copd                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3027F  Spirom fev/fvc=70%/ w/o copd                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3028F  O2 saturation doc rev                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30300  Remove nasal foreign body                         A   1.06   4.51     4.13     1.88     1.79     0.08   5.65   5.27   3.02   2.93  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
30310  Remove nasal foreign body                         A   1.98   3.01NA   2.73NA   3.01     2.73     0.16   5.15   4.87   5.15   4.87  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
30320  Remove nasal foreign body                         A   4.56   6.78NA   5.98NA   6.78     5.98     0.39  11.73  10.93  11.73  10.93  0090.10.76.1420000             37.8975 090 99     0.00   0.00   0.00
3035F  O2 saturation =88% /pa0 =55                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3037F  O2 saturation> 88% /pao>55                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3040F  Fev<40% predicted value                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30400  Reconstruction of nose                            R  10.58  15.07NA  13.80NA  15.07    13.80     1.04  26.69  25.42  26.69  25.42  0090.10.76.1420000             37.8975 090 99     0.00   0.00   0.00
30410  Reconstruction of nose                            R  13.72  17.39NA  14.43NA  17.39    14.43     1.42  32.53  29.57  32.53  29.57  0090.10.76.1420200             37.8975 090 99     0.00   0.00   0.00
3042F  Fev= 40% predicted value                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30420  Reconstruction of nose                            R  16.62  17.16NA  14.89NA  17.16    14.89     1.46  35.24  32.97  35.24  32.97  0090.10.76.1420100             37.8975 090 99     0.00   0.00   0.00
30430  Revision of nose                                  R   7.96  15.23NA  12.87NA  15.23    12.87     0.77  23.96  21.60  23.96  21.60  0090.10.76.1420200             37.8975 090 99     0.00   0.00   0.00
30435  Revision of nose                                  R  12.45  18.23NA  14.86NA  18.23    14.86     1.22  31.90  28.53  31.90  28.53  0090.10.76.1420200             37.8975 090 99     0.00   0.00   0.00
3044F  HG a1c level lt 7.0%                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3045F  HG a1c level 7.0-9.0%                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30450  Revision of nose                                  R  19.38  20.51NA  16.36NA  20.51    16.36     1.97  41.86  37.71  41.86  37.71  0090.10.76.1420200             37.8975 090 99     0.00   0.00   0.00
3046F  Hemoglobin a1c level > 9.0%                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30460  Revision of nose                                  A  10.24   9.27NA   7.24NA   9.27     7.24     1.03  20.54  18.51  20.54  18.51  0090.10.76.1420220             37.8975 090 99     0.00   0.00   0.00
30462  Revision of nose                                  A  20.12  18.82NA  14.54NA  18.82    14.54     2.54  41.48  37.20  41.48  37.20  0090.10.76.1420220             37.8975 090 99     0.00   0.00   0.00
30465  Repair nasal stenosis                             A  12.20  11.58NA  10.39NA  11.58    10.39     1.06  24.84  23.65  24.84  23.65  0090.10.76.1420000             37.8975 090 99     0.00   0.00   0.00
3048F  Ldl-c <100 mg/dl                                  M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3049F  Ldl-c 100-129 mg/dl                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3050F  Ldl-c = 130 mg/dl                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30520  Repair of nasal septum                            A   6.85   6.85NA   7.42NA   6.85     7.42     0.46  14.16  14.73  14.16  14.73  0090.10.76.1420100             37.8975 090 99     0.00   0.00   0.00
30540  Repair nasal defect                               A   7.81   8.72NA   7.06NA   8.72     7.06     0.67  17.20  15.54  17.20  15.54  0090.10.76.1420200             37.8975 090 99     0.00   0.00   0.00
30545  Repair nasal defect                               A  11.50  11.46NA  10.15NA  11.46    10.15     1.71  24.67  23.36  24.67  23.36  0090.10.76.1420200             37.8975 090 99     0.00   0.00   0.00
30560  Release of nasal adhesions                        A   1.28   4.81     4.94     2.07     1.88     0.10   6.19   6.32   3.45   3.26  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
30580  Repair upper jaw fistula                          A   6.76   7.88     8.19     5.53     4.75     0.89  15.53  15.84  13.18  12.40  0090.10.76.1420100             37.8975 090 99     0.00   0.00   0.00
3060F  Pos microalbuminuria rev                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30600  Repair mouth/nose fistula                         A   6.07   7.52     7.52     4.79     4.10     0.70  14.29  14.29  11.56  10.87  0090.10.76.1420000             37.8975 090 99     0.00   0.00   0.00
3061F  Neg microalbuminuria rev                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3062F  Pos macroalbuminuria rev                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30620  Intranasal reconstruction                         A   6.04   8.66NA   8.15NA   8.66     8.15     0.57  15.27  14.76  15.27  14.76  0090.10.76.1420100             37.8975 090 99     0.00   0.00   0.00
30630  Repair nasal septum defect                        A   7.18   7.75NA   7.13NA   7.75     7.13     0.61  15.54  14.92  15.54  14.92  0090.10.76.1420000             37.8975 090 99     0.00   0.00   0.00
3066F  Nephropathy doc tx                                M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3072F  Low risk for retinopathy                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3073F  Pre-surg eye measures docd                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3074F  Syst bp lt 130 mm hg                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3075F  Syst bp ge 130 - 139mm hg                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3077F  Syst bp = 140 mm hg6 it                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3078F  Diast bp < 80 mm hg                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3079F  Diast bp 80-89 mm hg                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3080F  Diast bp = 90 mm hg                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30801  Ablate inf turbinate, superf                      A   1.11   4.10     4.02     1.93     1.97     0.09   5.30   5.22   3.13   3.17  0010.10.80.1022100             37.8975 090 99     0.00   0.00   0.00
30802  Cauterization, inner nose                         A   2.05   4.61     4.62     2.35     2.32     0.16   6.82   6.83   4.56   4.53  0010.10.80.1022100             37.8975 090 99     0.00   0.00   0.00
3082F  Kt/V <1.2                                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3083F  Kt/V >= 1.2 and <1.7                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3084F  Kt/V >= 1.7                                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3085F  Suicide risk assessed                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3088F  MDD, mild                                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3089F  MDD, moderate                                     M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3090F  MDD, severe; w/o psych                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30901  Control of nosebleed                              A   1.21   1.32     1.21     0.31     0.29     0.11   2.64   2.53   1.63   1.61  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
30903  Control of nosebleed                              A   1.54   2.80     3.08     0.47     0.39     0.13   4.47   4.75   2.14   2.06  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
30905  Control of nosebleed                              A   1.97   3.57     3.73     0.69     0.48     0.17   5.71   5.87   2.83   2.62  0000.00.00.0022100             37.8975 090 99     0.00   0.00   0.00
30906  Repeat control of nosebleed                       A   2.45   3.91     3.98     1.07     0.68     0.20   6.56   6.63   3.72   3.33  0000.00.00.0022100             37.8975 090 99     0.00   0.00   0.00
3091F  MDD, severe; w/psych                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30915  Ligation, nasal sinus artery                      A   7.36   6.49NA   5.88NA   6.49     5.88     0.58  14.43  13.82  14.43  13.82  0090.10.76.1420100             37.8975 090 99     0.00   0.00   0.00
3092F  MDD, in remission                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30920  Ligation, upper jaw artery                        A  11.03   8.79NA   8.23NA   8.79     8.23     0.80  20.62  20.06  20.62  20.06  0090.10.76.1420100             37.8975 090 99     0.00   0.00   0.00
3093F  Doc new diag 1st/addl. MDD                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30930  Ther fx, nasal inf turbinate                      A   1.28   1.60NA   1.53NA   1.60     1.53     0.12   3.00   2.93   3.00   2.93  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
3095F  Central dexa results docd                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3096F  Central dexa ordered                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
30999  Nasal surgery procedure                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
3100F  Image test ref carot diam                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
31000  Irrigation, maxillary sinus                       A   1.17   2.88     3.01     1.36     1.25     0.09   4.14   4.27   2.62   2.51  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
31002  Irrigation, sphenoid sinus                        A   1.93   3.06NA   2.52NA   3.06     2.52     0.15   5.14   4.60   5.14   4.60  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
31020  Exploration, maxillary sinus                      A   2.99   8.42     8.07     5.18     5.19     0.29  11.70  11.35   8.46   8.47  0090.10.76.1421100             37.8975 090 99     0.00   0.00   0.00
31030  Exploration, maxillary sinus                      A   5.95  11.07     9.79     6.51     6.05     0.60  17.62  16.34  13.06  12.60  0090.10.76.1421100             37.8975 090 99     0.00   0.00   0.00
31032  Explore sinus, remove polyps                      A   6.61   7.06NA   6.53NA   7.06     6.53     0.59  14.26  13.73  14.26  13.73  0090.10.76.1421100             37.8975 090 99     0.00   0.00   0.00
31040  Exploration behind upper jaw                      A   9.66   9.19NA   7.30NA   9.19     7.30     0.87  19.72  17.83  19.72  17.83  0090.10.76.1420110             37.8975 090 99     0.00   0.00   0.00
31050  Exploration, sphenoid sinus                       A   5.31   6.31NA   6.17NA   6.31     6.17     0.49  12.11  11.97  12.11  11.97  0090.10.76.1421100             37.8975 090 99     0.00   0.00   0.00
31051  Sphenoid sinus surgery                            A   7.16   8.12NA   7.74NA   8.12     7.74     0.62  15.90  15.52  15.90  15.52  0090.10.76.1421100             37.8975 090 99     0.00   0.00   0.00
31070  Exploration of frontal sinus                      A   4.32   5.88NA   5.73NA   5.88     5.73     0.38  10.58  10.43  10.58  10.43  0090.10.76.1421100             37.8975 090 99     0.00   0.00   0.00
31075  Exploration of frontal sinus                      A   9.40   9.45NA   8.59NA   9.45     8.59     0.75  19.60  18.74  19.60  18.74  0090.10.76.1421210             37.8975 090 99     0.00   0.00   0.00
31080  Removal of frontal sinus                          A  12.54  12.77NA  10.47NA  12.77    10.47     1.23  26.54  24.24  26.54  24.24  0090.10.76.1421200             37.8975 090 99     0.00   0.00   0.00
31081  Removal of frontal sinus                          A  13.99  14.20NA  14.79NA  14.20    14.79     2.47  30.66  31.25  30.66  31.25  0090.10.76.1421210             37.8975 090 99     0.00   0.00   0.00
31084  Removal of frontal sinus                          A  14.75  13.12NA  11.98NA  13.12    11.98     1.19  29.06  27.92  29.06  27.92  0090.10.76.1421210             37.8975 090 99     0.00   0.00   0.00
31085  Removal of frontal sinus                          A  15.44  13.73NA  13.04NA  13.73    13.04     1.73  30.90  30.21  30.90  30.21  0090.10.76.1421210             37.8975 090 99     0.00   0.00   0.00
31086  Removal of frontal sinus                          A  14.16  12.92NA  11.82NA  12.92    11.82     1.07  28.15  27.05  28.15  27.05  0090.10.76.1421200             37.8975 090 99     0.00   0.00   0.00
31087  Removal of frontal sinus                          A  14.39  12.11NA  10.83NA  12.11    10.83     1.44  27.94  26.66  27.94  26.66  0090.10.76.1421210             37.8975 090 99     0.00   0.00   0.00
31090  Exploration of sinuses                            A  10.88  12.51NA  12.38NA  12.51    12.38     0.94  24.33  24.20  24.33  24.20  0090.10.76.1421100             37.8975 090 99     0.00   0.00   0.00
3110F  Pres/absn hmrhg/lesion docd                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3111F  CT/MRI brain done w/in 24hrs                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3112F  CT/MRI brain done GT24 hrs                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3120F  12-Lead ECG performed                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
31200  Removal of ethmoid sinus                          A   5.03   8.77NA   7.45NA   8.77     7.45     0.29  14.09  12.77  14.09  12.77  0090.10.76.1421100             37.8975 090 99     0.00   0.00   0.00
31201  Removal of ethmoid sinus                          A   8.49   8.96NA   8.32NA   8.96     8.32     0.82  18.27  17.63  18.27  17.63  0090.10.76.1421100             37.8975 090 99     0.00   0.00   0.00
31205  Removal of ethmoid sinus                          A  10.47  11.31NA   9.59NA  11.31     9.59     0.67  22.45  20.73  22.45  20.73  0090.10.76.1421210             37.8975 090 99     0.00   0.00   0.00
31225  Removal of upper jaw                              A  26.44  17.50NA  16.55NA  17.50    16.55     1.59  45.53  44.58  45.53  44.58  0090.10.76.1421210             37.8975 090 99     0.00   0.00   0.00
31230  Removal of upper jaw                              A  30.56  18.84NA  17.27NA  18.84    17.27     1.78  51.18  49.61  51.18  49.61  0090.10.76.1421210             37.8975 090 99     0.00   0.00   0.00
31231  Nasal endoscopy, dx                               A   1.10   3.37     3.34     0.84     0.70     0.09   4.56   4.53   2.03   1.89  0000.00.00.0022100             37.8975 090 99     0.00   0.00   0.00
31233  Nasal/sinus endoscopy, dx                         A   2.18   4.21     3.95     1.37     1.02     0.20   6.59   6.33   3.75   3.40  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
31235  Nasal/sinus endoscopy, dx                         A   2.64   4.76     4.30     1.58     1.15     0.26   7.66   7.20   4.48   4.05  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
31237  Nasal/sinus endoscopy, surg                       A   2.98   5.03     4.53     1.72     1.25     0.28   8.29   7.79   4.98   4.51  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
31238  Nasal/sinus endoscopy, surg                       A   3.26   5.04     4.46     1.90     1.34     0.27   8.57   7.99   5.43   4.87  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
31239  Nasal/sinus endoscopy, surg                       A   9.23   7.59NA   6.34NA   7.59     6.34     0.62  17.44  16.19  17.44  16.19  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
31240  Nasal/sinus endoscopy, surg                       A   2.61   1.59NA   1.15NA   1.59     1.15     0.24   4.44   4.00   4.44   4.00  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
31254  Revision of ethmoid sinus                         A   4.64   2.57NA   1.74NA   2.57     1.74     0.45   7.66   6.83   7.66   6.83  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
31255  Removal of ethmoid sinus                          A   6.95   3.69NA   2.42NA   3.69     2.42     0.73  11.37  10.10  11.37  10.10  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
31256  Exploration maxillary sinus                       A   3.29   1.92NA   1.34NA   1.92     1.34     0.33   5.54   4.96   5.54   4.96  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
31267  Endoscopy, maxillary sinus                        A   5.45   2.96NA   1.98NA   2.96     1.98     0.55   8.96   7.98   8.96   7.98  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
31276  Sinus endoscopy, surgical                         A   8.84   4.58NA   2.97NA   4.58     2.97     0.92  14.34  12.73  14.34  12.73  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
31287  Nasal/sinus endoscopy, surg                       A   3.91   2.22NA   1.52NA   2.22     1.52     0.39   6.52   5.82   6.52   5.82  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
31288  Nasal/sinus endoscopy, surg                       A   4.57   2.54NA   1.72NA   2.54     1.72     0.46   7.57   6.75   7.57   6.75  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
31290  Nasal/sinus endoscopy, surg                       A  18.50  11.09NA   8.19NA  11.09     8.19     1.40  30.99  28.09  30.99  28.09  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
31291  Nasal/sinus endoscopy, surg                       A  19.45  11.55NA   8.80NA  11.55     8.80     1.69  32.69  29.94  32.69  29.94  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
31292  Nasal/sinus endoscopy, surg                       A  15.79   9.80NA   7.37NA   9.80     7.37     1.21  26.80  24.37  26.80  24.37  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
31293  Nasal/sinus endoscopy, surg                       A  17.36  10.54NA   8.00NA  10.54     8.00     1.28  29.18  26.64  29.18  26.64  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
31294  Nasal/sinus endoscopy, surg                       A  20.20  11.88NA   8.92NA  11.88     8.92     1.53  33.61  30.65  33.61  30.65  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
31299  Sinus surgery procedure                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
3130F  Upper GI endoscopy performed                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
31300  Removal of larynx lesion                          A  15.71  14.63NA  13.59NA  14.63    13.59     1.17  31.51  30.47  31.51  30.47  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
3132F  Doc ref. upper GI endoscopy                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
31320  Diagnostic incision, larynx                       A   5.62  10.03NA   9.20NA  10.03     9.20     0.46  16.11  15.28  16.11  15.28  0090.10.76.1420000             37.8975 090 99     0.00   0.00   0.00
31360  Removal of larynx                                 A  29.57  17.12NA  18.32NA  17.12    18.32     1.38  48.07  49.27  48.07  49.27  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31365  Removal of larynx                                 A  38.47  20.50NA  20.91NA  20.50    20.91     1.98  60.95  61.36  60.95  61.36  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31367  Partial removal of larynx                         A  30.23  21.54NA  20.48NA  21.54    20.48     1.79  53.56  52.50  53.56  52.50  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31368  Partial removal of larynx                         A  33.85  24.73NA  22.44NA  24.73    22.44     2.21  60.79  58.50  60.79  58.50  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31370  Partial removal of larynx                         A  27.23  21.79NA  20.39NA  21.79    20.39     1.75  50.77  49.37  50.77  49.37  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31375  Partial removal of larynx                         A  25.73  20.16NA  19.49NA  20.16    19.49     1.63  47.52  46.85  47.52  46.85  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31380  Partial removal of larynx                         A  25.23  20.24NA  19.17NA  20.24    19.17     1.71  47.18  46.11  47.18  46.11  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31382  Partial removal of larynx                         A  28.23  21.38NA  20.68NA  21.38    20.68     1.68  51.29  50.59  51.29  50.59  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31390  Removal of larynx & pharynx                       A  42.17  24.20NA  23.64NA  24.20    23.64     2.24  68.61  68.05  68.61  68.05  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31395  Reconstruct larynx & pharynx                      A  43.46  27.72NA  25.96NA  27.72    25.96     2.49  73.67  71.91  73.67  71.91  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
3140F  Upper GI endo shows barrtts                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
31400  Revision of larynx                                A  11.48  13.21NA  11.54NA  13.21    11.54     0.83  25.52  23.85  25.52  23.85  0090.10.76.1420200             37.8975 090 99     0.00   0.00   0.00
3141F  Upper GI endo not barrtts                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3142F  Barium swallow test ordered                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
31420  Removal of epiglottis                             A  11.32   9.14NA   7.94NA   9.14     7.94     0.83  21.29  20.09  21.29  20.09  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
3150F  Forceps esoph biopsy done                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
31500  Insert emergency airway                           A   2.33   0.52NA   0.44NA   0.52     0.44     0.17   3.02   2.94   3.02   2.94  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
31502  Change of windpipe airway                         A   0.65   0.26NA   0.20NA   0.26     0.20     0.05   0.96   0.90   0.96   0.90  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31505  Diagnostic laryngoscopy                           A   0.61   1.42     1.34     0.60     0.55     0.05   2.08   2.00   1.26   1.21  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31510  Laryngoscopy with biopsy                          A   1.92   3.22     2.98     1.17     0.92     0.16   5.30   5.06   3.25   3.00  0000.00.00.0030000       31505 37.8975 090 99     0.00   0.00   0.00
31511  Remove foreign body, larynx                       A   2.16   3.03     2.76     1.03     0.95     0.19   5.38   5.11   3.38   3.30  0000.00.00.0030100       31505 37.8975 090 99     0.00   0.00   0.00
31512  Removal of larynx lesion                          A   2.07   3.08     2.73     1.26     0.97     0.18   5.33   4.98   3.51   3.22  0000.00.00.0030000       31505 37.8975 090 99     0.00   0.00   0.00
31513  Injection into vocal cord                         A   2.10   1.34NA   0.99NA   1.34     0.99     0.17   3.61   3.26   3.61   3.26  0000.00.00.0030000       31505 37.8975 090 99     0.00   0.00   0.00
31515  Laryngoscopy for aspiration                       A   1.80   3.42     3.07     1.01     0.85     0.14   5.36   5.01   2.95   2.79  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31520  Dx laryngoscopy, newborn                          A   2.56   1.45NA   1.11NA   1.45     1.11     0.20   4.21   3.87   4.21   3.87  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
31525  Dx laryngoscopy excl nb                           A   2.63   3.54     3.24     1.53     1.13     0.21   6.38   6.08   4.37   3.97  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31526  Dx laryngoscopy w/oper scope                      A   2.57   1.57NA   1.13NA   1.57     1.13     0.21   4.35   3.91   4.35   3.91  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31527  Laryngoscopy for treatment                        A   3.27   1.73NA   1.31NA   1.73     1.31     0.26   5.26   4.84   5.26   4.84  0000.00.00.0030000       31525 37.8975 090 99     0.00   0.00   0.00
31528  Laryngoscopy and dilation                         A   2.37   1.34NA   0.99NA   1.34     0.99     0.19   3.90   3.55   3.90   3.55  0000.00.00.0030000       31525 37.8975 090 99     0.00   0.00   0.00
31529  Laryngoscopy and dilation                         A   2.68   1.56NA   1.12NA   1.56     1.12     0.22   4.46   4.02   4.46   4.02  0000.00.00.0030000       31525 37.8975 090 99     0.00   0.00   0.00
31530  Laryngoscopy w/fb removal                         A   3.38   1.79NA   1.32NA   1.79     1.32     0.29   5.46   4.99   5.46   4.99  0000.00.00.0030100       31525 37.8975 090 99     0.00   0.00   0.00
31531  Laryngoscopy w/fb & op scope                      A   3.58   2.06NA   1.43NA   2.06     1.43     0.29   5.93   5.30   5.93   5.30  0000.00.00.0030000       31526 37.8975 090 99     0.00   0.00   0.00
31535  Laryngoscopy w/biopsy                             A   3.16   1.82NA   1.30NA   1.82     1.30     0.26   5.24   4.72   5.24   4.72  0000.00.00.0030100       31525 37.8975 090 99     0.00   0.00   0.00
31536  Laryngoscopy w/bx & op scope                      A   3.55   2.04NA   1.42NA   2.04     1.42     0.29   5.88   5.26   5.88   5.26  0000.00.00.0030100       31526 37.8975 090 99     0.00   0.00   0.00
31540  Laryngoscopy w/exc of tumor                       A   4.12   2.30NA   1.59NA   2.30     1.59     0.33   6.75   6.04   6.75   6.04  0000.00.00.0030100       31525 37.8975 090 99     0.00   0.00   0.00
31541  Larynscop w/tumr exc + scope                      A   4.52   2.51NA   1.70NA   2.51     1.70     0.37   7.40   6.59   7.40   6.59  0000.00.00.0030100       31526 37.8975 090 99     0.00   0.00   0.00
31545  Remove vc lesion w/scope                          A   6.30   3.17NA   2.26NA   3.17     2.26     0.37   9.84   8.93   9.84   8.93  0000.00.00.0031100       31526 37.8975 090 99     0.00   0.00   0.00
31546  Remove vc lesion scope/graft                      A   9.73   4.67NA   3.77NA   4.67     3.77     0.78  15.18  14.28  15.18  14.28  0000.00.00.0031100       31526 37.8975 090 99     0.00   0.00   0.00
3155F  Cytogen test marrow b/4 tx                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
31560  Laryngoscop w/arytenoidectom                      A   5.45   2.84NA   1.92NA   2.84     1.92     0.43   8.72   7.80   8.72   7.80  0000.00.00.0030000       31525 37.8975 090 99     0.00   0.00   0.00
31561  Larynscop, remve cart + scop                      A   5.99   3.05NA   2.08NA   3.05     2.08     0.49   9.53   8.56   9.53   8.56  0000.00.00.0030000       31526 37.8975 090 99     0.00   0.00   0.00
31570  Laryngoscope w/vc inj                             A   3.86   5.24     3.96     2.16     1.51     0.31   9.41   8.13   6.33   5.68  0000.00.00.0030100       31525 37.8975 090 99     0.00   0.00   0.00
31571  Laryngoscop w/vc inj + scope                      A   4.26   2.36NA   1.63NA   2.36     1.63     0.35   6.97   6.24   6.97   6.24  0000.00.00.0030100       31526 37.8975 090 99     0.00   0.00   0.00
31575  Diagnostic laryngoscopy                           A   1.10   1.82     1.57     0.84     0.70     0.09   3.01   2.76   2.03   1.89  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31576  Laryngoscopy with biopsy                          A   1.97   3.57     3.28     1.21     0.96     0.14   5.68   5.39   3.32   3.07  0000.00.00.0030100       31575 37.8975 090 99     0.00   0.00   0.00
31577  Remove foreign body, larynx                       A   2.47   3.63     3.23     1.43     1.11     0.21   6.31   5.91   4.11   3.79  0000.00.00.0030000       31575 37.8975 090 99     0.00   0.00   0.00
31578  Removal of larynx lesion                          A   2.84   4.13     3.68     1.44     1.21     0.23   7.20   6.75   4.51   4.28  0000.00.00.0030000       31575 37.8975 090 99     0.00   0.00   0.00
31579  Diagnostic laryngoscopy                           A   2.26   3.50     2.64     1.37     1.04     0.18   5.94   5.08   3.81   3.48  0000.00.00.0030100       31575 37.8975 090 99     0.00   0.00   0.00
31580  Revision of larynx                                A  14.46  15.31NA  13.49NA  15.31    13.49     1.00  30.77  28.95  30.77  28.95  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31582  Revision of larynx                                A  22.87  24.48NA  20.51NA  24.48    20.51     1.76  49.11  45.14  49.11  45.14  0090.10.76.1420110             37.8975 090 99     0.00   0.00   0.00
31584  Treat larynx fracture                             A  20.35  17.19NA  14.32NA  17.19    14.32     1.72  39.26  36.39  39.26  36.39  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31587  Revision of larynx                                A  15.12   8.96NA   8.05NA   8.96     8.05     0.97  25.05  24.14  25.05  24.14  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31588  Revision of larynx                                A  14.62  13.07NA  11.46NA  13.07    11.46     1.06  28.75  27.14  28.75  27.14  0090.10.76.1420200             37.8975 090 99     0.00   0.00   0.00
31590  Reinnervate larynx                                A   7.63  14.67NA  12.10NA  14.67    12.10     0.84  23.14  20.57  23.14  20.57  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31595  Larynx nerve surgery                              A   8.75  10.15NA   8.94NA  10.15     8.94     0.68  19.58  18.37  19.58  18.37  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31599  Larynx surgery procedure                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
3160F  Doc fe+ stores b/4 epo thx                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
31600  Incision of windpipe                              A   7.17   2.95NA   2.22NA   2.95     2.22     0.80  10.92  10.19  10.92  10.19  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31601  Incision of windpipe                              A   4.44   2.21NA   1.63NA   2.21     1.63     0.40   7.05   6.47   7.05   6.47  0000.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
31603  Incision of windpipe                              A   4.14   1.57NA   1.13NA   1.57     1.13     0.44   6.15   5.71   6.15   5.71  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31605  Incision of windpipe                              A   3.57   1.10NA   0.83NA   1.10     0.83     0.40   5.07   4.80   5.07   4.80  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31610  Incision of windpipe                              A   9.29   7.99NA   7.19NA   7.99     7.19     0.79  18.07  17.27  18.07  17.27  0090.10.76.1420100             37.8975 090 99     0.00   0.00   0.00
31611  Surgery/speech prosthesis                         A   5.92   6.92NA   6.50NA   6.92     6.50     0.46  13.30  12.88  13.30  12.88  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31612  Puncture/clear windpipe                           A   0.91   1.09     1.07     0.33     0.25     0.08   2.08   2.06   1.32   1.24  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
31613  Repair windpipe opening                           A   4.63   5.94NA   5.80NA   5.94     5.80     0.42  10.99  10.85  10.99  10.85  0090.10.76.1420100             37.8975 090 99     0.00   0.00   0.00
31614  Repair windpipe opening                           A   8.47   8.76NA   8.90NA   8.76     8.90     0.58  17.81  17.95  17.81  17.95  0090.10.76.1420100             37.8975 090 99     0.00   0.00   0.00
31615  Visualization of windpipe                         A   2.09   2.50     2.22     1.14     0.96     0.16   4.75   4.47   3.39   3.21  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31620  Endobronchial us add-on                           A   1.40   5.73     6.00     0.50     0.35     0.11   7.24   7.51   2.01   1.86  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
31622  Dx bronchoscope/wash                              A   2.78   5.55     5.23     1.02     0.91     0.18   8.51   8.19   3.98   3.87  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31623  Dx bronchoscope/brush                             A   2.88   6.32     6.01     1.02     0.92     0.13   9.33   9.02   4.03   3.93  0000.00.00.0030100       31622 37.8975 090 99     0.00   0.00   0.00
31624  Dx bronchoscope/lavage                            A   2.88   5.67     5.36     1.02     0.92     0.13   8.68   8.37   4.03   3.93  0000.00.00.0030100       31622 37.8975 090 99     0.00   0.00   0.00
31625  Bronchoscopy w/biopsy(s)                          A   3.36   5.73     5.50     1.17     1.04     0.18   9.27   9.04   4.71   4.58  0000.00.00.0030100       31622 37.8975 090 99     0.00   0.00   0.00
31628  Bronchoscopy/lung bx, each                        A   3.80   7.02     7.00     1.26     1.14     0.18  11.00  10.98   5.24   5.12  0000.00.00.0030100       31622 37.8975 090 99     0.00   0.00   0.00
31629  Bronchoscopy/needle bx, each                      A   4.09  13.70    12.05     1.35     1.21     0.16  17.95  16.30   5.60   5.46  0000.00.00.0030100       31622 37.8975 090 99     0.00   0.00   0.00
31630  Bronchoscopy dilate/fx repr                       A   3.81   1.61NA   1.26NA   1.61     1.26     0.32   5.74   5.39   5.74   5.39  0000.00.00.0030100       31622 37.8975 090 99     0.00   0.00   0.00
31631  Bronchoscopy, dilate w/stent                      A   4.36   1.67NA   1.41NA   1.67     1.41     0.34   6.37   6.11   6.37   6.11  0000.00.00.0030100       31622 37.8975 090 99     0.00   0.00   0.00
31632  Bronchoscopy/lung bx, addl                       A   1.03   0.83     0.87     0.30     0.25     0.18   2.04   2.08   1.51   1.46  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
31633  Bronchoscopy/needle bx addl                      A   1.32   0.94     1.00     0.38     0.32     0.16   2.42   2.48   1.86   1.80  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
31635  Bronchoscopy w/fb removal                         A   3.67   5.88     5.19     1.36     1.15     0.24   9.79   9.10   5.27   5.06  0000.00.00.0030100       31622 37.8975 090 99     0.00   0.00   0.00
31636  Bronchoscopy, bronch stents                       A   4.30   1.67NA   1.38NA   1.67     1.38     0.31   6.28   5.99   6.28   5.99  0000.00.00.0030100       31622 37.8975 090 99     0.00   0.00   0.00
31637  Bronchoscopy, stent add-on                        A   1.58   0.53NA   0.42NA   0.53     0.42     0.13   2.24   2.13   2.24   2.13  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
31638  Bronchoscopy, revise stent                        A   4.88   1.87NA   1.56NA   1.87     1.56     0.22   6.97   6.66   6.97   6.66  0000.00.00.0030100       31622 37.8975 090 99     0.00   0.00   0.00
31640  Bronchoscopy w/tumor excise                       A   4.93   1.94NA   1.54NA   1.94     1.54     0.46   7.33   6.93   7.33   6.93  0000.00.00.0030100       31622 37.8975 090 99     0.00   0.00   0.00
31641  Bronchoscopy, treat blockage                      A   5.02   1.79NA   1.51NA   1.79     1.51     0.35   7.16   6.88   7.16   6.88  0000.00.00.0030100       31622 37.8975 090 99     0.00   0.00   0.00
31643  Diag bronchoscope/catheter                        A   3.49   1.19NA   1.07NA   1.19     1.07     0.20   4.88   4.76   4.88   4.76  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31645  Bronchoscopy, clear airways                       A   3.16   5.05     4.76     1.09     0.99     0.16   8.37   8.08   4.41   4.31  0000.00.00.0030100       31622 37.8975 090 99     0.00   0.00   0.00
31646  Bronchoscopy, reclear airway                      A   2.72   4.76     4.47     0.97     0.88     0.14   7.62   7.33   3.83   3.74  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31656  Bronchoscopy, inj for x-ray                       A   2.17   6.79     5.27     0.79     0.65     0.15   9.11   7.59   3.11   2.97  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
3170F  Flow cyto done b/4 tx                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
31715  Injection for bronchus x-ray                      A   1.11   0.33NA   0.28NA   0.33     0.28     0.07   1.51   1.46   1.51   1.46  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
31717  Bronchial brush biopsy                            A   2.12   7.65     5.83     0.79     0.77     0.14   9.91   8.09   3.05   3.03  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31720  Clearance of airways                              A   1.06   0.31NA   0.26NA   0.31     0.26     0.07   1.44   1.39   1.44   1.39  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31725  Clearance of airways                              A   1.96   0.55NA   0.45NA   0.55     0.45     0.14   2.65   2.55   2.65   2.55  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31730  Intro, windpipe wire/tube                         A   2.85   7.98    25.35     0.94     0.74     0.21  11.04  28.41   4.00   3.80  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
31750  Repair of windpipe                                A  15.19  17.22NA  16.21NA  17.22    16.21     1.05  33.46  32.45  33.46  32.45  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31755  Repair of windpipe                                A  17.19  23.97NA  22.30NA  23.97    22.30     1.29  42.45  40.78  42.45  40.78  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31760  Repair of windpipe                                A  23.36  10.47NA   9.76NA  10.47     9.76     2.95  36.78  36.07  36.78  36.07  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31766  Reconstruction of windpipe                        A  31.58  13.10NA  11.46NA  13.10    11.46     4.53  49.21  47.57  49.21  47.57  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31770  Repair/graft of bronchus                          A  23.48   9.88NA   8.80NA   9.88     8.80     2.84  36.20  35.12  36.20  35.12  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31775  Reconstruct bronchus                              A  24.51  11.07NA   8.91NA  11.07     8.91     3.02  38.60  36.44  38.60  36.44  0090.10.76.1420200             37.8975 090 99     0.00   0.00   0.00
31780  Reconstruct windpipe                              A  19.70  10.32NA   8.12NA  10.32     8.12     1.65  31.67  29.47  31.67  29.47  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31781  Reconstruct windpipe                              A  24.77  11.41NA   9.28NA  11.41     9.28     2.25  38.43  36.30  38.43  36.30  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31785  Remove windpipe lesion                            A  18.29   9.04NA   5.60NA   9.04     5.60     1.59  28.92  25.48  28.92  25.48  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31786  Remove windpipe lesion                            A  25.34  12.27NA   9.79NA  12.27     9.79     3.30  40.91  38.43  40.91  38.43  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31800  Repair of windpipe injury                         A   8.10   9.01NA   8.33NA   9.01     8.33     0.79  17.90  17.22  17.90  17.22  0090.10.76.1420000             37.8975 090 99     0.00   0.00   0.00
31805  Repair of windpipe injury                         A  13.34   6.99NA   6.32NA   6.99     6.32     1.83  22.16  21.49  22.16  21.49  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
31820  Closure of windpipe lesion                        A   4.58   5.61     5.46     3.49     3.02     0.38  10.57  10.42   8.45   7.98  0090.10.76.1420000             37.8975 090 99     0.00   0.00   0.00
31825  Repair of windpipe defect                         A   6.98   7.46     6.85     5.05     4.08     0.53  14.97  14.36  12.56  11.59  0090.10.76.1420000             37.8975 090 99     0.00   0.00   0.00
31830  Revise windpipe scar                              A   4.54   5.73     5.62     3.83     3.37     0.44  10.71  10.60   8.81   8.35  0090.10.76.1420000             37.8975 090 99     0.00   0.00   0.00
31899  Airways surgical procedure                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
3200F  Barium swallow test not req                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
32000  Drainage of chest                                 A   1.54   2.86     2.30     0.46     0.41     0.08   4.48   3.92   2.08   2.03  0000.00.00.0001100             37.8975 090 99     0.00   0.00   0.00
32002  Treatment of collapsed lung                       A   2.19   3.09     2.73     1.03     0.94     0.12   5.40   5.04   3.34   3.25  0000.00.00.0001110             37.8975 090 99     0.00   0.00   0.00
32005  Treat lung lining chemically                      A   2.19   6.10     5.04     0.67     0.59     0.23   8.52   7.46   3.09   3.01  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
32019  Insert pleural catheter                           A   4.17  18.76    15.15     1.59     1.42     0.42  23.35  19.74   6.18   6.01  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
32020  Insertion of chest tube                           A   3.29   1.25NA   0.94NA   1.25     0.94     0.43   4.97   4.66   4.97   4.66  0000.00.00.0001100             37.8975 090 99     0.00   0.00   0.00
32035  Exploration of chest                              A  11.20   5.91NA   6.07NA   5.91     6.07     1.26  18.37  18.53  18.37  18.53  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32036  Exploration of chest                              A  12.21   6.42NA   6.40NA   6.42     6.40     1.43  20.06  20.04  20.06  20.04  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32095  Biopsy through chest wall                         A  10.06   5.32NA   5.19NA   5.32     5.19     1.22  16.60  16.47  16.60  16.47  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
3210F  Grp A strep test performed                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
32100  Exploration/biopsy of chest                       A  16.08   7.63NA   7.06NA   7.63     7.06     2.24  25.95  25.38  25.95  25.38  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32110  Explore/repair chest                              A  25.15  10.55NA   9.99NA  10.55     9.99     3.22  38.92  38.36  38.92  38.36  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32120  Re-exploration of chest                           A  14.27   7.02NA   6.88NA   7.02     6.88     1.63  22.92  22.78  22.92  22.78  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32124  Explore chest free adhesions                      A  15.33   7.17NA   7.05NA   7.17     7.05     1.90  24.40  24.28  24.40  24.28  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32140  Removal of lung lesion(s)                         A  16.54   7.62NA   7.44NA   7.62     7.44     1.97  26.13  25.95  26.13  25.95  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32141  Remove/treat lung lesions                         A  27.10   8.25NA  10.34NA   8.25    10.34     2.01  37.36  39.45  37.36  39.45  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
3215F  Pt immunity to hep a docd                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
32150  Removal of lung lesion(s)                         A  16.70   7.58NA   7.50NA   7.58     7.50     2.01  26.29  26.21  26.29  26.21  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32151  Remove lung foreign body                          A  16.82   8.19NA   8.75NA   8.19     8.75     2.04  27.05  27.61  27.05  27.61  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
3216F  Pt immunity to hep b docd                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
32160  Open chest heart massage                          A  13.02   5.41NA   5.86NA   5.41     5.86     1.31  19.74  20.19  19.74  20.19  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
3219F  Hep c geno tstng docd done                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
3220F  Hep c quant rna tstng docd                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
32200  Drain, open, lung lesion                          A  18.48   8.65NA   8.77NA   8.65     8.77     2.14  29.27  29.39  29.27  29.39  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32201  Drain, percut, lung lesion                        A   3.99  20.21    18.73     1.26     1.13     0.24  24.44  22.96   5.49   5.36  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
32215  Treat chest lining                                A  12.93   6.77NA   6.39NA   6.77     6.39     1.69  21.39  21.01  21.39  21.01  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32220  Release of lung                                   A  26.41  12.73NA  12.07NA  12.73    12.07     3.57  42.71  42.05  42.71  42.05  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32225  Partial release of lung                           A  16.63   7.62NA   7.51NA   7.62     7.51     2.07  26.32  26.21  26.32  26.21  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
3230F  Note hring tst w/in 6 mon                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
32310  Removal of chest lining                           A  15.16   7.28NA   6.94NA   7.28     6.94     2.00  24.44  24.10  24.44  24.10  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32320  Free/remove chest lining                          A  27.04  12.01NA  11.58NA  12.01    11.58     3.52  42.57  42.14  42.57  42.14  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32400  Needle biopsy chest lining                        A   1.76   2.09     2.01     0.53     0.48     0.10   3.95   3.87   2.39   2.34  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
32402  Open biopsy chest lining                          A   8.89   5.03NA   4.78NA   5.03     4.78     1.07  14.99  14.74  14.99  14.74  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32405  Biopsy, lung or mediastinum                       A   1.93   0.64     0.55     0.61     0.55     0.11   2.68   2.59   2.65   2.59  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
32420  Puncture/clear lung                               A   2.18   0.66NA   0.61NA   0.66     0.61     0.12   2.96   2.91   2.96   2.91  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
32440  Removal of lung                                   A  27.17  12.44NA  11.08NA  12.44    11.08     3.69  43.30  41.94  43.30  41.94  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32442  Sleeve pneumonectomy                              A  56.37  15.71NA  18.56NA  15.71    18.56     3.85  75.93  78.78  75.93  78.78  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32445  Removal of lung                                   A  63.60  16.30NA  23.01NA  16.30    23.01     3.72  83.62  90.33  83.62  90.33  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32480  Partial removal of lung                           A  25.71  11.63NA  10.34NA  11.63    10.34     3.50  40.84  39.55  40.84  39.55  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32482  Bilobectomy                                       A  27.28  12.48NA  11.17NA  12.48    11.17     3.67  43.43  42.12  43.43  42.12  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32484  Segmentectomy                                     A  25.30  10.95NA   9.64NA  10.95     9.64     3.04  39.29  37.98  39.29  37.98  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32486  Sleeve lobectomy                                  A  42.80  13.73NA  15.21NA  13.73    15.21     3.52  60.05  61.53  60.05  61.53  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32488  Completion pneumonectomy                          A  42.83  14.26NA  15.69NA  14.26    15.69     3.81  60.90  62.33  60.90  62.33  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32491  Lung volume reduction                             R  25.09  12.13NA  10.65NA  12.13    10.65     2.99  40.21  38.73  40.21  38.73  0090.10.76.1421210             37.8975 090 99     0.00   0.00   0.00
32500  Partial removal of lung                           A  24.48  11.86NA  10.39NA  11.86    10.39     3.26  39.60  38.13  39.60  38.13  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32501  Repair bronchus add-on                            A   4.68   1.50NA   1.37NA   1.50     1.37     0.65   6.83   6.70   6.83   6.70  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
32503  Resect apical lung tumor                          A  31.61  14.37NA  12.26NA  14.37    12.26     4.38  50.36  48.25  50.36  48.25  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32504  Resect apical lung tum/chest                      A  36.41  15.93NA  13.69NA  15.93    13.69     5.09  57.43  55.19  57.43  55.19  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32540  Removal of lung lesion                            A  30.22  10.27NA  12.20NA  10.27    12.20     2.08  42.57  44.50  42.57  44.50  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
3260F  Pt cat/pn cat/hist grd docd                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
32601  Thoracoscopy, diagnostic                          A   5.45   2.29NA   2.10NA   2.29     2.10     0.80   8.54   8.35   8.54   8.35  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
32602  Thoracoscopy, diagnostic                          A   5.95   2.45NA   2.24NA   2.45     2.24     0.87   9.27   9.06   9.27   9.06  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
32603  Thoracoscopy, diagnostic                          A   7.80   3.02NA   2.98NA   3.02     2.98     1.14  11.96  11.92  11.96  11.92  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
32604  Thoracoscopy, diagnostic                          A   8.77   3.35NA   3.06NA   3.35     3.06     1.25  13.37  13.08  13.37  13.08  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
32605  Thoracoscopy, diagnostic                          A   6.92   2.81NA   2.55NA   2.81     2.55     1.00  10.73  10.47  10.73  10.47  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
32606  Thoracoscopy, diagnostic                          A   8.39   3.25NA   3.01NA   3.25     3.01     1.22  12.86  12.62  12.86  12.62  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
32650  Thoracoscopy, surgical                            A  10.77   6.39NA   5.29NA   6.39     5.29     1.58  18.74  17.64  18.74  17.64  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32651  Thoracoscopy, surgical                            A  18.70   7.36NA   7.75NA   7.36     7.75     1.87  27.93  28.32  27.93  28.32  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32652  Thoracoscopy, surgical                            A  29.00  10.41NA  11.23NA  10.41    11.23     2.73  42.14  42.96  42.14  42.96  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32653  Thoracoscopy, surgical                            A  18.09   7.10NA   7.47NA   7.10     7.47     1.89  27.08  27.45  27.08  27.45  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32654  Thoracoscopy, surgical                            A  20.44   7.64NA   7.98NA   7.64     7.98     1.63  29.71  30.05  29.71  30.05  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32655  Thoracoscopy, surgical                            A  16.09   7.19NA   7.03NA   7.19     7.03     1.90  25.18  25.02  25.18  25.02  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32656  Thoracoscopy, surgical                            A  13.18   7.46NA   6.01NA   7.46     6.01     1.90  22.54  21.09  22.54  21.09  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32657  Thoracoscopy, surgical                            A  12.85   7.28NA   6.07NA   7.28     6.07     2.00  22.13  20.92  22.13  20.92  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32658  Thoracoscopy, surgical                            A  11.65   6.92NA   5.61NA   6.92     5.61     1.70  20.27  18.96  20.27  18.96  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
32659  Thoracoscopy, surgical                            A  11.86   7.07NA   5.93NA   7.07     5.93     1.62  20.55  19.41  20.55  19.41  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
32660  Thoracoscopy, surgical                            A  17.69   8.98NA   7.47NA   8.98     7.47     2.09  28.76  27.25  28.76  27.25  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
32661  Thoracoscopy, surgical                            A  13.27   7.39NA   6.20NA   7.39     6.20     1.93  22.59  21.40  22.59  21.40  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
32662  Thoracoscopy, surgical                            A  14.91   8.29NA   6.71NA   8.29     6.71     2.18  25.38  23.80  25.38  23.80  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
32663  Thoracoscopy, surgical                            A  24.56  10.44NA   9.47NA  10.44     9.47     2.73  37.73  36.76  37.73  36.76  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
32664  Thoracoscopy, surgical                            A  14.22   7.32NA   6.40NA   7.32     6.40     2.33  23.87  22.95  23.87  22.95  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
32665  Thoracoscopy, surgical                            A  21.45   8.26NA   8.65NA   8.26     8.65     2.16  31.87  32.26  31.87  32.26  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
32800  Repair lung hernia                                A  15.59   7.33NA   7.10NA   7.33     7.10     1.99  24.91  24.68  24.91  24.68  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32810  Close chest after drainage                        A  14.83   7.42NA   7.10NA   7.42     7.10     1.94  24.19  23.87  24.19  23.87  0090.10.76.1420200             37.8975 090 99     0.00   0.00   0.00
32815  Close bronchial fistula                           A  49.79  12.97NA  18.95NA  12.97    18.95     3.28  66.04  72.02  66.04  72.02  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32820  Reconstruct injured chest                         A  22.33  12.08NA  11.82NA  12.08    11.82     2.53  36.94  36.68  36.94  36.68  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32850  Donor pneumonectomy                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
32851  Lung transplant, single                           A  40.94  25.97NA  20.90NA  25.97    20.90     5.58  72.49  67.42  72.49  67.42  0090.10.76.1420212             37.8975 090 99     0.00   0.00   0.00
32852  Lung transplant with bypass                       A  44.65  30.80NA  23.73NA  30.80    23.73     6.02  81.47  74.40  81.47  74.40  0090.10.76.1420212             37.8975 090 99     0.00   0.00   0.00
32853  Lung transplant, double                           A  50.11  29.64NA  23.29NA  29.64    23.29     7.07  86.82  80.47  86.82  80.47  0090.10.76.1422212             37.8975 090 99     0.00   0.00   0.00
32854  Lung transplant with bypass                       A  53.88  32.68NA  26.52NA  32.68    26.52     7.22  93.78  87.62  93.78  87.62  0090.10.76.1422212             37.8975 090 99     0.00   0.00   0.00
32855  Prepare donor lung, single                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
32856  Prepare donor lung, double                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
32900  Removal of rib(s)                                 A  23.69   9.86NA   9.79NA   9.86     9.79     2.94  36.49  36.42  36.49  36.42  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32905  Revise & repair chest wall                        A  23.17  10.00NA   9.62NA  10.00     9.62     3.16  36.33  35.95  36.33  35.95  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32906  Revise & repair chest wall                        A  29.18  11.88NA  11.32NA  11.88    11.32     3.98  45.04  44.48  45.04  44.48  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32940  Revision of lung                                  A  21.22   9.26NA   8.62NA   9.26     8.62     2.89  33.37  32.73  33.37  32.73  0090.10.76.1420210             37.8975 090 99     0.00   0.00   0.00
32960  Therapeutic pneumothorax                          A   1.84   1.68     1.53     0.58     0.63     0.16   3.68   3.53   2.58   2.63  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
32997  Total lung lavage                                 A   7.31   1.90NA   1.87NA   1.90     1.87     0.55   9.76   9.73   9.76   9.73  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
32998  Perq rf ablate tx, pul tumor                      A   5.68  68.64    68.64     1.77     1.77     0.36  74.68  74.68   7.81   7.81  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
32999  Chest surgery procedure                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
33010  Drainage of heart sac                             A   2.24   0.85NA   1.04NA   0.85     1.04     0.14   3.23   3.42   3.23   3.42  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
33011  Repeat drainage of heart sac                      A   2.24   0.89NA   1.11NA   0.89     1.11     0.15   3.28   3.50   3.28   3.50  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
33015  Incision of heart sac                             A   8.44   4.98NA   5.05NA   4.98     5.05     0.65  14.07  14.14  14.07  14.14  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33020  Incision of heart sac                             A  14.87   6.71NA   6.51NA   6.71     6.51     1.80  23.38  23.18  23.38  23.18  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33025  Incision of heart sac                             A  13.65   6.25NA   5.96NA   6.25     5.96     1.81  21.71  21.42  21.71  21.42  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33030  Partial removal of heart sac                      A  22.27   9.45NA   9.22NA   9.45     9.22     2.84  34.56  34.33  34.56  34.33  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33031  Partial removal of heart sac                      A  25.30  10.01NA   9.93NA  10.01     9.93     3.14  38.45  38.37  38.45  38.37  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33050  Removal of heart sac lesion                       A  16.85   7.78NA   7.58NA   7.78     7.58     2.15  26.78  26.58  26.78  26.58  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33120  Removal of heart lesion                           A  27.33  11.37NA  10.75NA  11.37    10.75     3.70  42.40  41.78  42.40  41.78  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33130  Removal of heart lesion                           A  24.05   9.95NA   9.45NA   9.95     9.45     3.01  37.01  36.51  37.01  36.51  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33140  Heart revascularize (tmr)                         A  28.26  10.82NA  10.65NA  10.82    10.65     2.86  41.94  41.77  41.94  41.77  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33141  Heart tmr w/other procedure                       A   2.54   1.39NA   0.80NA   1.39     0.80     0.69   4.62   4.03   4.62   4.03  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
33202  Insert epicard eltrd, open                        A  13.15   6.22NA   6.22NA   6.22     6.22     1.71  21.08  21.08  21.08  21.08  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33203  Insert epicard eltrd, endo                        A  13.92   6.29NA   6.29NA   6.29     6.29     1.39  21.60  21.60  21.60  21.60  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33206  Insertion of heart pacemaker                      A   7.31   4.64NA   5.19NA   4.64     5.19     0.52  12.47  13.02  12.47  13.02  0090.09.84.0720120             37.8975 090 99     0.00   0.00   0.00
33207  Insertion of heart pacemaker                      A   9.05   4.95NA   5.83NA   4.95     5.83     0.59  14.59  15.47  14.59  15.47  0090.09.84.0720120             37.8975 090 99     0.00   0.00   0.00
33208  Insertion of heart pacemaker                      A   8.72   4.95NA   5.47NA   4.95     5.47     0.56  14.23  14.75  14.23  14.75  0090.09.84.0720120             37.8975 090 99     0.00   0.00   0.00
33210  Insertion of heart electrode                      A   3.30   1.37NA   1.73NA   1.37     1.73     0.18   4.85   5.21   4.85   5.21  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
33211  Insertion of heart electrode                      A   3.39   1.41NA   1.69NA   1.41     1.69     0.21   5.01   5.29   5.01   5.29  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
33212  Insertion of pulse generator                      A   5.51   3.46NA   3.77NA   3.46     3.77     0.43   9.40   9.71   9.40   9.71  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33213  Insertion of pulse generator                      A   6.36   3.87NA   4.30NA   3.87     4.30     0.45  10.68  11.11  10.68  11.11  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33214  Upgrade of pacemaker system                       A   7.78   5.03NA   5.44NA   5.03     5.44     0.58  13.39  13.80  13.39  13.80  0090.09.84.0720020             37.8975 090 99     0.00   0.00   0.00
33215  Reposition pacing-defib lead                      A   4.89   3.27NA   3.55NA   3.27     3.55     0.37   8.53   8.81   8.53   8.81  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33216  Insert lead pace-defib, one                       A   5.81   4.31NA   4.63NA   4.31     4.63     0.36  10.48  10.80  10.48  10.80  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33217  Insert lead pace-defib, dual                      A   5.78   4.31NA   4.54NA   4.31     4.54     0.39  10.48  10.71  10.48  10.71  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33218  Repair lead pace-defib, one                       A   5.97   4.44NA   4.87NA   4.44     4.87     0.37  10.78  11.21  10.78  11.21  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33220  Repair lead pace-defib, dual                      A   6.05   4.44NA   4.94NA   4.44     4.94     0.37  10.86  11.36  10.86  11.36  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33222  Revise pocket, pacemaker                          A   5.01   4.31NA   4.37NA   4.31     4.37     0.42   9.74   9.80   9.74   9.80  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33223  Revise pocket, pacing-defib                       A   6.49   4.70NA   5.02NA   4.70     5.02     0.45  11.64  11.96  11.64  11.96  0090.09.84.0720000             37.8975 090 99     0.00   0.00   0.00
33224  Insert pacing lead & connect                      A   9.04   4.28NA   5.10NA   4.28     5.10     0.54  13.86  14.68  13.86  14.68  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
33225  L ventric pacing lead add-on                      A   8.33   3.57NA   4.53NA   3.57     4.53     0.45  12.35  13.31  12.35  13.31  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
33226  Reposition l ventric lead                         A   8.68   4.10NA   4.94NA   4.10     4.94     0.59  13.37  14.21  13.37  14.21  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
33233  Removal of pacemaker system                       A   3.33   3.29NA   3.33NA   3.29     3.33     0.22   6.84   6.88   6.84   6.88  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33234  Removal of pacemaker system                       A   7.85   5.08NA   5.58NA   5.08     5.58     0.56  13.49  13.99  13.49  13.99  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33235  Removal pacemaker electrode                       A   9.93   6.96NA   7.41NA   6.96     7.41     0.73  17.62  18.07  17.62  18.07  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33236  Remove electrode/thoracotomy                      A  12.64   7.24NA   6.67NA   7.24     6.67     1.69  21.57  21.00  21.57  21.00  0090.09.84.0720020             37.8975 090 99     0.00   0.00   0.00
33237  Remove electrode/thoracotomy                      A  13.75   7.76NA   7.70NA   7.76     7.70     1.59  23.10  23.04  23.10  23.04  0090.09.84.0720020             37.8975 090 99     0.00   0.00   0.00
33238  Remove electrode/thoracotomy                      A  15.28   8.23NA   8.33NA   8.23     8.33     2.03  25.54  25.64  25.54  25.64  0090.09.84.0720020             37.8975 090 99     0.00   0.00   0.00
33240  Insert pulse generator                            A   7.61   4.79NA   5.41NA   4.79     5.41     0.41  12.81  13.43  12.81  13.43  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33241  Remove pulse generator                            A   3.26   2.99NA   3.07NA   2.99     3.07     0.18   6.43   6.51   6.43   6.51  0090.09.84.0720010             37.8975 090 99     0.00   0.00   0.00
33243  Remove eltrd/thoracotomy                          A  23.42  11.35NA  11.02NA  11.35    11.02     2.10  36.87  36.54  36.87  36.54  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33244  Remove eltrd, transven                            A  13.84   9.08NA   9.66NA   9.08     9.66     0.99  23.91  24.49  23.91  24.49  0090.09.84.0720110             37.8975 090 99     0.00   0.00   0.00
33249  Eltrd/insert pace-defib                           A  15.02   8.89NA  10.47NA   8.89    10.47     0.77  24.68  26.26  24.68  26.26  0090.09.84.0720110             37.8975 090 99     0.00   0.00   0.00
33250  Ablate heart dysrhythm focus                      A  25.78  10.80NA  10.12NA  10.80    10.12     3.19  39.77  39.09  39.77  39.09  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33251  Ablate heart dysrhythm focus                      A  28.80  11.52NA  11.09NA  11.52    11.09     3.60  43.92  43.49  43.92  43.49  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33254  Ablate atria, lmtd                                A  23.58   9.94NA   9.94NA   9.94     9.94     3.35  36.87  36.87  36.87  36.87  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33255  Ablate atria w/o bypass, ext                      A  28.91  11.57NA  11.57NA  11.57    11.57     3.94  44.42  44.42  44.42  44.42  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33256  Ablate atria w/bypass, exten                      A  34.77  13.37NA  13.37NA  13.37    13.37     4.95  53.09  53.09  53.09  53.09  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33261  Ablate heart dysrhythm focus                      A  28.80  11.65NA  11.30NA  11.65    11.30     3.46  43.91  43.56  43.91  43.56  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33265  Ablate atria w/bypass, endo                       A  23.58   9.94NA   9.94NA   9.94     9.94     3.35  36.87  36.87  36.87  36.87  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33266  Ablate atria w/o bypass endo                      A  32.91  12.80NA  12.80NA  12.80    12.80     4.80  50.51  50.51  50.51  50.51  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33282  Implant pat-active ht record                      A   4.70   4.10NA   4.33NA   4.10     4.33     0.23   9.03   9.26   9.03   9.26  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33284  Remove pat-active ht record                       A   3.04   3.50NA   3.42NA   3.50     3.42     0.14   6.68   6.60   6.68   6.60  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33300  Repair of heart wound                             A  44.89  10.83NA  15.61NA  10.83    15.61     2.66  58.38  63.16  58.38  63.16  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33305  Repair of heart wound                             A  76.85  14.26NA  25.20NA  14.26    25.20     3.13  94.24 105.18  94.24 105.18  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33310  Exploratory heart surgery                         A  20.22   9.39NA   8.80NA   9.39     8.80     2.59  32.20  31.61  32.20  31.61  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33315  Exploratory heart surgery                         A  26.05  10.77NA  10.42NA  10.77    10.42     3.28  40.10  39.75  40.10  39.75  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33320  Repair major blood vessel(s)                      A  18.46   8.34NA   8.71NA   8.34     8.71     2.08  28.88  29.25  28.88  29.25  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33321  Repair major vessel                               A  20.71   9.91NA  10.31NA   9.91    10.31     2.91  33.53  33.93  33.53  33.93  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33322  Repair major blood vessel(s)                      A  24.30  10.22NA   9.79NA  10.22     9.79     2.86  37.38  36.95  37.38  36.95  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33330  Insert major vessel graft                         A  25.17  10.13NA   9.75NA  10.13     9.75     2.82  38.12  37.74  38.12  37.74  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33332  Insert major vessel graft                         A  24.46  10.28NA   9.59NA  10.28     9.59     3.03  37.77  37.08  37.77  37.08  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33335  Insert major vessel graft                         A  33.79  13.24NA  12.95NA  13.24    12.95     4.28  51.31  51.02  51.31  51.02  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33400  Repair of aortic valve                            A  41.37  15.54NA  15.16NA  15.54    15.16     4.11  61.02  60.64  61.02  60.64  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33401  Valvuloplasty, open                               A  24.41  12.57NA   9.76NA  12.57     9.76     3.57  40.55  37.74  40.55  37.74  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33403  Valvuloplasty, w/cp bypass                        A  25.39  13.35NA  10.48NA  13.35    10.48     3.55  42.29  39.42  42.29  39.42  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33404  Prepare heart-aorta conduit                       A  31.25  13.96NA  12.22NA  13.96    12.22     4.33  49.54  47.80  49.54  47.80  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33405  Replacement of aortic valve                       A  41.19  17.58NA  15.43NA  17.58    15.43     5.33  64.10  61.95  64.10  61.95  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33406  Replacement of aortic valve                       A  52.55  19.03NA  18.77NA  19.03    18.77     5.45  77.03  76.77  77.03  76.77  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33410  Replacement of aortic valve                       A  46.28  16.66NA  16.89NA  16.66    16.89     4.69  67.63  67.86  67.63  67.86  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33411  Replacement of aortic valve                       A  61.94  19.44NA  21.53NA  19.44    21.53     5.48  86.86  88.95  86.86  88.95  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33412  Replacement of aortic valve                       A  43.77  19.42NA  16.49NA  19.42    16.49     6.39  69.58  66.65  69.58  66.65  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33413  Replacement of aortic valve                       A  59.74  20.75NA  20.57NA  20.75    20.57     6.53  87.02  86.84  87.02  86.84  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33414  Repair of aortic valve                            A  39.29  14.40NA  15.21NA  14.40    15.21     4.57  58.26  59.07  58.26  59.07  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33415  Revision, subvalvular tissue                      A  37.19  12.26NA  12.96NA  12.26    12.96     4.14  53.59  54.29  53.59  54.29  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33416  Revise ventricle muscle                           A  36.43  13.52NA  13.59NA  13.52    13.59     4.57  54.52  54.59  54.52  54.59  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33417  Repair of aortic valve                            A  29.17  13.23NA  12.10NA  13.23    12.10     4.10  46.50  45.37  46.50  45.37  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33420  Revision of mitral valve                          A  25.67   9.42NA   8.98NA   9.42     8.98     1.82  36.91  36.47  36.91  36.47  0090.09.84.0720110             37.8975 090 99     0.00   0.00   0.00
33422  Revision of mitral valve                          A  29.61  13.35NA  12.45NA  13.35    12.45     3.94  46.90  46.00  46.90  46.00  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33425  Repair of mitral valve                            A  49.83  14.26NA  17.90NA  14.26    17.90     4.07  68.16  71.80  68.16  71.80  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33426  Repair of mitral valve                            A  43.15  16.86NA  16.03NA  16.86    16.03     5.03  65.04  64.21  65.04  64.21  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33427  Repair of mitral valve                            A  44.70  18.53NA  16.02NA  18.53    16.02     6.09  69.32  66.81  69.32  66.81  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33430  Replacement of mitral valve                       A  50.75  17.71NA  18.97NA  17.71    18.97     5.10  73.56  74.82  73.56  74.82  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33460  Revision of tricuspid valve                       A  44.62  12.35NA  15.50NA  12.35    15.50     3.45  60.42  63.57  60.42  63.57  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33463  Valvuloplasty, tricuspid                          A  56.95  14.62NA  19.76NA  14.62    19.76     3.87  75.44  80.58  75.44  80.58  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33464  Valvuloplasty, tricuspid                          A  44.49  14.20NA  16.23NA  14.20    16.23     4.15  62.84  64.87  62.84  64.87  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33465  Replace tricuspid valve                           A  50.59  14.16NA  17.77NA  14.16    17.77     4.39  69.14  72.75  69.14  72.75  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33468  Revision of tricuspid valve                       A  32.82  14.08NA  15.37NA  14.08    15.37     4.07  50.97  52.26  50.97  52.26  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33470  Revision of pulmonary valve                       A  21.32  10.19NA   8.70NA  10.19     8.70     1.03  32.54  31.05  32.54  31.05  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33471  Valvotomy, pulmonary valve                        A  22.83   9.24NA   7.69NA   9.24     7.69     3.39  35.46  33.91  35.46  33.91  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33472  Revision of pulmonary valve                       A  22.90  10.70NA   7.21NA  10.70     7.21     3.55  37.15  33.66  37.15  33.66  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33474  Revision of pulmonary valve                       A  39.27  12.47NA  17.24NA  12.47    17.24     3.22  54.96  59.73  54.96  59.73  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33475  Replacement, pulmonary valve                      A  42.27  15.46NA  15.72NA  15.46    15.72     4.93  62.66  62.92  62.66  62.92  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33476  Revision of heart chamber                         A  26.41  11.83NA  11.43NA  11.83    11.43     2.42  40.66  40.26  40.66  40.26  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33478  Revision of heart chamber                         A  27.38  12.53NA  10.98NA  12.53    10.98     3.89  43.80  42.25  43.80  42.25  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33496  Repair, prosth valve clot                         A  29.71  12.42NA  11.47NA  12.42    11.47     4.13  46.26  45.31  46.26  45.31  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33500  Repair heart vessel fistula                       A  27.82  11.36NA  11.05NA  11.36    11.05     3.87  43.05  42.74  43.05  42.74  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33501  Repair heart vessel fistula                       A  19.43   8.28NA   8.27NA   8.28     8.27     1.91  29.62  29.61  29.62  29.61  0090.09.84.0720220             37.8975 090 99     0.00   0.00   0.00
33502  Coronary artery correction                        A  21.69  10.62NA   9.27NA  10.62     9.27     3.00  35.31  33.96  35.31  33.96  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33503  Coronary artery graft                             A  22.29   9.96NA  10.66NA   9.96    10.66     1.78  34.03  34.73  34.03  34.73  0090.09.84.0720010             37.8975 090 99     0.00   0.00   0.00
33504  Coronary artery graft                             A  25.30  11.39NA  10.14NA  11.39    10.14     3.36  40.05  38.80  40.05  38.80  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33505  Repair artery w/tunnel                            A  38.35  12.75NA  12.28NA  12.75    12.28     2.19  53.29  52.82  53.29  52.82  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33506  Repair artery, translocation                      A  37.80  14.81NA  15.56NA  14.81    15.56     4.66  57.27  58.02  57.27  58.02  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33507  Repair art, intramural                            A  31.35  13.17NA  11.76NA  13.17    11.76     4.06  48.58  47.17  48.58  47.17  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33508  Endoscopic vein harvest                           A   0.31   0.10NA   0.10NA   0.10     0.10     0.04   0.45   0.45   0.45   0.45  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
33510  CABG, vein, single                                A  34.87  15.55NA  13.19NA  15.55    13.19     4.41  54.83  52.47  54.83  52.47  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33511  CABG, vein, two                                   A  38.34  16.42NA  14.46NA  16.42    14.46     4.56  59.32  57.36  59.32  57.36  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33512  CABG, vein, three                                 A  43.87  17.26NA  16.24NA  17.26    16.24     4.67  65.80  64.78  65.80  64.78  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33513  CABG, vein, four                                  A  45.26  17.54NA  16.82NA  17.54    16.82     4.88  67.68  66.96  67.68  66.96  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33514  CABG, vein, five                                  A  47.97  17.95NA  17.64NA  17.95    17.64     4.77  70.69  70.38  70.69  70.38  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33516  Cabg, vein, six or more                           A  49.65  18.74NA  18.57NA  18.74    18.57     5.13  73.52  73.35  73.52  73.35  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33517  CABG, artery-vein, single                         A   3.61   0.91NA   1.11NA   0.91     1.11     0.39   4.91   5.11   4.91   5.11  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
33518  CABG, artery-vein, two                            A   7.93   1.79NA   2.43NA   1.79     2.43     0.73  10.45  11.09  10.45  11.09  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
33519  CABG, artery-vein, three                          A  10.49   2.54NA   3.21NA   2.54     3.21     1.04  14.07  14.74  14.07  14.74  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
33521  CABG, artery-vein, four                           A  12.59   3.27NA   3.88NA   3.27     3.88     1.37  17.23  17.84  17.23  17.84  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
33522  CABG, artery-vein, five                           A  14.14   3.94NA   4.32NA   3.94     4.32     1.78  19.86  20.24  19.86  20.24  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
33523  Cabg, art-vein, six or more                       A  16.08   4.64NA   4.96NA   4.64     4.96     2.13  22.85  23.17  22.85  23.17  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
33530  Coronary artery, bypass/reop                      A  10.13   2.21NA   3.10NA   2.21     3.10     0.88  13.22  14.11  13.22  14.11  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
33533  CABG, arterial, single                            A  33.64  15.55NA  12.81NA  15.55    12.81     4.56  53.75  51.01  53.75  51.01  0090.09.82.0920200             37.8975 090 99     0.00   0.00   0.00
33534  CABG, arterial, two                               A  39.77  17.03NA  14.98NA  17.03    14.98     4.70  61.50  59.45  61.50  59.45  0090.09.82.0920200             37.8975 090 99     0.00   0.00   0.00
33535  CABG, arterial, three                             A  44.64  17.75NA  16.61NA  17.75    16.61     5.03  67.42  66.28  67.42  66.28  0090.09.82.0920200             37.8975 090 99     0.00   0.00   0.00
33536  Cabg, arterial, four or more                      A  48.32  18.11NA  17.55NA  18.11    17.55     5.44  71.87  71.31  71.87  71.31  0090.09.82.0920200             37.8975 090 99     0.00   0.00   0.00
33542  Removal of heart lesion                           A  48.08  14.12NA  17.51NA  14.12    17.51     4.38  66.58  69.97  66.58  69.97  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33545  Repair of heart damage                            A  56.93  16.85NA  20.52NA  16.85    20.52     5.21  78.99  82.66  78.99  82.66  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33548  Restore/remodel, ventricle                        A  53.96  19.48NA  20.04NA  19.48    20.04     5.53  78.97  79.53  78.97  79.53  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33572  Open coronary endarterectomy                      A   4.44   1.42NA   1.34NA   1.42     1.34     0.65   6.51   6.43   6.51   6.43  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
33600  Closure of valve                                  A  30.15  12.50NA  12.45NA  12.50    12.45     4.42  47.07  47.02  47.07  47.02  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33602  Closure of valve                                  A  29.18  12.73NA  13.60NA  12.73    13.60     3.82  45.73  46.60  45.73  46.60  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33606  Anastomosis/artery-aorta                          A  31.37  13.28NA  12.10NA  13.28    12.10     4.41  49.06  47.88  49.06  47.88  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33608  Repair anomaly w/conduit                          A  31.72  13.93NA  13.40NA  13.93    13.40     4.74  50.39  49.86  50.39  49.86  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33610  Repair by enlargement                             A  31.24  13.02NA  11.28NA  13.02    11.28     4.56  48.82  47.08  48.82  47.08  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33611  Repair double ventricle                           A  35.49  13.74NA  12.57NA  13.74    12.57     4.37  53.60  52.43  53.60  52.43  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33612  Repair double ventricle                           A  36.49  14.59NA  12.91NA  14.59    12.91     5.30  56.38  54.70  56.38  54.70  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33615  Repair, modified fontan                           A  35.76  12.99NA  12.53NA  12.99    12.53     4.32  53.07  52.61  53.07  52.61  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33617  Repair single ventricle                           A  38.96  16.10NA  16.41NA  16.10    16.41     5.66  60.72  61.03  60.72  61.03  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33619  Repair single ventricle                           A  48.60  20.16NA  18.25NA  20.16    18.25     6.46  75.22  73.31  75.22  73.31  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33641  Repair heart septum defect                        A  29.50   9.93NA  11.02NA   9.93    11.02     3.23  42.66  43.75  42.66  43.75  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33645  Revision of heart veins                           A  27.98  11.57NA  10.98NA  11.57    10.98     3.79  43.34  42.75  43.34  42.75  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33647  Repair heart septum defects                       A  29.37  13.40NA  12.30NA  13.40    12.30     3.32  46.09  44.99  46.09  44.99  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33660  Repair of heart defects                           A  31.75  12.97NA  11.45NA  12.97    11.45     4.49  49.21  47.69  49.21  47.69  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33665  Repair of heart defects                           A  34.77  13.48NA  12.42NA  13.48    12.42     4.00  52.25  51.19  52.25  51.19  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33670  Repair of heart chambers                          A  36.58  12.94NA  12.25NA  12.94    12.25     4.65  54.17  53.48  54.17  53.48  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33675  Close mult vsd                                    A  35.87  17.82NA  17.82NA  17.82    17.82     4.95  58.64  58.64  58.64  58.64  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33676  Close mult vsd w/resection                        A  36.87  18.17NA  18.17NA  18.17    18.17     5.44  60.48  60.48  60.48  60.48  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33677  Cl mult vsd w/rem pul band                        A  38.37  18.82NA  18.82NA  18.82    18.82     5.68  62.87  62.87  62.87  62.87  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33681  Repair heart septum defect                        A  32.16  14.32NA  13.24NA  14.32    13.24     4.45  50.93  49.85  50.93  49.85  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33684  Repair heart septum defect                        A  34.29  15.13NA  19.66NA  15.13    19.66     3.39  52.81  57.34  52.81  57.34  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33688  Repair heart septum defect                        A  34.67  10.21NA   9.41NA  10.21     9.41     4.73  49.61  48.81  49.61  48.81  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33690  Reinforce pulmonary artery                        A  20.20   9.77NA   8.60NA   9.77     8.60     1.97  31.94  30.77  31.94  30.77  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33692  Repair of heart defects                           A  31.38  12.74NA   9.20NA  12.74     9.20     4.58  48.70  45.16  48.70  45.16  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33694  Repair of heart defects                           A  35.49  13.18NA  10.06NA  13.18    10.06     5.28  53.95  50.83  53.95  50.83  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33697  Repair of heart defects                           A  37.49  16.64NA  21.95NA  16.64    21.95     4.09  58.22  63.53  58.22  63.53  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33702  Repair of heart defects                           A  27.11  12.29NA  11.46NA  12.29    11.46     3.68  43.08  42.25  43.08  42.25  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33710  Repair of heart defects                           A  30.28  13.38NA  11.65NA  13.38    11.65     4.43  48.09  46.36  48.09  46.36  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33720  Repair of heart defect                            A  27.13  11.99NA  11.13NA  11.99    11.13     3.84  42.96  42.10  42.96  42.10  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33722  Repair of heart defect                            A  29.05  12.55NA   8.66NA  12.55     8.66     1.30  42.90  39.01  42.90  39.01  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33724  Repair venous anomaly                             A  27.55  10.56NA  10.56NA  10.56    10.56     4.00  42.11  42.11  42.11  42.11  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33726  Repair pul venous stenosis                        A  37.04  13.46NA  13.46NA  13.46    13.46     5.03  55.53  55.53  55.53  55.53  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33730  Repair heart-vein defect(s)                       A  36.01  13.91NA  13.29NA  13.91    13.29     5.03  54.95  54.33  54.95  54.33  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33732  Repair heart-vein defect                          A  28.80  13.74NA  14.82NA  13.74    14.82     3.68  46.22  47.30  46.22  47.30  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33735  Revision of heart chamber                         A  22.04   9.08NA   9.45NA   9.08     9.45     1.92  33.04  33.41  33.04  33.41  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33736  Revision of heart chamber                         A  24.16  11.57NA  10.74NA  11.57    10.74     3.09  38.82  37.99  38.82  37.99  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33737  Revision of heart chamber                         A  22.34  10.08NA   7.53NA  10.08     7.53     3.25  35.67  33.12  35.67  33.12  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33750  Major vessel shunt                                A  22.06  10.51NA  11.40NA  10.51    11.40     1.16  33.73  34.62  33.73  34.62  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33755  Major vessel shunt                                A  22.44   8.55NA   7.78NA   8.55     7.78     3.26  34.25  33.48  34.25  33.48  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33762  Major vessel shunt                                A  22.44   9.40NA   7.13NA   9.40     7.13     3.14  34.98  32.71  34.98  32.71  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33764  Major vessel shunt & graft                        A  22.44   9.97NA   9.22NA   9.97     9.22     3.01  35.42  34.67  35.42  34.67  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33766  Major vessel shunt                                A  23.41  10.89NA   8.53NA  10.89     8.53     3.70  38.00  35.64  38.00  35.64  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33767  Major vessel shunt                                A  25.14  11.15NA   9.42NA  11.15     9.42     3.82  40.11  38.38  40.11  38.38  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33768  Cavopulmonary shunting                            A   8.00   2.55NA   2.21NA   2.55     2.21     1.19  11.74  11.40  11.74  11.40  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
33770  Repair great vessels defect                       A  39.02  13.65NA  10.56NA  13.65    10.56     5.74  58.41  55.32  58.41  55.32  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33771  Repair great vessels defect                       A  40.58  11.92NA  10.55NA  11.92    10.55     5.68  58.18  56.81  58.18  56.81  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33774  Repair great vessels defect                       A  31.54  14.09NA  12.38NA  14.09    12.38     4.81  50.44  48.73  50.44  48.73  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33775  Repair great vessels defect                       A  32.83  13.77NA  10.10NA  13.77    10.10     4.99  51.59  47.92  51.59  47.92  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33776  Repair great vessels defect                       A  34.53  15.18NA  13.32NA  15.18    13.32     5.09  54.80  52.94  54.80  52.94  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33777  Repair great vessels defect                       A  33.95  14.19NA   9.93NA  14.19     9.93     5.49  53.63  49.37  53.63  49.37  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33778  Repair great vessels defect                       A  42.62  16.47NA  15.19NA  16.47    15.19     6.20  65.29  64.01  65.29  64.01  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33779  Repair great vessels defect                       A  43.15  14.37NA  11.37NA  14.37    11.37     2.92  60.44  57.44  60.44  57.44  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33780  Repair great vessels defect                       A  43.85  17.23NA  11.68NA  17.23    11.68     3.68  64.76  59.21  64.76  59.21  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33781  Repair great vessels defect                       A  43.16  13.54NA  14.16NA  13.54    14.16     5.97  62.67  63.29  62.67  63.29  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33786  Repair arterial trunk                             A  41.74  15.39NA  11.42NA  15.39    11.42     5.71  62.84  58.87  62.84  58.87  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33788  Revision of pulmonary artery                      A  27.26  11.39NA   9.70NA  11.39     9.70     4.03  42.68  40.99  42.68  40.99  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33800  Aortic suspension                                 A  17.23   7.91NA   7.30NA   7.91     7.30     2.46  27.60  26.99  27.60  26.99  0090.09.84.0720220             37.8975 090 99     0.00   0.00   0.00
33802  Repair vessel defect                              A  18.24   8.80NA   7.53NA   8.80     7.53     2.27  29.31  28.04  29.31  28.04  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33803  Repair vessel defect                              A  20.18   9.30NA   7.93NA   9.30     7.93     3.20  32.68  31.31  32.68  31.31  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33813  Repair septal defect                              A  21.23  10.42NA   8.96NA  10.42     8.96     3.13  34.78  33.32  34.78  33.32  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33814  Repair septal defect                              A  26.41  12.09NA  10.44NA  12.09    10.44     3.85  42.35  40.70  42.35  40.70  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33820  Revise major vessel                               A  16.61   8.37NA   8.41NA   8.37     8.41     2.35  27.33  27.37  27.33  27.37  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33822  Revise major vessel                               A  17.63   8.20NA   5.93NA   8.20     5.93     2.68  28.51  26.24  28.51  26.24  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33824  Revise major vessel                               A  20.10   9.63NA   8.57NA   9.63     8.57     2.89  32.62  31.56  32.62  31.56  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33840  Remove aorta constriction                         A  21.21   9.96NA   8.95NA   9.96     8.95     2.16  33.33  32.32  33.33  32.32  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33845  Remove aorta constriction                         A  22.77  10.91NA   9.57NA  10.91     9.57     3.22  36.90  35.56  36.90  35.56  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33851  Remove aorta constriction                         A  21.85  10.29NA   9.12NA  10.29     9.12     3.18  35.32  34.15  35.32  34.15  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33852  Repair septal defect                              A  24.28  10.98NA   9.85NA  10.98     9.85     2.16  37.42  36.29  37.42  36.29  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33853  Repair septal defect                              A  32.35  14.37NA  13.00NA  14.37    13.00     4.48  51.20  49.83  51.20  49.83  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33860  Ascending aortic graft                            A  59.33  17.48NA  20.58NA  17.48    20.58     5.76  82.57  85.67  82.57  85.67  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33861  Ascending aortic graft                            A  43.94  17.30NA  16.07NA  17.30    16.07     6.37  67.61  66.38  67.61  66.38  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33863  Ascending aortic graft                            A  58.71  19.01NA  19.98NA  19.01    19.98     6.59  84.31  85.28  84.31  85.28  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33870  Transverse aortic arch graft                      A  45.93  17.95NA  16.64NA  17.95    16.64     6.62  70.50  69.19  70.50  69.19  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33875  Thoracic aortic graft                             A  35.68  13.85NA  13.12NA  13.85    13.12     4.89  54.42  53.69  54.42  53.69  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33877  Thoracoabdominal graft                            A  68.85  17.67NA  21.75NA  17.67    21.75     5.94  92.46  96.54  92.46  96.54  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33880  Endovasc taa repr incl subcl                      A  34.48  12.73NA  10.50NA  12.73    10.50     2.75  49.96  47.73  49.96  47.73  0090.09.84.0722220             37.8975 090 99     0.00   0.00   0.00
33881  Endovasc taa repr w/o subcl                       A  29.48  11.29NA   9.27NA  11.29     9.27     2.33  43.10  41.08  43.10  41.08  0090.09.84.0722220             37.8975 090 99     0.00   0.00   0.00
33883  Insert endovasc prosth, taa                       A  20.99   8.62NA   6.95NA   8.62     6.95     2.11  31.72  30.05  31.72  30.05  0090.09.84.0720220             37.8975 090 99     0.00   0.00   0.00
33884  Endovasc prosth, taa, add-on                      A   8.20   2.43NA   2.00NA   2.43     2.00     0.86  11.49  11.06  11.49  11.06  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
33886  Endovasc prosth, delayed                          A  17.99   7.72NA   6.20NA   7.72     6.20     1.80  27.51  25.99  27.51  25.99  0090.09.84.0720220             37.8975 090 99     0.00   0.00   0.00
33889  Artery transpose/endovas taa                      A  15.92   4.92NA   4.15NA   4.92     4.15     2.18  23.02  22.25  23.02  22.25  0000.00.00.0021220             37.8975 090 99     0.00   0.00   0.00
33891  Car-car bp grft/endovas taa                       A  20.00   6.80NA   6.30NA   6.80     6.30     2.73  29.53  29.03  29.53  29.03  0000.00.00.0021220             37.8975 090 99     0.00   0.00   0.00
33910  Remove lung artery emboli                         A  29.59  11.39NA  11.28NA  11.39    11.28     3.70  44.68  44.57  44.68  44.57  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33915  Remove lung artery emboli                         A  24.83   9.58NA   9.41NA   9.58     9.41     1.44  35.85  35.68  35.85  35.68  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33916  Surgery of great vessel                           A  28.30  11.22NA  10.87NA  11.22    10.87     3.67  43.19  42.84  43.19  42.84  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33917  Repair pulmonary artery                           A  25.14  11.73NA  10.38NA  11.73    10.38     3.70  40.57  39.22  40.57  39.22  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33920  Repair pulmonary atresia                          A  32.58  13.20NA  11.32NA  13.20    11.32     4.38  50.16  48.28  50.16  48.28  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33922  Transect pulmonary artery                         A  24.09  11.04NA  11.47NA  11.04    11.47     3.10  38.23  38.66  38.23  38.66  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33924  Remove pulmonary shunt                            A   5.49   1.92NA   2.14NA   1.92     2.14     0.82   8.23   8.45   8.23   8.45  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
33925  Rpr pul art unifocal w/o cpb                      A  31.25  13.54NA  10.16NA  13.54    10.16     4.61  49.40  46.02  49.40  46.02  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33926  Repr pul art, unifocal w/cpb                      A  44.68  16.84NA  14.32NA  16.84    14.32     6.22  67.74  65.22  67.74  65.22  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
33930  Removal of donor heart/lung                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
33933  Prepare donor heart/lung                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
33935  Transplantation, heart/lung                       R  61.68  27.39NA  23.24NA  27.39    23.24     9.06  98.13  93.98  98.13  93.98  0090.09.84.0720212             37.8975 090 99     0.00   0.00   0.00
33940  Removal of donor heart                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
33944  Prepare donor heart                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
33945  Transplantation of heart                          R  89.08  23.74NA  30.80NA  23.74    30.80     6.26 119.08 126.14 119.08 126.14  0090.09.84.0720212             37.8975 090 99     0.00   0.00   0.00
33960  External circulation assist                       A  19.33   5.09NA   5.63NA   5.09     5.63     2.67  27.09  27.63  27.09  27.63  0000.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
33961  External circulation assist                       A  10.91   3.45NA   2.95NA   3.45     2.95     0.88  15.24  14.74  15.24  14.74  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
33967  Insert ia percut device                           A   4.84   2.00NA   2.48NA   2.00     2.48     0.35   7.19   7.67   7.19   7.67  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
33968  Remove aortic assist device                       A   0.64   0.24NA   0.27NA   0.24     0.27     0.07   0.95   0.98   0.95   0.98  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
33970  Aortic circulation assist                         A   6.74   2.35NA   2.56NA   2.35     2.56     0.82   9.91  10.12   9.91  10.12  0000.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
33971  Aortic circulation assist                         A  11.91   6.02NA   6.08NA   6.02     6.08     1.25  19.18  19.24  19.18  19.24  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33973  Insert balloon device                             A   9.75   3.46NA   3.92NA   3.46     3.92     1.26  14.47  14.93  14.47  14.93  0000.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
33974  Remove intra-aortic balloon                       A  14.93   7.86NA   7.81NA   7.86     7.81     1.74  24.53  24.48  24.53  24.48  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
33975  Implant ventricular device                        A  20.97   6.37NA   6.64NA   6.37     6.64     3.07  30.41  30.68  30.41  30.68  0XXX.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
33976  Implant ventricular device                        A  22.97   7.64NA   7.92NA   7.64     7.92     3.26  33.87  34.15  33.87  34.15  0XXX.00.00.0022200             37.8975 090 99     0.00   0.00   0.00
33977  Remove ventricular device                         A  20.07  10.64NA   9.36NA  10.64     9.36     2.81  33.52  32.24  33.52  32.24  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33978  Remove ventricular device                         A  22.51  11.43NA  10.47NA  11.43    10.47     3.31  37.25  36.29  37.25  36.29  0090.09.84.0722200             37.8975 090 99     0.00   0.00   0.00
33979  Insert intracorporeal device                      A  45.93  14.79NA  14.39NA  14.79    14.39     6.97  67.69  67.29  67.69  67.29  0XXX.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
33980  Remove intracorporeal device                      A  64.86  25.17NA  24.94NA  25.17    24.94     8.59  98.62  98.39  98.62  98.39  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
33999  Cardiac surgery procedure                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
34001  Removal of artery clot                            A  17.78   6.69NA   6.62NA   6.69     6.62     1.85  26.32  26.25  26.32  26.25  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
34051  Removal of artery clot                            A  16.91   7.56NA   6.89NA   7.56     6.89     2.21  26.68  26.01  26.68  26.01  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
34101  Removal of artery clot                            A  10.85   5.11NA   4.40NA   5.11     4.40     1.41  17.37  16.66  17.37  16.66  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
34111  Removal of arm artery clot                        A  10.85   5.13NA   4.47NA   5.13     4.47     1.40  17.38  16.72  17.38  16.72  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
34151  Removal of artery clot                            A  26.41  10.00NA   8.81NA  10.00     8.81     3.56  39.97  38.78  39.97  38.78  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
34201  Removal of artery clot                            A  19.38   5.75NA   6.77NA   5.75     6.77     1.45  26.58  27.60  26.58  27.60  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
34203  Removal of leg artery clot                        A  17.73   7.68NA   6.52NA   7.68     6.52     2.36  27.77  26.61  27.77  26.61  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
34401  Removal of vein clot                              A  26.41  10.39NA   9.58NA  10.39     9.58     3.10  39.90  39.09  39.90  39.09  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
34421  Removal of vein clot                              A  13.29   6.02NA   5.22NA   6.02     5.22     1.55  20.86  20.06  20.86  20.06  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
34451  Removal of vein clot                              A  28.41  11.00NA   9.66NA  11.00     9.66     3.84  43.25  41.91  43.25  41.91  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
34471  Removal of vein clot                              A  21.00   5.89NA   7.66NA   5.89     7.66     1.18  28.07  29.84  28.07  29.84  0090.09.84.0721110             37.8975 090 99     0.00   0.00   0.00
34490  Removal of vein clot                              A  10.83   5.18NA   4.45NA   5.18     4.45     1.41  17.42  16.69  17.42  16.69  0090.09.84.0721100             37.8975 090 99     0.00   0.00   0.00
34501  Repair valve, femoral vein                        A  16.74   8.10NA   6.91NA   8.10     6.91     2.35  27.19  26.00  27.19  26.00  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
34502  Reconstruct vena cava                             A  27.86  11.91NA  10.76NA  11.91    10.76     3.63  43.40  42.25  43.40  42.25  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
34510  Transposition of vein valve                       A  19.80   8.87NA   7.24NA   8.87     7.24     2.33  31.00  29.37  31.00  29.37  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
34520  Cross-over vein graft                             A  19.05   8.65NA   9.25NA   8.65     9.25     2.29  29.99  30.59  29.99  30.59  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
34530  Leg vein fusion                                   A  17.77   8.43NA   7.87NA   8.43     7.87     1.74  27.94  27.38  27.94  27.38  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
34800  Endovas aaa repr w/sm tube                        A  21.46   8.72NA   7.39NA   8.72     7.39     2.46  32.64  31.31  32.64  31.31  0090.09.84.0720220             37.8975 090 99     0.00   0.00   0.00
34802  Endovas aaa repr w/2-p part                       A  23.71   9.38NA   8.18NA   9.38     8.18     2.33  35.42  34.22  35.42  34.22  0090.09.84.0720220             37.8975 090 99     0.00   0.00   0.00
34803  Endovas aaa repr w/3-p part                       A  24.74   9.68NA   8.09NA   9.68     8.09     2.01  36.43  34.84  36.43  34.84  0090.09.84.0722220             37.8975 090 99     0.00   0.00   0.00
34804  Endovas aaa repr w/1-p part                       A  23.71   9.37NA   8.06NA   9.37     8.06     2.30  35.38  34.07  35.38  34.07  0090.09.84.0720220             37.8975 090 99     0.00   0.00   0.00
34805  Endovas aaa repr w/long tube                      A  22.59   9.04NA   7.23NA   9.04     7.23     2.01  33.64  31.83  33.64  31.83  0090.09.84.0720220             37.8975 090 99     0.00   0.00   0.00
34808  Endovas iliac a device addon                      A   4.12   1.30NA   1.10NA   1.30     1.10     0.59   6.01   5.81   6.01   5.81  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
34812  Xpose for endoprosth, femorl                      A   6.74   2.10NA   1.72NA   2.10     1.72     1.18  10.02   9.64  10.02   9.64  0000.00.00.0021220             37.8975 090 99     0.00   0.00   0.00
34813  Femoral endovas graft add-on                      A   4.79   1.48NA   1.20NA   1.48     1.20     0.67   6.94   6.66   6.94   6.66  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
34820  Xpose for endoprosth, iliac                       A   9.74   3.04NA   2.46NA   3.04     2.46     1.50  14.28  13.70  14.28  13.70  0000.00.00.0021220             37.8975 090 99     0.00   0.00   0.00
34825  Endovasc extend prosth, init                      A  12.72   5.89NA   5.12NA   5.89     5.12     1.28  19.89  19.12  19.89  19.12  0090.09.84.0720220             37.8975 090 99     0.00   0.00   0.00
34826  Endovasc exten prosth, addl                      A   4.12   1.31NA   1.14NA   1.31     1.14     0.44   5.87   5.70   5.87   5.70  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
34830  Open aortic tube prosth repr                      A  35.10  12.96NA  10.77NA  12.96    10.77     4.55  52.61  50.42  52.61  50.42  0090.09.84.0720020             37.8975 090 99     0.00   0.00   0.00
34831  Open aortoiliac prosth repr                       A  37.85  11.82NA  12.09NA  11.82    12.09     4.89  54.56  54.83  54.56  54.83  0090.09.84.0720020             37.8975 090 99     0.00   0.00   0.00
34832  Open aortofemor prosth repr                       A  37.85  13.87NA  11.60NA  13.87    11.60     4.85  56.57  54.30  56.57  54.30  0090.09.84.0720020             37.8975 090 99     0.00   0.00   0.00
34833  Xpose for endoprosth, iliac                       A  11.98   4.15NA   3.29NA   4.15     3.29     1.70  17.83  16.97  17.83  16.97  0000.00.00.0021220             37.8975 090 99     0.00   0.00   0.00
34834  Xpose, endoprosth, brachial                       A   5.34   2.04NA   1.60NA   2.04     1.60     0.76   8.14   7.70   8.14   7.70  0000.00.00.0021220             37.8975 090 99     0.00   0.00   0.00
34900  Endovasc iliac repr w/graft                       A  16.77   7.24NA   6.22NA   7.24     6.22     2.00  26.01  24.99  26.01  24.99  0090.09.84.0721220             37.8975 090 99     0.00   0.00   0.00
35001  Repair defect of artery                           A  20.70   9.07NA   7.62NA   9.07     7.62     2.81  32.58  31.13  32.58  31.13  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35002  Repair artery rupture, neck                       A  22.12   9.22NA   7.80NA   9.22     7.80     3.00  34.34  32.92  34.34  32.92  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35005  Repair defect of artery                           A  19.18   8.52NA   7.55NA   8.52     7.55     1.77  29.47  28.50  29.47  28.50  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35011  Repair defect of artery                           A  18.50   7.59NA   6.40NA   7.59     6.40     2.55  28.64  27.45  28.64  27.45  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35013  Repair artery rupture, arm                        A  23.10   9.24NA   7.93NA   9.24     7.93     3.10  35.44  34.13  35.44  34.13  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35021  Repair defect of artery                           A  22.09   9.23NA   8.67NA   9.23     8.67     2.87  34.19  33.63  34.19  33.63  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35022  Repair artery rupture, chest                      A  25.62   9.75NA   9.46NA   9.75     9.46     3.17  38.54  38.25  38.54  38.25  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35045  Repair defect of arm artery                       A  17.94   7.26NA   6.53NA   7.26     6.53     2.45  27.65  26.92  27.65  26.92  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35081  Repair defect of artery                           A  33.37  11.36NA  11.05NA  11.36    11.05     4.01  48.74  48.43  48.74  48.43  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35082  Repair artery rupture, aorta                      A  41.93  14.75NA  13.12NA  14.75    13.12     5.44  62.12  60.49  62.12  60.49  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35091  Repair defect of artery                           A  35.35  12.77NA  10.39NA  12.77    10.39     5.14  53.26  50.88  53.26  50.88  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35092  Repair artery rupture, aorta                      A  50.81  16.98NA  15.02NA  16.98    15.02     6.40  74.19  72.23  74.19  72.23  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35102  Repair defect of artery                           A  36.37  12.17NA  11.62NA  12.17    11.62     4.48  53.02  52.47  53.02  52.47  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35103  Repair artery rupture, groin                      A  43.49  15.19NA  13.25NA  15.19    13.25     5.76  64.44  62.50  64.44  62.50  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35111  Repair defect of artery                           A  26.17   9.99NA   8.58NA   9.99     8.58     3.47  39.63  38.22  39.63  38.22  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35112  Repair artery rupture,spleen                      A  32.44  11.59NA  10.48NA  11.59    10.48     4.08  48.11  47.00  48.11  47.00  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35121  Repair defect of artery                           A  31.41  11.89NA  10.47NA  11.89    10.47     4.30  47.60  46.18  47.60  46.18  0090.09.84.0721200             37.8975 090 99     0.00   0.00   0.00
35122  Repair artery rupture, belly                      A  37.76  13.37NA  12.07NA  13.37    12.07     4.75  55.88  54.58  55.88  54.58  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35131  Repair defect of artery                           A  26.29  10.28NA   8.89NA  10.28     8.89     3.80  40.37  38.98  40.37  38.98  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35132  Repair artery rupture, groin                      A  32.44  11.85NA  10.27NA  11.85    10.27     4.30  48.59  47.01  48.59  47.01  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35141  Repair defect of artery                           A  20.83   8.46NA   7.11NA   8.46     7.11     2.90  32.19  30.84  32.19  30.84  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35142  Repair artery rupture, thigh                      A  25.03   9.87NA   8.41NA   9.87     8.41     3.36  38.26  36.80  38.26  36.80  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35151  Repair defect of artery                           A  23.61   9.46NA   7.91NA   9.46     7.91     3.24  36.31  34.76  36.31  34.76  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35152  Repair artery rupture, knee                       A  27.53  10.79NA   9.06NA  10.79     9.06     3.61  41.93  40.20  41.93  40.20  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35180  Repair blood vessel lesion                        A  15.01   6.64NA   5.75NA   6.64     5.75     1.00  22.65  21.76  22.65  21.76  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35182  Repair blood vessel lesion                        A  31.58  12.53NA  11.75NA  12.53    11.75     4.36  48.47  47.69  48.47  47.69  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35184  Repair blood vessel lesion                        A  18.72   7.95NA   6.91NA   7.95     6.91     2.53  29.20  28.16  29.20  28.16  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35188  Repair blood vessel lesion                        A  15.05   7.28NA   6.23NA   7.28     6.23     2.16  24.49  23.44  24.49  23.44  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35189  Repair blood vessel lesion                        A  29.85  11.49NA  10.10NA  11.49    10.10     4.01  45.35  43.96  45.35  43.96  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35190  Repair blood vessel lesion                        A  13.33   6.18NA   5.31NA   6.18     5.31     1.80  21.31  20.44  21.31  20.44  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35201  Repair blood vessel lesion                        A  16.84   7.60NA   6.44NA   7.60     6.44     2.34  26.78  25.62  26.78  25.62  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35206  Repair blood vessel lesion                        A  13.76   6.26NA   5.40NA   6.26     5.40     1.87  21.89  21.03  21.89  21.03  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35207  Repair blood vessel lesion                        A  10.85   7.19NA   6.72NA   7.19     6.72     1.48  19.52  19.05  19.52  19.05  0090.09.84.0721110             37.8975 090 99     0.00   0.00   0.00
35211  Repair blood vessel lesion                        A  24.50  10.48NA  10.09NA  10.48    10.09     3.20  38.18  37.79  38.18  37.79  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35216  Repair blood vessel lesion                        A  36.47  10.20NA  13.87NA  10.20    13.87     2.65  49.32  52.99  49.32  52.99  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35221  Repair blood vessel lesion                        A  26.54   9.58NA   8.54NA   9.58     8.54     3.37  39.49  38.45  39.49  38.45  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35226  Repair blood vessel lesion                        A  15.22   7.05NA   5.89NA   7.05     5.89     2.02  24.29  23.13  24.29  23.13  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35231  Repair blood vessel lesion                        A  21.08   9.25NA   7.73NA   9.25     7.73     2.89  33.22  31.70  33.22  31.70  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35236  Repair blood vessel lesion                        A  17.94   7.54NA   6.50NA   7.54     6.50     2.43  27.91  26.87  27.91  26.87  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35241  Repair blood vessel lesion                        A  25.50  10.82NA   9.93NA  10.82     9.93     3.53  39.85  38.96  39.85  38.96  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35246  Repair blood vessel lesion                        A  28.15  11.57NA  12.02NA  11.57    12.02     3.86  43.58  44.03  43.58  44.03  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35251  Repair blood vessel lesion                        A  31.83  11.29NA   9.78NA  11.29     9.78     4.13  47.25  45.74  47.25  45.74  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35256  Repair blood vessel lesion                        A  18.98   7.92NA   6.61NA   7.92     6.61     2.63  29.53  28.22  29.53  28.22  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35261  Repair blood vessel lesion                        A  18.88   7.81NA   7.22NA   7.81     7.22     2.61  29.30  28.71  29.30  28.71  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35266  Repair blood vessel lesion                        A  15.75   6.68NA   5.70NA   6.68     5.70     2.10  24.53  23.55  24.53  23.55  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35271  Repair blood vessel lesion                        A  24.50  10.30NA   9.65NA  10.30     9.65     3.16  37.96  37.31  37.96  37.31  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35276  Repair blood vessel lesion                        A  25.72  10.80NA   9.61NA  10.80     9.61     3.49  40.01  38.82  40.01  38.82  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35281  Repair blood vessel lesion                        A  29.93  11.22NA   9.76NA  11.22     9.76     3.97  45.12  43.66  45.12  43.66  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35286  Repair blood vessel lesion                        A  17.06   7.65NA   6.43NA   7.65     6.43     2.35  27.06  25.84  27.06  25.84  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35301  Rechanneling of artery                            A  19.53   8.04NA   6.87NA   8.04     6.87     2.68  30.25  29.08  30.25  29.08  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35302  Rechanneling of artery                            A  21.27   7.14NA   7.14NA   7.14     7.14     2.98  31.39  31.39  31.39  31.39  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35303  Rechanneling of artery                            A  23.52   7.72NA   7.72NA   7.72     7.72     3.26  34.50  34.50  34.50  34.50  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35304  Rechanneling of artery                            A  24.52   7.97NA   7.97NA   7.97     7.97     3.41  35.90  35.90  35.90  35.90  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35305  Rechanneling of artery                            A  23.52   7.72NA   7.72NA   7.72     7.72     3.26  34.50  34.50  34.50  34.50  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35306  Rechanneling of artery                            A   9.25   2.38NA   2.38NA   2.38     2.38     1.34  12.97  12.97  12.97  12.97  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
35311  Rechanneling of artery                            A  28.52  11.22NA   9.66NA  11.22     9.66     3.42  43.16  41.60  43.16  41.60  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35321  Rechanneling of artery                            A  16.51   7.03NA   5.97NA   7.03     5.97     2.25  25.79  24.73  25.79  24.73  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35331  Rechanneling of artery                            A  27.61  10.67NA   9.00NA  10.67     9.00     3.83  42.11  40.44  42.11  40.44  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35341  Rechanneling of artery                            A  26.10  10.28NA   8.53NA  10.28     8.53     3.78  40.16  38.41  40.16  38.41  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35351  Rechanneling of artery                            A  24.53   9.18NA   7.93NA   9.18     7.93     3.35  37.06  35.81  37.06  35.81  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35355  Rechanneling of artery                            A  19.78   7.69NA   6.53NA   7.69     6.53     2.67  30.14  28.98  30.14  28.98  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35361  Rechanneling of artery                            A  30.11  11.20NA   9.69NA  11.20     9.69     4.15  45.46  43.95  45.46  43.95  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35363  Rechanneling of artery                            A  32.22  12.07NA  10.55NA  12.07    10.55     4.33  48.62  47.10  48.62  47.10  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35371  Rechanneling of artery                            A  15.23   6.58NA   5.48NA   6.58     5.48     2.14  23.95  22.85  23.95  22.85  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35372  Rechanneling of artery                            A  18.50   7.61NA   6.30NA   7.61     6.30     2.63  28.74  27.43  28.74  27.43  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35390  Reoperation, carotid add-on                       A   3.19   1.01NA   0.85NA   1.01     0.85     0.46   4.66   4.50   4.66   4.50  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
35400  Angioscopy                                        A   3.00   1.02NA   0.75NA   1.02     0.75     0.43   4.45   4.18   4.45   4.18  0ZZZ.00.00.0000010             37.8975 090 99     0.00   0.00   0.00
35450  Repair arterial blockage                          A  10.05   3.47NA   3.18NA   3.47     3.18     1.25  14.77  14.48  14.77  14.48  0000.00.00.0021210             37.8975 090 99     0.00   0.00   0.00
35452  Repair arterial blockage                          A   6.90   2.48NA   2.11NA   2.48     2.11     0.94  10.32   9.95  10.32   9.95  0000.00.00.0021210             37.8975 090 99     0.00   0.00   0.00
35454  Repair arterial blockage                          A   6.03   2.19NA   1.82NA   2.19     1.82     0.87   9.09   8.72   9.09   8.72  0000.00.00.0021210             37.8975 090 99     0.00   0.00   0.00
35456  Repair arterial blockage                          A   7.34   2.64NA   2.29NA   2.64     2.29     1.04  11.02  10.67  11.02  10.67  0000.00.00.0021210             37.8975 090 99     0.00   0.00   0.00
35458  Repair arterial blockage                          A   9.48   3.33NA   2.90NA   3.33     2.90     1.26  14.07  13.64  14.07  13.64  0000.00.00.0021210             37.8975 090 99     0.00   0.00   0.00
35459  Repair arterial blockage                          A   8.62   3.01NA   2.52NA   3.01     2.52     1.21  12.84  12.35  12.84  12.35  0000.00.00.0021210             37.8975 090 99     0.00   0.00   0.00
35460  Repair venous blockage                            A   6.03   2.15NA   1.78NA   2.15     1.78     0.83   9.01   8.64   9.01   8.64  0000.00.00.0021110             37.8975 090 99     0.00   0.00   0.00
35470  Repair arterial blockage                          A   8.62  81.78    60.53     3.37     3.41     0.69  91.09  69.84  12.68  12.72  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
35471  Repair arterial blockage                          A  10.05  91.60    65.60     4.13     4.66     0.67 102.32  76.32  14.85  15.38  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
35472  Repair arterial blockage                          A   6.90  60.05    47.16     2.75     2.76     0.58  67.53  54.64  10.23  10.24  0000.00.00.0021010             37.8975 090 99     0.00   0.00   0.00
35473  Repair arterial blockage                          A   6.03  56.40    46.08     2.43     2.47     0.51  62.94  52.62   8.97   9.01  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
35474  Repair arterial blockage                          A   7.35  80.70    59.59     2.90     2.93     0.57  88.62  67.51  10.82  10.85  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
35475  Repair arterial blockage                          R   9.48  53.95    47.48     3.48     3.25     0.62  64.05  57.58  13.58  13.35  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
35476  Repair venous blockage                            A   6.03  42.45    35.61     2.26     1.97     0.34  48.82  41.98   8.63   8.34  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
35480  Atherectomy, open                                 A  11.06   4.03NA   3.98NA   4.03     3.98     1.28  16.37  16.32  16.37  16.32  0000.00.00.0020220             37.8975 090 99     0.00   0.00   0.00
35481  Atherectomy, open                                 A   7.60   2.78NA   2.49NA   2.78     2.49     1.13  11.51  11.22  11.51  11.22  0000.00.00.0020220             37.8975 090 99     0.00   0.00   0.00
35482  Atherectomy, open                                 A   6.64   2.45NA   2.12NA   2.45     2.12     0.89   9.98   9.65   9.98   9.65  0000.00.00.0020220             37.8975 090 99     0.00   0.00   0.00
35483  Atherectomy, open                                 A   8.09   2.96NA   2.78NA   2.96     2.78     1.15  12.20  12.02  12.20  12.02  0000.00.00.0020220             37.8975 090 99     0.00   0.00   0.00
35484  Atherectomy, open                                 A  10.42   3.59NA   3.05NA   3.59     3.05     1.27  15.28  14.74  15.28  14.74  0000.00.00.0020220             37.8975 090 99     0.00   0.00   0.00
35485  Atherectomy, open                                 A   9.48   3.40NA   2.99NA   3.40     2.99     1.35  14.23  13.82  14.23  13.82  0000.00.00.0020220             37.8975 090 99     0.00   0.00   0.00
35490  Atherectomy, percutaneous                         A  11.06   5.11NA   6.33NA   5.11     6.33     0.71  16.88  18.10  16.88  18.10  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
35491  Atherectomy, percutaneous                         A   7.60   3.46NA   3.96NA   3.46     3.96     0.74  11.80  12.30  11.80  12.30  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
35492  Atherectomy, percutaneous                         A   6.64   3.30NA   3.64NA   3.30     3.64     0.43  10.37  10.71  10.37  10.71  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
35493  Atherectomy, percutaneous                         A   8.09   3.89NA   4.15NA   3.89     4.15     0.56  12.54  12.80  12.54  12.80  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
35494  Atherectomy, percutaneous                         A  10.42   4.64NA   5.16NA   4.64     5.16     0.59  15.65  16.17  15.65  16.17  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
35495  Atherectomy, percutaneous                         A   9.48   4.45NA   4.64NA   4.45     4.64     0.69  14.62  14.81  14.62  14.81  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
35500  Harvest vein for bypass                           A   6.44   1.94NA   1.68NA   1.94     1.68     0.93   9.31   9.05   9.31   9.05  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
35501  Artery bypass graft                               A  28.99   9.22NA  11.51NA   9.22    11.51     4.10  42.31  44.60  42.31  44.60  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35506  Artery bypass graft                               A  25.23   9.21NA   8.44NA   9.21     8.44     2.87  37.31  36.54  37.31  36.54  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35508  Artery bypass graft                               A  25.99   9.35NA   9.09NA   9.35     9.09     2.78  38.12  37.86  38.12  37.86  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35509  Artery bypass graft                               A  27.99   9.24NA  10.68NA   9.24    10.68     3.92  41.15  42.59  41.15  42.59  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35510  Artery bypass graft                               A  24.29   9.57NA   7.76NA   9.57     7.76     2.12  35.98  34.17  35.98  34.17  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35511  Artery bypass graft                               A  22.12   8.83NA   7.28NA   8.83     7.28     2.91  33.86  32.31  33.86  32.31  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35512  Artery bypass graft                               A  23.79   9.37NA   7.48NA   9.37     7.48     2.12  35.28  33.39  35.28  33.39  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35515  Artery bypass graft                               A  25.99   9.06NA   8.38NA   9.06     8.38     2.78  37.83  37.15  37.83  37.15  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35516  Artery bypass graft                               A  24.11   7.04NA   7.76NA   7.04     7.76     2.34  33.49  34.21  33.49  34.21  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35518  Artery bypass graft                               A  22.57   8.60NA   7.50NA   8.60     7.50     3.03  34.20  33.10  34.20  33.10  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35521  Artery bypass graft                               A  24.00   9.40NA   8.11NA   9.40     8.11     3.13  36.53  35.24  36.53  35.24  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35522  Artery bypass graft                               A  23.05   9.18NA   7.46NA   9.18     7.46     2.12  34.35  32.63  34.35  32.63  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35525  Artery bypass graft                               A  21.59   8.81NA   7.14NA   8.81     7.14     2.12  32.52  30.85  32.52  30.85  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35526  Artery bypass graft                               A  31.47  13.97NA  18.38NA  13.97    18.38     3.63  49.07  53.48  49.07  53.48  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35531  Artery bypass graft                               A  38.98  13.83NA  11.89NA  13.83    11.89     5.18  57.99  56.05  57.99  56.05  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35533  Artery bypass graft                               A  29.79  11.28NA   9.94NA  11.28     9.94     3.85  44.92  43.58  44.92  43.58  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35536  Artery bypass graft                               A  33.60  12.34NA  10.53NA  12.34    10.53     4.62  50.56  48.75  50.56  48.75  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35537  Artery bypass graft                               A  41.75  13.22NA  13.22NA  13.22    13.22     5.72  60.69  60.69  60.69  60.69  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35538  Artery bypass graft                               A  46.82  14.60NA  14.60NA  14.60    14.60     6.39  67.81  67.81  67.81  67.81  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35539  Artery bypass graft                               A  43.98  13.73NA  13.73NA  13.73    13.73     6.02  63.73  63.73  63.73  63.73  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35540  Artery bypass graft                               A  49.20  15.10NA  15.10NA  15.10    15.10     6.76  71.06  71.06  71.06  71.06  0090.09.84.0721110             37.8975 090 99     0.00   0.00   0.00
35548  Artery bypass graft                               A  22.57   9.03NA   7.86NA   9.03     7.86     2.98  34.58  33.41  34.58  33.41  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35549  Artery bypass graft                               A  24.34  10.07NA   9.15NA  10.07     9.15     3.30  37.71  36.79  37.71  36.79  0090.09.84.0722210             37.8975 090 99     0.00   0.00   0.00
35551  Artery bypass graft                               A  27.72  11.08NA   9.86NA  11.08     9.86     3.75  42.55  41.33  42.55  41.33  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35556  Artery bypass graft                               A  26.62   9.51NA   8.88NA   9.51     8.88     3.10  39.23  38.60  39.23  38.60  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35558  Artery bypass graft                               A  23.00   9.17NA   8.05NA   9.17     8.05     3.00  35.17  34.05  35.17  34.05  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35560  Artery bypass graft                               A  33.90  12.67NA  10.74NA  12.67    10.74     4.75  51.32  49.39  51.32  49.39  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35563  Artery bypass graft                               A  25.99  10.03NA   8.57NA  10.03     8.57     3.52  39.54  38.08  39.54  38.08  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35565  Artery bypass graft                               A  25.00   9.71NA   8.46NA   9.71     8.46     3.30  38.01  36.76  38.01  36.76  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35566  Artery bypass graft                               A  32.22  11.07NA  10.14NA  11.07    10.14     3.83  47.12  46.19  47.12  46.19  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35571  Artery bypass graft                               A  25.39  10.23NA   8.40NA  10.23     8.40     3.43  39.05  37.22  39.05  37.22  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35572  Harvest femoropopliteal vein                      A   6.81   2.15NA   1.88NA   2.15     1.88     0.99   9.95   9.68   9.95   9.68  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
35583  Vein bypass graft                                 A  27.62   9.85NA   8.96NA   9.85     8.96     3.17  40.64  39.75  40.64  39.75  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35585  Vein bypass graft                                 A  32.22  11.74NA  10.32NA  11.74    10.32     4.02  47.98  46.56  47.98  46.56  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35587  Vein bypass graft                                 A  26.08  10.75NA   8.64NA  10.75     8.64     3.52  40.35  38.24  40.35  38.24  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35600  Harvest artery for cabg                           A   4.94   1.60NA   1.54NA   1.60     1.54     0.73   7.27   7.21   7.27   7.21  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
35601  Artery bypass graft                               A  26.99   9.09NA  10.48NA   9.09    10.48     3.72  39.80  41.19  39.80  41.19  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35606  Artery bypass graft                               A  22.36   8.67NA   7.64NA   8.67     7.64     2.70  33.73  32.70  33.73  32.70  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35612  Artery bypass graft                               A  16.71   7.50NA   6.36NA   7.50     6.36     2.09  26.30  25.16  26.30  25.16  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35616  Artery bypass graft                               A  21.74   7.85NA   7.10NA   7.85     7.10     2.20  31.79  31.04  31.79  31.04  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35621  Artery bypass graft                               A  20.95   8.25NA   6.99NA   8.25     6.99     2.92  32.12  30.86  32.12  30.86  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35623  Bypass graft, not vein                            A  25.79  10.02NA   8.60NA  10.02     8.60     3.46  39.27  37.85  39.27  37.85  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35626  Artery bypass graft                               A  29.06  11.53NA  10.20NA  11.53    10.20     4.08  44.67  43.34  44.67  43.34  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35631  Artery bypass graft                               A  35.90  13.12NA  10.98NA  13.12    10.98     4.96  53.98  51.84  53.98  51.84  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35636  Artery bypass graft                               A  31.62  11.69NA   9.88NA  11.69     9.88     4.10  47.41  45.60  47.41  45.60  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35637  Artery bypass graft                               A  32.92  10.92NA  10.92NA  10.92    10.92     4.44  48.28  48.28  48.28  48.28  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35638  Artery bypass graft                               A  33.47  11.06NA  11.06NA  11.06    11.06     4.52  49.05  49.05  49.05  49.05  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35642  Artery bypass graft                               A  18.85   8.43NA   7.67NA   8.43     7.67     2.28  29.56  28.80  29.56  28.80  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35645  Artery bypass graft                               A  18.34   8.03NA   7.31NA   8.03     7.31     2.50  28.87  28.15  28.87  28.15  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35646  Artery bypass graft                               A  32.84  12.51NA  10.73NA  12.51    10.73     4.44  49.79  48.01  49.79  48.01  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35647  Artery bypass graft                               A  29.62  11.27NA   9.75NA  11.27     9.75     3.99  44.88  43.36  44.88  43.36  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35650  Artery bypass graft                               A  20.08   7.96NA   6.75NA   7.96     6.75     2.72  30.76  29.55  30.76  29.55  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35651  Artery bypass graft                               A  25.97  10.24NA   8.81NA  10.24     8.81     3.36  39.57  38.14  39.57  38.14  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35654  Artery bypass graft                               A  26.17  10.12NA   8.54NA  10.12     8.54     3.53  39.82  38.24  39.82  38.24  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35656  Artery bypass graft                               A  20.39   8.21NA   7.02NA   8.21     7.02     2.80  31.40  30.21  31.40  30.21  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35661  Artery bypass graft                               A  20.22   8.51NA   7.26NA   8.51     7.26     2.72  31.45  30.20  31.45  30.20  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35663  Artery bypass graft                               A  23.80   9.50NA   8.09NA   9.50     8.09     3.11  36.41  35.00  36.41  35.00  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35665  Artery bypass graft                               A  22.22   8.98NA   7.60NA   8.98     7.60     3.01  34.21  32.83  34.21  32.83  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35666  Artery bypass graft                               A  23.53  10.16NA   8.71NA  10.16     8.71     3.16  36.85  35.40  36.85  35.40  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35671  Artery bypass graft                               A  20.64   9.01NA   7.94NA   9.01     7.94     2.78  32.43  31.36  32.43  31.36  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35681  Composite bypass graft                            A   1.60   0.50NA   0.42NA   0.50     0.42     0.23   2.33   2.25   2.33   2.25  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
35682  Composite bypass graft                            A   7.19   2.23NA   1.77NA   2.23     1.77     1.03  10.45   9.99  10.45   9.99  0ZZZ.00.00.0000010             37.8975 090 99     0.00   0.00   0.00
35683  Composite bypass graft                            A   8.49   2.64NA   2.11NA   2.64     2.11     1.20  12.33  11.80  12.33  11.80  0ZZZ.00.00.0000010             37.8975 090 99     0.00   0.00   0.00
35685  Bypass graft patency/patch                        A   4.04   1.26NA   1.00NA   1.26     1.00     0.58   5.88   5.62   5.88   5.62  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
35686  Bypass graft/av fist patency                      A   3.34   1.06NA   0.84NA   1.06     0.84     0.47   4.87   4.65   4.87   4.65  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
35691  Arterial transposition                            A  18.32   7.87NA   6.29NA   7.87     6.29     2.59  28.78  27.20  28.78  27.20  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35693  Arterial transposition                            A  15.64   7.30NA   6.04NA   7.30     6.04     2.22  25.16  23.90  25.16  23.90  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35694  Arterial transposition                            A  19.19   8.09NA   6.54NA   8.09     6.54     2.70  29.98  28.43  29.98  28.43  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35695  Arterial transposition                            A  19.97   8.06NA   6.60NA   8.06     6.60     2.74  30.77  29.31  30.77  29.31  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35697  Reimplant artery each                             A   3.00   0.96NA   0.77NA   0.96     0.77     0.41   4.37   4.18   4.37   4.18  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
35700  Reoperation, bypass graft                         A   3.08   0.97NA   0.80NA   0.97     0.80     0.44   4.49   4.32   4.49   4.32  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
35701  Exploration, carotid artery                       A   9.11   4.93NA   4.27NA   4.93     4.27     1.12  15.16  14.50  15.16  14.50  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35721  Exploration, femoral artery                       A   7.66   4.26NA   3.74NA   4.26     3.74     1.03  12.95  12.43  12.95  12.43  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35741  Exploration popliteal artery                      A   8.61   4.49NA   3.96NA   4.49     3.96     1.12  14.22  13.69  14.22  13.69  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35761  Exploration of artery/vein                        A   5.84   3.88NA   3.47NA   3.88     3.47     0.75  10.47  10.06  10.47  10.06  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35800  Explore neck vessels                              A   7.99   4.48NA   3.95NA   4.48     3.95     0.95  13.42  12.89  13.42  12.89  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35820  Explore chest vessels                             A  36.81   8.70NA  13.20NA   8.70    13.20     1.95  47.46  51.96  47.46  51.96  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35840  Explore abdominal vessels                         A  10.87   5.18NA   4.86NA   5.18     4.86     1.34  17.39  17.07  17.39  17.07  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35860  Explore limb vessels                              A   6.72   3.89NA   3.47NA   3.89     3.47     0.78  11.39  10.97  11.39  10.97  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35870  Repair vessel graft defect                        A  24.39   9.37NA   8.19NA   9.37     8.19     3.01  36.77  35.59  36.77  35.59  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35875  Removal of clot in graft                          A  10.64   4.98NA   4.39NA   4.98     4.39     1.41  17.03  16.44  17.03  16.44  0090.09.84.0720110             37.8975 090 99     0.00   0.00   0.00
35876  Removal of clot in graft                          A  17.74   7.16NA   6.12NA   7.16     6.12     2.40  27.30  26.26  27.30  26.26  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35879  Revise graft w/vein                               A  17.28   7.30NA   6.12NA   7.30     6.12     2.28  26.86  25.68  26.86  25.68  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35881  Revise graft w/vein                               A  19.22   8.17NA   6.68NA   8.17     6.68     2.56  29.95  28.46  29.95  28.46  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35883  Revise graft w/nonauto graft                      A  23.07   8.96NA   8.96NA   8.96     8.96     3.19  35.22  35.22  35.22  35.22  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35884  Revise graft w/vein                               A  24.57   9.43NA   9.43NA   9.43     9.43     3.41  37.41  37.41  37.41  37.41  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
35901  Excision, graft, neck                             A   8.26   5.05NA   4.29NA   5.05     4.29     1.15  14.46  13.70  14.46  13.70  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35903  Excision, graft, extremity                        A   9.44   5.79NA   4.69NA   5.79     4.69     1.30  16.53  15.43  16.53  15.43  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35905  Excision, graft, thorax                           A  33.39  12.57NA  10.72NA  12.57    10.72     4.44  50.40  48.55  50.40  48.55  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
35907  Excision, graft, abdomen                          A  37.14  13.44NA  11.28NA  13.44    11.28     4.92  55.50  53.34  55.50  53.34  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
36000  Place needle in vein                              A   0.18   0.54     0.46     0.05     0.06     0.01   0.73   0.65   0.24   0.25  0XXX.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
36002  Pseudoaneurysm injection trt                      A   1.96   2.68     2.12     0.92     0.77     0.17   4.81   4.25   3.05   2.90  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
36005  Injection ext venography                          A   0.95   7.80     8.25     0.32     0.35     0.05   8.80   9.25   1.32   1.35  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
36010  Place catheter in vein                            A   2.43  17.17    10.77     0.77     0.71     0.20  19.80  13.40   3.40   3.34  0XXX.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
36011  Place catheter in vein                            A   3.14  25.62    19.01     1.03     0.92     0.27  29.03  22.42   4.44   4.33  0XXX.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
36012  Place catheter in vein                            A   3.51  19.09    19.49     1.17     1.11     0.23  22.83  23.23   4.91   4.85  0XXX.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
36013  Place catheter in artery                          A   2.52  20.78    19.05     0.76     0.97     0.25  23.55  21.82   3.53   3.74  0XXX.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36014  Place catheter in artery                          A   3.02  19.62    18.12     1.01     0.93     0.19  22.83  21.33   4.22   4.14  0XXX.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
36015  Place catheter in artery                          A   3.51  22.14    17.56     1.12     0.89     0.21  25.86  21.28   4.84   4.61  0XXX.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
36100  Establish access to artery                        A   3.02  11.84    11.13     1.14     1.21     0.26  15.12  14.41   4.42   4.49  0XXX.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
36120  Establish access to artery                        A   2.01  10.29     9.04     0.63     0.56     0.14  12.44  11.19   2.78   2.71  0XXX.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36140  Establish access to artery                        A   2.01  12.15    10.28     0.65     0.69     0.16  14.32  12.45   2.82   2.86  0XXX.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36145  Artery to vein shunt                              A   2.01  11.87     9.84     0.64     0.57     0.11  13.99  11.96   2.76   2.69  0XXX.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36160  Establish access to aorta                         A   2.52  12.99    11.52     0.82     0.74     0.26  15.77  14.30   3.60   3.52  0XXX.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36200  Place catheter in aorta                           A   3.02  15.70    13.27     1.00     0.96     0.24  18.96  16.53   4.26   4.22  0XXX.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
36215  Place catheter in artery                          A   4.67  26.59    25.27     1.65     1.77     0.27  31.53  30.21   6.59   6.71  0XXX.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36216  Place catheter in artery                          A   5.27  28.57    27.05     1.82     1.90     0.31  34.15  32.63   7.40   7.48  0XXX.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36217  Place catheter in artery                          A   6.29  52.65    44.27     2.17     2.16     0.44  59.38  51.00   8.90   8.89  0XXX.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36218  Place catheter in artery                          A   1.01   4.72     3.61     0.34     0.34     0.07   5.80   4.69   1.42   1.42  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
36245  Place catheter in artery                          A   4.67  31.17    28.42     1.78     2.06     0.31  36.15  33.40   6.76   7.04  0XXX.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
36246  Place catheter in artery                          A   5.27  29.18    26.82     1.84     1.88     0.38  34.83  32.47   7.49   7.53  0XXX.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
36247  Place catheter in artery                          A   6.29  48.22    44.34     2.17     2.26     0.47  54.98  51.10   8.93   9.02  0XXX.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
36248  Place catheter in artery                          A   1.01   3.81     3.10     0.35     0.36     0.07   4.89   4.18   1.43   1.44  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
36260  Insertion of infusion pump                        A   9.82   4.87NA   4.82NA   4.87     4.82     1.29  15.98  15.93  15.98  15.93  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
36261  Revision of infusion pump                         A   5.55   3.54NA   3.19NA   3.54     3.19     0.70   9.79   9.44   9.79   9.44  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
36262  Removal of infusion pump                          A   4.05   2.73NA   2.66NA   2.73     2.66     0.54   7.32   7.25   7.32   7.25  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
36299  Vessel injection procedure                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
36400  Bl draw < 3 yrs fem/jugular                       A   0.38   0.29     0.33     0.10     0.11     0.03   0.70   0.74   0.51   0.52  0XXX.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36405  Bl draw < 3 yrs scalp vein                        A   0.31   0.27     0.29     0.08     0.08     0.03   0.61   0.63   0.42   0.42  0XXX.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36406  Bl draw < 3 yrs other vein                        A   0.18   0.29     0.30     0.06     0.08     0.01   0.48   0.49   0.25   0.27  0XXX.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36410  Non-routine bl draw > 3 yrs                       A   0.18   0.30     0.31     0.05     0.05     0.01   0.49   0.50   0.24   0.24  0XXX.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36415  Routine venipuncture                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
36416  Capillary blood draw                              B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
36420  Vein access cutdown < 1 yr                        A   1.01   0.26NA   0.21NA   0.26     0.21     0.07   1.34   1.29   1.34   1.29  0XXX.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
36425  Vein access cutdown > 1 yr                        A   0.76   0.22NA   0.22NA   0.22     0.22     0.06   1.04   1.04   1.04   1.04  0XXX.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36430  Blood transfusion service                         A   0.00   0.99     0.93     0.76     0.00     0.06   1.05   0.99   0.82   0.06  5XXX.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
36440  Bl push transfuse, 2 yr or <                      A   1.03   0.33NA   0.44NA   0.33     0.44     0.10   1.46   1.57   1.46   1.57  0XXX.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
36450  Bl exchange/transfuse, nb                         A   2.23   0.73NA   0.80NA   0.73     0.80     0.21   3.17   3.24   3.17   3.24  0XXX.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
36455  Bl exchange/transfuse non-nb                      A   2.43   0.95NA   0.75NA   0.95     0.75     0.15   3.53   3.33   3.53   3.33  0XXX.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36460  Transfusion service, fetal                        A   6.58   2.10NA   1.69NA   2.10     1.69     0.79   9.47   9.06   9.47   9.06  0XXX.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
36468  Injection(s), spider veins                        R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
36469  Injection(s), spider veins                        R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
36470  Injection therapy of vein                         A   1.09   2.62     2.42     0.71     0.65     0.12   3.83   3.63   1.92   1.86  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
36471  Injection therapy of veins                        A   1.60   2.94     2.56     0.92     0.80     0.19   4.73   4.35   2.71   2.59  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
36475  Endovenous rf, 1st vein                           A   6.72  47.57    36.10     2.39     1.95     0.37  54.66  43.19   9.48   9.04  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
36476  Endovenous rf, vein add-on                        A   3.38   7.39     5.92     1.08     0.88     0.18  10.95   9.48   4.64   4.44  0ZZZ.00.00.0001100             37.8975 090 99     0.00   0.00   0.00
36478  Endovenous laser, 1st vein                        A   6.72  41.71    26.53     2.41     2.03     0.37  48.80  33.62   9.50   9.12  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
36479  Endovenous laser vein addon                       A   3.38   7.59     6.38     1.10     0.99     0.18  11.15   9.94   4.66   4.55  0ZZZ.00.00.0001100             37.8975 090 99     0.00   0.00   0.00
36481  Insertion of catheter, vein                       A   6.98   2.46NA   2.08NA   2.46     2.08     0.55   9.99   9.61   9.99   9.61  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36500  Insertion of catheter, vein                       A   3.51   1.32NA   1.17NA   1.32     1.17     0.20   5.03   4.88   5.03   4.88  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36510  Insertion of catheter, vein                       A   1.09   3.19     1.09     0.54     0.31     0.10   4.38   2.28   1.73   1.50  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
36511  Apheresis wbc                                     A   1.74   0.69NA   0.58NA   0.69     0.58     0.08   2.51   2.40   2.51   2.40  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36512  Apheresis rbc                                     A   1.74   0.71NA   0.61NA   0.71     0.61     0.08   2.53   2.43   2.53   2.43  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36513  Apheresis platelets                               A   1.74   0.68NA   0.52NA   0.68     0.52     0.17   2.59   2.43   2.59   2.43  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36514  Apheresis plasma                                  A   1.74  15.33    10.42     0.67     0.54     0.08  17.15  12.24   2.49   2.36  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36515  Apheresis, adsorp/reinfuse                        A   1.74  60.92    44.78     0.63     0.52     0.08  62.74  46.60   2.45   2.34  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36516  Apheresis, selective                              A   1.22  75.37    49.33     0.46     0.39     0.08  76.67  50.63   1.76   1.69  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36522  Photopheresis                                     A   1.67  33.02    34.98     0.94     0.87     0.13  34.82  36.78   2.74   2.67  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36540  Collect blood venous device                       B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
36550  Declot vascular device                            A   0.00   0.37     0.32     0.31     0.06     0.37   0.74   0.69   0.68   0.43  9XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
36555  Insert non-tunnel cv cath                         A   2.68   5.34     4.09     0.76     0.62     0.11   8.13   6.88   3.55   3.41  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
36556  Insert non-tunnel cv cath                         A   2.50   4.93     2.85     0.70     0.57     0.19   7.62   5.54   3.39   3.26  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
36557  Insert tunneled cv cath                           A   5.11  19.43    14.29     2.55     2.24     0.57  25.11  19.97   8.23   7.92  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
36558  Insert tunneled cv cath                           A   4.81  19.37    14.36     2.46     2.18     0.57  24.75  19.74   7.84   7.56  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
36560  Insert tunneled cv cath                           A   6.26  27.44    20.75     2.90     2.52     0.57  34.27  27.58   9.73   9.35  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
36561  Insert tunneled cv cath                           A   6.01  27.63    21.79     2.85     2.54     0.57  34.21  28.37   9.43   9.12  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
36563  Insert tunneled cv cath                           A   6.21  25.76    22.81     2.89     2.60     0.84  32.81  29.86   9.94   9.65  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
36565  Insert tunneled cv cath                           A   6.01  22.89    17.44     2.83     2.48     0.57  29.47  24.02   9.41   9.06  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
36566  Insert tunneled cv cath                           A   6.51  47.17   112.19     2.99     2.64     0.57  54.25 119.27  10.07   9.72  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
36568  Insert picc cath                                  A   1.92   7.03     5.53     0.57     0.55     0.11   9.06   7.56   2.60   2.58  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
36569  Insert picc cath                                  A   1.82   6.55     4.19     0.57     0.55     0.19   8.56   6.20   2.58   2.56  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
36570  Insert picvad cath                                A   5.33  30.47    22.38     2.61     2.26     0.57  36.37  28.28   8.51   8.16  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
36571  Insert picvad cath                                A   5.31  31.00    24.27     2.62     2.36     0.57  36.88  30.15   8.50   8.24  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
36575  Repair tunneled cv cath                           A   0.67   3.84     3.19     0.25     0.21     0.20   4.71   4.06   1.12   1.08  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
36576  Repair tunneled cv cath                           A   3.21   6.63     5.69     1.76     1.50     0.19  10.03   9.09   5.16   4.90  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
36578  Replace tunneled cv cath                          A   3.51  10.52     8.70     2.18     1.82     0.19  14.22  12.40   5.88   5.52  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
36580  Replace cvad cath                                 A   1.31   6.16     3.82     0.41     0.39     0.19   7.66   5.32   1.91   1.89  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
36581  Replace tunneled cv cath                          A   3.45  18.33    14.84     1.83     1.55     0.19  21.97  18.48   5.47   5.19  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
36582  Replace tunneled cv cath                          A   5.21  24.51    20.00     2.70     2.20     0.19  29.91  25.40   8.10   7.60  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
36583  Replace tunneled cv cath                          A   5.26  24.53    20.04     2.73     2.27     0.19  29.98  25.49   8.18   7.72  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
36584  Replace picc cath                                 A   1.20   6.16     3.73     0.54     0.52     0.19   7.55   5.12   1.93   1.91  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
36585  Replace picvad cath                               A   4.81  26.29    21.71     2.59     2.17     0.19  31.29  26.71   7.59   7.17  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
36589  Removal tunneled cv cath                          A   2.27   2.13     1.79     1.34     1.17     0.24   4.64   4.30   3.85   3.68  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
36590  Removal tunneled cv cath                          A   3.32   3.42     3.55     1.68     1.56     0.44   7.18   7.31   5.44   5.32  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
36595  Mech remov tunneled cv cath                       A   3.59  15.50    10.24     1.39     1.20     0.21  19.30  14.04   5.19   5.00  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36596  Mech remov tunneled cv cath                       A   0.75   3.38     2.44     0.47     0.39     0.05   4.18   3.24   1.27   1.19  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36597  Reposition venous catheter                        A   1.21   2.28     1.90     0.43     0.38     0.07   3.56   3.18   1.71   1.66  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36598  Inj w/fluor, eval cv device                       T   0.74   2.52     2.15     2.04     0.24     0.05   3.31   2.94   2.83   1.03  9000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
36600  Withdrawal of arterial blood                      A   0.32   0.49     0.50     0.09     0.08     0.02   0.83   0.84   0.43   0.42  0XXX.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36620  Insertion catheter, artery                        A   1.15   0.22NA   0.17NA   0.22     0.17     0.07   1.44   1.39   1.44   1.39  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
36625  Insertion catheter, artery                        A   2.11   0.52NA   0.49NA   0.52     0.49     0.26   2.89   2.86   2.89   2.86  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
36640  Insertion catheter, artery                        A   2.10   1.01NA   0.91NA   1.01     0.91     0.21   3.32   3.22   3.32   3.22  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36660  Insertion catheter, artery                        A   1.40   0.38NA   0.20NA   0.38     0.20     0.14   1.92   1.74   1.92   1.74  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
36680  Insert needle, bone cavity                        A   1.20   0.45NA   0.33NA   0.45     0.33     0.11   1.76   1.64   1.76   1.64  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
36800  Insertion of cannula                              A   2.43   1.74NA   1.55NA   1.74     1.55     0.25   4.42   4.23   4.42   4.23  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36810  Insertion of cannula                              A   3.96   1.60NA   1.34NA   1.60     1.34     0.45   6.01   5.75   6.01   5.75  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36815  Insertion of cannula                              A   2.62   1.14NA   1.03NA   1.14     1.03     0.35   4.11   4.00   4.11   4.00  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36818  Av fuse, uppr arm, cephalic                       A  11.81   5.73NA   4.81NA   5.73     4.81     1.90  19.44  18.52  19.44  18.52  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
36819  Av fuse, uppr arm, basilic                        A  14.39   6.08NA   5.22NA   6.08     5.22     1.96  22.43  21.57  22.43  21.57  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
36820  Av fusion/forearm vein                            A  14.39   6.11NA   5.31NA   6.11     5.31     1.95  22.45  21.65  22.45  21.65  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
36821  Av fusion direct any site                         A   9.15   4.49NA   4.01NA   4.49     4.01     1.23  14.87  14.39  14.87  14.39  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
36822  Insertion of cannula(s)                           A   5.51   4.23NA   3.79NA   4.23     3.79     0.79  10.53  10.09  10.53  10.09  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
36823  Insertion of cannula(s)                           A  22.82   9.23NA   8.80NA   9.23     8.80     2.89  34.94  34.51  34.94  34.51  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
36825  Artery-vein autograft                             A  10.00   4.87NA   4.31NA   4.87     4.31     1.35  16.22  15.66  16.22  15.66  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
36830  Artery-vein nonautograft                          A  12.00   4.98NA   4.23NA   4.98     4.23     1.66  18.64  17.89  18.64  17.89  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
36831  Open thrombect av fistula                         A   8.01   3.77NA   3.25NA   3.77     3.25     1.09  12.87  12.35  12.87  12.35  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
36832  Av fistula revision, open                         A  10.50   4.50NA   3.84NA   4.50     3.84     1.44  16.44  15.78  16.44  15.78  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
36833  Av fistula revision                               A  11.95   4.96NA   4.23NA   4.96     4.23     1.65  18.56  17.83  18.56  17.83  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
36834  Repair A-V aneurysm                               A  11.11   4.68NA   4.33NA   4.68     4.33     1.37  17.16  16.81  17.16  16.81  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
36835  Artery to vein shunt                              A   7.43   4.21NA   3.88NA   4.21     3.88     0.98  12.62  12.29  12.62  12.29  0090.09.84.0720100             37.8975 090 99     0.00   0.00   0.00
36838  Dist revas ligation, hemo                         A  21.59   8.81NA   7.09NA   8.81     7.09     3.02  33.42  31.70  33.42  31.70  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
36860  External cannula declotting                       A   2.01   2.16     3.32     0.67     0.62     0.11   4.28   5.44   2.79   2.74  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36861  Cannula declotting                                A   2.52   1.42NA   1.22NA   1.42     1.22     0.27   4.21   4.01   4.21   4.01  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
36870  Percut thrombect av fistula                       A   5.17  49.54    39.08     2.99     2.50     0.29  55.00  44.54   8.45   7.96  0090.09.84.0721120             37.8975 090 99     0.00   0.00   0.00
37140  Revision of circulation                           A  25.12  10.07NA   8.82NA  10.07     8.82     2.02  37.21  35.96  37.21  35.96  0090.09.84.0720110             37.8975 090 99     0.00   0.00   0.00
37145  Revision of circulation                           A  26.13  10.41NA   9.06NA  10.41     9.06     3.26  39.80  38.45  39.80  38.45  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
37160  Revision of circulation                           A  23.13   8.97NA   8.11NA   8.97     8.11     2.82  34.92  34.06  34.92  34.06  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
37180  Revision of circulation                           A  26.13   9.96NA   8.95NA   9.96     8.95     3.35  39.44  38.43  39.44  38.43  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
37181  Splice spleen/kidney veins                        A  28.26  10.58NA   9.32NA  10.58     9.32     3.41  42.25  40.99  42.25  40.99  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
37182  Insert hepatic shunt (tips)                       A  16.97   5.82NA   5.11NA   5.82     5.11     1.00  23.79  23.08  23.79  23.08  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
37183  Remove hepatic shunt (tips)                       A   7.99   2.89NA   2.51NA   2.89     2.51     0.47  11.35  10.97  11.35  10.97  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
37184  Prim art mech thrombectomy                        A   8.66  65.62    47.39     3.21     2.78     0.55  74.83  56.60  12.42  11.99  0000.00.00.0021120             37.8975 090 99     0.00   0.00   0.00
37185  Prim art m-thrombect add-on                       A   3.28  21.01    15.41     1.07     0.94     0.21  24.50  18.90   4.56   4.43  0ZZZ.00.00.0002120             37.8975 090 99     0.00   0.00   0.00
37186  Sec art m-thrombect add-on                        A   4.92  45.18    32.55     1.60     1.41     0.32  50.42  37.79   6.84   6.65  0ZZZ.00.00.0002120             37.8975 090 99     0.00   0.00   0.00
37187  Venous mech thrombectomy                          A   8.03  64.21    46.31     3.00     2.59     0.51  72.75  54.85  11.54  11.13  0000.00.00.0021120             37.8975 090 99     0.00   0.00   0.00
37188  Venous m-thrombectomy add-on                      A   5.71  56.59    40.43     2.25     1.93     0.37  62.67  46.51   8.33   8.01  0000.00.00.0021120             37.8975 090 99     0.00   0.00   0.00
37195  Thrombolytic therapy, stroke                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
37200  Transcatheter biopsy                              A   4.55   1.46NA   1.32NA   1.46     1.32     0.27   6.28   6.14   6.28   6.14  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
37201  Transcatheter therapy infuse                      A   4.99   2.43NA   2.11NA   2.43     2.11     0.33   7.75   7.43   7.75   7.43  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
37202  Transcatheter therapy infuse                      A   5.67   3.13NA   3.42NA   3.13     3.42     0.43   9.23   9.52   9.23   9.52  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
37203  Transcatheter retrieval                           A   5.02  31.87    28.86     1.98     1.81     0.29  37.18  34.17   7.29   7.12  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
37204  Transcatheter occlusion                           A  18.11   5.75NA   5.30NA   5.75     5.30     1.48  25.34  24.89  25.34  24.89  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
37205  Transcath iv stent, percut                        A   8.27   3.77NA   3.81NA   3.77     3.81     0.60  12.64  12.68  12.64  12.68  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
37206  Transcath iv stent/perc addl                      A   4.12   1.46NA   1.56NA   1.46     1.56     0.31   5.89   5.99   5.89   5.99  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
37207  Transcath iv stent, open                          A   8.27   2.98NA   2.43NA   2.98     2.43     1.17  12.42  11.87  12.42  11.87  0000.00.00.0021220             37.8975 090 99     0.00   0.00   0.00
37208  Transcath iv stent/open addl                      A   4.12   1.30NA   1.05NA   1.30     1.05     0.59   6.01   5.76   6.01   5.76  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
37209  Change iv cath at thromb tx                       A   2.27   0.72NA   0.67NA   0.72     0.67     0.15   3.14   3.09   3.14   3.09  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
37210  Embolization uterine fibroid                      A  10.60  79.88    79.88     3.13     3.13     0.60  91.08  91.08  14.33  14.33  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
37215  Transcath stent, cca w/eps                        R  19.58   9.34NA  10.08NA   9.34    10.08     1.09  30.01  30.75  30.01  30.75  0090.09.84.0720000             37.8975 090 99     0.00   0.00   0.00
37216  Transcath stent, cca w/o eps                      N+ 18.85   8.05NA   5.75NA   8.05     5.75     1.04  27.94  25.64  27.94  25.64  9090.09.84.0799999             37.8975 090 99     0.00   0.00   0.00
37250  Iv us first vessel add-on                         A   2.10   0.77NA   0.81NA   0.77     0.81     0.21   3.08   3.12   3.08   3.12  0ZZZ.00.00.0000010             37.8975 090 99     0.00   0.00   0.00
37251  Iv us each add vessel add-on                      A   1.60   0.54NA   0.52NA   0.54     0.52     0.19   2.33   2.31   2.33   2.31  0ZZZ.00.00.0000010             37.8975 090 99     0.00   0.00   0.00
37500  Endoscopy ligate perf veins                       A  11.54   6.49NA   5.42NA   6.49     5.42     1.54  19.57  18.50  19.57  18.50  0090.09.84.0721110             37.8975 090 99     0.00   0.00   0.00
37501  Vascular endoscopy procedure                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021110             37.8975 090 99     0.00   0.00   0.00
37565  Ligation of neck vein                             A  11.97   5.49NA   5.11NA   5.49     5.11     1.33  18.79  18.41  18.79  18.41  0090.09.84.0720010             37.8975 090 99     0.00   0.00   0.00
37600  Ligation of neck artery                           A  12.34   6.18NA   4.81NA   6.18     4.81     1.41  19.93  18.56  19.93  18.56  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
37605  Ligation of neck artery                           A  14.20   6.57NA   5.57NA   6.57     5.57     1.99  22.76  21.76  22.76  21.76  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
37606  Ligation of neck artery                           A   8.72   4.64NA   4.89NA   4.64     4.89     1.23  14.59  14.84  14.59  14.84  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
37607  Ligation of a-v fistula                           A   6.19   3.44NA   3.08NA   3.44     3.08     0.85  10.48  10.12  10.48  10.12  0090.09.84.0720110             37.8975 090 99     0.00   0.00   0.00
37609  Temporal artery procedure                         A   3.02   4.43     4.20     1.93     1.84     0.36   7.81   7.58   5.31   5.22  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
37615  Ligation of neck artery                           A   7.72   4.09NA   4.01NA   4.09     4.01     0.68  12.49  12.41  12.49  12.41  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
37616  Ligation of chest artery                          A  18.89   8.04NA   7.92NA   8.04     7.92     2.33  29.26  29.14  29.26  29.14  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
37617  Ligation of abdomen artery                        A  23.71   8.85NA   7.89NA   8.85     7.89     2.98  35.54  34.58  35.54  34.58  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
37618  Ligation of extremity artery                      A   5.95   3.55NA   3.37NA   3.55     3.37     0.67  10.17   9.99  10.17   9.99  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
37620  Revision of major vein                            A  11.49   5.52NA   4.94NA   5.52     4.94     0.91  17.92  17.34  17.92  17.34  0090.09.84.0720110             37.8975 090 99     0.00   0.00   0.00
37650  Revision of major vein                            A   8.41   4.56NA   4.19NA   4.56     4.19     1.01  13.98  13.61  13.98  13.61  0090.09.84.0721110             37.8975 090 99     0.00   0.00   0.00
37660  Revision of major vein                            A  22.20   8.79NA   8.02NA   8.79     8.02     2.49  33.48  32.71  33.48  32.71  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
37700  Revise leg vein                                   A   3.76   2.70NA   2.43NA   2.70     2.43     0.53   6.99   6.72   6.99   6.72  0090.09.84.0721100             37.8975 090 99     0.00   0.00   0.00
37718  Ligate/strip short leg vein                       A   7.05   3.92NA   3.51NA   3.92     3.51     0.14  11.11  10.70  11.11  10.70  0090.09.84.0721110             37.8975 090 99     0.00   0.00   0.00
37722  Ligate/strip long leg vein                        A   8.08   4.25NA   3.77NA   4.25     3.77     0.86  13.19  12.71  13.19  12.71  0090.09.84.0721110             37.8975 090 99     0.00   0.00   0.00
37735  Removal of leg veins/lesion                       A  10.81   5.29NA   4.65NA   5.29     4.65     1.48  17.58  16.94  17.58  16.94  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
37760  Ligation, leg veins, open                         A  10.69   5.14NA   4.53NA   5.14     4.53     1.44  17.27  16.66  17.27  16.66  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
37765  Phleb veins - extrem - to 20                      A   7.63   4.36NA   3.56NA   4.36     3.56     0.48  12.47  11.67  12.47  11.67  0090.09.84.0721110             37.8975 090 99     0.00   0.00   0.00
37766  Phleb veins - extrem 20+                          A   9.58   5.01NA   4.09NA   5.01     4.09     0.48  15.07  14.15  15.07  14.15  0090.09.84.0721110             37.8975 090 99     0.00   0.00   0.00
37780  Revision of leg vein                              A   3.87   2.76NA   2.48NA   2.76     2.48     0.53   7.16   6.88   7.16   6.88  0090.09.84.0721110             37.8975 090 99     0.00   0.00   0.00
37785  Ligate/divide/excise vein                         A   3.87   5.12     4.90     2.69     2.58     0.54   9.53   9.31   7.10   6.99  0090.09.84.0721100             37.8975 090 99     0.00   0.00   0.00
37788  Revascularization, penis                          A  23.21   9.85NA  12.15NA   9.85    12.15     2.26  35.32  37.62  35.32  37.62  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
37790  Penile venous occlusion                           A   8.37   4.56NA   5.13NA   4.56     5.13     0.59  13.52  14.09  13.52  14.09  0090.08.83.0920000             37.8975 090 99     0.00   0.00   0.00
37799  Vascular surgery procedure                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
38100  Removal of spleen, total                          A  19.47   6.35NA   6.90NA   6.35     6.90     1.92  27.74  28.29  27.74  28.29  0090.11.73.1620210             37.8975 090 99     0.00   0.00   0.00
38101  Removal of spleen, partial                        A  19.47   6.72NA   7.31NA   6.72     7.31     2.05  28.24  28.83  28.24  28.83  0090.11.73.1620210             37.8975 090 99     0.00   0.00   0.00
38102  Removal of spleen, total                          A   4.79   1.55NA   1.26NA   1.55     1.26     0.63   6.97   6.68   6.97   6.68  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
38115  Repair of ruptured spleen                         A  21.80   6.87NA   7.56NA   6.87     7.56     2.09  30.76  31.45  30.76  31.45  0090.11.73.1620210             37.8975 090 99     0.00   0.00   0.00
38120  Laparoscopy, splenectomy                          A  16.97   7.27NA   6.94NA   7.27     6.94     2.25  26.49  26.16  26.49  26.16  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
38129  Laparoscope proc, spleen                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
38200  Injection for spleen x-ray                        A   2.64   0.91NA   0.96NA   0.91     0.96     0.14   3.69   3.74   3.69   3.74  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
38204  Bl donor search management                        B+  2.00   0.91     0.91     0.91     0.91     0.06   2.97   2.97   2.97   2.97  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
38205  Harvest allogenic stem cells                      R   1.50   0.64NA   0.55NA   0.64     0.55     0.07   2.21   2.12   2.21   2.12  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
38206  Harvest auto stem cells                           R   1.50   0.64NA   0.55NA   0.64     0.55     0.07   2.21   2.12   2.21   2.12  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
38207  Cryopreserve stem cells                           I+  0.89   0.41     0.41     0.41     0.41     0.01   1.31   1.31   1.31   1.31  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
38208  Thaw preserved stem cells                         I+  0.56   0.25     0.25     0.25     0.25     0.02   0.83   0.83   0.83   0.83  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
38209  Wash harvest stem cells                           I+  0.24   0.11     0.11     0.11     0.11     0.01   0.36   0.36   0.36   0.36  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
38210  T-cell depletion of harvest                       I+  1.57   0.72     0.72     0.72     0.72     0.03   2.32   2.32   2.32   2.32  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
38211  Tumor cell deplete of harvst                      I+  1.42   0.65     0.65     0.65     0.65     0.02   2.09   2.09   2.09   2.09  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
38212  Rbc depletion of harvest                          I+  0.94   0.43     0.43     0.43     0.43     0.02   1.39   1.39   1.39   1.39  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
38213  Platelet deplete of harvest                       I+  0.24   0.11     0.11     0.11     0.11     0.01   0.36   0.36   0.36   0.36  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
38214  Volume deplete of harvest                         I+  0.81   0.37     0.37     0.37     0.37     0.01   1.19   1.19   1.19   1.19  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
38215  Harvest stem cell concentrte                      I+  0.94   0.43     0.43     0.43     0.43     0.02   1.39   1.39   1.39   1.39  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
38220  Bone marrow aspiration                            A   1.08   3.46     2.66     0.50     0.45     0.05   4.59   3.79   1.63   1.58  0XXX.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
38221  Bone marrow biopsy                                A   1.37   3.64     2.78     0.63     0.58     0.07   5.08   4.22   2.07   2.02  0XXX.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
38230  Bone marrow collection                            R   4.80   3.12NA   2.80NA   3.12     2.80     0.48   8.40   8.08   8.40   8.08  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
38240  Bone marrow/stem transplant                       R   2.24   1.01NA   0.96NA   1.01     0.96     0.11   3.36   3.31   3.36   3.31  0XXX.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
38241  Bone marrow/stem transplant                       R   2.24   1.02NA   0.95NA   1.02     0.95     0.11   3.37   3.30   3.37   3.30  0XXX.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
38242  Lymphocyte infuse transplant                      A   1.71   0.76NA   0.71NA   0.76     0.71     0.08   2.55   2.50   2.55   2.50  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
38300  Drainage, lymph node lesion                       A   2.28   4.12     3.58     1.97     1.74     0.25   6.65   6.11   4.50   4.27  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
38305  Drainage, lymph node lesion                       A   6.55   4.18NA   3.38NA   4.18     3.38     0.88  11.61  10.81  11.61  10.81  0090.11.73.1620100             37.8975 090 99     0.00   0.00   0.00
38308  Incision of lymph channels                        A   6.73   3.69NA   3.54NA   3.69     3.54     0.85  11.27  11.12  11.27  11.12  0090.11.73.1620210             37.8975 090 99     0.00   0.00   0.00
38380  Thoracic duct procedure                           A   8.34   5.44NA   4.70NA   5.44     4.70     0.74  14.52  13.78  14.52  13.78  0090.11.73.1620210             37.8975 090 99     0.00   0.00   0.00
38381  Thoracic duct procedure                           A  13.32   6.68NA   6.08NA   6.68     6.08     1.85  21.85  21.25  21.85  21.25  0090.11.73.1620210             37.8975 090 99     0.00   0.00   0.00
38382  Thoracic duct procedure                           A  10.51   5.68NA   5.45NA   5.68     5.45     1.37  17.56  17.33  17.56  17.33  0090.11.73.1620210             37.8975 090 99     0.00   0.00   0.00
38500  Biopsy/removal, lymph nodes                       A   3.76   3.70     3.73     2.07     2.02     0.49   7.95   7.98   6.32   6.27  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
38505  Needle biopsy, lymph nodes                        A   1.14   2.04     2.00     0.75     0.67     0.09   3.27   3.23   1.98   1.90  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
38510  Biopsy/removal, lymph nodes                       A   6.69   5.46     5.20     3.36     2.98     0.72  12.87  12.61  10.77  10.39  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
38520  Biopsy/removal, lymph nodes                       A   6.95   3.96NA   3.70NA   3.96     3.70     0.84  11.75  11.49  11.75  11.49  0090.11.73.1621100             37.8975 090 99     0.00   0.00   0.00
38525  Biopsy/removal, lymph nodes                       A   6.35   3.33NA   3.46NA   3.33     3.46     0.80  10.48  10.61  10.48  10.61  0090.11.73.1621100             37.8975 090 99     0.00   0.00   0.00
38530  Biopsy/removal, lymph nodes                       A   8.26   4.32NA   4.09NA   4.32     4.09     1.12  13.70  13.47  13.70  13.47  0090.11.73.1621210             37.8975 090 99     0.00   0.00   0.00
38542  Explore deep node(s), neck                        A   6.08   4.30NA   3.77NA   4.30     3.77     0.60  10.98  10.45  10.98  10.45  0090.11.73.1621210             37.8975 090 99     0.00   0.00   0.00
38550  Removal, neck/armpit lesion                       A   6.99   3.99NA   4.22NA   3.99     4.22     0.88  11.86  12.09  11.86  12.09  0090.11.73.1620000             37.8975 090 99     0.00   0.00   0.00
38555  Removal, neck/armpit lesion                       A  15.42   8.22NA   7.27NA   8.22     7.27     1.76  25.40  24.45  25.40  24.45  0090.11.73.1620210             37.8975 090 99     0.00   0.00   0.00
38562  Removal, pelvic lymph nodes                       A  10.92   5.77NA   5.77NA   5.77     5.77     1.20  17.89  17.89  17.89  17.89  0090.11.73.1622210             37.8975 090 99     0.00   0.00   0.00
38564  Removal, abdomen lymph nodes                      A  11.29   5.24NA   5.23NA   5.24     5.23     1.32  17.85  17.84  17.85  17.84  0090.11.73.1620210             37.8975 090 99     0.00   0.00   0.00
38570  Laparoscopy, lymph node biop                      A   9.28   3.98NA   3.99NA   3.98     3.99     1.13  14.39  14.40  14.39  14.40  0010.10.80.1030220       49320 37.8975 090 99     0.00   0.00   0.00
38571  Laparoscopy, lymphadenectomy                      A  14.70   5.97NA   6.95NA   5.97     6.95     1.15  21.82  22.80  21.82  22.80  0010.10.80.1022220             37.8975 090 99     0.00   0.00   0.00
38572  Laparoscopy, lymphadenectomy                      A  16.86   6.86NA   6.21NA   6.86     6.21     1.91  25.63  24.98  25.63  24.98  0010.10.80.1022220             37.8975 090 99     0.00   0.00   0.00
38589  Laparoscope proc, lymphatic                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
38700  Removal of lymph nodes, neck                      A  12.68   6.18NA   6.01NA   6.18     6.01     0.72  19.58  19.41  19.58  19.41  0090.11.73.1621210             37.8975 090 99     0.00   0.00   0.00
38720  Removal of lymph nodes, neck                      A  21.72   9.36NA   9.38NA   9.36     9.38     1.20  32.28  32.30  32.28  32.30  0090.11.73.1621210             37.8975 090 99     0.00   0.00   0.00
38724  Removal of lymph nodes, neck                      A  23.72   9.87NA  10.00NA   9.87    10.00     1.28  34.87  35.00  34.87  35.00  0090.11.73.1621210             37.8975 090 99     0.00   0.00   0.00
38740  Remove armpit lymph nodes                         A  10.57   4.96NA   5.02NA   4.96     5.02     1.32  16.85  16.91  16.85  16.91  0090.11.73.1621210             37.8975 090 99     0.00   0.00   0.00
38745  Remove armpit lymph nodes                         A  13.71   6.07NA   6.06NA   6.07     6.06     1.74  21.52  21.51  21.52  21.51  0090.11.73.1621210             37.8975 090 99     0.00   0.00   0.00
38746  Remove thoracic lymph nodes                       A   4.88   1.57NA   1.45NA   1.57     1.45     0.72   7.17   7.05   7.17   7.05  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
38747  Remove abdominal lymph nodes                      A   4.88   1.57NA   1.27NA   1.57     1.27     0.64   7.09   6.79   7.09   6.79  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
38760  Remove groin lymph nodes                          A  13.49   6.09NA   5.98NA   6.09     5.98     1.72  21.30  21.19  21.30  21.19  0090.11.73.1621210             37.8975 090 99     0.00   0.00   0.00
38765  Remove groin lymph nodes                          A  21.78   8.77NA   8.66NA   8.77     8.66     2.48  33.03  32.92  33.03  32.92  0090.11.73.1621210             37.8975 090 99     0.00   0.00   0.00
38770  Remove pelvis lymph nodes                         A  13.98   6.05NA   6.97NA   6.05     6.97     1.40  21.43  22.35  21.43  22.35  0090.11.73.1621210             37.8975 090 99     0.00   0.00   0.00
38780  Remove abdomen lymph nodes                        A  17.56   8.16NA   8.02NA   8.16     8.02     1.89  27.61  27.47  27.61  27.47  0090.11.73.1620210             37.8975 090 99     0.00   0.00   0.00
38790  Inject for lymphatic x-ray                        A   1.29   0.75NA   0.70NA   0.75     0.70     0.13   2.17   2.12   2.17   2.12  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
38792  Identify sentinel node                            A   0.52   0.45NA   0.46NA   0.45     0.46     0.06   1.03   1.04   1.03   1.04  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
38794  Access thoracic lymph duct                        A   4.51   3.30NA   2.84NA   3.30     2.84     0.32   8.13   7.67   8.13   7.67  0090.11.73.1620000             37.8975 090 99     0.00   0.00   0.00
38999  Blood/lymph system procedure                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
39000  Exploration of chest                              A   7.49   4.57NA   4.34NA   4.57     4.34     0.89  12.95  12.72  12.95  12.72  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
39010  Exploration of chest                              A  13.11   7.19NA   6.14NA   7.19     6.14     1.76  22.06  21.01  22.06  21.01  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
39200  Removal chest lesion                              A  15.04   7.21NA   6.26NA   7.21     6.26     2.03  24.28  23.33  24.28  23.33  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
39220  Removal chest lesion                              A  19.47   9.04NA   8.06NA   9.04     8.06     2.46  30.97  29.99  30.97  29.99  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
39400  Visualization of chest                            A   8.00   4.68NA   4.18NA   4.68     4.18     0.82  13.50  13.00  13.50  13.00  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
39499  Chest procedure                                   C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
39501  Repair diaphragm laceration                       A  13.89   6.32NA   5.92NA   6.32     5.92     1.78  21.99  21.59  21.99  21.59  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
39502  Repair paraesophageal hernia                      A  17.09   7.01NA   6.63NA   7.01     6.63     2.17  26.27  25.89  26.27  25.89  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
39503  Repair of diaphragm hernia                        A 108.67  32.73NA  30.82NA  32.73    30.82    10.98 152.38 150.47 152.38 150.47  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
39520  Repair of diaphragm hernia                        A  16.63   7.76NA   6.90NA   7.76     6.90     2.24  26.63  25.77  26.63  25.77  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
39530  Repair of diaphragm hernia                        A  16.22   6.95NA   6.39NA   6.95     6.39     2.11  25.28  24.72  25.28  24.72  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
39531  Repair of diaphragm hernia                        A  17.23   7.18NA   6.59NA   7.18     6.59     2.22  26.63  26.04  26.63  26.04  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
39540  Repair of diaphragm hernia                        A  14.51   6.07NA   5.62NA   6.07     5.62     1.80  22.38  21.93  22.38  21.93  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
39541  Repair of diaphragm hernia                        A  15.67   6.48NA   6.18NA   6.48     6.18     1.93  24.08  23.78  24.08  23.78  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
39545  Revision of diaphragm                             A  14.58   7.46NA   7.21NA   7.46     7.21     1.84  23.88  23.63  23.88  23.63  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
39560  Resect diaphragm, simple                          A  12.97   6.10NA   5.54NA   6.10     5.54     1.59  20.66  20.10  20.66  20.10  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
39561  Resect diaphragm, complex                         A  19.75   9.34NA   9.35NA   9.34     9.35     2.45  31.54  31.55  31.54  31.55  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
39599  Diaphragm surgery procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
4000F  Tobacco use txmnt counseling                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4001F  Tobacco use txmnt, pharmacol                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4002F  Statin therapy, rx                                M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4003F  Pt ed write/oral, pts w/ hf                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4005F  Pharm thx for op rxd                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4006F  Beta-blocker therapy rx                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4007F  Areds/anitox vit/min rxd                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4009F  Ace/arb inhibitor therapy rx                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4011F  Oral antiplatelet therapy rx                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4012F  Warfarin therapy rx                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4014F  Written discharge instr prvd                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4015F  Persist asthma medicine ctrl                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4016F  Anti-inflm/anlgsc agent rx                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4017F  Gi prophylaxis for nsaid rx                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4018F  Therapy exercise joint rx                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4019F  Doc recpt counsl vit d/calc+                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4025F  Inhaled bronchodilator rx                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4030F  Oxygen therapy rx                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4033F  Pulmonary rehab rec                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4035F  Influenza imm rec                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4037F  Influenza imm order/admin                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4040F  Pneumoc imm order/admin                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4041F  Doc order cefazolin/cefurox.                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4042F  Doc antibio not given                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4043F  Doc order given stop antibio                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4044F  Doc order given VTE prophylx                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4045F  Empiric antibiotic rx                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4046F  Doc antibio given b/4 surg                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4047F  Doc antibio given b/4 surg                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4048F  Doc antibio given b/4 surg                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4049F  Doc order given stop antibio                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
40490  Biopsy of lip                                     A   1.22   1.75     2.09     0.61     0.59     0.05   3.02   3.36   1.88   1.86  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
4050F  Ht care plan doc                                  M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
40500  Partial excision of lip                           A   4.35   7.12     7.79     4.32     4.30     0.38  11.85  12.52   9.05   9.03  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
4051F  Referred for an AV fistula                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
40510  Partial excision of lip                           A   4.74   6.60     6.58     3.89     3.54     0.49  11.83  11.81   9.12   8.77  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
4052F  Hemodialysis via AV fistula                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
40520  Partial excision of lip                           A   4.71   7.38     6.88     4.03     3.77     0.52  12.61  12.11   9.26   9.00  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
40525  Reconstruct lip with flap                         A   7.61   6.06NA   5.34NA   6.06     5.34     0.85  14.52  13.80  14.52  13.80  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
40527  Reconstruct lip with flap                         A   9.20   7.01NA   5.97NA   7.01     5.97     0.97  17.18  16.14  17.18  16.14  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
4053F  Hemodialysis via AV graft                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
40530  Partial removal of lip                            A   5.45   7.70     7.35     4.47     4.15     0.55  13.70  13.35  10.47  10.15  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
4054F  Hemodialysis via catheter                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4055F  Pt. rcvng periton dialysis                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4056F  Approp. oral rehyd. recommd                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4058F  Ped gastro ed given, caregvr                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4060F  Psych svcs provided                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4062F  Pt referral psych docd                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4064F  Antidepressant rx                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4065F  Antipsychotic rx                                  M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
40650  Repair lip                                        A   3.69   6.58     5.94     3.26     3.16     0.38  10.65  10.01   7.33   7.23  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
40652  Repair lip                                        A   4.32   7.57     7.07     4.21     4.04     0.52  12.41  11.91   9.05   8.88  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
40654  Repair lip                                        A   5.37   8.48     8.13     4.88     4.73     0.60  14.45  14.10  10.85  10.70  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
4066F  ECT provided                                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4067F  Pt referral for ECT docd                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4070F  DVT prophylx recvd day 2                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
40700  Repair cleft lip/nasal                            A  13.97   9.13NA   9.32NA   9.13     9.32     0.95  24.05  24.24  24.05  24.24  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
40701  Repair cleft lip/nasal                            A  17.03  11.36NA  11.44NA  11.36    11.44     1.65  30.04  30.12  30.04  30.12  0090.09.81.1022200             37.8975 090 99     0.00   0.00   0.00
40702  Repair cleft lip/nasal                            A  14.09   8.02NA   7.32NA   8.02     7.32     1.23  23.34  22.64  23.34  22.64  0090.09.81.1022200             37.8975 090 99     0.00   0.00   0.00
40720  Repair cleft lip/nasal                            A  14.54   9.72NA   9.22NA   9.72     9.22     1.80  26.06  25.56  26.06  25.56  0090.09.81.1021000             37.8975 090 99     0.00   0.00   0.00
4073F  Oral antiplat thx rx dischrg                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4075F  Anticoag thx rx at dischrg                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
40761  Repair cleft lip/nasal                            A  15.69   9.97NA   9.05NA   9.97     9.05     1.94  27.60  26.68  27.60  26.68  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
4077F  Doc t-pa admin considered                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4079F  Doc rehab svcs considered                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
40799  Lip surgery procedure                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
40800  Drainage of mouth lesion                          A   1.19   3.18     3.83     1.80     1.88     0.13   4.50   5.15   3.12   3.20  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
40801  Drainage of mouth lesion                          A   2.57   4.23     4.86     2.70     2.58     0.31   7.11   7.74   5.58   5.46  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
40804  Removal, foreign body, mouth                      A   1.26   3.45     3.63     1.83     1.76     0.11   4.82   5.00   3.20   3.13  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
40805  Removal, foreign body, mouth                      A   2.73   4.63     5.06     2.76     2.59     0.32   7.68   8.11   5.81   5.64  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
40806  Incision of lip fold                              A   0.31   1.97     2.37     0.50     0.50     0.04   2.32   2.72   0.85   0.85  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
40808  Biopsy of mouth lesion                            A   0.98   2.87     3.52     1.51     1.58     0.10   3.95   4.60   2.59   2.66  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
40810  Excision of mouth lesion                          A   1.33   3.05     3.57     1.66     1.67     0.13   4.51   5.03   3.12   3.13  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
40812  Excise/repair mouth lesion                        A   2.33   3.92     4.51     2.37     2.28     0.28   6.53   7.12   4.98   4.89  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
40814  Excise/repair mouth lesion                        A   3.45   5.11     5.63     3.83     3.66     0.41   8.97   9.49   7.69   7.52  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
40816  Excision of mouth lesion                          A   3.70   5.33     5.80     3.93     3.71     0.40   9.43   9.90   8.03   7.81  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
40818  Excise oral mucosa for graft                      A   2.72   5.32     5.78     3.91     3.73     0.21   8.25   8.71   6.84   6.66  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
40819  Excise lip or cheek fold                          A   2.45   4.28     4.87     3.09     3.07     0.29   7.02   7.61   5.83   5.81  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
40820  Treatment of mouth lesion                         A   1.30   4.23     5.14     2.54     2.85     0.11   5.64   6.55   3.95   4.26  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
40830  Repair mouth laceration                           A   1.78   3.81     4.09     2.07     2.02     0.19   5.78   6.06   4.04   3.99  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
40831  Repair mouth laceration                           A   2.50   4.83     5.35     2.98     2.76     0.30   7.63   8.15   5.78   5.56  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
4084F  Aspirin recvd w/in 24 hrs                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
40840  Reconstruction of mouth                           R   9.03   9.85    10.06     6.64     5.63     1.08  19.96  20.17  16.75  15.74  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
40842  Reconstruction of mouth                           R   9.03   9.99     9.76     6.44     5.40     1.08  20.10  19.87  16.55  15.51  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
40843  Reconstruction of mouth                           R  12.62  11.92    11.82     7.39     6.12     1.39  25.93  25.83  21.40  20.13  0090.09.81.1022200             37.8975 090 99     0.00   0.00   0.00
40844  Reconstruction of mouth                           R  16.57  15.54    14.88    10.89     8.89     2.00  34.11  33.45  29.46  27.46  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
40845  Reconstruction of mouth                           R  19.13  16.64    15.37    12.35     9.78     2.01  37.78  36.51  33.49  30.92  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
40899  Mouth surgery procedure                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
4090F  Pt rcvng epo thxpy                                M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4095F  Pt not rcvng epo thxpy                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4100F  Biphos thxpy vein ord/recvd                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
41000  Drainage of mouth lesion                          A   1.32   2.36     2.50     1.39     1.31     0.12   3.80   3.94   2.83   2.75  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
41005  Drainage of mouth lesion                          A   1.28   3.55     4.22     1.72     1.72     0.12   4.95   5.62   3.12   3.12  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
41006  Drainage of mouth lesion                          A   3.28   4.92     5.30     3.07     2.76     0.35   8.55   8.93   6.70   6.39  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
41007  Drainage of mouth lesion                          A   3.14   5.19     5.34     2.95     2.74     0.31   8.64   8.79   6.40   6.19  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
41008  Drainage of mouth lesion                          A   3.40   4.87     5.42     3.11     2.82     0.42   8.69   9.24   6.93   6.64  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
41009  Drainage of mouth lesion                          A   3.63   5.18     5.81     3.47     3.15     0.47   9.28   9.91   7.57   7.25  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
41010  Incision of tongue fold                           A   1.08   3.41     3.36     1.54     1.35     0.07   4.56   4.51   2.69   2.50  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
41015  Drainage of mouth lesion                          A   4.00   5.61     6.22     4.09     3.95     0.46  10.07  10.68   8.55   8.41  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
41016  Drainage of mouth lesion                          A   4.11   5.75     6.18     4.18     4.05     0.53  10.39  10.82   8.82   8.69  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
41017  Drainage of mouth lesion                          A   4.11   5.81     6.33     4.25     4.11     0.53  10.45  10.97   8.89   8.75  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
41018  Drainage of mouth lesion                          A   5.14   6.24     6.57     4.52     4.36     0.68  12.06  12.39  10.34  10.18  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
4110F  Int. mam art used for cabg                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
41100  Biopsy of tongue                                  A   1.39   2.46     2.58     1.35     1.13     0.15   4.00   4.12   2.89   2.67  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
41105  Biopsy of tongue                                  A   1.44   2.37     2.57     1.28     1.15     0.13   3.94   4.14   2.85   2.72  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
41108  Biopsy of floor of mouth                          A   1.07   2.15     2.40     1.11     1.03     0.10   3.32   3.57   2.28   2.20  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
41110  Excision of tongue lesion                         A   1.53   3.10     3.47     1.62     1.55     0.13   4.76   5.13   3.28   3.21  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
41112  Excision of tongue lesion                         A   2.77   4.63     5.12     3.21     3.16     0.28   7.68   8.17   6.26   6.21  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
41113  Excision of tongue lesion                         A   3.23   4.91     5.40     3.44     3.33     0.34   8.48   8.97   7.01   6.90  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
41114  Excision of tongue lesion                         A   8.71   6.90NA   6.02NA   6.90     6.02     0.83  16.44  15.56  16.44  15.56  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
41115  Excision of tongue fold                           A   1.76   3.53     4.26     1.83     1.76     0.18   5.47   6.20   3.77   3.70  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
41116  Excision of mouth lesion                          A   2.47   4.59     5.32     2.77     2.67     0.23   7.29   8.02   5.47   5.37  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
41120  Partial removal of tongue                         A  10.91  14.81NA  13.31NA  14.81    13.31     0.79  26.51  25.01  26.51  25.01  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
41130  Partial removal of tongue                         A  15.51  15.81NA  14.68NA  15.81    14.68     0.93  32.25  31.12  32.25  31.12  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
41135  Tongue and neck surgery                           A  29.83  22.45NA  20.15NA  22.45    20.15     1.89  54.17  51.87  54.17  51.87  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
41140  Removal of tongue                                 A  28.81  25.39NA  21.56NA  25.39    21.56     2.27  56.47  52.64  56.47  52.64  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
41145  Tongue removal, neck surgery                      A  37.59  29.56NA  26.62NA  29.56    26.62     2.55  69.70  66.76  69.70  66.76  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
4115F  Beta blckr admin w/in 24 hrs                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
41150  Tongue, mouth, jaw surgery                        A  29.52  23.87NA  21.36NA  23.87    21.36     1.95  55.34  52.83  55.34  52.83  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
41153  Tongue, mouth, neck surgery                       A  33.28  24.30NA  22.13NA  24.30    22.13     2.01  59.59  57.42  59.59  57.42  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
41155  Tongue, jaw, & neck surgery                       A  43.96  26.48NA  25.50NA  26.48    25.50     2.34  72.78  71.80  72.78  71.80  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
4120F  Antibiot rxd/given                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4124F  Antibiot not rxd/given                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
41250  Repair tongue laceration                          A   1.93   3.00     3.79     1.28     1.59     0.18   5.11   5.90   3.39   3.70  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
41251  Repair tongue laceration                          A   2.29   3.24     3.15     1.58     1.65     0.22   5.75   5.66   4.09   4.16  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
41252  Repair tongue laceration                          A   2.99   4.01     4.35     2.18     1.98     0.29   7.29   7.63   5.46   5.26  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
4130F  Topical prep rx, aoe                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4131F  Syst antimicrobial thx rx                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4132F  No syst antimicrobial thx rx                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4133F  Antihist/decong rx/recom                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4134F  No antihist/decong rx/recom                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4135F  Systemic corticosteroids rx                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4136F  Syst corticosteroids not rx                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4150F  Pt recvng antivir txmnt hepc                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
41500  Fixation of tongue                                A   3.74   7.22NA   6.54NA   7.22     6.54     0.30  11.26  10.58  11.26  10.58  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
4151F  Pt not recvng antiv hep c                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
41510  Tongue to lip surgery                             A   3.45   7.71NA   7.05NA   7.71     7.05     0.20  11.36  10.70  11.36  10.70  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
4152F  Docd pegintf/rib thxy consd                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
41520  Reconstruction, tongue fold                       A   2.77   4.90     5.72     3.52     3.22     0.27   7.94   8.76   6.56   6.26  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
4153F  Combo pegintf/rib rx                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4154F  Hep a vac series recommended                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4155F  Hep a vac series prev recvd                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4156F  Hep b vac series recommended                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4157F  Hep b vac series prev recvd                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4158F  Pt edu re: alcoh drnkng done                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
4159F  Contrcp talk b/4 antiv txmnt                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
41599  Tongue and mouth surgery                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
41800  Drainage of gum lesion                            A   1.21   3.13     4.74     1.49     2.10     0.12   4.46   6.07   2.82   3.43  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
41805  Removal foreign body, gum                         A   1.28   3.18     4.72     2.35     2.75     0.13   4.59   6.13   3.76   4.16  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
41806  Removal foreign body,jawbone                      A   2.73   4.16     5.91     3.13     3.41     0.37   7.26   9.01   6.23   6.51  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
41820  Excision, gum, each quadrant                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
41821  Excision of gum flap                              R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
41822  Excision of gum lesion                            R   2.35   4.08     4.66     1.85     1.80     0.31   6.74   7.32   4.51   4.46  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
41823  Excision of gum lesion                            R   3.63   5.80     6.50     3.95     3.77     0.47   9.90  10.60   8.05   7.87  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
41825  Excision of gum lesion                            A   1.35   3.20     3.62     2.04     1.44     0.15   4.70   5.12   3.54   2.94  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
41826  Excision of gum lesion                            A   2.35   3.10     5.12     2.23     2.60     0.30   5.75   7.77   4.88   5.25  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
41827  Excision of gum lesion                            A   3.72   5.79     6.61     3.59     3.38     0.35   9.86  10.68   7.66   7.45  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
41828  Excision of gum lesion                            R   3.11   3.88     4.13     2.64     1.68     0.44   7.43   7.68   6.19   5.23  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
41830  Removal of gum tissue                             R   3.38   5.23     6.04     3.51     3.16     0.44   9.05   9.86   7.33   6.98  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
41850  Treatment of gum lesion                           R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
41870  Gum graft                                         R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
41872  Repair gum                                        R   2.90   5.24     5.89     3.42     3.28     0.30   8.44   9.09   6.62   6.48  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
41874  Repair tooth socket                               R   3.13   5.07     5.76     3.08     2.79     0.45   8.65   9.34   6.66   6.37  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
41899  Dental surgery procedure                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
42000  Drainage mouth roof lesion                        A   1.25   2.51     2.34     1.23     1.15     0.12   3.88   3.71   2.60   2.52  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
42100  Biopsy roof of mouth                              A   1.33   2.11     2.19     1.33     1.22     0.13   3.57   3.65   2.79   2.68  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
42104  Excision lesion, mouth roof                       A   1.66   2.76     3.43     1.56     1.60     0.16   4.58   5.25   3.38   3.42  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
42106  Excision lesion, mouth roof                       A   2.12   3.52     4.41     2.35     2.06     0.25   5.89   6.78   4.72   4.43  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
42107  Excision lesion, mouth roof                       A   4.48   5.87     6.34     3.86     3.58     0.44  10.79  11.26   8.78   8.50  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
42120  Remove palate/lesion                              A  11.70  11.71NA  11.51NA  11.71    11.51     0.52  23.93  23.73  23.93  23.73  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
42140  Excision of uvula                                 A   1.65   3.85     4.24     2.06     1.95     0.13   5.63   6.02   3.84   3.73  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
42145  Repair palate, pharynx/uvula                      A   9.63   7.33NA   6.85NA   7.33     6.85     0.65  17.61  17.13  17.61  17.13  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
42160  Treatment mouth roof lesion                       A   1.82   4.10     3.63     2.12     1.62     0.17   6.09   5.62   4.11   3.61  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
42180  Repair palate                                     A   2.52   3.11     3.22     2.02     1.79     0.21   5.84   5.95   4.75   4.52  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
42182  Repair palate                                     A   3.84   3.92     4.05     2.88     2.41     0.40   8.16   8.29   7.12   6.65  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
42200  Reconstruct cleft palate                          A  12.41   9.72NA   8.26NA   9.72     8.26     1.27  23.40  21.94  23.40  21.94  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42205  Reconstruct cleft palate                          A  13.57   9.45NA   7.60NA   9.45     7.60     1.58  24.60  22.75  24.60  22.75  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42210  Reconstruct cleft palate                          A  14.91  11.06NA   9.87NA  11.06     9.87     2.17  28.14  26.95  28.14  26.95  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42215  Reconstruct cleft palate                          A   8.88   8.64NA   7.34NA   8.64     7.34     1.31  18.83  17.53  18.83  17.53  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42220  Reconstruct cleft palate                          A   7.07   6.79NA   6.80NA   6.79     6.80     0.73  14.59  14.60  14.59  14.60  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42225  Reconstruct cleft palate                          A   9.66  15.83NA  12.12NA  15.83    12.12     0.86  26.35  22.64  26.35  22.64  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42226  Lengthening of palate                             A  10.24  13.89NA  11.44NA  13.89    11.44     1.01  25.14  22.69  25.14  22.69  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42227  Lengthening of palate                             A   9.81  14.10NA   9.78NA  14.10     9.78     0.98  24.89  20.57  24.89  20.57  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42235  Repair palate                                     A   7.92  11.48NA  10.34NA  11.48    10.34     0.72  20.12  18.98  20.12  18.98  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42260  Repair nose to lip fistula                        A  10.10  10.06     9.65     6.78     5.93     1.26  21.42  21.01  18.14  17.29  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42280  Preparation, palate mold                          A   1.56   2.03     2.25     1.07     0.85     0.19   3.78   4.00   2.82   2.60  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
42281  Insertion, palate prosthesis                      A   1.95   2.68     2.83     1.80     1.57     0.17   4.80   4.95   3.92   3.69  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
42299  Palate/uvula surgery                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
42300  Drainage of salivary gland                        A   1.95   2.85     2.93     1.76     1.61     0.16   4.96   5.04   3.87   3.72  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
42305  Drainage of salivary gland                        A   6.23   4.47NA   3.71NA   4.47     3.71     0.51  11.21  10.45  11.21  10.45  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42310  Drainage of salivary gland                        A   1.58   2.24     2.19     1.49     1.32     0.13   3.95   3.90   3.20   3.03  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
42320  Drainage of salivary gland                        A   2.37   3.34     3.56     2.01     1.78     0.21   5.92   6.14   4.59   4.36  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
42330  Removal of salivary stone                         A   2.23   3.16     3.20     1.79     1.62     0.19   5.58   5.62   4.21   4.04  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
42335  Removal of salivary stone                         A   3.35   5.04     5.46     3.03     2.69     0.29   8.68   9.10   6.67   6.33  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
42340  Removal of salivary stone                         A   4.64   6.11     6.31     3.76     3.26     0.42  11.17  11.37   8.82   8.32  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42400  Biopsy of salivary gland                          A   0.78   1.71     1.88     0.69     0.59     0.06   2.55   2.72   1.53   1.43  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
42405  Biopsy of salivary gland                          A   3.31   3.94     3.74     2.34     2.02     0.28   7.53   7.33   5.93   5.61  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
42408  Excision of salivary cyst                         A   4.58   5.96     6.10     3.48     3.10     0.45  10.99  11.13   8.51   8.13  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42409  Drainage of salivary cyst                         A   2.85   4.66     5.07     2.67     2.40     0.27   7.78   8.19   5.79   5.52  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42410  Excise parotid gland/lesion                       A   9.46   5.91NA   4.99NA   5.91     4.99     0.91  16.28  15.36  16.28  15.36  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
42415  Excise parotid gland/lesion                       A  17.99  10.11NA   7.87NA  10.11     7.87     1.43  29.53  27.29  29.53  27.29  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
42420  Excise parotid gland/lesion                       A  20.87  11.46NA   8.72NA  11.46     8.72     1.65  33.98  31.24  33.98  31.24  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
42425  Excise parotid gland/lesion                       A  13.31   8.00NA   6.17NA   8.00     6.17     1.05  22.36  20.53  22.36  20.53  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
42426  Excise parotid gland/lesion                       A  22.54  12.00NA   8.98NA  12.00     8.98     1.81  36.35  33.33  36.35  33.33  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
42440  Excise submaxillary gland                         A   7.05   4.48NA   3.53NA   4.48     3.53     0.59  12.12  11.17  12.12  11.17  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
42450  Excise sublingual gland                           A   4.66   5.90     5.90     4.11     3.70     0.42  10.98  10.98   9.19   8.78  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42500  Repair salivary duct                              A   4.34   5.72     5.82     4.05     3.66     0.41  10.47  10.57   8.80   8.41  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42505  Repair salivary duct                              A   6.23   7.04     6.80     5.12     4.39     0.55  13.82  13.58  11.90  11.17  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
42507  Parotid duct diversion                            A   6.16   6.39NA   5.95NA   6.39     5.95     0.49  13.04  12.60  13.04  12.60  0090.09.81.1022200             37.8975 090 99     0.00   0.00   0.00
42508  Parotid duct diversion                            A   9.22   8.15NA   7.56NA   8.15     7.56     1.04  18.41  17.82  18.41  17.82  0090.09.81.1022200             37.8975 090 99     0.00   0.00   0.00
42509  Parotid duct diversion                            A  11.65   9.83NA   8.76NA   9.83     8.76     0.93  22.41  21.34  22.41  21.34  0090.09.81.1022000             37.8975 090 99     0.00   0.00   0.00
42510  Parotid duct diversion                            A   8.26   7.45NA   6.43NA   7.45     6.43     0.66  16.37  15.35  16.37  15.35  0090.09.81.1022210             37.8975 090 99     0.00   0.00   0.00
42550  Injection for salivary x-ray                      A   1.25   2.93     2.10     0.40     0.35     0.07   4.25   3.42   1.72   1.67  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
42600  Closure of salivary fistula                       A   4.86   6.56     6.51     3.94     3.38     0.43  11.85  11.80   9.23   8.67  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42650  Dilation of salivary duct                         A   0.77   1.13     1.20     0.69     0.61     0.07   1.97   2.04   1.53   1.45  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
42660  Dilation of salivary duct                         A   1.13   1.37     1.42     0.82     0.73     0.09   2.59   2.64   2.04   1.95  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
42665  Ligation of salivary duct                         A   2.57   4.31     4.74     2.50     2.24     0.23   7.11   7.54   5.30   5.04  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42699  Salivary surgery procedure                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
42700  Drainage of tonsil abscess                        A   1.64   2.68     2.76     1.66     1.53     0.13   4.45   4.53   3.43   3.30  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
42720  Drainage of throat abscess                        A   6.31   4.71     4.34     3.57     2.91     0.44  11.46  11.09  10.32   9.66  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
42725  Drainage of throat abscess                        A  12.28   7.84NA   6.69NA   7.84     6.69     0.91  21.03  19.88  21.03  19.88  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
42800  Biopsy of throat                                  A   1.41   2.21     2.28     1.35     1.19     0.11   3.73   3.80   2.87   2.71  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
42802  Biopsy of throat                                  A   1.56   4.53     3.84     1.93     1.54     0.12   6.21   5.52   3.61   3.22  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
42804  Biopsy of upper nose/throat                       A   1.26   3.64     3.34     1.64     1.38     0.10   5.00   4.70   3.00   2.74  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
42806  Biopsy of upper nose/throat                       A   1.60   3.94     3.56     1.82     1.49     0.13   5.67   5.29   3.55   3.22  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
42808  Excise pharynx lesion                             A   2.32   3.07     2.99     1.82     1.47     0.19   5.58   5.50   4.33   3.98  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
42809  Remove pharynx foreign body                       A   1.83   2.28     2.14     1.31     1.26     0.16   4.27   4.13   3.30   3.25  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
42810  Excision of neck cyst                             A   3.30   5.72     5.75     3.51     3.43     0.29   9.31   9.34   7.10   7.02  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42815  Excision of neck cyst                             A   7.23   6.25NA   5.77NA   6.25     5.77     0.61  14.09  13.61  14.09  13.61  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
42820  Remove tonsils and adenoids                       A   4.17   3.11NA   2.57NA   3.11     2.57     0.31   7.59   7.05   7.59   7.05  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42821  Remove tonsils and adenoids                       A   4.31   3.31NA   2.73NA   3.31     2.73     0.35   7.97   7.39   7.97   7.39  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42825  Removal of tonsils                                A   3.45   2.99NA   2.45NA   2.99     2.45     0.25   6.69   6.15   6.69   6.15  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42826  Removal of tonsils                                A   3.40   2.89NA   2.46NA   2.89     2.46     0.27   6.56   6.13   6.56   6.13  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
42830  Removal of adenoids                               A   2.60   2.48NA   2.23NA   2.48     2.23     0.20   5.28   5.03   5.28   5.03  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42831  Removal of adenoids                               A   2.75   2.74NA   2.44NA   2.74     2.44     0.22   5.71   5.41   5.71   5.41  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42835  Removal of adenoids                               A   2.33   2.29NA   1.77NA   2.29     1.77     0.21   4.83   4.31   4.83   4.31  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42836  Removal of adenoids                               A   3.21   2.83NA   2.45NA   2.83     2.45     0.26   6.30   5.92   6.30   5.92  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42842  Extensive surgery of throat                       A  12.02  11.01NA  11.08NA  11.01    11.08     0.71  23.74  23.81  23.74  23.81  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42844  Extensive surgery of throat                       A  17.57  15.72NA  14.17NA  15.72    14.17     1.16  34.45  32.90  34.45  32.90  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
42845  Extensive surgery of throat                       A  32.35  22.21NA  19.29NA  22.21    19.29     1.99  56.55  53.63  56.55  53.63  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
42860  Excision of tonsil tags                           A   2.25   2.33NA   2.13NA   2.33     2.13     0.18   4.76   4.56   4.76   4.56  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42870  Excision of lingual tonsil                        A   5.44   8.43NA   8.02NA   8.43     8.02     0.44  14.31  13.90  14.31  13.90  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
42890  Partial removal of pharynx                        A  18.92  14.11NA  13.98NA  14.11    13.98     1.05  34.08  33.95  34.08  33.95  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
42892  Revision of pharyngeal walls                      A  25.77  17.28NA  17.59NA  17.28    17.59     1.28  44.33  44.64  44.33  44.64  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
42894  Revision of pharyngeal walls                      A  33.61  21.86NA  21.36NA  21.86    21.36     1.87  57.34  56.84  57.34  56.84  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
42900  Repair throat wound                               A   5.26   3.43NA   2.75NA   3.43     2.75     0.50   9.19   8.51   9.19   8.51  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
42950  Reconstruction of throat                          A   8.16  11.48NA  10.30NA  11.48    10.30     0.72  20.36  19.18  20.36  19.18  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
42953  Repair throat, esophagus                          A   9.33  16.24NA  12.97NA  16.24    12.97     0.88  26.45  23.18  26.45  23.18  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42955  Surgical opening of throat                        A   7.92  10.34NA   9.34NA  10.34     9.34     0.80  19.06  18.06  19.06  18.06  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42960  Control throat bleeding                           A   2.35   1.87NA   1.61NA   1.87     1.61     0.19   4.41   4.15   4.41   4.15  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
42961  Control throat bleeding                           A   5.69   4.76NA   4.15NA   4.76     4.15     0.45  10.90  10.29  10.90  10.29  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42962  Control throat bleeding                           A   7.31   5.63NA   4.77NA   5.63     4.77     0.58  13.52  12.66  13.52  12.66  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42970  Control nose/throat bleeding                      A   5.76   4.02NA   3.52NA   4.02     3.52     0.39  10.17   9.67  10.17   9.67  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
42971  Control nose/throat bleeding                      A   6.54   4.88NA   4.15NA   4.88     4.15     0.51  11.93  11.20  11.93  11.20  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42972  Control nose/throat bleeding                      A   7.53   5.40NA   4.50NA   5.40     4.50     0.62  13.55  12.65  13.55  12.65  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
42999  Throat surgery procedure                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
43020  Incision of esophagus                             A   8.14   5.15NA   4.35NA   5.15     4.35     0.87  14.16  13.36  14.16  13.36  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43030  Throat muscle surgery                             A   7.91   5.17NA   4.20NA   5.17     4.20     0.70  13.78  12.81  13.78  12.81  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43045  Incision of esophagus                             A  21.70  10.54NA  10.06NA  10.54    10.06     2.59  34.83  34.35  34.83  34.35  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43100  Excision of esophagus lesion                      A   9.55   5.94NA   5.10NA   5.94     5.10     0.93  16.42  15.58  16.42  15.58  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43101  Excision of esophagus lesion                      A  16.99   7.72NA   7.22NA   7.72     7.22     2.32  27.03  26.53  27.03  26.53  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43107  Removal of esophagus                              A  43.97  17.84NA  16.57NA  17.84    16.57     5.24  67.05  65.78  67.05  65.78  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43108  Removal of esophagus                              A  82.66  17.09NA  25.71NA  17.09    25.71     4.08 103.83 112.45 103.83 112.45  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43112  Removal of esophagus                              A  47.27  18.79NA  17.08NA  18.79    17.08     5.81  71.87  70.16  71.87  70.16  0090.09.81.1020220             37.8975 090 99     0.00   0.00   0.00
43113  Removal of esophagus                              A  79.85  18.29NA  27.82NA  18.29    27.82     4.43 102.57 112.10 102.57 112.10  0090.09.81.1020220             37.8975 090 99     0.00   0.00   0.00
43116  Partial removal of esophagus                      A  92.78  19.75NA  28.93NA  19.75    28.93     3.06 115.59 124.77 115.59 124.77  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43117  Partial removal of esophagus                      A  43.52  16.78NA  15.32NA  16.78    15.32     5.19  65.49  64.03  65.49  64.03  0090.09.81.1020220             37.8975 090 99     0.00   0.00   0.00
43118  Partial removal of esophagus                      A  66.86  15.68NA  21.36NA  15.68    21.36     4.11  86.65  92.33  86.65  92.33  0090.09.81.1020220             37.8975 090 99     0.00   0.00   0.00
43121  Partial removal of esophagus                      A  51.22  14.82NA  18.28NA  14.82    18.28     3.91  69.95  73.41  69.95  73.41  0090.09.81.1020220             37.8975 090 99     0.00   0.00   0.00
43122  Partial removal of esophagus                      A  43.97  16.98NA  15.73NA  16.98    15.73     5.42  66.37  65.12  66.37  65.12  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43123  Partial removal of esophagus                      A  82.91  17.05NA  25.89NA  17.05    25.89     4.16 104.12 112.96 104.12 112.96  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43124  Removal of esophagus                              A  68.83  15.80NA  23.97NA  15.80    23.97     3.74  88.37  96.54  88.37  96.54  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43130  Removal of esophagus pouch                        A  12.41   7.17NA   6.01NA   7.17     6.01     1.16  20.74  19.58  20.74  19.58  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43135  Removal of esophagus pouch                        A  26.09   8.57NA   9.99NA   8.57     9.99     2.34  37.00  38.42  37.00  38.42  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43200  Esophagus endoscopy                               A   1.59   3.98     3.54     1.04     0.93     0.13   5.70   5.26   2.76   2.65  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
43201  Esoph scope w/submucous inj                       A   2.09   4.86     5.55     1.12     1.19     0.15   7.10   7.79   3.36   3.43  0000.00.00.0030100       43200 37.8975 090 99     0.00   0.00   0.00
43202  Esophagus endoscopy, biopsy                       A   1.89   5.44     5.12     0.95     0.99     0.15   7.48   7.16   2.99   3.03  0000.00.00.0030100       43200 37.8975 090 99     0.00   0.00   0.00
43204  Esoph scope w/sclerosis inj                       A   3.76   1.63NA   1.97NA   1.63     1.97     0.30   5.69   6.03   5.69   6.03  0000.00.00.0030100       43200 37.8975 090 99     0.00   0.00   0.00
43205  Esophagus endoscopy/ligation                      A   3.78   1.66NA   2.07NA   1.66     2.07     0.28   5.72   6.13   5.72   6.13  0000.00.00.0030000       43200 37.8975 090 99     0.00   0.00   0.00
43215  Esophagus endoscopy                               A   2.60   1.22NA   1.28NA   1.22     1.28     0.22   4.04   4.10   4.04   4.10  0000.00.00.0030100       43200 37.8975 090 99     0.00   0.00   0.00
43216  Esophagus endoscopy/lesion                        A   2.40   1.55     3.00     1.10     1.23     0.20   4.15   5.60   3.70   3.83  0000.00.00.0030000       43200 37.8975 090 99     0.00   0.00   0.00
43217  Esophagus endoscopy                               A   2.90   6.85     6.55     1.25     1.42     0.26  10.01   9.71   4.41   4.58  0000.00.00.0030100       43200 37.8975 090 99     0.00   0.00   0.00
43219  Esophagus endoscopy                               A   2.80   1.40NA   1.55NA   1.40     1.55     0.24   4.44   4.59   4.44   4.59  0000.00.00.0030100       43200 37.8975 090 99     0.00   0.00   0.00
43220  Esoph endoscopy, dilation                         A   2.10   1.01NA   1.13NA   1.01     1.13     0.17   3.28   3.40   3.28   3.40  0000.00.00.0030100       43200 37.8975 090 99     0.00   0.00   0.00
43226  Esoph endoscopy, dilation                         A   2.34   1.10NA   1.29NA   1.10     1.29     0.19   3.63   3.82   3.63   3.82  0000.00.00.0030100       43200 37.8975 090 99     0.00   0.00   0.00
43227  Esoph endoscopy, repair                           A   3.59   1.55NA   1.84NA   1.55     1.84     0.28   5.42   5.71   5.42   5.71  0000.00.00.0030100       43200 37.8975 090 99     0.00   0.00   0.00
43228  Esoph endoscopy, ablation                         A   3.76   1.63NA   1.87NA   1.63     1.87     0.34   5.73   5.97   5.73   5.97  0000.00.00.0030100       43200 37.8975 090 99     0.00   0.00   0.00
43231  Esoph endoscopy w/us exam                         A   3.19   1.42NA   1.75NA   1.42     1.75     0.23   4.84   5.17   4.84   5.17  0000.00.00.0030020       43235 37.8975 090 99     0.00   0.00   0.00
43232  Esoph endoscopy w/us fn bx                        A   4.47   1.96NA   2.39NA   1.96     2.39     0.34   6.77   7.20   6.77   7.20  0000.00.00.0030020       43235 37.8975 090 99     0.00   0.00   0.00
43234  Upper GI endoscopy, exam                          A   2.01   5.23     4.96     0.91     1.02     0.17   7.41   7.14   3.09   3.20  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
43235  Uppr gi endoscopy, diagnosis                      A   2.39   5.19     5.26     1.11     1.37     0.19   7.77   7.84   3.69   3.95  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
43236  Uppr gi scope w/submuc inj                        A   2.92   6.47     6.69     1.33     1.67     0.21   9.60   9.82   4.46   4.80  0000.00.00.0030100       43235 37.8975 090 99     0.00   0.00   0.00
43237  Endoscopic us exam, esoph                         A   3.98   1.74NA   2.17NA   1.74     2.17     0.43   6.15   6.58   6.15   6.58  0000.00.00.0030000       43235 37.8975 090 99     0.00   0.00   0.00
43238  Uppr gi endoscopy w/us fn bx                      A   5.02   2.11NA   2.57NA   2.11     2.57     0.43   7.56   8.02   7.56   8.02  0000.00.00.0030000       43235 37.8975 090 99     0.00   0.00   0.00
43239  Upper GI endoscopy, biopsy                        A   2.87   5.79     6.02     1.29     1.57     0.22   8.88   9.11   4.38   4.66  0000.00.00.0030100       43235 37.8975 090 99     0.00   0.00   0.00
43240  Esoph endoscope w/drain cyst                      A   6.85   2.82NA   3.49NA   2.82     3.49     0.56  10.23  10.90  10.23  10.90  0000.00.00.0030100       43235 37.8975 090 99     0.00   0.00   0.00
43241  Upper GI endoscopy with tube                      A   2.59   1.18NA   1.43NA   1.18     1.43     0.21   3.98   4.23   3.98   4.23  0000.00.00.0030100       43235 37.8975 090 99     0.00   0.00   0.00
43242  Uppr gi endoscopy w/us fn bx                      A   7.30   2.98NA   3.73NA   2.98     3.73     0.53  10.81  11.56  10.81  11.56  0000.00.00.0030000       43235 37.8975 090 99     0.00   0.00   0.00
43243  Upper gi endoscopy & inject                       A   4.56   1.94NA   2.40NA   1.94     2.40     0.33   6.83   7.29   6.83   7.29  0000.00.00.0030100       43235 37.8975 090 99     0.00   0.00   0.00
43244  Upper GI endoscopy/ligation                       A   5.04   2.14NA   2.68NA   2.14     2.68     0.37   7.55   8.09   7.55   8.09  0000.00.00.0030000       43235 37.8975 090 99     0.00   0.00   0.00
43245  Uppr gi scope dilate strictr                      A   3.18   1.39NA   1.65NA   1.39     1.65     0.26   4.83   5.09   4.83   5.09  0000.00.00.0030100       43235 37.8975 090 99     0.00   0.00   0.00
43246  Place gastrostomy tube                            A   4.32   1.80NA   2.14NA   1.80     2.14     0.34   6.46   6.80   6.46   6.80  0000.00.00.0030020       43235 37.8975 090 99     0.00   0.00   0.00
43247  Operative upper GI endoscopy                      A   3.38   1.48NA   1.80NA   1.48     1.80     0.27   5.13   5.45   5.13   5.45  0000.00.00.0030100       43235 37.8975 090 99     0.00   0.00   0.00
43248  Uppr gi endoscopy/guide wire                      A   3.15   1.43NA   1.80NA   1.43     1.80     0.23   4.81   5.18   4.81   5.18  0000.00.00.0030100       43235 37.8975 090 99     0.00   0.00   0.00
43249  Esoph endoscopy, dilation                         A   2.90   1.32NA   1.64NA   1.32     1.64     0.22   4.44   4.76   4.44   4.76  0000.00.00.0030100       43235 37.8975 090 99     0.00   0.00   0.00
43250  Upper GI endoscopy/tumor                          A   3.20   1.40NA   1.65NA   1.40     1.65     0.26   4.86   5.11   4.86   5.11  0000.00.00.0030100       43235 37.8975 090 99     0.00   0.00   0.00
43251  Operative upper GI endoscopy                      A   3.69   1.60NA   1.95NA   1.60     1.95     0.29   5.58   5.93   5.58   5.93  0000.00.00.0030100       43235 37.8975 090 99     0.00   0.00   0.00
43255  Operative upper GI endoscopy                      A   4.81   2.05NA   2.56NA   2.05     2.56     0.35   7.21   7.72   7.21   7.72  0000.00.00.0030100       43235 37.8975 090 99     0.00   0.00   0.00
43256  Uppr gi endoscopy w/stent                         A   4.34   1.85NA   2.28NA   1.85     2.28     0.32   6.51   6.94   6.51   6.94  0000.00.00.0030100       43235 37.8975 090 99     0.00   0.00   0.00
43257  Uppr gi scope w/thrml txmnt                       A   5.50   2.16NA   2.04NA   2.16     2.04     0.36   8.02   7.90   8.02   7.90  0000.00.00.0030100       43235 37.8975 090 99     0.00   0.00   0.00
43258  Operative upper GI endoscopy                      A   4.54   1.94NA   2.41NA   1.94     2.41     0.33   6.81   7.28   6.81   7.28  0000.00.00.0030100       43235 37.8975 090 99     0.00   0.00   0.00
43259  Endoscopic ultrasound exam                        A   5.19   2.17NA   2.72NA   2.17     2.72     0.35   7.71   8.26   7.71   8.26  0000.00.00.0030000       43235 37.8975 090 99     0.00   0.00   0.00
43260  Endo cholangiopancreatograph                      A   5.95   2.49NA   3.11NA   2.49     3.11     0.43   8.87   9.49   8.87   9.49  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
43261  Endo cholangiopancreatograph                      A   6.26   2.61NA   3.27NA   2.61     3.27     0.46   9.33   9.99   9.33   9.99  0000.00.00.0030100       43260 37.8975 090 99     0.00   0.00   0.00
43262  Endo cholangiopancreatograph                      A   7.38   3.03NA   3.78NA   3.03     3.78     0.54  10.95  11.70  10.95  11.70  0000.00.00.0030100       43260 37.8975 090 99     0.00   0.00   0.00
43263  Endo cholangiopancreatograph                      A   7.28   3.02NA   3.79NA   3.02     3.79     0.54  10.84  11.61  10.84  11.61  0000.00.00.0030100       43260 37.8975 090 99     0.00   0.00   0.00
43264  Endo cholangiopancreatograph                      A   8.89   3.61NA   4.52NA   3.61     4.52     0.65  13.15  14.06  13.15  14.06  0000.00.00.0030100       43260 37.8975 090 99     0.00   0.00   0.00
43265  Endo cholangiopancreatograph                      A  10.00   4.03NA   5.03NA   4.03     5.03     0.73  14.76  15.76  14.76  15.76  0000.00.00.0030100       43260 37.8975 090 99     0.00   0.00   0.00
43267  Endo cholangiopancreatograph                      A   7.38   3.01NA   3.69NA   3.01     3.69     0.54  10.93  11.61  10.93  11.61  0000.00.00.0030100       43260 37.8975 090 99     0.00   0.00   0.00
43268  Endo cholangiopancreatograph                      A   7.38   3.15NA   3.94NA   3.15     3.94     0.54  11.07  11.86  11.07  11.86  0000.00.00.0030100       43260 37.8975 090 99     0.00   0.00   0.00
43269  Endo cholangiopancreatograph                      A   8.20   3.35NA   4.18NA   3.35     4.18     0.60  12.15  12.98  12.15  12.98  0000.00.00.0030100       43260 37.8975 090 99     0.00   0.00   0.00
43271  Endo cholangiopancreatograph                      A   7.38   3.03NA   3.79NA   3.03     3.79     0.54  10.95  11.71  10.95  11.71  0000.00.00.0030100       43260 37.8975 090 99     0.00   0.00   0.00
43272  Endo cholangiopancreatograph                      A   7.38   3.05NA   3.86NA   3.05     3.86     0.54  10.97  11.78  10.97  11.78  0000.00.00.0030000       43260 37.8975 090 99     0.00   0.00   0.00
43280  Laparoscopy, fundoplasty                          A  18.00   7.13NA   6.70NA   7.13     6.70     2.28  27.41  26.98  27.41  26.98  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43289  Laparoscope proc, esoph                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
43300  Repair of esophagus                               A   9.21   6.08NA   5.20NA   6.08     5.20     1.12  16.41  15.53  16.41  15.53  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43305  Repair esophagus and fistula                      A  17.98   9.93NA   7.65NA   9.93     7.65     1.54  29.45  27.17  29.45  27.17  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43310  Repair of esophagus                               A  26.18  10.82NA  10.10NA  10.82    10.10     3.61  40.61  39.89  40.61  39.89  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43312  Repair esophagus and fistula                      A  29.23  11.41NA   9.97NA  11.41     9.97     4.01  44.65  43.21  44.65  43.21  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43313  Esophagoplasty congenital                         A  48.17  18.43NA  17.28NA  18.43    17.28     5.47  72.07  70.92  72.07  70.92  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43314  Tracheo-esophagoplasty cong                       A  53.15  18.98NA  18.37NA  18.98    18.37     6.65  78.78  78.17  78.78  78.17  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43320  Fuse esophagus & stomach                          A  23.18   9.11NA   8.83NA   9.11     8.83     2.74  35.03  34.75  35.03  34.75  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43324  Revise esophagus & stomach                        A  22.86   8.67NA   8.39NA   8.67     8.39     2.76  34.29  34.01  34.29  34.01  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43325  Revise esophagus & stomach                        A  22.47   8.68NA   8.37NA   8.68     8.37     2.60  33.75  33.44  33.75  33.44  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43326  Revise esophagus & stomach                        A  22.15   9.30NA   9.33NA   9.30     9.33     2.85  34.30  34.33  34.30  34.33  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43330  Repair of esophagus                               A  22.06   8.46NA   8.23NA   8.46     8.23     2.63  33.15  32.92  33.15  32.92  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43331  Repair of esophagus                               A  22.93   9.72NA   9.54NA   9.72     9.54     2.94  35.59  35.41  35.59  35.41  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43340  Fuse esophagus & intestine                        A  22.86   8.99NA   9.09NA   8.99     9.09     2.46  34.31  34.41  34.31  34.41  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43341  Fuse esophagus & intestine                        A  24.10  10.03NA  10.08NA  10.03    10.08     2.92  37.05  37.10  37.05  37.10  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43350  Surgical opening, esophagus                       A  19.31   8.34NA   8.02NA   8.34     8.02     1.42  29.07  28.75  29.07  28.75  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43351  Surgical opening, esophagus                       A  21.87   9.74NA   9.59NA   9.74     9.59     2.47  34.08  33.93  34.08  33.93  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43352  Surgical opening, esophagus                       A  17.68   8.33NA   8.17NA   8.33     8.17     2.06  28.07  27.91  28.07  27.91  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43360  Gastrointestinal repair                           A  39.90  15.26NA  15.81NA  15.26    15.81     4.97  60.13  60.68  60.13  60.68  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43361  Gastrointestinal repair                           A  45.50  16.88NA  16.89NA  16.88    16.89     4.50  66.88  66.89  66.88  66.89  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43400  Ligate esophagus veins                            A  25.47  10.51NA  13.73NA  10.51    13.73     1.96  37.94  41.16  37.94  41.16  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43401  Esophagus surgery for veins                       A  26.36   9.47NA   9.44NA   9.47     9.44     3.05  38.88  38.85  38.88  38.85  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43405  Ligate/staple esophagus                           A  24.55   9.78NA  10.37NA   9.78    10.37     2.84  37.17  37.76  37.17  37.76  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43410  Repair esophagus wound                            A  16.28   7.61NA   7.55NA   7.61     7.55     1.72  25.61  25.55  25.61  25.55  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43415  Repair esophagus wound                            A  28.70  11.79NA  11.93NA  11.79    11.93     3.53  44.02  44.16  44.02  44.16  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43420  Repair esophagus opening                          A  16.65   7.29NA   6.96NA   7.29     6.96     1.43  25.37  25.04  25.37  25.04  0090.09.81.1020010             37.8975 090 99     0.00   0.00   0.00
43425  Repair esophagus opening                          A  24.91  10.07NA  10.37NA  10.07    10.37     3.03  38.01  38.31  38.01  38.31  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43450  Dilate esophagus                                  A   1.38   2.64     2.66     0.75     0.93     0.11   4.13   4.15   2.24   2.42  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
43453  Dilate esophagus                                  A   1.51   6.12     6.28     0.80     1.02     0.11   7.74   7.90   2.42   2.64  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
43456  Dilate esophagus                                  A   2.57  13.55    12.96     1.20     1.48     0.20  16.32  15.73   3.97   4.25  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
43458  Dilate esophagus                                  A   3.06   6.72     6.93     1.37     1.64     0.24  10.02  10.23   4.67   4.94  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
43460  Pressure treatment esophagus                      A   3.79   1.55NA   1.74NA   1.55     1.74     0.31   5.65   5.84   5.65   5.84  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
43496  Free jejunum flap, microvasc                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43499  Esophagus surgery procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
43500  Surgical opening of stomach                       A  12.71   5.04NA   5.24NA   5.04     5.24     1.45  19.20  19.40  19.20  19.40  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43501  Surgical repair of stomach                        A  22.47   8.26NA   8.13NA   8.26     8.13     2.65  33.38  33.25  33.38  33.25  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43502  Surgical repair of stomach                        A  25.56   9.34NA   9.02NA   9.34     9.02     3.10  38.00  37.68  38.00  37.68  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43510  Surgical opening of stomach                       A  15.01   6.65NA   6.86NA   6.65     6.86     1.48  23.14  23.35  23.14  23.35  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43520  Incision of pyloric muscle                        A  11.21   5.15NA   4.85NA   5.15     4.85     1.36  17.72  17.42  17.72  17.42  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43600  Biopsy of stomach                                 A   1.91   0.70NA   0.82NA   0.70     0.82     0.14   2.75   2.87   2.75   2.87  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
43605  Biopsy of stomach                                 A  13.64   5.32NA   5.43NA   5.32     5.43     1.58  20.54  20.65  20.54  20.65  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43610  Excision of stomach lesion                        A  16.26   6.13NA   6.08NA   6.13     6.08     1.94  24.33  24.28  24.33  24.28  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43611  Excision of stomach lesion                        A  20.25   7.56NA   7.55NA   7.56     7.55     2.36  30.17  30.16  30.17  30.16  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43620  Removal of stomach                                A  33.91  11.62NA  11.09NA  11.62    11.09     3.96  49.49  48.96  49.49  48.96  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43621  Removal of stomach                                A  39.40  12.10NA  12.47NA  12.10    12.47     4.04  55.54  55.91  55.54  55.91  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43622  Removal of stomach                                A  39.90  12.59NA  12.62NA  12.59    12.62     4.30  56.79  56.82  56.79  56.82  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43631  Removal of stomach, partial                       A  24.38   9.02NA   8.63NA   9.02     8.63     2.99  36.39  36.00  36.39  36.00  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43632  Removal of stomach, partial                       A  35.01   9.70NA  11.36NA   9.70    11.36     2.99  47.70  49.36  47.70  49.36  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43633  Removal of stomach, partial                       A  33.01   9.71NA  10.86NA   9.71    10.86     3.06  45.78  46.93  45.78  46.93  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43634  Removal of stomach, partial                       A  36.51  10.53NA  11.88NA  10.53    11.88     3.33  50.37  51.72  50.37  51.72  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43635  Removal of stomach, partial                       A   2.06   0.66NA   0.53NA   0.66     0.53     0.27   2.99   2.86   2.99   2.86  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
43640  Vagotomy & pylorus repair                         A  19.43   7.28NA   7.37NA   7.28     7.37     2.26  28.97  29.06  28.97  29.06  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43641  Vagotomy & pylorus repair                         A  19.68   7.45NA   7.72NA   7.45     7.72     2.25  29.38  29.65  29.38  29.65  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43644  Lap gastric bypass/roux-en-y                      A  29.24  10.97NA  10.23NA  10.97    10.23     3.16  43.37  42.63  43.37  42.63  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43645  Lap gastr bypass incl smll i                      A  31.37  11.79NA  11.14NA  11.79    11.14     3.54  46.70  46.05  46.70  46.05  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43647  Lap impl electrode, antrum                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
43648  Lap revise/remv eltrd antrum                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
43651  Laparoscopy, vagus nerve                          A  10.13   4.73NA   4.63NA   4.73     4.63     1.33  16.19  16.09  16.19  16.09  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
43652  Laparoscopy, vagus nerve                          A  12.13   5.61NA   5.18NA   5.61     5.18     1.55  19.29  18.86  19.29  18.86  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
43653  Laparoscopy, gastrostomy                          A   8.38   4.23NA   4.39NA   4.23     4.39     1.01  13.62  13.78  13.62  13.78  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43659  Laparoscope proc, stom                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
43750  Place gastrostomy tube                            A   4.62   2.12NA   1.90NA   2.12     1.90     0.43   7.17   6.95   7.17   6.95  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
43752  Nasal/orogastric w/stent                          A   0.81   0.25NA   0.23NA   0.25     0.23     0.02   1.08   1.06   1.08   1.06  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
43760  Change gastrostomy tube                           A   1.10   4.77    12.83     0.44     0.39     0.09   5.96  14.02   1.63   1.58  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
43761  Reposition gastrostomy tube                       A   2.01   1.11     0.91     0.64     0.59     0.13   3.25   3.05   2.78   2.73  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
43770  Lap, place gastr adjust band                      A  17.85   7.65NA   7.47NA   7.65     7.47     2.19  27.69  27.51  27.69  27.51  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43771  Lap, revise adjust gast band                      A  20.64   8.48NA   8.16NA   8.48     8.16     2.55  31.67  31.35  31.67  31.35  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
43772  Lap, remove adjust gast band                      A  15.62   6.31NA   5.99NA   6.31     5.99     1.93  23.86  23.54  23.86  23.54  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43773  Lap, change adjust gast band                      A  20.64   8.48NA   8.16NA   8.48     8.16     2.56  31.68  31.36  31.68  31.36  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43774  Lap remov adj gast band/port                      A  15.66   6.46NA   6.14NA   6.46     6.14     1.85  23.97  23.65  23.97  23.65  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
43800  Reconstruction of pylorus                         A  15.35   5.89NA   5.88NA   5.89     5.88     1.82  23.06  23.05  23.06  23.05  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43810  Fusion of stomach and bowel                       A  16.80   6.20NA   6.28NA   6.20     6.28     1.94  24.94  25.02  24.94  25.02  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43820  Fusion of stomach and bowel                       A  22.40   6.84NA   8.14NA   6.84     8.14     2.04  31.28  32.58  31.28  32.58  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43825  Fusion of stomach and bowel                       A  21.63   7.99NA   7.92NA   7.99     7.92     2.54  32.16  32.09  32.16  32.09  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43830  Place gastrostomy tube                            A  10.75   4.93NA   5.19NA   4.93     5.19     1.25  16.93  17.19  16.93  17.19  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43831  Place gastrostomy tube                            A   8.38   4.67NA   5.15NA   4.67     5.15     1.03  14.08  14.56  14.08  14.56  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43832  Place gastrostomy tube                            A  17.26   6.92NA   7.14NA   6.92     7.14     1.98  26.16  26.38  26.16  26.38  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43840  Repair of stomach lesion                          A  22.70   7.13NA   8.22NA   7.13     8.22     2.06  31.89  32.98  31.89  32.98  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43842  V-band gastroplasty                               N+ 20.90   7.53NA   6.75NA   7.53     6.75     2.45  30.88  30.10  30.88  30.10  9090.09.81.1099999             37.8975 090 99     0.00   0.00   0.00
43843  Gastroplasty w/o v-band                           A  21.08   7.77NA   7.81NA   7.77     7.81     2.46  31.31  31.35  31.31  31.35  0090.09.81.1020220             37.8975 090 99     0.00   0.00   0.00
43845  Gastroplasty duodenal switch                      A  33.12  11.19NA  12.43NA  11.19    12.43     4.06  48.37  49.61  48.37  49.61  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43846  Gastric bypass for obesity                        A  27.23  10.03NA  10.05NA  10.03    10.05     3.19  40.45  40.47  40.45  40.47  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43847  Gastric bypass incl small i                       A  30.10  10.84NA  10.67NA  10.84    10.67     3.56  44.50  44.33  44.50  44.33  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43848  Revision gastroplasty                             A  32.57  11.70NA  11.35NA  11.70    11.35     3.88  48.15  47.80  48.15  47.80  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43850  Revise stomach-bowel fusion                       A  27.45   9.72NA   9.44NA   9.72     9.44     3.28  40.45  40.17  40.45  40.17  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43855  Revise stomach-bowel fusion                       A  28.56  10.19NA   9.78NA  10.19     9.78     3.47  42.22  41.81  42.22  41.81  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43860  Revise stomach-bowel fusion                       A  27.76   9.85NA   9.53NA   9.85     9.53     3.31  40.92  40.60  40.92  40.60  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43865  Revise stomach-bowel fusion                       A  28.92  10.41NA  10.12NA  10.41    10.12     3.51  42.84  42.55  42.84  42.55  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43870  Repair stomach opening                            A  11.36   4.64NA   5.04NA   4.64     5.04     1.27  17.27  17.67  17.27  17.67  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43880  Repair stomach-bowel fistula                      A  27.05   9.76NA   9.37NA   9.76     9.37     3.27  40.08  39.69  40.08  39.69  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43881  Impl/redo electrd, antrum                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
43882  Revise/remove electrd antrum                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
43886  Revise gastric port, open                         A   4.54   3.19NA   3.38NA   3.19     3.38     0.25   7.98   8.17   7.98   8.17  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
43887  Remove gastric port, open                         A   4.24   2.81NA   2.94NA   2.81     2.94     0.51   7.56   7.69   7.56   7.69  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
43888  Change gastric port, open                         A   6.34   3.79NA   3.86NA   3.79     3.86     0.70  10.83  10.90  10.83  10.90  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
43999  Stomach surgery procedure                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
44005  Freeing of bowel adhesion                         A  18.38   6.69NA   6.64NA   6.69     6.64     2.15  27.22  27.17  27.22  27.17  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44010  Incision of small bowel                           A  14.18   5.47NA   5.55NA   5.47     5.55     1.64  21.29  21.37  21.29  21.37  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44015  Insert needle cath bowel                          A   2.62   0.83NA   0.69NA   0.83     0.69     0.35   3.80   3.66   3.80   3.66  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
44020  Explore small intestine                           A  16.14   5.96NA   6.03NA   5.96     6.03     1.86  23.96  24.03  23.96  24.03  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44021  Decompress small bowel                            A  16.23   6.05NA   6.31NA   6.05     6.31     1.87  24.15  24.41  24.15  24.41  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44025  Incision of large bowel                           A  16.43   6.06NA   6.16NA   6.06     6.16     1.90  24.39  24.49  24.39  24.49  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44050  Reduce bowel obstruction                          A  15.44   5.93NA   5.86NA   5.93     5.86     1.86  23.23  23.16  23.23  23.16  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44055  Correct malrotation of bowel                      A  25.53   8.68NA   8.56NA   8.68     8.56     2.91  37.12  37.00  37.12  37.00  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44100  Biopsy of bowel                                   A   2.01   0.76NA   0.90NA   0.76     0.90     0.17   2.94   3.08   2.94   3.08  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
44110  Excise intestine lesion(s)                        A  13.96   5.31NA   5.56NA   5.31     5.56     1.55  20.82  21.07  20.82  21.07  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44111  Excision of bowel lesion(s)                       A  16.44   6.12NA   6.18NA   6.12     6.18     1.87  24.43  24.49  24.43  24.49  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44120  Removal of small intestine                        A  20.74   7.11NA   7.21NA   7.11     7.21     2.25  30.10  30.20  30.10  30.20  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44121  Removal of small intestine                        A   4.44   1.43NA   1.14NA   1.43     1.14     0.58   6.45   6.16   6.45   6.16  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
44125  Removal of small intestine                        A  19.93   7.21NA   7.08NA   7.21     7.08     2.27  29.41  29.28  29.41  29.28  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44126  Enterectomy w/o taper, cong                       A  42.02  14.06NA  13.91NA  14.06    13.91     4.69  60.77  60.62  60.77  60.62  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44127  Enterectomy w/taper, cong                         A  49.09  15.48NA  14.80NA  15.48    14.80     5.77  70.34  69.66  70.34  69.66  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44128  Enterectomy cong, add-on                          A   4.44   1.41NA   1.05NA   1.41     1.05     0.61   6.46   6.10   6.46   6.10  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
44130  Bowel to bowel fusion                             A  21.98   6.66NA   8.02NA   6.66     8.02     1.88  30.52  31.88  30.52  31.88  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44132  Enterectomy, cadaver donor                        R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
44133  Enterectomy, live donor                           R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
44135  Intestine transplnt, cadaver                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
44136  Intestine transplant, live                        R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
44137  Remove intestinal allograft                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
44139  Mobilization of colon                             A   2.23   0.71NA   0.57NA   0.71     0.57     0.28   3.22   3.08   3.22   3.08  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
44140  Partial removal of colon                          A  22.46   8.52NA   8.14NA   8.52     8.14     2.71  33.69  33.31  33.69  33.31  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44141  Partial removal of colon                          A  29.75  10.51NA  11.90NA  10.51    11.90     2.53  42.79  44.18  42.79  44.18  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44143  Partial removal of colon                          A  27.63  10.60NA  10.35NA  10.60    10.35     3.05  41.28  41.03  41.28  41.03  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44144  Partial removal of colon                          A  29.75   9.88NA  10.70NA   9.88    10.70     2.86  42.49  43.31  42.49  43.31  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44145  Partial removal of colon                          A  28.45  10.50NA   9.58NA  10.50     9.58     3.29  42.24  41.32  42.24  41.32  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44146  Partial removal of colon                          A  35.14  12.99NA  13.42NA  12.99    13.42     3.41  51.54  51.97  51.54  51.97  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44147  Partial removal of colon                          A  33.56   9.27NA  11.05NA   9.27    11.05     2.56  45.39  47.17  45.39  47.17  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44150  Removal of colon                                  A  29.99  12.19NA  12.68NA  12.19    12.68     3.04  45.22  45.71  45.22  45.71  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44151  Removal of colon/ileostomy                        A  34.73  13.57NA  14.10NA  13.57    14.10     3.49  51.79  52.32  51.79  52.32  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44155  Removal of colon/ileostomy                        A  34.23  13.37NA  13.56NA  13.37    13.56     3.28  50.88  51.07  50.88  51.07  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44156  Removal of colon/ileostomy                        A  37.23  14.97NA  14.79NA  14.97    14.79     3.95  56.15  55.97  56.15  55.97  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44157  Colectomy w/ileoanal anast                        A  35.49  15.67NA  15.67NA  15.67    15.67     3.93  55.09  55.09  55.09  55.09  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44158  Colectomy w/neo-rectum pouch                      A  36.49  15.97NA  15.97NA  15.97    15.97     4.06  56.52  56.52  56.52  56.52  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44160  Removal of colon                                  A  20.78   7.70NA   7.57NA   7.70     7.57     2.37  30.85  30.72  30.85  30.72  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44180  Lap, enterolysis                                  A  15.19   6.09NA   5.65NA   6.09     5.65     1.86  23.14  22.70  23.14  22.70  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44186  Lap, jejunostomy                                  A  10.30   4.70NA   4.43NA   4.70     4.43     1.27  16.27  16.00  16.27  16.00  0090.09.84.0720210             37.8975 090 99     0.00   0.00   0.00
44187  Lap, ileo/jejuno-stomy                            A  17.27   8.25NA   8.19NA   8.25     8.19     1.96  27.48  27.42  27.48  27.42  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44188  Lap, colostomy                                    A  19.20   8.82NA   8.77NA   8.82     8.77     2.24  30.26  30.21  30.26  30.21  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44202  Lap, enterectomy                                  A  23.26   8.78NA   8.37NA   8.78     8.37     2.85  34.89  34.48  34.89  34.48  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44203  Lap resect s/intestine, addl                      A   4.44   1.41NA   1.14NA   1.41     1.14     0.57   6.42   6.15   6.42   6.15  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
44204  Laparo partial colectomy                          A  26.29   9.71NA   9.00NA   9.71     9.00     3.11  39.11  38.40  39.11  38.40  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44205  Lap colectomy part w/ileum                        A  22.86   8.60NA   7.88NA   8.60     7.88     2.75  34.21  33.49  34.21  33.49  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44206  Lap part colectomy w/stoma                        A  29.63  11.08NA  10.58NA  11.08    10.58     3.46  44.17  43.67  44.17  43.67  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44207  L colectomy/coloproctostomy                       A  31.79  11.17NA  10.24NA  11.17    10.24     3.67  46.63  45.70  46.63  45.70  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44208  L colectomy/coloproctostomy                       A  33.86  12.89NA  12.17NA  12.89    12.17     3.88  50.63  49.91  50.63  49.91  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44210  Laparo total proctocolectomy                      A  29.88  11.72NA  11.27NA  11.72    11.27     3.42  45.02  44.57  45.02  44.57  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44211  Lap colectomy w/proctectomy                       A  36.87  14.47NA  13.85NA  14.47    13.85     4.17  55.51  54.89  55.51  54.89  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44212  Laparo total proctocolectomy                      A  34.37  13.58NA  13.26NA  13.58    13.26     3.78  51.73  51.41  51.73  51.41  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44213  Lap, mobil splenic fl add-on                      A   3.50   1.14NA   0.89NA   1.14     0.89     0.44   5.08   4.83   5.08   4.83  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
44227  Lap, close enterostomy                            A  28.49  10.36NA   9.59NA  10.36     9.59     3.38  42.23  41.46  42.23  41.46  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44238  Laparoscope proc, intestine                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
44300  Open bowel to skin                                A  13.65   5.51NA   5.58NA   5.51     5.58     1.60  20.76  20.83  20.76  20.83  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44310  Ileostomy/jejunostomy                             A  17.49   6.63NA   6.45NA   6.63     6.45     1.99  26.11  25.93  26.11  25.93  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44312  Revision of ileostomy                             A   9.33   4.16NA   4.65NA   4.16     4.65     0.92  14.41  14.90  14.41  14.90  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
44314  Revision of ileostomy                             A  16.61   6.63NA   6.88NA   6.63     6.88     1.75  24.99  25.24  24.99  25.24  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44316  Devise bowel pouch                                A  23.46   8.74NA   9.35NA   8.74     9.35     2.38  34.58  35.19  34.58  35.19  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44320  Colostomy                                         A  19.75   7.65NA   7.66NA   7.65     7.66     2.26  29.66  29.67  29.66  29.67  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44322  Colostomy with biopsies                           A  13.15   8.78NA   9.41NA   8.78     9.41     1.54  23.47  24.10  23.47  24.10  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44340  Revision of colostomy                             A   9.12   4.44NA   4.96NA   4.44     4.96     0.99  14.55  15.07  14.55  15.07  0090.09.81.1020110             37.8975 090 99     0.00   0.00   0.00
44345  Revision of colostomy                             A  17.06   6.90NA   6.96NA   6.90     6.96     1.97  25.93  25.99  25.93  25.99  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44346  Revision of colostomy                             A  19.47   7.43NA   7.58NA   7.43     7.58     2.13  29.03  29.18  29.03  29.18  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44360  Small bowel endoscopy                             A   2.59   1.21NA   1.53NA   1.21     1.53     0.19   3.99   4.31   3.99   4.31  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
44361  Small bowel endoscopy/biopsy                      A   2.87   1.32NA   1.67NA   1.32     1.67     0.21   4.40   4.75   4.40   4.75  0000.00.00.0030100       44360 37.8975 090 99     0.00   0.00   0.00
44363  Small bowel endoscopy                             A   3.49   1.53NA   1.96NA   1.53     1.96     0.27   5.29   5.72   5.29   5.72  0000.00.00.0030000       44360 37.8975 090 99     0.00   0.00   0.00
44364  Small bowel endoscopy                             A   3.73   1.63NA   2.04NA   1.63     2.04     0.27   5.63   6.04   5.63   6.04  0000.00.00.0030000       44360 37.8975 090 99     0.00   0.00   0.00
44365  Small bowel endoscopy                             A   3.31   1.47NA   1.81NA   1.47     1.81     0.24   5.02   5.36   5.02   5.36  0000.00.00.0030000       44360 37.8975 090 99     0.00   0.00   0.00
44366  Small bowel endoscopy                             A   4.40   1.90NA   2.42NA   1.90     2.42     0.32   6.62   7.14   6.62   7.14  0000.00.00.0030100       44360 37.8975 090 99     0.00   0.00   0.00
44369  Small bowel endoscopy                             A   4.51   1.91NA   2.46NA   1.91     2.46     0.33   6.75   7.30   6.75   7.30  0000.00.00.0030000       44360 37.8975 090 99     0.00   0.00   0.00
44370  Small bowel endoscopy/stent                       A   4.79   2.12NA   2.58NA   2.12     2.58     0.37   7.28   7.74   7.28   7.74  0000.00.00.0030000       44360 37.8975 090 99     0.00   0.00   0.00
44372  Small bowel endoscopy                             A   4.40   1.84NA   2.16NA   1.84     2.16     0.35   6.59   6.91   6.59   6.91  0000.00.00.0030100       44360 37.8975 090 99     0.00   0.00   0.00
44373  Small bowel endoscopy                             A   3.49   1.50NA   1.74NA   1.50     1.74     0.27   5.26   5.50   5.26   5.50  0000.00.00.0030100       44360 37.8975 090 99     0.00   0.00   0.00
44376  Small bowel endoscopy                             A   5.25   2.14NA   2.48NA   2.14     2.48     0.42   7.81   8.15   7.81   8.15  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
44377  Small bowel endoscopy/biopsy                      A   5.52   2.31NA   2.84NA   2.31     2.84     0.40   8.23   8.76   8.23   8.76  0000.00.00.0030000       44376 37.8975 090 99     0.00   0.00   0.00
44378  Small bowel endoscopy                             A   7.12   2.92NA   3.61NA   2.92     3.61     0.52  10.56  11.25  10.56  11.25  0000.00.00.0030000       44376 37.8975 090 99     0.00   0.00   0.00
44379  S bowel endoscope w/stent                         A   7.46   3.02NA   3.34NA   3.02     3.34     0.62  11.10  11.42  11.10  11.42  0000.00.00.0030000       44376 37.8975 090 99     0.00   0.00   0.00
44380  Small bowel endoscopy                             A   1.05   0.60NA   0.75NA   0.60     0.75     0.08   1.73   1.88   1.73   1.88  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
44382  Small bowel endoscopy                             A   1.27   0.67NA   0.79NA   0.67     0.79     0.12   2.06   2.18   2.06   2.18  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
44383  Ileoscopy w/stent                                 A   2.94   1.36NA   1.64NA   1.36     1.64     0.21   4.51   4.79   4.51   4.79  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
44385  Endoscopy of bowel pouch                          A   1.82   3.73     4.88     0.79     0.90     0.15   5.70   6.85   2.76   2.87  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
44386  Endoscopy, bowel pouch/biop                       A   2.12   6.66     6.73     0.93     1.06     0.20   8.98   9.05   3.25   3.38  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
44388  Colonoscopy                                       A   2.82   5.34     6.10     1.21     1.37     0.26   8.42   9.18   4.29   4.45  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
44389  Colonoscopy with biopsy                           A   3.13   6.73     7.07     1.35     1.60     0.27  10.13  10.47   4.75   5.00  0000.00.00.0030100       44388 37.8975 090 99     0.00   0.00   0.00
44390  Colonoscopy for foreign body                      A   3.82   7.32     7.96     1.57     1.81     0.32  11.46  12.10   5.71   5.95  0000.00.00.0030000       44388 37.8975 090 99     0.00   0.00   0.00
44391  Colonoscopy for bleeding                          A   4.31   8.78     8.95     1.83     2.24     0.34  13.43  13.60   6.48   6.89  0000.00.00.0030000       44388 37.8975 090 99     0.00   0.00   0.00
44392  Colonoscopy & polypectomy                         A   3.81   6.78     7.37     1.55     1.74     0.34  10.93  11.52   5.70   5.89  0000.00.00.0030100       44388 37.8975 090 99     0.00   0.00   0.00
44393  Colonoscopy, lesion removal                       A   4.83   7.14     7.87     1.91     2.07     0.42  12.39  13.12   7.16   7.32  0000.00.00.0030100       44388 37.8975 090 99     0.00   0.00   0.00
44394  Colonoscopy w/snare                               A   4.42   7.97     8.46     1.81     2.09     0.38  12.77  13.26   6.61   6.89  0000.00.00.0030100       44388 37.8975 090 99     0.00   0.00   0.00
44397  Colonoscopy w/stent                               A   4.70   1.93NA   2.33NA   1.93     2.33     0.39   7.02   7.42   7.02   7.42  0000.00.00.0030100       44388 37.8975 090 99     0.00   0.00   0.00
44500  Intro, gastrointestinal tube                      A   0.49   0.16NA   0.14NA   0.16     0.14     0.03   0.68   0.66   0.68   0.66  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
44602  Suture, small intestine                           A  24.64   6.72NA   7.71NA   6.72     7.71     2.12  33.48  34.47  33.48  34.47  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44603  Suture, small intestine                           A  28.03   7.72NA   9.08NA   7.72     9.08     2.42  38.17  39.53  38.17  39.53  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44604  Suture, large intestine                           A  18.06   6.37NA   6.12NA   6.37     6.12     2.12  26.55  26.30  26.55  26.30  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44605  Repair of bowel lesion                            A  22.00   8.28NA   7.95NA   8.28     7.95     2.52  32.80  32.47  32.80  32.47  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44615  Intestinal stricturoplasty                        A  18.08   6.66NA   6.61NA   6.66     6.61     2.07  26.81  26.76  26.81  26.76  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44620  Repair bowel opening                              A  14.35   5.38NA   5.54NA   5.38     5.54     1.51  21.24  21.40  21.24  21.40  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44625  Repair bowel opening                              A  17.20   6.28NA   6.22NA   6.28     6.22     1.86  25.34  25.28  25.34  25.28  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44626  Repair bowel opening                              A  27.82   9.61NA   9.00NA   9.61     9.00     3.27  40.70  40.09  40.70  40.09  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44640  Repair bowel-skin fistula                         A  24.12   8.46NA   8.13NA   8.46     8.13     2.78  35.36  35.03  35.36  35.03  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44650  Repair bowel fistula                              A  25.04   8.76NA   8.38NA   8.76     8.38     2.93  36.73  36.35  36.73  36.35  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44660  Repair bowel-bladder fistula                      A  23.83   8.70NA   9.79NA   8.70     9.79     2.14  34.67  35.76  34.67  35.76  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44661  Repair bowel-bladder fistula                      A  27.27   9.53NA   9.48NA   9.53     9.48     2.81  39.61  39.56  39.61  39.56  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44680  Surgical revision, intestine                      A  17.88   6.48NA   6.59NA   6.48     6.59     2.00  26.36  26.47  26.36  26.47  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44700  Suspend bowel w/prosthesis                        A  17.40   6.57NA   6.29NA   6.57     6.29     1.84  25.81  25.53  25.81  25.53  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44701  Intraop colon lavage add-on                       A   3.10   0.99NA   0.78NA   0.99     0.78     0.37   4.46   4.25   4.46   4.25  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
44715  Prepare donor intestine                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
44720  Prep donor intestine/venous                       A   5.00   1.60NA   1.26NA   1.60     1.26     0.37   6.97   6.63   6.97   6.63  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
44721  Prep donor intestine/artery                       A   7.00   2.25NA   1.83NA   2.25     1.83     0.97  10.22   9.80  10.22   9.80  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
44799  Unlisted procedure intestine                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
44800  Excision of bowel pouch                           A  11.94   5.42NA   5.54NA   5.42     5.54     1.47  18.83  18.95  18.83  18.95  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44820  Excision of mesentery lesion                      A  13.63   5.52NA   5.63NA   5.52     5.63     1.59  20.74  20.85  20.74  20.85  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44850  Repair of mesentery                               A  12.03   5.01NA   5.03NA   5.01     5.03     1.39  18.43  18.45  18.43  18.45  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44899  Bowel surgery procedure                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
44900  Drain app abscess, open                           A  12.44   4.78NA   5.04NA   4.78     5.04     1.33  18.55  18.81  18.55  18.81  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44901  Drain app abscess, percut                         A   3.37  25.61    18.75     1.07     0.95     0.22  29.20  22.34   4.66   4.54  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
44950  Appendectomy                                      A  10.52   4.25NA   4.07NA   4.25     4.07     1.31  16.08  15.90  16.08  15.90  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44955  Appendectomy add-on                               A   1.53   0.51NA   0.41NA   0.51     0.41     0.20   2.24   2.14   2.24   2.14  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
44960  Appendectomy                                      A  14.39   5.36NA   5.44NA   5.36     5.44     1.63  21.38  21.46  21.38  21.46  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
44970  Laparoscopy, appendectomy                         A   9.35   4.11NA   4.21NA   4.11     4.21     1.14  14.60  14.70  14.60  14.70  0090.09.81.1020220             37.8975 090 99     0.00   0.00   0.00
44979  Laparoscope proc, app                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
45000  Drainage of pelvic abscess                        A   6.20   3.10NA   3.50NA   3.10     3.50     0.52   9.82  10.22   9.82  10.22  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
45005  Drainage of rectal abscess                        A   2.00   4.02     3.94     1.58     1.58     0.25   6.27   6.19   3.83   3.83  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
45020  Drainage of rectal abscess                        A   8.43   3.58NA   4.52NA   3.58     4.52     0.55  12.56  13.50  12.56  13.50  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
45100  Biopsy of rectum                                  A   3.96   2.48NA   2.83NA   2.48     2.83     0.44   6.88   7.23   6.88   7.23  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
45108  Removal of anorectal lesion                       A   5.04   2.84NA   3.06NA   2.84     3.06     0.59   8.47   8.69   8.47   8.69  0090.09.81.1020110             37.8975 090 99     0.00   0.00   0.00
45110  Removal of rectum                                 A  30.57  12.29NA  11.97NA  12.29    11.97     3.36  46.22  45.90  46.22  45.90  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45111  Partial removal of rectum                         A  17.89   7.13NA   7.05NA   7.13     7.05     2.07  27.09  27.01  27.09  27.01  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45112  Removal of rectum                                 A  33.05  11.43NA  10.43NA  11.43    10.43     3.43  47.91  46.91  47.91  46.91  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45113  Partial proctectomy                               A  33.09  12.36NA  11.67NA  12.36    11.67     3.49  48.94  48.25  48.94  48.25  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45114  Partial removal of rectum                         A  30.63  10.76NA  10.43NA  10.76    10.43     3.36  44.75  44.42  44.75  44.42  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45116  Partial removal of rectum                         A  27.56   9.88NA   9.45NA   9.88     9.45     2.88  40.32  39.89  40.32  39.89  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45119  Remove rectum w/reservoir                         A  33.35  12.29NA  11.79NA  12.29    11.79     3.36  49.00  48.50  49.00  48.50  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45120  Removal of rectum                                 A  26.25   9.96NA   9.47NA   9.96     9.47     2.90  39.11  38.62  39.11  38.62  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45121  Removal of rectum and colon                       A  28.93  10.91NA  10.33NA  10.91    10.33     3.25  43.09  42.51  43.09  42.51  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45123  Partial proctectomy                               A  18.70   6.92NA   7.12NA   6.92     7.12     1.86  27.48  27.68  27.48  27.68  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45126  Pelvic exenteration                               A  48.89  18.75NA  17.38NA  18.75    17.38     4.33  71.97  70.60  71.97  70.60  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
45130  Excision of rectal prolapse                       A  18.37   6.77NA   6.79NA   6.77     6.79     1.80  26.94  26.96  26.94  26.96  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45135  Excision of rectal prolapse                       A  22.15   8.65NA   9.35NA   8.65     9.35     2.36  33.16  33.86  33.16  33.86  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45136  Excise ileoanal reservior                         A  30.63  12.37NA  11.94NA  12.37    11.94     2.82  45.82  45.39  45.82  45.39  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45150  Excision of rectal stricture                      A   5.77   3.08NA   3.42NA   3.08     3.42     0.61   9.46   9.80   9.46   9.80  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
45160  Excision of rectal lesion                         A  16.17   6.63NA   6.61NA   6.63     6.61     1.68  24.48  24.46  24.48  24.46  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45170  Excision of rectal lesion                         A  12.48   5.28NA   5.41NA   5.28     5.41     1.35  19.11  19.24  19.11  19.24  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45190  Destruction, rectal tumor                         A  10.29   4.87NA   5.60NA   4.87     5.60     1.13  16.29  17.02  16.29  17.02  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45300  Proctosigmoidoscopy dx                            A   0.38   1.63     1.93     0.30     0.35     0.04   2.05   2.35   0.72   0.77  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
45303  Proctosigmoidoscopy dilate                        A   0.44  18.86    19.40     0.34     0.38     0.05  19.35  19.89   0.83   0.87  0000.00.00.0030100       45300 37.8975 090 99     0.00   0.00   0.00
45305  Proctosigmoidoscopy w/bx                          A   1.01   2.78     3.24     0.51     0.53     0.11   3.90   4.36   1.63   1.65  0000.00.00.0030100       45300 37.8975 090 99     0.00   0.00   0.00
45307  Proctosigmoidoscopy fb                            A   0.94   3.10     3.30     0.49     0.51     0.11   4.15   4.35   1.54   1.56  0000.00.00.0030000       45300 37.8975 090 99     0.00   0.00   0.00
45308  Proctosigmoidoscopy removal                       A   0.83   2.31     3.27     0.45     0.49     0.09   3.23   4.19   1.37   1.41  0000.00.00.0030100       45300 37.8975 090 99     0.00   0.00   0.00
45309  Proctosigmoidoscopy removal                       A   2.01   3.05     3.75     0.84     0.83     0.22   5.28   5.98   3.07   3.06  0000.00.00.0030100       45300 37.8975 090 99     0.00   0.00   0.00
45315  Proctosigmoidoscopy removal                       A   1.40   3.04     3.58     0.64     0.65     0.15   4.59   5.13   2.19   2.20  0000.00.00.0030100       45300 37.8975 090 99     0.00   0.00   0.00
45317  Proctosigmoidoscopy bleed                         A   1.50   2.69     3.48     0.66     0.66     0.15   4.34   5.13   2.31   2.31  0000.00.00.0030100       45300 37.8975 090 99     0.00   0.00   0.00
45320  Proctosigmoidoscopy ablate                        A   1.58   3.17     3.95     0.72     0.75     0.16   4.91   5.69   2.46   2.49  0000.00.00.0030100       45300 37.8975 090 99     0.00   0.00   0.00
45321  Proctosigmoidoscopy volvul                        A   1.17   0.58NA   0.65NA   0.58     0.65     0.13   1.88   1.95   1.88   1.95  0000.00.00.0030100       45300 37.8975 090 99     0.00   0.00   0.00
45327  Proctosigmoidoscopy w/stent                       A   1.65   0.72NA   0.82NA   0.72     0.82     0.16   2.53   2.63   2.53   2.63  0000.00.00.0030100       45300 37.8975 090 99     0.00   0.00   0.00
45330  Diagnostic sigmoidoscopy                          A   0.96   2.33     2.49     0.53     0.62     0.08   3.37   3.53   1.57   1.66  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
45331  Sigmoidoscopy and biopsy                          A   1.15   3.11     3.24     0.64     0.79     0.09   4.35   4.48   1.88   2.03  0000.00.00.0030100       45330 37.8975 090 99     0.00   0.00   0.00
45332  Sigmoidoscopy w/fb removal                        A   1.79   5.15     5.60     0.86     1.04     0.16   7.10   7.55   2.81   2.99  0000.00.00.0030100       45330 37.8975 090 99     0.00   0.00   0.00
45333  Sigmoidoscopy & polypectomy                       A   1.79   5.06     5.61     0.85     0.99     0.15   7.00   7.55   2.79   2.93  0000.00.00.0030100       45330 37.8975 090 99     0.00   0.00   0.00
45334  Sigmoidoscopy for bleeding                        A   2.73   1.24NA   1.55NA   1.24     1.55     0.20   4.17   4.48   4.17   4.48  0000.00.00.0030100       45330 37.8975 090 99     0.00   0.00   0.00
45335  Sigmoidoscopy w/submuc inj                        A   1.46   3.74     5.31     0.75     0.91     0.11   5.31   6.88   2.32   2.48  0000.00.00.0030100       45330 37.8975 090 99     0.00   0.00   0.00
45337  Sigmoidoscopy & decompress                        A   2.36   1.06NA   1.25NA   1.06     1.25     0.21   3.63   3.82   3.63   3.82  0000.00.00.0030100       45330 37.8975 090 99     0.00   0.00   0.00
45338  Sigmoidoscopy w/tumr remove                       A   2.34   5.37     5.84     1.07     1.28     0.19   7.90   8.37   3.60   3.81  0000.00.00.0030100       45330 37.8975 090 99     0.00   0.00   0.00
45339  Sigmoidoscopy w/ablate tumr                       A   3.14   4.03     5.74     1.38     1.69     0.26   7.43   9.14   4.78   5.09  0000.00.00.0030100       45330 37.8975 090 99     0.00   0.00   0.00
45340  Sig w/balloon dilation                            A   1.89   7.18    10.20     0.89     1.05     0.15   9.22  12.24   2.93   3.09  0000.00.00.0030100       45330 37.8975 090 99     0.00   0.00   0.00
45341  Sigmoidoscopy w/ultrasound                        A   2.60   1.17NA   1.48NA   1.17     1.48     0.19   3.96   4.27   3.96   4.27  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
45342  Sigmoidoscopy w/us guide bx                       A   4.05   1.71NA   2.20NA   1.71     2.20     0.30   6.06   6.55   6.06   6.55  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
45345  Sigmoidoscopy w/stent                             A   2.92   1.26NA   1.56NA   1.26     1.56     0.23   4.41   4.71   4.41   4.71  0000.00.00.0030100       45330 37.8975 090 99     0.00   0.00   0.00
45355  Surgical colonoscopy                              A   3.51   1.43NA   1.57NA   1.43     1.57     0.36   5.30   5.44   5.30   5.44  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
45378  Diagnostic colonoscopy                            A   3.69   6.20     6.37     1.57     1.85     0.30  10.19  10.36   5.56   5.84  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
4537853Diagnostic colonoscopy                            A   0.96   2.33     2.49     0.53     0.62     0.08   3.37   3.53   1.57   1.66  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
45379  Colonoscopy w/fb removal                          A   4.68   7.78     8.15     1.92     2.25     0.39  12.85  13.22   6.99   7.32  0000.00.00.0030100       45378 37.8975 090 99     0.00   0.00   0.00
45380  Colonoscopy and biopsy                            A   4.43   7.33     7.73     1.87     2.27     0.35  12.11  12.51   6.65   7.05  0000.00.00.0030100       45378 37.8975 090 99     0.00   0.00   0.00
45381  Colonoscopy, submucous inj                        A   4.19   7.26     7.71     1.79     2.19     0.30  11.75  12.20   6.28   6.68  0000.00.00.0030100       45378 37.8975 090 99     0.00   0.00   0.00
45382  Colonoscopy/control bleeding                      A   5.68  10.04    10.34     2.37     2.93     0.41  16.13  16.43   8.46   9.02  0000.00.00.0030100       45378 37.8975 090 99     0.00   0.00   0.00
45383  Lesion removal colonoscopy                        A   5.86   8.08     8.56     2.34     2.69     0.48  14.42  14.90   8.68   9.03  0000.00.00.0030100       45378 37.8975 090 99     0.00   0.00   0.00
45384  Lesion remove colonoscopy                         A   4.69   6.90     7.21     1.93     2.24     0.38  11.97  12.28   7.00   7.31  0000.00.00.0030100       45378 37.8975 090 99     0.00   0.00   0.00
45385  Lesion removal colonoscopy                        A   5.30   7.94     8.35     2.18     2.63     0.42  13.66  14.07   7.90   8.35  0000.00.00.0030100       45378 37.8975 090 99     0.00   0.00   0.00
45386  Colonoscopy dilate stricture                      A   4.57  12.37    12.29     1.89     2.21     0.39  17.33  17.25   6.85   7.17  0000.00.00.0030100       45378 37.8975 090 99     0.00   0.00   0.00
45387  Colonoscopy w/stent                               A   5.90   2.49NA   2.95NA   2.49     2.95     0.48   8.87   9.33   8.87   9.33  0000.00.00.0030100       45378 37.8975 090 99     0.00   0.00   0.00
45391  Colonoscopy w/endoscope us                        A   5.09   2.13NA   2.60NA   2.13     2.60     0.42   7.64   8.11   7.64   8.11  0000.00.00.0030100       45378 37.8975 090 99     0.00   0.00   0.00
45392  Colonoscopy w/endoscopic fnb                      A   6.54   2.65NA   3.17NA   2.65     3.17     0.42   9.61  10.13   9.61  10.13  0000.00.00.0030100       45378 37.8975 090 99     0.00   0.00   0.00
45395  Lap, removal of rectum                            A  32.79  13.51NA  13.03NA  13.51    13.03     3.63  49.93  49.45  49.93  49.45  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45397  Lap, remove rectum w/pouch                        A  36.29  14.11NA  13.67NA  14.11    13.67     3.67  54.07  53.63  54.07  53.63  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45400  Laparoscopic proc                                 A  19.31   7.68NA   7.21NA   7.68     7.21     2.03  29.02  28.55  29.02  28.55  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45402  Lap proctopexy w/sig resect                       A  26.38   9.71NA   8.91NA   9.71     8.91     2.82  38.91  38.11  38.91  38.11  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45499  Laparoscope proc, rectum                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
45500  Repair of rectum                                  A   7.64   3.75NA   4.39NA   3.75     4.39     0.75  12.14  12.78  12.14  12.78  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
45505  Repair of rectum                                  A   8.20   4.17NA   5.14NA   4.17     5.14     0.86  13.23  14.20  13.23  14.20  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
45520  Treatment of rectal prolapse                      A   0.55   1.99     3.04     0.38     0.41     0.05   2.59   3.64   0.98   1.01  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
45540  Correct rectal prolapse                           A  18.02   6.55NA   5.83NA   6.55     5.83     1.85  26.42  25.70  26.42  25.70  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45541  Correct rectal prolapse                           A  14.72   6.11NA   6.63NA   6.11     6.63     1.55  22.38  22.90  22.38  22.90  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45550  Repair rectum/remove sigmoid                      A  24.67   9.17NA   9.06NA   9.17     9.06     2.62  36.46  36.35  36.46  36.35  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45560  Repair of rectocele                               A  11.42   5.18NA   5.55NA   5.18     5.55     1.13  17.73  18.10  17.73  18.10  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45562  Exploration/repair of rectum                      A  17.82   7.28NA   8.18NA   7.28     8.18     1.84  26.94  27.84  26.94  27.84  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45563  Exploration/repair of rectum                      A  26.22  10.62NA  10.95NA  10.62    10.95     3.11  39.95  40.28  39.95  40.28  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45800  Repair rect/bladder fistula                       A  20.18   7.89NA   9.30NA   7.89     9.30     1.86  29.93  31.34  29.93  31.34  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45805  Repair fistula w/colostomy                        A  23.19   9.44NA   9.27NA   9.44     9.27     2.03  34.66  34.49  34.66  34.49  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45820  Repair rectourethral fistula                      A  20.24   8.06NA   9.39NA   8.06     9.39     1.58  29.88  31.21  29.88  31.21  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45825  Repair fistula w/colostomy                        A  24.01  10.12NA  11.05NA  10.12    11.05     2.32  36.45  37.38  36.45  37.38  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
45900  Reduction of rectal prolapse                      A   2.96   1.55NA   1.69NA   1.55     1.69     0.30   4.81   4.95   4.81   4.95  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
45905  Dilation of anal sphincter                        A   2.32   1.49NA   1.65NA   1.49     1.65     0.27   4.08   4.24   4.08   4.24  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
45910  Dilation of rectal narrowing                      A   2.82   1.70NA   1.81NA   1.70     1.81     0.30   4.82   4.93   4.82   4.93  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
45915  Remove rectal obstruction                         A   3.16   4.30     4.25     2.08     2.05     0.30   7.76   7.71   5.54   5.51  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
45990  Surg dx exam, anorectal                           A   1.80   0.79NA   0.80NA   0.79     0.80     0.17   2.76   2.77   2.76   2.77  0000.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
45999  Rectum surgery procedure                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
46020  Placement of seton                                A   2.94   2.56     3.26     1.98     2.36     0.31   5.81   6.51   5.23   5.61  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46030  Removal of rectal marker                          A   1.24   1.48     1.88     0.74     0.82     0.14   2.86   3.26   2.12   2.20  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
46040  Incision of rectal abscess                        A   5.26   5.75     6.51     3.68     3.98     0.62  11.63  12.39   9.56   9.86  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46045  Incision of rectal abscess                        A   5.79   3.15NA   3.94NA   3.15     3.94     0.54   9.48  10.27   9.48  10.27  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46050  Incision of anal abscess                          A   1.21   2.70     3.17     0.88     0.98     0.14   4.05   4.52   2.23   2.33  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46060  Incision of rectal abscess                        A   6.24   3.54NA   4.42NA   3.54     4.42     0.67  10.45  11.33  10.45  11.33  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46070  Incision of anal septum                           A   2.74   1.96NA   2.33NA   1.96     2.33     0.36   5.06   5.43   5.06   5.43  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
46080  Incision of anal sphincter                        A   2.50   2.53     3.05     1.13     1.13     0.30   5.33   5.85   3.93   3.93  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46083  Incise external hemorrhoid                        A   1.42   2.48     2.34     0.93     0.96     0.15   4.05   3.91   2.50   2.53  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46200  Removal of anal fissure                           A   3.48   4.46     6.28     3.08     3.73     0.39   8.33  10.15   6.95   7.60  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46210  Removal of anal crypt                             A   2.73   5.32     5.93     2.81     3.36     0.31   8.36   8.97   5.85   6.40  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
46211  Removal of anal crypts                            A   4.31   5.83     7.12     3.65     4.11     0.48  10.62  11.91   8.44   8.90  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
46220  Removal of anal tag                               A   1.58   2.46     2.98     0.99     1.09     0.17   4.21   4.73   2.74   2.84  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46221  Ligation of hemorrhoid(s)                         A   2.31   2.91     3.72     1.81     2.00     0.23   5.45   6.26   4.35   4.54  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46230  Removal of anal tags                              A   2.59   3.18     3.49     1.30     1.34     0.30   6.07   6.38   4.19   4.23  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46250  Hemorrhoidectomy                                  A   4.17   5.46     5.95     2.67     2.85     0.48  10.11  10.60   7.32   7.50  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46255  Hemorrhoidectomy                                  A   4.88   5.97     6.37     2.90     3.10     0.58  11.43  11.83   8.36   8.56  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46257  Remove hemorrhoids & fissure                      A   5.68   3.11NA   3.82NA   3.11     3.82     0.64   9.43  10.14   9.43  10.14  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46258  Remove hemorrhoids & fistula                      A   6.28   3.46NA   4.02NA   3.46     4.02     0.68  10.42  10.98  10.42  10.98  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
46260  Hemorrhoidectomy                                  A   6.65   3.40NA   4.07NA   3.40     4.07     0.76  10.81  11.48  10.81  11.48  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46261  Remove hemorrhoids & fissure                      A   7.63   3.79NA   4.35NA   3.79     4.35     0.79  12.21  12.77  12.21  12.77  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46262  Remove hemorrhoids & fistula                      A   7.80   3.97NA   4.70NA   3.97     4.70     0.83  12.60  13.33  12.60  13.33  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46270  Removal of anal fistula                           A   4.81   5.31     6.26     3.09     3.85     0.46  10.58  11.53   8.36   9.12  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46275  Removal of anal fistula                           A   5.31   5.12     6.60     3.22     3.97     0.52  10.95  12.43   9.05   9.80  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46280  Removal of anal fistula                           A   6.28   3.51NA   4.29NA   3.51     4.29     0.66  10.45  11.23  10.45  11.23  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46285  Removal of anal fistula                           A   5.31   4.45     6.51     3.05     3.96     0.44  10.20  12.26   8.80   9.71  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46288  Repair anal fistula                               A   7.68   3.93NA   4.70NA   3.93     4.70     0.79  12.40  13.17  12.40  13.17  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46320  Removal of hemorrhoid clot                        A   1.62   2.19     2.40     0.86     0.89     0.18   3.99   4.20   2.66   2.69  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46500  Injection into hemorrhoid(s)                      A   1.64   2.48     3.60     1.18     1.26     0.16   4.28   5.40   2.98   3.06  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46505  Chemodenervation anal musc                        A   3.13   3.10     3.29     2.05     2.31     0.14   6.37   6.56   5.32   5.58  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
46600  Diagnostic anoscopy                               A   0.50   1.53     1.43     0.35     0.37     0.05   2.08   1.98   0.90   0.92  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
46604  Anoscopy and dilation                             A   1.31   9.97    12.51     0.61     0.58     0.12  11.40  13.94   2.04   2.01  0000.00.00.0030100       46600 37.8975 090 99     0.00   0.00   0.00
46606  Anoscopy and biopsy                               A   0.81   3.81     3.88     0.44     0.48     0.09   4.71   4.78   1.34   1.38  0000.00.00.0030100       46600 37.8975 090 99     0.00   0.00   0.00
46608  Anoscopy, remove for body                         A   1.51   4.28     3.90     0.64     0.62     0.16   5.95   5.57   2.31   2.29  0000.00.00.0030000       46600 37.8975 090 99     0.00   0.00   0.00
46610  Anoscopy, remove lesion                           A   1.32   4.05     4.12     0.63     0.67     0.15   5.52   5.59   2.10   2.14  0000.00.00.0030100       46600 37.8975 090 99     0.00   0.00   0.00
46611  Anoscopy                                          A   1.81   3.20     2.80     0.77     0.72     0.19   5.20   4.80   2.77   2.72  0000.00.00.0030000       46600 37.8975 090 99     0.00   0.00   0.00
46612  Anoscopy, remove lesions                          A   2.34   5.20     5.24     0.98     0.96     0.28   7.82   7.86   3.60   3.58  0000.00.00.0030000       46600 37.8975 090 99     0.00   0.00   0.00
46614  Anoscopy, control bleeding                        A   2.01   2.38     2.56     0.84     0.83     0.20   4.59   4.77   3.05   3.04  0000.00.00.0030100       46600 37.8975 090 99     0.00   0.00   0.00
46615  Anoscopy                                          A   2.68   2.43     2.26     1.05     0.97     0.33   5.44   5.27   4.06   3.98  0000.00.00.0030000       46600 37.8975 090 99     0.00   0.00   0.00
46700  Repair of anal stricture                          A   9.68   4.45NA   5.19NA   4.45     5.19     0.94  15.07  15.81  15.07  15.81  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46705  Repair of anal stricture                          A   7.32   3.77NA   4.04NA   3.77     4.04     0.91  12.00  12.27  12.00  12.27  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46706  Repr of anal fistula w/glue                       A   2.41   1.30NA   1.45NA   1.30     1.45     0.28   3.99   4.14   3.99   4.14  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46710  Repr per/vag pouch sngl proc                      A  17.01   7.77NA   7.83NA   7.77     7.83     1.38  26.16  26.22  26.16  26.22  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46712  Repr per/vag pouch dbl proc                       A  36.32  14.85NA  14.26NA  14.85    14.26     3.67  54.84  54.25  54.84  54.25  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46715  Rep perf anoper fistu                             A   7.54   3.61NA   3.74NA   3.61     3.74     0.92  12.07  12.20  12.07  12.20  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
46716  Rep perf anoper/vestib fistu                      A  17.14   8.38NA   9.59NA   8.38     9.59     1.58  27.10  28.31  27.10  28.31  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46730  Construction of absent anus                       A  30.17  11.90NA  11.55NA  11.90    11.55     2.47  44.54  44.19  44.54  44.19  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46735  Construction of absent anus                       A  35.66  13.56NA  13.63NA  13.56    13.63     3.21  52.43  52.50  52.43  52.50  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46740  Construction of absent anus                       A  33.42  13.56NA  14.57NA  13.56    14.57     2.42  49.40  50.41  49.40  50.41  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46742  Repair of imperforated anus                       A  39.66  17.06NA  16.09NA  17.06    16.09     3.20  59.92  58.95  59.92  58.95  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46744  Repair of cloacal anomaly                         A  58.46  21.18NA  21.37NA  21.18    21.37     6.40  86.04  86.23  86.04  86.23  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46746  Repair of cloacal anomaly                         A  64.93  23.78NA  19.68NA  23.78    19.68     7.70  96.41  92.31  96.41  92.31  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46748  Repair of cloacal anomaly                         A  70.91  22.99NA  21.07NA  22.99    21.07     3.37  97.27  95.35  97.27  95.35  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46750  Repair of anal sphincter                          A  12.02   5.25NA   5.83NA   5.25     5.83     1.10  18.37  18.95  18.37  18.95  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46751  Repair of anal sphincter                          A   9.19   5.16NA   4.42NA   5.16     4.42     0.94  15.29  14.55  15.29  14.55  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46753  Reconstruction of anus                            A   8.81   4.04NA   4.63NA   4.04     4.63     0.94  13.79  14.38  13.79  14.38  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46754  Removal of suture from anus                       A   2.88   3.62     3.72     1.82     2.28     0.19   6.69   6.79   4.89   5.35  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
46760  Repair of anal sphincter                          A  17.21   7.37NA   8.24NA   7.37     8.24     1.59  26.17  27.04  26.17  27.04  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46761  Repair of anal sphincter                          A  15.16   6.13NA   6.51NA   6.13     6.51     1.43  22.72  23.10  22.72  23.10  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46762  Implant artificial sphincter                      A  14.66   5.85NA   6.87NA   5.85     6.87     1.24  21.75  22.77  21.75  22.77  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
46900  Destruction, anal lesion(s)                       A   1.91   2.84     3.63     1.28     1.31     0.17   4.92   5.71   3.36   3.39  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46910  Destruction, anal lesion(s)                       A   1.88   3.15     3.88     1.10     1.21     0.19   5.22   5.95   3.17   3.28  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46916  Cryosurgery, anal lesion(s)                       A   1.88   3.31     3.80     1.45     1.61     0.11   5.30   5.79   3.44   3.60  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46917  Laser surgery, anal lesions                       A   1.88   9.00     8.62     1.14     1.21     0.21  11.09  10.71   3.23   3.30  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46922  Excision of anal lesion(s)                        A   1.88   3.48     4.10     1.10     1.20     0.22   5.58   6.20   3.20   3.30  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46924  Destruction, anal lesion(s)                       A   2.78   8.91     9.60     1.40     1.55     0.26  11.95  12.64   4.44   4.59  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46934  Destruction of hemorrhoids                        A   3.79   5.15     5.40     2.92     2.81     0.32   9.26   9.51   7.03   6.92  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46935  Destruction of hemorrhoids                        A   2.44   3.52     3.68     1.18     1.09     0.23   6.19   6.35   3.85   3.76  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46936  Destruction of hemorrhoids                        A   3.70   5.19     6.15     2.52     2.62     0.34   9.23  10.19   6.56   6.66  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46937  Cryotherapy of rectal lesion                      A   2.70   3.12     4.16     1.39     1.90     0.14   5.96   7.00   4.23   4.74  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
46938  Cryotherapy of rectal lesion                      A   4.70   4.44     5.78     3.20     3.64     0.58   9.72  11.06   8.48   8.92  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
46940  Treatment of anal fissure                         A   2.33   2.20     2.84     1.08     1.05     0.23   4.76   5.40   3.64   3.61  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
46942  Treatment of anal fissure                         A   2.05   2.07     2.79     1.01     0.96     0.19   4.31   5.03   3.25   3.20  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
46945  Ligation of hemorrhoids                           A   2.13   3.65     4.81     2.60     2.99     0.19   5.97   7.13   4.92   5.31  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46946  Ligation of hemorrhoids                           A   2.60   3.95     4.64     2.46     2.66     0.27   6.82   7.51   5.33   5.53  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46947  Hemorrhoidopexy by stapling                       A   5.49   2.81NA   3.11NA   2.81     3.11     0.75   9.05   9.35   9.05   9.35  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
46999  Anus surgery procedure                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
47000  Needle biopsy of liver                            A   1.90   4.12     7.28     0.62     0.58     0.12   6.14   9.30   2.64   2.60  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
47001  Needle biopsy, liver add-on                       A   1.90   0.61NA   0.49NA   0.61     0.49     0.25   2.76   2.64   2.76   2.64  0ZZZ.00.00.0000110             37.8975 090 99     0.00   0.00   0.00
47010  Open drainage, liver lesion                       A  19.27   8.33NA   8.15NA   8.33     8.15     1.81  29.41  29.23  29.41  29.23  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47011  Percut drain, liver lesion                        A   3.69   1.17NA   1.05NA   1.17     1.05     0.22   5.08   4.96   5.08   4.96  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
47015  Inject/aspirate liver cyst                        A  18.37   7.56NA   7.80NA   7.56     7.80     1.84  27.77  28.01  27.77  28.01  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47100  Wedge biopsy of liver                             A  12.78   6.11NA   6.33NA   6.11     6.33     1.53  20.42  20.64  20.42  20.64  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47120  Partial removal of liver                          A  38.82  14.88NA  14.08NA  14.88    14.08     4.66  58.36  57.56  58.36  57.56  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47122  Extensive removal of liver                        A  59.35  20.79NA  18.83NA  20.79    18.83     7.21  87.35  85.39  87.35  85.39  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47125  Partial removal of liver                          A  52.91  18.90NA  17.09NA  18.90    17.09     6.47  78.28  76.47  78.28  76.47  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47130  Partial removal of liver                          A  57.06  20.24NA  18.09NA  20.24    18.09     6.96  84.26  82.11  84.26  82.11  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47133  Removal of donor liver                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
47135  Transplantation of liver                          R  83.29  30.59NA  27.87NA  30.59    27.87     9.96 123.84 121.12 123.84 121.12  0090.09.81.1020212             37.8975 090 99     0.00   0.00   0.00
47136  Transplantation of liver                          R  70.39  26.20NA  23.77NA  26.20    23.77     8.44 105.03 102.60 105.03 102.60  0090.09.81.1020212             37.8975 090 99     0.00   0.00   0.00
47140  Partial removal, donor liver                      A  59.22  22.14NA  21.75NA  22.14    21.75     5.19  86.55  86.16  86.55  86.16  0090.09.81.1020212             37.8975 090 99     0.00   0.00   0.00
47141  Partial removal, donor liver                      A  71.27  26.55NA  25.51NA  26.55    25.51     5.19 103.01 101.97 103.01 101.97  0090.09.81.1020212             37.8975 090 99     0.00   0.00   0.00
47142  Partial removal, donor liver                      A  79.21  28.98NA  27.55NA  28.98    27.55     5.19 113.38 111.95 113.38 111.95  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47143  Prep donor liver, whole                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
47144  Prep donor liver, 3-segment                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47145  Prep donor liver, lobe split                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
47146  Prep donor liver/venous                           A   6.00   1.92NA   1.54NA   1.92     1.54     0.83   8.75   8.37   8.75   8.37  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
47147  Prep donor liver/arterial                         A   7.00   2.24NA   1.79NA   2.24     1.79     0.97  10.21   9.76  10.21   9.76  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
47300  Surgery for liver lesion                          A  18.01   7.33NA   7.67NA   7.33     7.67     1.99  27.33  27.67  27.33  27.67  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47350  Repair liver wound                                A  22.36   8.87NA   8.89NA   8.87     8.89     2.59  33.82  33.84  33.82  33.84  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47360  Repair liver wound                                A  31.18  11.52NA  11.38NA  11.52    11.38     3.38  46.08  45.94  46.08  45.94  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47361  Repair liver wound                                A  52.47  18.09NA  16.82NA  18.09    16.82     5.87  76.43  75.16  76.43  75.16  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47362  Repair liver wound                                A  23.41   8.86NA   9.31NA   8.86     9.31     2.51  34.78  35.23  34.78  35.23  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47370  Laparo ablate liver tumor rf                      A  20.67   8.02NA   7.67NA   8.02     7.67     2.56  31.25  30.90  31.25  30.90  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47371  Laparo ablate liver cryosurg                      A  20.67   8.14NA   8.14NA   8.14     8.14     2.61  31.42  31.42  31.42  31.42  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47379  Laparoscope procedure, liver                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
47380  Open ablate liver tumor rf                        A  24.43   9.14NA   8.52NA   9.14     8.52     2.87  36.44  35.82  36.44  35.82  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47381  Open ablate liver tumor cryo                      A  24.72   9.44NA   9.01NA   9.44     9.01     2.85  37.01  36.58  37.01  36.58  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47382  Percut ablate liver rf                            A  15.19   5.83NA   5.12NA   5.83     5.12     0.96  21.98  21.27  21.98  21.27  0010.10.80.1020200             37.8975 090 99     0.00   0.00   0.00
47399  Liver surgery procedure                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
47400  Incision of liver duct                            A  36.23  13.35NA  13.12NA  13.35    13.12     3.08  52.66  52.43  52.66  52.43  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47420  Incision of bile duct                             A  21.92   8.72NA   8.63NA   8.72     8.63     2.63  33.27  33.18  33.27  33.18  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47425  Incision of bile duct                             A  22.20   8.75NA   8.59NA   8.75     8.59     2.62  33.57  33.41  33.57  33.41  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47460  Incise bile duct sphincter                        A  20.41   8.52NA   9.01NA   8.52     9.01     2.21  31.14  31.63  31.14  31.63  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47480  Incision of gallbladder                           A  13.12   6.09NA   6.65NA   6.09     6.65     1.42  20.63  21.19  20.63  21.19  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47490  Incision of gallbladder                           A   8.05   5.32NA   4.61NA   5.32     4.61     0.43  13.80  13.09  13.80  13.09  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
47500  Injection for liver x-rays                        A   1.96   0.62NA   0.57NA   0.62     0.57     0.12   2.70   2.65   2.70   2.65  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
47505  Injection for liver x-rays                        A   0.76   0.24NA   0.22NA   0.24     0.22     0.04   1.04   1.02   1.04   1.02  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
47510  Insert catheter, bile duct                        A   7.94   4.76NA   3.99NA   4.76     3.99     0.46  13.16  12.39  13.16  12.39  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
47511  Insert bile duct drain                            A  10.74   4.87NA   4.22NA   4.87     4.22     0.62  16.23  15.58  16.23  15.58  0090.09.81.1021100             37.8975 090 99     0.00   0.00   0.00
47525  Change bile duct catheter                         A   5.55  14.80    13.94     2.67     2.27     0.33  20.68  19.82   8.55   8.15  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
47530  Revise/reinsert bile tube                         A   5.96  32.56    28.88     3.53     2.98     0.37  38.89  35.21   9.86   9.31  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
47550  Bile duct endoscopy add-on                        A   3.02   0.96NA   0.78NA   0.96     0.78     0.40   4.38   4.20   4.38   4.20  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
47552  Biliary endoscopy thru skin                       A   6.03   2.30NA   2.10NA   2.30     2.10     0.42   8.75   8.55   8.75   8.55  0000.00.00.0020110             37.8975 090 99     0.00   0.00   0.00
47553  Biliary endoscopy thru skin                       A   6.34   2.01NA   1.84NA   2.01     1.84     0.37   8.72   8.55   8.72   8.55  0000.00.00.0030100       47552 37.8975 090 99     0.00   0.00   0.00
47554  Biliary endoscopy thru skin                       A   9.05   3.24NA   2.92NA   3.24     2.92     0.96  13.25  12.93  13.25  12.93  0000.00.00.0030110       47552 37.8975 090 99     0.00   0.00   0.00
47555  Biliary endoscopy thru skin                       A   7.55   2.40NA   2.22NA   2.40     2.22     0.45  10.40  10.22  10.40  10.22  0000.00.00.0030100       47552 37.8975 090 99     0.00   0.00   0.00
47556  Biliary endoscopy thru skin                       A   8.55   2.70NA   2.47NA   2.70     2.47     0.50  11.75  11.52  11.75  11.52  0000.00.00.0030100       47552 37.8975 090 99     0.00   0.00   0.00
47560  Laparoscopy w/cholangio                           A   4.88   1.57NA   1.25NA   1.57     1.25     0.65   7.10   6.78   7.10   6.78  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
47561  Laparo w/cholangio/biopsy                         A   5.17   1.82NA   1.56NA   1.82     1.56     0.66   7.65   7.39   7.65   7.39  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
47562  Laparoscopic cholecystectomy                      A  11.63   5.06NA   5.29NA   5.06     5.29     1.46  18.15  18.38  18.15  18.38  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47563  Laparo cholecystectomy/graph                      A  12.03   5.24NA   5.09NA   5.24     5.09     1.58  18.85  18.70  18.85  18.70  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47564  Laparo cholecystectomy/explr                      A  14.21   5.82NA   5.46NA   5.82     5.46     1.89  21.92  21.56  21.92  21.56  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47570  Laparo cholecystoenterostomy                      A  12.56   5.28NA   5.04NA   5.28     5.04     1.65  19.49  19.25  19.49  19.25  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47579  Laparoscope proc, biliary                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
47600  Removal of gallbladder                            A  17.35   6.40NA   7.25NA   6.40     7.25     1.80  25.55  26.40  25.55  26.40  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47605  Removal of gallbladder                            A  15.90   6.47NA   6.41NA   6.47     6.41     1.95  24.32  24.26  24.32  24.26  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47610  Removal of gallbladder                            A  20.84   7.87NA   7.73NA   7.87     7.73     2.49  31.20  31.06  31.20  31.06  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47612  Removal of gallbladder                            A  21.13   7.84NA   7.73NA   7.84     7.73     2.48  31.45  31.34  31.45  31.34  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47620  Removal of gallbladder                            A  22.99   8.44NA   8.23NA   8.44     8.23     2.74  34.17  33.96  34.17  33.96  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47630  Remove bile duct stone                            A   9.57   4.71NA   4.18NA   4.71     4.18     0.65  14.93  14.40  14.93  14.40  0090.09.81.1020110             37.8975 090 99     0.00   0.00   0.00
47700  Exploration of bile ducts                         A  16.39   7.37NA   7.27NA   7.37     7.27     2.07  25.83  25.73  25.83  25.73  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47701  Bile duct revision                                A  28.62  11.13NA  10.11NA  11.13    10.11     3.68  43.43  42.41  43.43  42.41  0090.09.81.1020000             37.8975 090 99     0.00   0.00   0.00
47711  Excision of bile duct tumor                       A  25.77   9.83NA   9.59NA   9.83     9.59     3.05  38.65  38.41  38.65  38.41  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47712  Excision of bile duct tumor                       A  33.59  12.20NA  11.59NA  12.20    11.59     3.93  49.72  49.11  49.72  49.11  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47715  Excision of bile duct cyst                        A  21.42   8.46NA   8.59NA   8.46     8.59     2.49  32.37  32.50  32.37  32.50  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47719  Fusion of bile duct cyst                          A  19.07   7.85NA   7.97NA   7.85     7.97     2.15  29.07  29.19  29.07  29.19  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47720  Fuse gallbladder & bowel                          A  18.21   7.53NA   7.74NA   7.53     7.74     2.11  27.85  28.06  27.85  28.06  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47721  Fuse upper gi structures                          A  21.86   8.57NA   8.62NA   8.57     8.62     2.53  32.96  33.01  32.96  33.01  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47740  Fuse gallbladder & bowel                          A  21.10   8.40NA   8.52NA   8.40     8.52     2.42  31.92  32.04  31.92  32.04  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47741  Fuse gallbladder & bowel                          A  24.08   9.27NA   9.27NA   9.27     9.27     2.83  36.18  36.18  36.18  36.18  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47760  Fuse bile ducts and bowel                         A  38.14  11.41NA  13.14NA  11.41    13.14     3.42  52.97  54.70  52.97  54.70  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47765  Fuse liver ducts & bowel                          A  52.01  12.33NA  16.99NA  12.33    16.99     3.30  67.64  72.30  67.64  72.30  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47780  Fuse bile ducts and bowel                         A  42.14  11.93NA  14.16NA  11.93    14.16     3.50  57.57  59.80  57.57  59.80  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47785  Fuse bile ducts and bowel                         A  56.01  14.16NA  17.95NA  14.16    17.95     4.10  74.27  78.06  74.27  78.06  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47800  Reconstruction of bile ducts                      A  26.04   9.98NA   9.78NA   9.98     9.78     3.08  39.10  38.90  39.10  38.90  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47801  Placement, bile duct support                      A  17.47   8.01NA   7.60NA   8.01     7.60     1.16  26.64  26.23  26.64  26.23  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47802  Fuse liver duct & intestine                       A  24.80   9.62NA   9.54NA   9.62     9.54     2.86  37.28  37.20  37.28  37.20  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47900  Suture bile duct injury                           A  22.31   8.83NA   8.77NA   8.83     8.77     2.65  33.79  33.73  33.79  33.73  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
47999  Bile tract surgery procedure                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
48000  Drainage of abdomen                               A  31.82  11.34NA  10.87NA  11.34    10.87     3.48  46.64  46.17  46.64  46.17  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48001  Placement of drain, pancreas                      A  39.56  13.58NA  12.74NA  13.58    12.74     4.69  57.83  56.99  57.83  56.99  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48020  Removal of pancreatic stone                       A  18.96   7.38NA   7.63NA   7.38     7.63     2.13  28.47  28.72  28.47  28.72  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48100  Biopsy of pancreas, open                          A  14.38   5.66NA   5.88NA   5.66     5.88     1.62  21.66  21.88  21.66  21.88  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48102  Needle biopsy, pancreas                           A   4.68   8.21     8.98     1.85     1.58     0.28  13.17  13.94   6.81   6.54  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
48105  Resect/debride pancreas                           A  49.05  16.41NA  16.00NA  16.41    16.00     5.56  71.02  70.61  71.02  70.61  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48120  Removal of pancreas lesion                        A  18.33   6.86NA   6.93NA   6.86     6.93     2.10  27.29  27.36  27.29  27.36  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48140  Partial removal of pancreas                       A  26.19   9.49NA   9.40NA   9.49     9.40     3.03  38.71  38.62  38.71  38.62  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48145  Partial removal of pancreas                       A  27.26   9.80NA   9.76NA   9.80     9.76     3.18  40.24  40.20  40.24  40.20  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48146  Pancreatectomy                                    A  30.42  11.95NA  11.87NA  11.95    11.87     3.50  45.87  45.79  45.87  45.79  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48148  Removal of pancreatic duct                        A  20.26   7.72NA   8.09NA   7.72     8.09     2.30  30.28  30.65  30.28  30.65  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48150  Partial removal of pancreas                       A  52.63  19.14NA  18.11NA  19.14    18.11     6.32  78.09  77.06  78.09  77.06  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48152  Pancreatectomy                                    A  48.47  17.80NA  16.65NA  17.80    16.65     5.80  72.07  70.92  72.07  70.92  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48153  Pancreatectomy                                    A  52.61  19.14NA  17.98NA  19.14    17.98     6.31  78.06  76.90  78.06  76.90  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48154  Pancreatectomy                                    A  48.70  17.91NA  17.01NA  17.91    17.01     5.84  72.45  71.55  72.45  71.55  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48155  Removal of pancreas                               A  29.27  11.73NA  11.98NA  11.73    11.98     3.27  44.27  44.52  44.27  44.52  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48160  Pancreas removal/transplant                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
48400  Injection, intraop add-on                         A   1.95   0.69NA   0.85NA   0.69     0.85     0.15   2.79   2.95   2.79   2.95  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
48500  Surgery of pancreatic cyst                        A  18.03   7.50NA   8.04NA   7.50     8.04     2.03  27.56  28.10  27.56  28.10  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48510  Drain pancreatic pseudocyst                       A  17.06   7.46NA   7.53NA   7.46     7.53     1.83  26.35  26.42  26.35  26.42  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48511  Drain pancreatic pseudocyst                       A   3.99  20.43    19.06     1.27     1.14     0.24  24.66  23.29   5.50   5.37  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
48520  Fuse pancreas cyst and bowel                      A  18.07   6.72NA   6.80NA   6.72     6.80     2.06  26.85  26.93  26.85  26.93  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48540  Fuse pancreas cyst and bowel                      A  21.86   8.02NA   7.76NA   8.02     7.76     2.61  32.49  32.23  32.49  32.23  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48545  Pancreatorrhaphy                                  A  22.10   8.01NA   8.11NA   8.01     8.11     2.38  32.49  32.59  32.49  32.59  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48547  Duodenal exclusion                                A  30.25  10.43NA  10.32NA  10.43    10.32     3.42  44.10  43.99  44.10  43.99  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48548  Fuse pancreas and bowel                           A  27.96  10.09NA   9.93NA  10.09     9.93     3.28  41.33  41.17  41.33  41.17  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
48550  Donor pancreatectomy                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
48551  Prep donor pancreas                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
48552  Prep donor pancreas/venous                        A   4.30   1.38NA   1.14NA   1.38     1.14     0.31   5.99   5.75   5.99   5.75  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
48554  Transpl allograft pancreas                        R  37.03  18.82NA  20.54NA  18.82    20.54     4.19  60.04  61.76  60.04  61.76  0090.09.81.1020222             37.8975 090 99     0.00   0.00   0.00
48556  Removal, allograft pancreas                       A  19.24   8.40NA   9.42NA   8.40     9.42     2.08  29.72  30.74  29.72  30.74  0090.09.81.1020222             37.8975 090 99     0.00   0.00   0.00
48999  Pancreas surgery procedure                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
49000  Exploration of abdomen                            A  12.44   5.33NA   5.22NA   5.33     5.22     1.52  19.29  19.18  19.29  19.18  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49002  Reopening of abdomen                              A  17.55   5.37NA   6.44NA   5.37     6.44     1.37  24.29  25.36  24.29  25.36  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49010  Exploration behind abdomen                        A  15.98   6.00NA   6.34NA   6.00     6.34     1.51  23.49  23.83  23.49  23.83  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49020  Drain abdominal abscess                           A  26.46  10.10NA   9.84NA  10.10     9.84     2.85  39.41  39.15  39.41  39.15  0090.09.81.1020200             37.8975 090 99     0.00   0.00   0.00
49021  Drain abdominal abscess                           A   3.37  20.43    18.57     1.07     0.96     0.20  24.00  22.14   4.64   4.53  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
49040  Drain, open, abdom abscess                        A  16.41   6.44NA   6.51NA   6.44     6.51     1.70  24.55  24.62  24.55  24.62  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49041  Drain, percut, abdom abscess                      A   3.99  19.33    18.77     1.27     1.14     0.24  23.56  23.00   5.50   5.37  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
49060  Drain, open, retrop abscess                       A  18.42   7.36NA   7.17NA   7.36     7.17     1.75  27.53  27.34  27.53  27.34  0090.09.81.1020110             37.8975 090 99     0.00   0.00   0.00
49061  Drain, percut, retroper absc                      A   3.69  19.38    18.66     1.17     1.06     0.22  23.29  22.57   5.08   4.97  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
49062  Drain to peritoneal cavity                        A  12.12   5.37NA   5.23NA   5.37     5.23     1.39  18.88  18.74  18.88  18.74  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49080  Puncture, peritoneal cavity                       A   1.35   3.63     2.58     0.45     0.40     0.08   5.06   4.01   1.88   1.83  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
49081  Removal of abdominal fluid                        A   1.26   2.65     2.85     0.43     0.43     0.09   4.00   4.20   1.78   1.78  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
49180  Biopsy, abdominal mass                            A   1.73   2.89     2.27     0.55     0.50     0.10   4.72   4.10   2.38   2.33  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
49200  Removal of abdominal lesion                       A  10.94   4.98NA   4.86NA   4.98     4.86     1.24  17.16  17.04  17.16  17.04  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49201  Remove abdom lesion, complex                      A  15.67   6.88NA   6.46NA   6.88     6.46     1.88  24.43  24.01  24.43  24.01  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49215  Excise sacral spine tumor                         A  37.66  13.72NA  12.77NA  13.72    12.77     4.38  55.76  54.81  55.76  54.81  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49220  Multiple surgery, abdomen                         A  15.70   6.53NA   6.26NA   6.53     6.26     1.89  24.12  23.85  24.12  23.85  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49250  Excision of umbilicus                             A   8.93   4.27NA   4.30NA   4.27     4.30     1.08  14.28  14.31  14.28  14.31  0090.09.81.1020110             37.8975 090 99     0.00   0.00   0.00
49255  Removal of omentum                                A  12.41   5.61NA   5.65NA   5.61     5.65     1.43  19.45  19.49  19.45  19.49  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49320  Diag laparo separate proc                         A   5.09   2.59NA   2.45NA   2.59     2.45     0.65   8.33   8.19   8.33   8.19  0010.10.80.1020200             37.8975 090 99     0.00   0.00   0.00
49321  Laparoscopy, biopsy                               A   5.39   2.62NA   2.56NA   2.62     2.56     0.70   8.71   8.65   8.71   8.65  0010.10.80.1030220       49320 37.8975 090 99     0.00   0.00   0.00
49322  Laparoscopy, aspiration                           A   5.96   2.90NA   2.64NA   2.90     2.64     0.71   9.57   9.31   9.57   9.31  0010.10.80.1030220       49320 37.8975 090 99     0.00   0.00   0.00
49323  Laparo drain lymphocele                           A  10.13   4.54NA   4.69NA   4.54     4.69     1.20  15.87  16.02  15.87  16.02  0090.10.80.1030220       49320 37.8975 090 99     0.00   0.00   0.00
49324  Lap insertion perm ip cath                        A   6.27   2.80NA   2.80NA   2.80     2.80     0.73   9.80   9.80   9.80   9.80  0010.10.80.1030220       49320 37.8975 090 99     0.00   0.00   0.00
49325  Lap revision perm ip cath                         A   6.77   2.93NA   2.93NA   2.93     2.93     0.86  10.56  10.56  10.56  10.56  0010.10.80.1030220       49320 37.8975 090 99     0.00   0.00   0.00
49326  Lap w/omentopexy add-on                           A   3.50   0.92NA   0.92NA   0.92     0.92     0.44   4.86   4.86   4.86   4.86  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
49329  Laparo proc, abdm/per/oment                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
49400  Air injection into abdomen                        A   1.88   2.88     2.30     0.60     0.53     0.15   4.91   4.33   2.63   2.56  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
49402  Remove foreign body, adbomen                      A  14.01   5.51NA   5.58NA   5.51     5.58     1.62  21.14  21.21  21.14  21.21  0090.09.81.1020110             37.8975 090 99     0.00   0.00   0.00
49419  Insrt abdom cath for chemotx                      A   7.03   3.52NA   3.39NA   3.52     3.39     0.81  11.36  11.23  11.36  11.23  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
49420  Insert abdom drain, temp                          A   2.22   1.11NA   1.15NA   1.11     1.15     0.21   3.54   3.58   3.54   3.58  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
49421  Insert abdom drain, perm                          A   5.87   3.15NA   3.13NA   3.15     3.13     0.74   9.76   9.74   9.76   9.74  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
49422  Remove perm cannula/catheter                      A   6.26   2.82NA   2.62NA   2.82     2.62     0.83   9.91   9.71   9.91   9.71  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
49423  Exchange drainage catheter                        A   1.46  13.67    12.46     0.51     0.46     0.09  15.22  14.01   2.06   2.01  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
49424  Assess cyst, contrast inject                      A   0.76   3.51     2.90     0.28     0.25     0.04   4.31   3.70   1.08   1.05  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
49425  Insert abdomen-venous drain                       A  12.13   5.51NA   5.27NA   5.51     5.27     1.54  19.18  18.94  19.18  18.94  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49426  Revise abdomen-venous shunt                       A  10.33   4.70NA   4.50NA   4.70     4.50     1.28  16.31  16.11  16.31  16.11  0090.09.81.1020100             37.8975 090 99     0.00   0.00   0.00
49427  Injection, abdominal shunt                        A   0.89   0.29NA   0.26NA   0.29     0.26     0.07   1.25   1.22   1.25   1.22  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
49428  Ligation of shunt                                 A   6.79   3.71NA   3.08NA   3.71     3.08     0.80  11.30  10.67  11.30  10.67  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
49429  Removal of shunt                                  A   7.41   3.31NA   2.99NA   3.31     2.99     1.02  11.74  11.42  11.74  11.42  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
49435  Insert subq exten to ip cath                      A   2.25   0.60NA   0.60NA   0.60     0.60     0.28   3.13   3.13   3.13   3.13  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
49436  Embedded ip cath exit-site                        A   2.69   1.63NA   1.63NA   1.63     1.63     0.28   4.60   4.60   4.60   4.60  0010.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
49491  Rpr hern preemie reduc                            A  12.42   5.15NA   5.43NA   5.15     5.43     1.40  18.97  19.25  18.97  19.25  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49492  Rpr ing hern premie, blocked                      A  15.32   6.04NA   5.85NA   6.04     5.85     1.81  23.17  22.98  23.17  22.98  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49495  Rpr ing hernia baby, reduc                        A   6.15   2.96NA   2.99NA   2.96     2.99     0.74   9.85   9.88   9.85   9.88  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49496  Rpr ing hernia baby, blocked                      A   9.32   4.29NA   4.36NA   4.29     4.36     1.07  14.68  14.75  14.68  14.75  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49500  Rpr ing hernia, init, reduce                      A   5.76   3.24NA   3.62NA   3.24     3.62     0.71   9.71  10.09   9.71  10.09  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49501  Rpr ing hernia, init blocked                      A   9.28   4.21NA   4.25NA   4.21     4.25     1.12  14.61  14.65  14.61  14.65  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49505  Prp i/hern init reduc >5 yr                       A   7.88   3.78NA   3.89NA   3.78     3.89     1.03  12.69  12.80  12.69  12.80  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49507  Prp i/hern init block >5 yr                       A   9.97   4.46NA   4.47NA   4.46     4.47     1.27  15.70  15.71  15.70  15.71  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49520  Rerepair ing hernia, reduce                       A   9.91   4.42NA   4.39NA   4.42     4.39     1.28  15.61  15.58  15.61  15.58  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49521  Rerepair ing hernia, blocked                      A  12.36   5.18NA   5.01NA   5.18     5.01     1.59  19.13  18.96  19.13  18.96  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49525  Repair ing hernia, sliding                        A   8.85   4.09NA   4.14NA   4.09     4.14     1.13  14.07  14.12  14.07  14.12  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49540  Repair lumbar hernia                              A  10.66   4.72NA   4.65NA   4.72     4.65     1.37  16.75  16.68  16.75  16.68  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49550  Rpr rem hernia, init, reduce                      A   8.91   4.12NA   4.12NA   4.12     4.12     1.14  14.17  14.17  14.17  14.17  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49553  Rpr fem hernia, init blocked                      A   9.84   4.41NA   4.42NA   4.41     4.42     1.24  15.49  15.50  15.49  15.50  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49555  Rerepair fem hernia, reduce                       A   9.31   4.25NA   4.23NA   4.25     4.23     1.20  14.76  14.74  14.76  14.74  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49557  Rerepair fem hernia, blocked                      A  11.54   4.95NA   4.87NA   4.95     4.87     1.47  17.96  17.88  17.96  17.88  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49560  Rpr ventral hern init, reduc                      A  11.84   5.08NA   4.90NA   5.08     4.90     1.52  18.44  18.26  18.44  18.26  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49561  Rpr ventral hern init, block                      A  15.30   6.00NA   5.83NA   6.00     5.83     1.89  23.19  23.02  23.19  23.02  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49565  Rerepair ventrl hern, reduce                      A  12.29   5.19NA   5.14NA   5.19     5.14     1.52  19.00  18.95  19.00  18.95  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49566  Rerepair ventrl hern, block                       A  15.45   6.06NA   5.89NA   6.06     5.89     1.91  23.42  23.25  23.42  23.25  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49568  Hernia repair w/mesh                              A   4.88   1.57NA   1.26NA   1.57     1.26     0.64   7.09   6.78   7.09   6.78  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
49570  Rpr epigastric hern, reduce                       A   5.97   3.21NA   3.34NA   3.21     3.34     0.75   9.93  10.06   9.93  10.06  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49572  Rpr epigastric hern, blocked                      A   7.79   3.56NA   3.84NA   3.56     3.84     0.88  12.23  12.51  12.23  12.51  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49580  Rpr umbil hern, reduc < 5 yr                      A   4.39   2.69NA   3.00NA   2.69     3.00     0.54   7.62   7.93   7.62   7.93  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49582  Rpr umbil hern, block < 5 yr                      A   7.05   3.50NA   3.62NA   3.50     3.62     0.88  11.43  11.55  11.43  11.55  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49585  Rpr umbil hern, reduc > 5 yr                      A   6.51   3.35NA   3.52NA   3.35     3.52     0.82  10.68  10.85  10.68  10.85  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49587  Rpr umbil hern, block > 5 yr                      A   7.96   3.77NA   3.88NA   3.77     3.88     0.99  12.72  12.83  12.72  12.83  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49590  Repair spigelian hernia                           A   8.82   4.09NA   4.11NA   4.09     4.11     1.13  14.04  14.06  14.04  14.06  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49600  Repair umbilical lesion                           A  11.47   5.29NA   5.19NA   5.29     5.19     1.32  18.08  17.98  18.08  17.98  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49605  Repair umbilical lesion                           A  86.85  27.99NA  26.45NA  27.99    26.45     9.39 124.23 122.69 124.23 122.69  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49606  Repair umbilical lesion                           A  18.92   7.42NA   6.64NA   7.42     6.64     2.46  28.80  28.02  28.80  28.02  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49610  Repair umbilical lesion                           A  10.83   5.07NA   4.70NA   5.07     4.70     1.07  16.97  16.60  16.97  16.60  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49611  Repair umbilical lesion                           A   9.26   6.14NA   3.63NA   6.14     3.63     0.78  16.18  13.67  16.18  13.67  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49650  Laparo hernia repair initial                      A   6.30   3.23NA   3.35NA   3.23     3.35     0.93  10.46  10.58  10.46  10.58  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49651  Laparo hernia repair recur                        A   8.29   4.09NA   4.23NA   4.09     4.23     1.14  13.52  13.66  13.52  13.66  0090.09.81.1021210             37.8975 090 99     0.00   0.00   0.00
49659  Laparo proc, hernia repair                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
49900  Repair of abdominal wall                          A  12.26   6.24NA   6.30NA   6.24     6.30     1.62  20.12  20.18  20.12  20.18  0090.09.81.1020210             37.8975 090 99     0.00   0.00   0.00
49904  Omental flap, extra-abdom                         A  22.16  14.49NA  12.34NA  14.49    12.34     2.70  39.35  37.20  39.35  37.20  0090.10.80.1020111             37.8975 090 99     0.00   0.00   0.00
49905  Omental flap, intra-abdom                         A   6.54   2.16NA   1.75NA   2.16     1.75     0.75   9.45   9.04   9.45   9.04  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
49906  Free omental flap, microvasc                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0090.09.81.1020110             37.8975 090 99     0.00   0.00   0.00
49999  Abdomen surgery procedure                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
50010  Exploration of kidney                             A  12.13   5.64NA   6.94NA   5.64     6.94     0.93  18.70  20.00  18.70  20.00  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50020  Renal abscess, open drain                         A  17.88   7.93NA   8.51NA   7.93     8.51     1.34  27.15  27.73  27.15  27.73  0090.08.83.0920110             37.8975 090 99     0.00   0.00   0.00
50021  Renal abscess, percut drain                       A   3.37  21.23    19.98     1.07     0.97     0.20  24.80  23.55   4.64   4.54  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
50040  Drainage of kidney                                A  16.48   7.33NA   8.91NA   7.33     8.91     1.03  24.84  26.42  24.84  26.42  0090.08.83.0920110             37.8975 090 99     0.00   0.00   0.00
50045  Exploration of kidney                             A  16.67   7.08NA   8.55NA   7.08     8.55     1.24  24.99  26.46  24.99  26.46  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
5005F  Pt counsld on exam for moles                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
50060  Removal of kidney stone                           A  20.80   8.68NA  11.24NA   8.68    11.24     1.36  30.84  33.40  30.84  33.40  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50065  Incision of kidney                                A  22.17   7.51NA  11.84NA   7.51    11.84     1.59  31.27  35.60  31.27  35.60  0090.08.83.0920200             37.8975 090 99     0.00   0.00   0.00
50070  Incision of kidney                                A  21.70   9.07NA  11.65NA   9.07    11.65     1.44  32.21  34.79  32.21  34.79  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50075  Removal of kidney stone                           A  26.91  10.91NA  13.98NA  10.91    13.98     1.81  39.63  42.70  39.63  42.70  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50080  Removal of kidney stone                           A  15.61   6.88NA   8.72NA   6.88     8.72     1.04  23.53  25.37  23.53  25.37  0090.08.83.0921100             37.8975 090 99     0.00   0.00   0.00
50081  Removal of kidney stone                           A  23.32   9.68NA  12.47NA   9.68    12.47     1.54  34.54  37.33  34.54  37.33  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
5010F  Macul+fndngs to dr mng dm                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
50100  Revise kidney blood vessels                       A  17.30   7.64NA   7.20NA   7.64     7.20     2.07  27.01  26.57  27.01  26.57  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50120  Exploration of kidney                             A  17.06   7.30NA   8.91NA   7.30     8.91     1.21  25.57  27.18  25.57  27.18  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50125  Explore and drain kidney                          A  17.67   7.71NA   9.97NA   7.71     9.97     1.43  26.81  29.07  26.81  29.07  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50130  Removal of kidney stone                           A  18.67   7.93NA  10.24NA   7.93    10.24     1.22  27.82  30.13  27.82  30.13  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50135  Exploration of kidney                             A  20.44   8.57NA  10.96NA   8.57    10.96     1.33  30.34  32.73  30.34  32.73  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
5015F  Doc fx & test/txmnt for op                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
50200  Biopsy of kidney                                  A   2.63   1.24NA   1.08NA   1.24     1.08     0.16   4.03   3.87   4.03   3.87  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
50205  Biopsy of kidney                                  A  12.19   5.16NA   5.60NA   5.16     5.60     1.30  18.65  19.09  18.65  19.09  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50220  Remove kidney, open                               A  18.53   7.86NA   9.74NA   7.86     9.74     1.35  27.74  29.62  27.74  29.62  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50225  Removal kidney open, complex                      A  21.73   8.92NA  11.27NA   8.92    11.27     1.50  32.15  34.50  32.15  34.50  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50230  Removal kidney open, radical                      A  23.68   9.42NA  11.96NA   9.42    11.96     1.55  34.65  37.19  34.65  37.19  0090.08.83.0921220             37.8975 090 99     0.00   0.00   0.00
50234  Removal of kidney & ureter                        A  23.90   9.71NA  12.36NA   9.71    12.36     1.59  35.20  37.85  35.20  37.85  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50236  Removal of kidney & ureter                        A  26.74  11.25NA  14.28NA  11.25    14.28     1.77  39.76  42.79  39.76  42.79  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50240  Partial removal of kidney                         A  24.01   9.98NA  12.93NA   9.98    12.93     1.55  35.54  38.49  35.54  38.49  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50250  Cryoablate renal mass open                        A  22.06   9.56NA  10.79NA   9.56    10.79     1.39  33.01  34.24  33.01  34.24  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50280  Removal of kidney lesion                          A  16.94   7.37NA   9.45NA   7.37     9.45     1.19  25.50  27.58  25.50  27.58  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50290  Removal of kidney lesion                          A  16.00   6.91NA   8.27NA   6.91     8.27     1.41  24.32  25.68  24.32  25.68  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50300  Remove cadaver donor kidney                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
50320  Remove kidney, living donor                       A  22.28  11.10NA  12.46NA  11.10    12.46     2.36  35.74  37.10  35.74  37.10  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50323  Prep cadaver renal allograft                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
50325  Prep donor renal graft                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
50327  Prep renal graft/venous                           A   4.00   1.29NA   1.11NA   1.29     1.11     0.29   5.58   5.40   5.58   5.40  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
50328  Prep renal graft/arterial                         A   3.50   1.13NA   0.98NA   1.13     0.98     0.26   4.89   4.74   4.89   4.74  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
50329  Prep renal graft/ureteral                         A   3.34   1.09NA   0.97NA   1.09     0.97     0.25   4.68   4.56   4.68   4.56  0XXX.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
50340  Removal of kidney                                 A  13.86   6.78NA   7.64NA   6.78     7.64     1.65  22.29  23.15  22.29  23.15  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50360  Transplantation of kidney                         A  40.45  16.32NA  18.86NA  16.32    18.86     3.82  60.59  63.13  60.59  63.13  0090.08.83.0920222             37.8975 090 99     0.00   0.00   0.00
50365  Transplantation of kidney                         A  45.68  18.53NA  19.55NA  18.53    19.55     4.43  68.64  69.66  68.64  69.66  0090.08.83.0921222             37.8975 090 99     0.00   0.00   0.00
50370  Remove transplanted kidney                        A  18.68   7.68NA   9.31NA   7.68     9.31     1.68  28.04  29.67  28.04  29.67  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50380  Reimplantation of kidney                          A  29.66  13.12NA  16.42NA  13.12    16.42     2.51  45.29  48.59  45.29  48.59  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50382  Change ureter stent, percut                       A   5.50  33.30    24.85     1.81     1.67     0.34  39.14  30.69   7.65   7.51  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
50384  Remove ureter stent, percut                       A   5.00  31.30    19.53     1.66     1.52     0.31  36.61  24.84   6.97   6.83  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
50387  Change ext/int ureter stent                       A   2.00  16.66    12.00     0.65     0.60     0.12  18.78  14.12   2.77   2.72  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
50389  Remove renal tube w/fluoro                        A   1.10  11.15     6.36     0.36     0.33     0.07  12.32   7.53   1.53   1.50  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
50390  Drainage of kidney lesion                         A   1.96   0.62NA   0.57NA   0.62     0.57     0.12   2.70   2.65   2.70   2.65  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
50391  Instll rx agnt into rnal tub                      A   1.96   1.56     1.51     0.67     0.80     0.14   3.66   3.61   2.77   2.90  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
50392  Insert kidney drain                               A   3.37   1.46NA   1.26NA   1.46     1.26     0.20   5.03   4.83   5.03   4.83  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
50393  Insert ureteral tube                              A   4.15   1.71NA   1.50NA   1.71     1.50     0.25   6.11   5.90   6.11   5.90  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
50394  Injection for kidney x-ray                        A   0.76   2.45     1.76     0.63     0.52     0.05   3.26   2.57   1.44   1.33  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
50395  Create passage to kidney                          A   3.37   1.47NA   1.37NA   1.47     1.37     0.21   5.05   4.95   5.05   4.95  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
50396  Measure kidney pressure                           A   2.09   1.04NA   0.93NA   1.04     0.93     0.13   3.26   3.15   3.26   3.15  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
50398  Change kidney tube                                A   1.46  15.06    11.29     0.51     0.46     0.09  16.61  12.84   2.06   2.01  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
50400  Revision of kidney/ureter                         A  21.12   8.72NA  11.26NA   8.72    11.26     1.38  31.22  33.76  31.22  33.76  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50405  Revision of kidney/ureter                         A  25.68  10.10NA  13.34NA  10.10    13.34     1.79  37.57  40.81  37.57  40.81  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50500  Repair of kidney wound                            A  21.07   8.62NA   9.32NA   8.62     9.32     2.02  31.71  32.41  31.71  32.41  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50520  Close kidney-skin fistula                         A  18.73   7.95NA   9.52NA   7.95     9.52     1.49  28.17  29.74  28.17  29.74  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50525  Repair renal-abdomen fistula                      A  24.21   9.51NA  11.06NA   9.51    11.06     1.84  35.56  37.11  35.56  37.11  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50526  Repair renal-abdomen fistula                      A  26.13   9.43NA   8.15NA   9.43     8.15     1.97  37.53  36.25  37.53  36.25  0090.08.83.0920200             37.8975 090 99     0.00   0.00   0.00
50540  Revision of horseshoe kidney                      A  20.95   8.97NA  10.92NA   8.97    10.92     1.36  31.28  33.23  31.28  33.23  0090.08.83.0922210             37.8975 090 99     0.00   0.00   0.00
50541  Laparo ablate renal cyst                          A  16.76   7.08NA   8.89NA   7.08     8.89     1.13  24.97  26.78  24.97  26.78  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50542  Laparo ablate renal mass                          A  21.18   8.93NA  11.33NA   8.93    11.33     1.39  31.50  33.90  31.50  33.90  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50543  Laparo partial nephrectomy                        A  27.18  11.24NA  14.39NA  11.24    14.39     1.81  40.23  43.38  40.23  43.38  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50544  Laparoscopy, pyeloplasty                          A  23.27   9.31NA  11.66NA   9.31    11.66     1.58  34.16  36.51  34.16  36.51  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50545  Laparo radical nephrectomy                        A  24.93  10.01NA  12.51NA  10.01    12.51     1.71  36.65  39.15  36.65  39.15  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50546  Laparoscopic nephrectomy                          A  21.69   9.15NA  11.52NA   9.15    11.52     1.57  32.41  34.78  32.41  34.78  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50547  Laparo removal donor kidney                       A  26.24  11.50NA  12.68NA  11.50    12.68     2.77  40.51  41.69  40.51  41.69  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50548  Laparo remove w/ureter                            A  25.26   9.99NA  12.44NA   9.99    12.44     1.73  36.98  39.43  36.98  39.43  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50549  Laparoscope proc, renal                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
50551  Kidney endoscopy                                  A   5.59   4.26     4.62     2.15     2.69     0.40  10.25  10.61   8.14   8.68  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
50553  Kidney endoscopy                                  A   5.98   4.35     4.32     2.25     2.48     0.39  10.72  10.69   8.62   8.85  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
50555  Kidney endoscopy & biopsy                         A   6.52   4.89     5.13     2.51     3.06     0.45  11.86  12.10   9.48  10.03  0000.00.00.0031000       50551 37.8975 090 99     0.00   0.00   0.00
50557  Kidney endoscopy & treatment                      A   6.61   4.76     5.30     2.50     3.11     0.47  11.84  12.38   9.58  10.19  0000.00.00.0031000       50551 37.8975 090 99     0.00   0.00   0.00
50561  Kidney endoscopy & treatment                      A   7.58   5.25     5.76     2.84     3.43     0.54  13.37  13.88  10.96  11.55  0000.00.00.0031000       50551 37.8975 090 99     0.00   0.00   0.00
50562  Renal scope w/tumor resect                        A  10.90   4.60NA   5.48NA   4.60     5.48     0.73  16.23  17.11  16.23  17.11  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50570  Kidney endoscopy                                  A   9.53   3.49NA   4.33NA   3.49     4.33     0.68  13.70  14.54  13.70  14.54  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
50572  Kidney endoscopy                                  A  10.33   3.79NA   4.67NA   3.79     4.67     0.85  14.97  15.85  14.97  15.85  0000.00.00.0031000       50570 37.8975 090 99     0.00   0.00   0.00
50574  Kidney endoscopy & biopsy                         A  11.00   4.01NA   4.82NA   4.01     4.82     0.77  15.78  16.59  15.78  16.59  0000.00.00.0031000       50570 37.8975 090 99     0.00   0.00   0.00
50575  Kidney endoscopy                                  A  13.96   5.01NA   6.15NA   5.01     6.15     0.99  19.96  21.10  19.96  21.10  0000.00.00.0031100       50570 37.8975 090 99     0.00   0.00   0.00
50576  Kidney endoscopy & treatment                      A  10.97   3.98NA   4.94NA   3.98     4.94     0.78  15.73  16.69  15.73  16.69  0000.00.00.0031000       50570 37.8975 090 99     0.00   0.00   0.00
50580  Kidney endoscopy & treatment                      A  11.84   4.28NA   5.24NA   4.28     5.24     0.83  16.95  17.91  16.95  17.91  0000.00.00.0031000       50570 37.8975 090 99     0.00   0.00   0.00
50590  Fragmenting of kidney stone                       A   9.64  13.60    17.21     4.65     6.26     0.65  23.89  27.50  14.94  16.55  0090.08.83.0921100             37.8975 090 99     0.00   0.00   0.00
50592  Perc rf ablate renal tumor                        A   6.77 130.16    73.56     2.90     2.65     0.43 137.36  80.76  10.10   9.85  0010.10.80.1021200             37.8975 090 99     0.00   0.00   0.00
50600  Exploration of ureter                             A  17.04   7.17NA   8.70NA   7.17     8.70     1.13  25.34  26.87  25.34  26.87  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50605  Insert ureteral support                           A  16.66   7.06NA   8.04NA   7.06     8.04     1.45  25.17  26.15  25.17  26.15  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50610  Removal of ureter stone                           A  17.12   7.53NA   9.22NA   7.53     9.22     1.43  26.08  27.77  26.08  27.77  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50620  Removal of ureter stone                           A  16.30   7.02NA   9.07NA   7.02     9.07     1.07  24.39  26.44  24.39  26.44  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50630  Removal of ureter stone                           A  16.08   6.80NA   8.40NA   6.80     8.40     1.09  23.97  25.57  23.97  25.57  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50650  Removal of ureter                                 A  18.67   7.98NA  10.27NA   7.98    10.27     1.23  27.88  30.17  27.88  30.17  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50660  Removal of ureter                                 A  20.87   8.71NA  11.00NA   8.71    11.00     1.38  30.96  33.25  30.96  33.25  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50684  Injection for ureter x-ray                        A   0.76   4.73     4.00     0.51     0.62     0.05   5.54   4.81   1.32   1.43  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
50686  Measure ureter pressure                           A   1.51   3.09     2.03     0.79     0.70     0.11   4.71   3.65   2.41   2.32  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
50688  Change of ureter tube/stent                       A   1.18   1.01NA   0.85NA   1.01     0.85     0.07   2.26   2.10   2.26   2.10  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
50690  Injection for ureter x-ray                        A   1.16   1.71     1.36     0.71     0.68     0.07   2.94   2.59   1.94   1.91  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
50700  Revision of ureter                                A  16.54   7.44NA   8.41NA   7.44     8.41     1.27  25.25  26.22  25.25  26.22  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50715  Release of ureter                                 A  20.49   8.73NA   8.71NA   8.73     8.71     2.14  31.36  31.34  31.36  31.34  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50722  Release of ureter                                 A  17.80   7.86NA   8.04NA   7.86     8.04     1.91  27.57  27.75  27.57  27.75  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50725  Release/revise ureter                             A  20.05   8.47NA   9.77NA   8.47     9.77     1.52  30.04  31.34  30.04  31.34  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50727  Revise ureter                                     A   8.17   4.65NA   5.79NA   4.65     5.79     0.61  13.43  14.57  13.43  14.57  0090.08.83.0920220             37.8975 090 99     0.00   0.00   0.00
50728  Revise ureter                                     A  12.00   5.98NA   7.25NA   5.98     7.25     1.00  18.98  20.25  18.98  20.25  0090.08.83.0920220             37.8975 090 99     0.00   0.00   0.00
50740  Fusion of ureter & kidney                         A  19.92   8.07NA   9.07NA   8.07     9.07     1.97  29.96  30.96  29.96  30.96  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50750  Fusion of ureter & kidney                         A  21.07   8.46NA   9.90NA   8.46     9.90     1.38  30.91  32.35  30.91  32.35  0090.08.83.0920200             37.8975 090 99     0.00   0.00   0.00
50760  Fusion of ureters                                 A  19.92   8.23NA   9.91NA   8.23     9.91     1.55  29.70  31.38  29.70  31.38  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50770  Splicing of ureters                               A  21.07   8.69NA  10.83NA   8.69    10.83     1.45  31.21  33.35  31.21  33.35  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50780  Reimplant ureter in bladder                       A  19.80   8.25NA  10.25NA   8.25    10.25     1.51  29.56  31.56  29.56  31.56  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50782  Reimplant ureter in bladder                       A  19.51   8.71NA   8.54NA   8.71     8.54     1.61  29.83  29.66  29.83  29.66  0090.08.83.0921220             37.8975 090 99     0.00   0.00   0.00
50783  Reimplant ureter in bladder                       A  20.52   8.69NA  10.14NA   8.69    10.14     1.99  31.20  32.65  31.20  32.65  0090.08.83.0921220             37.8975 090 99     0.00   0.00   0.00
50785  Reimplant ureter in bladder                       A  22.08   9.05NA  11.33NA   9.05    11.33     1.45  32.58  34.86  32.58  34.86  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50800  Implant ureter in bowel                           A  16.23   7.20NA   9.43NA   7.20     9.43     1.19  24.62  26.85  24.62  26.85  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50810  Fusion of ureter & bowel                          A  22.38   9.22NA   9.65NA   9.22     9.65     2.32  33.92  34.35  33.92  34.35  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50815  Urine shunt to intestine                          A  22.06   9.27NA  11.76NA   9.27    11.76     1.54  32.87  35.36  32.87  35.36  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50820  Construct bowel bladder                           A  23.89   9.51NA  12.14NA   9.51    12.14     1.90  35.30  37.93  35.30  37.93  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50825  Construct bowel bladder                           A  30.48  12.16NA  15.28NA  12.16    15.28     2.08  44.72  47.84  44.72  47.84  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50830  Revise urine flow                                 A  33.57  13.15NA  16.11NA  13.15    16.11     2.38  49.10  52.06  49.10  52.06  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50840  Replace ureter by bowel                           A  22.19   9.34NA  12.08NA   9.34    12.08     1.47  33.00  35.74  33.00  35.74  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50845  Appendico-vesicostomy                             A  22.21   9.81NA  12.57NA   9.81    12.57     1.57  33.59  36.35  33.59  36.35  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50860  Transplant ureter to skin                         A  16.93   7.25NA   9.17NA   7.25     9.17     1.29  25.47  27.39  25.47  27.39  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50900  Repair of ureter                                  A  14.89   6.64NA   8.18NA   6.64     8.18     1.14  22.67  24.21  22.67  24.21  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50920  Closure ureter/skin fistula                       A  15.66   7.05NA   8.50NA   7.05     8.50     1.01  23.72  25.17  23.72  25.17  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50930  Closure ureter/bowel fistula                      A  20.04   8.57NA  10.38NA   8.57    10.38     1.28  29.89  31.70  29.89  31.70  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
50940  Release of ureter                                 A  15.78   6.87NA   8.32NA   6.87     8.32     1.26  23.91  25.36  23.91  25.36  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50945  Laparoscopy ureterolithotomy                      A  17.87   7.50NA   8.89NA   7.50     8.89     1.36  26.73  28.12  26.73  28.12  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50947  Laparo new ureter/bladder                         A  25.63  10.42NA  12.65NA  10.42    12.65     2.17  38.22  40.45  38.22  40.45  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50948  Laparo new ureter/bladder                         A  23.69   9.56NA  12.18NA   9.56    12.18     1.71  34.96  37.58  34.96  37.58  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
50949  Laparoscope proc, ureter                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021210             37.8975 090 99     0.00   0.00   0.00
50951  Endoscopy of ureter                               A   5.83   4.44     4.88     2.24     2.82     0.41  10.68  11.12   8.48   9.06  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
50953  Endoscopy of ureter                               A   6.23   4.56     5.04     2.60     3.32     0.43  11.22  11.70   9.26   9.98  0000.00.00.0031000       50951 37.8975 090 99     0.00   0.00   0.00
50955  Ureter endoscopy & biopsy                         A   6.74   6.12     5.23     2.89     3.51     0.48  13.34  12.45  10.11  10.73  0000.00.00.0031000       50951 37.8975 090 99     0.00   0.00   0.00
50957  Ureter endoscopy & treatment                      A   6.78   4.76     5.37     2.57     3.18     0.48  12.02  12.63   9.83  10.44  0000.00.00.0031000       50951 37.8975 090 99     0.00   0.00   0.00
50961  Ureter endoscopy & treatment                      A   6.04   4.47     4.78     2.33     2.79     0.41  10.92  11.23   8.78   9.24  0000.00.00.0031000       50951 37.8975 090 99     0.00   0.00   0.00
50970  Ureter endoscopy                                  A   7.13   2.68NA   3.34NA   2.68     3.34     0.52  10.33  10.99  10.33  10.99  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
50972  Ureter endoscopy & catheter                       A   6.88   2.61NA   3.05NA   2.61     3.05     0.49   9.98  10.42   9.98  10.42  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
50974  Ureter endoscopy & biopsy                         A   9.16   3.32NA   3.98NA   3.32     3.98     0.64  13.12  13.78  13.12  13.78  0000.00.00.0031000       50970 37.8975 090 99     0.00   0.00   0.00
50976  Ureter endoscopy & treatment                      A   9.03   3.22NA   3.70NA   3.22     3.70     0.66  12.91  13.39  12.91  13.39  0000.00.00.0031000       50970 37.8975 090 99     0.00   0.00   0.00
50980  Ureter endoscopy & treatment                      A   6.84   2.56NA   3.13NA   2.56     3.13     0.48   9.88  10.45   9.88  10.45  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
51000  Drainage of bladder                               A   0.78   1.69     0.94     0.25     0.28     0.05   2.52   1.77   1.08   1.11  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51005  Drainage of bladder                               A   1.02   4.13     2.40     0.33     0.30     0.10   5.25   3.52   1.45   1.42  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51010  Drainage of bladder                               A   4.27   5.39     4.76     2.00     2.39     0.28   9.94   9.31   6.55   6.94  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
51020  Incise & treat bladder                            A   7.56   4.23NA   5.37NA   4.23     5.37     0.47  12.26  13.40  12.26  13.40  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51030  Incise & treat bladder                            A   7.68   4.19NA   4.83NA   4.19     4.83     0.58  12.45  13.09  12.45  13.09  0090.08.83.0920000             37.8975 090 99     0.00   0.00   0.00
51040  Incise & drain bladder                            A   4.43   3.01NA   3.74NA   3.01     3.74     0.31   7.75   8.48   7.75   8.48  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51045  Incise bladder/drain ureter                       A   7.68   4.26NA   5.27NA   4.26     5.27     0.52  12.46  13.47  12.46  13.47  0090.08.83.0920200             37.8975 090 99     0.00   0.00   0.00
51050  Removal of bladder stone                          A   7.87   4.09NA   5.43NA   4.09     5.43     0.49  12.45  13.79  12.45  13.79  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51060  Removal of ureter stone                           A   9.82   5.00NA   6.49NA   5.00     6.49     0.62  15.44  16.93  15.44  16.93  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51065  Remove ureter calculus                            A   9.82   4.87NA   6.42NA   4.87     6.42     0.63  15.32  16.87  15.32  16.87  0090.08.83.0920000             37.8975 090 99     0.00   0.00   0.00
51080  Drainage of bladder abscess                       A   6.61   3.73NA   4.28NA   3.73     4.28     0.43  10.77  11.32  10.77  11.32  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51500  Removal of bladder cyst                           A  10.92   5.22NA   5.86NA   5.22     5.86     1.03  17.17  17.81  17.17  17.81  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51520  Removal of bladder lesion                         A  10.08   5.15NA   6.58NA   5.15     6.58     0.69  15.92  17.35  15.92  17.35  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51525  Removal of bladder lesion                         A  15.29   6.78NA   8.76NA   6.78     8.76     0.99  23.06  25.04  23.06  25.04  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51530  Removal of bladder lesion                         A  13.58   6.15NA   7.39NA   6.15     7.39     1.05  20.78  22.02  20.78  22.02  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51535  Repair of ureter lesion                           A  13.77   6.48NA   7.60NA   6.48     7.60     1.23  21.48  22.60  21.48  22.60  0090.08.83.0921210             37.8975 090 99     0.00   0.00   0.00
51550  Partial removal of bladder                        A  17.10   7.29NA   9.00NA   7.29     9.00     1.31  25.70  27.41  25.70  27.41  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51555  Partial removal of bladder                        A  23.03   9.40NA  11.64NA   9.40    11.64     1.70  34.13  36.37  34.13  36.37  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51565  Revise bladder & ureter(s)                        A  23.50   9.77NA  12.22NA   9.77    12.22     1.63  34.90  37.35  34.90  37.35  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51570  Removal of bladder                                A  27.31  10.69NA  13.55NA  10.69    13.55     1.72  39.72  42.58  39.72  42.58  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51575  Removal of bladder & nodes                        A  34.00  13.27NA  17.03NA  13.27    17.03     2.17  49.44  53.20  49.44  53.20  0090.08.83.0922210             37.8975 090 99     0.00   0.00   0.00
51580  Remove bladder/revise tract                       A  35.14  13.83NA  17.87NA  13.83    17.87     2.25  51.22  55.26  51.22  55.26  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51585  Removal of bladder & nodes                        A  39.41  15.25NA  19.91NA  15.25    19.91     2.49  57.15  61.81  57.15  61.81  0090.08.83.0922210             37.8975 090 99     0.00   0.00   0.00
51590  Remove bladder/revise tract                       A  36.15  13.88NA  17.70NA  13.88    17.70     2.28  52.31  56.13  52.31  56.13  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51595  Remove bladder/revise tract                       A  41.12  15.61NA  20.06NA  15.61    20.06     2.60  59.33  63.78  59.33  63.78  0090.08.83.0922210             37.8975 090 99     0.00   0.00   0.00
51596  Remove bladder/create pouch                       A  44.01  16.83NA  21.67NA  16.83    21.67     2.78  63.62  68.46  63.62  68.46  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51597  Removal of pelvic structures                      A  42.61  16.21NA  20.37NA  16.21    20.37     2.82  61.64  65.80  61.64  65.80  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51600  Injection for bladder x-ray                       A   0.88   4.81     4.09     0.29     0.29     0.06   5.75   5.03   1.23   1.23  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51605  Preparation for bladder xray                      A   0.64   0.37NA   0.41NA   0.37     0.41     0.04   1.05   1.09   1.05   1.09  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51610  Injection for bladder x-ray                       A   1.05   2.18     1.87     0.62     0.68     0.07   3.30   2.99   1.74   1.80  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51700  Irrigation of bladder                             A   0.88   1.58     1.51     0.30     0.35     0.06   2.52   2.45   1.24   1.29  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51701  Insert bladder catheter                           A   0.50   1.45     1.04     0.21     0.25     0.04   1.99   1.58   0.75   0.79  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51702  Insert temp bladder cath                          A   0.50   1.94     1.53     0.27     0.34     0.04   2.48   2.07   0.81   0.88  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51703  Insert bladder cath, complex                      A   1.47   2.62     2.28     0.63     0.82     0.10   4.19   3.85   2.20   2.39  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51705  Change of bladder tube                            A   1.03   2.21     2.03     0.67     0.86     0.07   3.31   3.13   1.77   1.96  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
51710  Change of bladder tube                            A   1.50   3.18     2.74     0.88     1.20     0.11   4.79   4.35   2.49   2.81  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
51715  Endoscopic injection/implant                      A   3.73   4.04     4.46     1.46     1.78     0.29   8.06   8.48   5.48   5.80  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
51720  Treatment of bladder lesion                       A   1.50   1.72     1.64     0.71     0.76     0.14   3.36   3.28   2.35   2.40  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51725  Simple cystometrogram                             A   1.51   5.26     4.28     5.26     4.28     0.16   6.93   5.95   6.93   5.95  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
51725TCSimple cystometrogram                             A   0.00   4.75     3.70     4.75     3.70     0.04   4.79   3.74   4.79   3.74  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
5172526Simple cystometrogram                             A   1.51   0.51     0.58     0.51     0.58     0.12   2.14   2.21   2.14   2.21  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
51726  Complex cystometrogram                            A   1.71   7.41     7.11     7.41     7.11     0.18   9.30   9.00   9.30   9.00  1000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51726TCComplex cystometrogram                            A   0.00   6.82     6.45     6.82     6.45     0.05   6.87   6.50   6.87   6.50  1000.00.00.0000100             37.8975 020 99     0.00   0.00   0.00
5172626Complex cystometrogram                            A   1.71   0.59     0.66     0.59     0.66     0.13   2.43   2.50   2.43   2.50  1000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51736  Urine flow measurement                            A   0.61   0.67     0.91     0.67     0.91     0.06   1.34   1.58   1.34   1.58  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
51736TCUrine flow measurement                            A   0.00   0.46     0.68     0.46     0.68     0.01   0.47   0.69   0.47   0.69  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
5173626Urine flow measurement                            A   0.61   0.21     0.23     0.21     0.23     0.05   0.87   0.89   0.87   0.89  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
51741  Electro-uroflowmetry, first                       A   1.14   0.91     1.27     0.91     1.27     0.11   2.16   2.52   2.16   2.52  1000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51741TCElectro-uroflowmetry, first                       A   0.00   0.52     0.82     0.52     0.82     0.02   0.54   0.84   0.54   0.84  1000.00.00.0000100             37.8975 020 99     0.00   0.00   0.00
5174126Electro-uroflowmetry, first                       A   1.14   0.39     0.45     0.39     0.45     0.09   1.62   1.68   1.62   1.68  1000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51772  Urethra pressure profile                          A   1.61   5.44     5.03     5.44     5.03     0.20   7.25   6.84   7.25   6.84  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
51772TCUrethra pressure profile                          A   0.00   4.89     4.47     4.89     4.47     0.05   4.94   4.52   4.94   4.52  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
5177226Urethra pressure profile                          A   1.61   0.55     0.56     0.55     0.56     0.15   2.31   2.32   2.31   2.32  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
51784  Anal/urinary muscle study                         A   1.53   3.95     3.83     3.95     3.83     0.16   5.64   5.52   5.64   5.52  1000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51784TCAnal/urinary muscle study                         A   0.00   3.44     3.30     3.44     3.30     0.04   3.48   3.34   3.48   3.34  1000.00.00.0000100             37.8975 020 99     0.00   0.00   0.00
5178426Anal/urinary muscle study                         A   1.53   0.51     0.53     0.51     0.53     0.12   2.16   2.18   2.16   2.18  1000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
51785  Anal/urinary muscle study                         A   1.53   4.46     4.50     4.46     4.50     0.15   6.14   6.18   6.14   6.18  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
51785TCAnal/urinary muscle study                         A   0.00   3.94     3.93     3.94     3.93     0.04   3.98   3.97   3.98   3.97  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
5178526Anal/urinary muscle study                         A   1.53   0.52     0.57     0.52     0.57     0.11   2.16   2.21   2.16   2.21  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
51792  Urinary reflex study                              A   1.10   5.74     4.96     5.74     4.96     0.20   7.04   6.26   7.04   6.26  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
51792TCUrinary reflex study                              A   0.00   5.33     4.56     5.33     4.56     0.13   5.46   4.69   5.46   4.69  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
5179226Urinary reflex study                              A   1.10   0.41     0.40     0.41     0.40     0.07   1.58   1.57   1.58   1.57  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
51795  Urine voiding pressure study                      A   1.53   7.15     6.72     7.15     6.72     0.22   8.90   8.47   8.90   8.47  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
51795TCUrine voiding pressure study                      A   0.00   6.63     6.13     6.63     6.13     0.10   6.73   6.23   6.73   6.23  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
5179526Urine voiding pressure study                      A   1.53   0.52     0.59     0.52     0.59     0.12   2.17   2.24   2.17   2.24  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
51797  Intraabdominal pressure test                      A   1.60   5.55     4.84     5.55     4.84     0.17   7.32   6.61   7.32   6.61  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
51797TCIntraabdominal pressure test                      A   0.00   5.00     4.23     5.00     4.23     0.05   5.05   4.28   5.05   4.28  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
5179726Intraabdominal pressure test                      A   1.60   0.55     0.61     0.55     0.61     0.12   2.27   2.33   2.27   2.33  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
51798  Us urine capacity measure                         A   0.00   0.40     0.59     0.40NA   0.59 NA  0.08   0.48   0.67   0.48   0.67  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
51800  Revision of bladder/urethra                       A  18.74   8.22NA  10.21NA   8.22    10.21     1.32  28.28  30.27  28.28  30.27  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51820  Revision of urinary tract                         A  19.41   8.87NA  10.65NA   8.87    10.65     1.75  30.03  31.81  30.03  31.81  0090.08.83.0922210             37.8975 090 99     0.00   0.00   0.00
51840  Attach bladder/urethra                            A  11.28   5.62NA   5.81NA   5.62     5.81     1.06  17.96  18.15  17.96  18.15  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51841  Attach bladder/urethra                            A  13.60   6.50NA   6.87NA   6.50     6.87     1.24  21.34  21.71  21.34  21.71  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51845  Repair bladder neck                               A  10.07   5.04NA   5.92NA   5.04     5.92     0.79  15.90  16.78  15.90  16.78  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51860  Repair of bladder wound                           A  12.49   6.03NA   6.87NA   6.03     6.87     1.16  19.68  20.52  19.68  20.52  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51865  Repair of bladder wound                           A  15.69   7.14NA   8.56NA   7.14     8.56     1.23  24.06  25.48  24.06  25.48  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51880  Repair of bladder opening                         A   7.81   4.15NA   4.76NA   4.15     4.76     0.72  12.68  13.29  12.68  13.29  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51900  Repair bladder/vagina lesion                      A  14.48   6.57NA   8.11NA   6.57     8.11     1.21  22.26  23.80  22.26  23.80  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51920  Close bladder-uterus fistula                      A  13.26   6.19NA   7.86NA   6.19     7.86     1.18  20.63  22.30  20.63  22.30  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51925  Hysterectomy/bladder repair                       A  17.35   9.05NA  10.38NA   9.05    10.38     2.04  28.44  29.77  28.44  29.77  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51940  Correction of bladder defect                      A  30.48  11.93NA  11.52NA  11.93    11.52     2.15  44.56  44.15  44.56  44.15  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51960  Revision of bladder & bowel                       A  25.20  10.55NA  13.31NA  10.55    13.31     1.63  37.38  40.14  37.38  40.14  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51980  Construct bladder opening                         A  12.44   5.87NA   7.36NA   5.87     7.36     0.86  19.17  20.66  19.17  20.66  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51990  Laparo urethral suspension                        A  13.26   6.10NA   5.98NA   6.10     5.98     1.39  20.75  20.63  20.75  20.63  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51992  Laparo sling operation                            A  14.77   6.32NA   6.66NA   6.32     6.66     1.41  22.50  22.84  22.50  22.84  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
51999  Laparoscope proc, bla                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
52000  Cystoscopy                                        A   2.23   3.40     3.69     0.91     1.34     0.14   5.77   6.06   3.28   3.71  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
52001  Cystoscopy, removal of clots                      A   5.44   5.09     5.14     2.06     2.65     0.39  10.92  10.97   7.89   8.48  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52005  Cystoscopy & ureter catheter                      A   2.37   5.61     5.76     1.02     1.40     0.17   8.15   8.30   3.56   3.94  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52007  Cystoscopy and biopsy                             A   3.02  15.01    10.73     1.28     1.65     0.22  18.25  13.97   4.52   4.89  0000.00.00.0031100       52000 37.8975 090 99     0.00   0.00   0.00
52010  Cystoscopy & duct catheter                        A   3.02  10.10     8.15     1.28     1.66     0.21  13.33  11.38   4.51   4.89  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52204  Cystoscopy w/biopsy(s)                            A   2.59  12.97     8.34     1.03     1.41     0.17  15.73  11.10   3.79   4.17  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52214  Cystoscopy and treatment                          A   3.70  33.55    19.90     1.47     1.88     0.26  37.51  23.86   5.43   5.84  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52224  Cystoscopy and treatment                          A   3.14  32.11    19.08     1.28     1.65     0.22  35.47  22.44   4.64   5.01  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52234  Cystoscopy and treatment                          A   4.62   1.83NA   2.34NA   1.83     2.34     0.33   6.78   7.29   6.78   7.29  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52235  Cystoscopy and treatment                          A   5.44   2.13NA   2.71NA   2.13     2.71     0.39   7.96   8.54   7.96   8.54  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52240  Cystoscopy and treatment                          A   9.71   3.60NA   4.48NA   3.60     4.48     0.69  14.00  14.88  14.00  14.88  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52250  Cystoscopy and radiotracer                        A   4.49   1.83NA   2.38NA   1.83     2.38     0.32   6.64   7.19   6.64   7.19  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52260  Cystoscopy and treatment                          A   3.91   1.57NA   2.00NA   1.57     2.00     0.28   5.76   6.19   5.76   6.19  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52265  Cystoscopy and treatment                          A   2.94  11.93     7.68     1.22     1.55     0.22  15.09  10.84   4.38   4.71  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52270  Cystoscopy & revise urethra                       A   3.36  10.04     7.05     1.38     1.78     0.24  13.64  10.65   4.98   5.38  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52275  Cystoscopy & revise urethra                       A   4.69  14.00     9.34     1.83     2.34     0.33  19.02  14.36   6.85   7.36  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52276  Cystoscopy and treatment                          A   4.99   1.96NA   2.51NA   1.96     2.51     0.35   7.30   7.85   7.30   7.85  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52277  Cystoscopy and treatment                          A   6.16   2.40NA   2.95NA   2.40     2.95     0.44   9.00   9.55   9.00   9.55  0000.00.00.0030000       52000 37.8975 090 99     0.00   0.00   0.00
52281  Cystoscopy and treatment                          A   2.80   6.65     5.32     1.21     1.58     0.20   9.65   8.32   4.21   4.58  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52282  Cystoscopy, implant stent                         A   6.39   2.44NA   3.05NA   2.44     3.05     0.45   9.28   9.89   9.28   9.89  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52283  Cystoscopy and treatment                          A   3.73   3.99     4.13     1.52     1.92     0.26   7.98   8.12   5.51   5.91  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52285  Cystoscopy and treatment                          A   3.60   4.11     4.39     1.47     1.89     0.26   7.97   8.25   5.33   5.75  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52290  Cystoscopy and treatment                          A   4.58   1.82NA   2.33NA   1.82     2.33     0.32   6.72   7.23   6.72   7.23  0000.00.00.0032100       52000 37.8975 090 99     0.00   0.00   0.00
52300  Cystoscopy and treatment                          A   5.30   2.10NA   2.68NA   2.10     2.68     0.38   7.78   8.36   7.78   8.36  0000.00.00.0032000       52000 37.8975 090 99     0.00   0.00   0.00
52301  Cystoscopy and treatment                          A   5.50   2.03NA   2.16NA   2.03     2.16     0.46   7.99   8.12   7.99   8.12  0000.00.00.0032000       52000 37.8975 090 99     0.00   0.00   0.00
52305  Cystoscopy and treatment                          A   5.30   2.03NA   2.57NA   2.03     2.57     0.38   7.71   8.25   7.71   8.25  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52310  Cystoscopy and treatment                          A   2.81   4.53     4.04     1.14     1.47     0.20   7.54   7.05   4.15   4.48  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52315  Cystoscopy and treatment                          A   5.20   8.17     6.69     2.01     2.55     0.37  13.74  12.26   7.58   8.12  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52317  Remove bladder stone                              A   6.71  25.99    17.14     2.48     3.09     0.48  33.18  24.33   9.67  10.28  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52318  Remove bladder stone                              A   9.18   3.36NA   4.17NA   3.36     4.17     0.65  13.19  14.00  13.19  14.00  0000.00.00.0030100       52000 37.8975 090 99     0.00   0.00   0.00
52320  Cystoscopy and treatment                          A   4.69   1.79NA   2.27NA   1.79     2.27     0.33   6.81   7.29   6.81   7.29  0000.00.00.0031100       52000 37.8975 090 99     0.00   0.00   0.00
52325  Cystoscopy, stone removal                         A   6.15   2.31NA   2.89NA   2.31     2.89     0.44   8.90   9.48   8.90   9.48  0000.00.00.0031100       52000 37.8975 090 99     0.00   0.00   0.00
52327  Cystoscopy, inject material                       A   5.18  28.32    17.83     1.96     2.39     0.37  33.87  23.38   7.51   7.94  0000.00.00.0031100       52000 37.8975 090 99     0.00   0.00   0.00
52330  Cystoscopy and treatment                          A   5.03  34.23    20.45     1.92     2.41     0.36  39.62  25.84   7.31   7.80  0000.00.00.0031100       52000 37.8975 090 99     0.00   0.00   0.00
52332  Cystoscopy and treatment                          A   2.83   7.42    12.45     1.19     1.60     0.21  10.46  15.49   4.23   4.64  0000.00.00.0031100       52000 37.8975 090 99     0.00   0.00   0.00
52334  Create passage to kidney                          A   4.82   1.89NA   2.35NA   1.89     2.35     0.35   7.06   7.52   7.06   7.52  0000.00.00.0031100       52000 37.8975 090 99     0.00   0.00   0.00
52341  Cysto w/ureter stricture tx                       A   6.11   2.44NA   3.11NA   2.44     3.11     0.43   8.98   9.65   8.98   9.65  0000.00.00.0031100       52000 37.8975 090 99     0.00   0.00   0.00
52342  Cysto w/up stricture tx                           A   6.61   2.59NA   3.35NA   2.59     3.35     0.46   9.66  10.42   9.66  10.42  0000.00.00.0031100       52000 37.8975 090 99     0.00   0.00   0.00
52343  Cysto w/renal stricture tx                        A   7.31   2.84NA   3.62NA   2.84     3.62     0.51  10.66  11.44  10.66  11.44  0000.00.00.0031100       52000 37.8975 090 99     0.00   0.00   0.00
52344  Cysto/uretero, stricture tx                       A   7.81   3.09NA   4.00NA   3.09     4.00     0.55  11.45  12.36  11.45  12.36  0000.00.00.0031100       52000 37.8975 090 99     0.00   0.00   0.00
52345  Cysto/uretero w/up stricture                      A   8.31   3.27NA   4.22NA   3.27     4.22     0.58  12.16  13.11  12.16  13.11  0000.00.00.0030000       52351 37.8975 090 99     0.00   0.00   0.00
52346  Cystouretero w/renal strict                       A   9.34   3.62NA   4.62NA   3.62     4.62     0.65  13.61  14.61  13.61  14.61  0000.00.00.0030000       52351 37.8975 090 99     0.00   0.00   0.00
52351  Cystouretero & or pyeloscope                      A   5.85   2.36NA   3.03NA   2.36     3.03     0.41   8.62   9.29   8.62   9.29  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
52352  Cystouretero w/stone remove                       A   6.87   2.77NA   3.56NA   2.77     3.56     0.49  10.13  10.92  10.13  10.92  0000.00.00.0031100       52351 37.8975 090 99     0.00   0.00   0.00
52353  Cystouretero w/lithotripsy                        A   7.96   3.14NA   4.01NA   3.14     4.01     0.57  11.67  12.54  11.67  12.54  0000.00.00.0031100       52351 37.8975 090 99     0.00   0.00   0.00
52354  Cystouretero w/biopsy                             A   7.33   2.94NA   3.75NA   2.94     3.75     0.52  10.79  11.60  10.79  11.60  0000.00.00.0031100       52351 37.8975 090 99     0.00   0.00   0.00
52355  Cystouretero w/excise tumor                       A   8.81   3.44NA   4.35NA   3.44     4.35     0.63  12.88  13.79  12.88  13.79  0000.00.00.0031100       52351 37.8975 090 99     0.00   0.00   0.00
52400  Cystouretero w/congen repr                        A  10.06   4.18NA   5.54NA   4.18     5.54     0.68  14.92  16.28  14.92  16.28  0090.08.83.0930100       52000 37.8975 090 99     0.00   0.00   0.00
52402  Cystourethro cut ejacul duct                      A   5.27   1.84NA   2.24NA   1.84     2.24     0.40   7.51   7.91   7.51   7.91  0000.00.00.0030000       52000 37.8975 090 99     0.00   0.00   0.00
52450  Incision of prostate                              A   7.63   4.15NA   5.59NA   4.15     5.59     0.54  12.32  13.76  12.32  13.76  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
52500  Revision of bladder neck                          A   9.39   4.52NA   6.31NA   4.52     6.31     0.60  14.51  16.30  14.51  16.30  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
52510  Dilation prostatic urethra                        A   7.49   3.58NA   5.00NA   3.58     5.00     0.48  11.55  12.97  11.55  12.97  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
52601  Prostatectomy (TURP)                              A  15.13   5.99NA   8.64NA   5.99     8.64     0.87  21.99  24.64  21.99  24.64  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
52606  Control postop bleeding                           A   8.84   4.07NA   5.63NA   4.07     5.63     0.57  13.48  15.04  13.48  15.04  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
52612  Prostatectomy, first stage                        A   9.07   4.30NA   6.00NA   4.30     6.00     0.56  13.93  15.63  13.93  15.63  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
52614  Prostatectomy, second stage                       A   7.81   3.88NA   5.49NA   3.88     5.49     0.48  12.17  13.78  12.17  13.78  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
52620  Remove residual prostate                          A   7.19   3.41NA   4.68NA   3.41     4.68     0.47  11.07  12.34  11.07  12.34  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
52630  Remove prostate regrowth                          A   7.65   3.62NA   4.90NA   3.62     4.90     0.51  11.78  13.06  11.78  13.06  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
52640  Relieve bladder contracture                       A   6.89   3.35NA   4.50NA   3.35     4.50     0.47  10.71  11.86  10.71  11.86  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
52647  Laser surgery of prostate                         A  11.15  65.97    42.04     5.16     7.05     0.73  77.85  53.92  17.04  18.93  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
52648  Laser surgery of prostate                         A  12.00  66.10    42.58     5.44     7.38     0.79  78.89  55.37  18.23  20.17  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
52700  Drainage of prostate abscess                      A   7.39   3.65NA   5.05NA   3.65     5.05     0.48  11.52  12.92  11.52  12.92  0090.08.83.0920000             37.8975 090 99     0.00   0.00   0.00
53000  Incision of urethra                               A   2.30   1.61NA   1.83NA   1.61     1.83     0.16   4.07   4.29   4.07   4.29  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
53010  Incision of urethra                               A   4.35   3.14NA   3.84NA   3.14     3.84     0.24   7.73   8.43   7.73   8.43  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
53020  Incision of urethra                               A   1.77   0.75NA   0.97NA   0.75     0.97     0.13   2.65   2.87   2.65   2.87  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
53025  Incision of urethra                               A   1.13   0.59NA   0.83NA   0.59     0.83     0.08   1.80   2.04   1.80   2.04  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
53040  Drainage of urethra abscess                       A   6.49   3.69NA   4.48NA   3.69     4.48     0.45  10.63  11.42  10.63  11.42  0090.08.83.0920000             37.8975 090 99     0.00   0.00   0.00
53060  Drainage of urethra abscess                       A   2.65   2.06     1.99     1.39     1.46     0.28   4.99   4.92   4.32   4.39  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
53080  Drainage of urinary leakage                       A   6.82   5.71NA   4.98NA   5.71     4.98     0.52  13.05  12.32  13.05  12.32  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
53085  Drainage of urinary leakage                       A  11.05   6.70NA   4.60NA   6.70     4.60     0.92  18.67  16.57  18.67  16.57  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53200  Biopsy of urethra                                 A   2.59   1.42     1.72     1.07     1.32     0.20   4.21   4.51   3.86   4.11  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
53210  Removal of urethra                                A  13.59   6.34NA   7.88NA   6.34     7.88     0.89  20.82  22.36  20.82  22.36  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53215  Removal of urethra                                A  16.72   7.30NA   9.34NA   7.30     9.34     1.10  25.12  27.16  25.12  27.16  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53220  Treatment of urethra lesion                       A   7.53   4.05NA   5.08NA   4.05     5.08     0.49  12.07  13.10  12.07  13.10  0090.08.83.0920000             37.8975 090 99     0.00   0.00   0.00
53230  Removal of urethra lesion                         A  10.31   5.17NA   6.55NA   5.17     6.55     0.73  16.21  17.59  16.21  17.59  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53235  Removal of urethra lesion                         A  10.86   5.44NA   7.04NA   5.44     7.04     0.72  17.02  18.62  17.02  18.62  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53240  Surgery for urethra pouch                         A   6.98   3.85NA   4.84NA   3.85     4.84     0.52  11.35  12.34  11.35  12.34  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
53250  Removal of urethra gland                          A   6.42   3.66NA   4.76NA   3.66     4.76     0.49  10.57  11.67  10.57  11.67  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
53260  Treatment of urethra lesion                       A   3.00   2.30     2.48     1.53     1.87     0.25   5.55   5.73   4.78   5.12  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
53265  Treatment of urethra lesion                       A   3.14   2.78     2.99     1.57     2.03     0.24   6.16   6.37   4.95   5.41  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
53270  Removal of urethra gland                          A   3.11   2.23     2.30     1.59     1.73     0.30   5.64   5.71   5.00   5.14  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
53275  Repair of urethra defect                          A   4.54   2.39NA   2.82NA   2.39     2.82     0.32   7.25   7.68   7.25   7.68  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
53400  Revise urethra, stage 1                           A  13.98   6.59NA   8.31NA   6.59     8.31     0.98  21.55  23.27  21.55  23.27  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53405  Revise urethra, stage 2                           A  15.51   7.00NA   9.07NA   7.00     9.07     1.10  23.61  25.68  23.61  25.68  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53410  Reconstruction of urethra                         A  17.53   7.78NA   9.97NA   7.78     9.97     1.16  26.47  28.66  26.47  28.66  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53415  Reconstruction of urethra                         A  20.55   8.28NA  11.14NA   8.28    11.14     1.37  30.20  33.06  30.20  33.06  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53420  Reconstruct urethra, stage 1                      A  15.04   6.36NA   6.61NA   6.36     6.61     0.96  22.36  22.61  22.36  22.61  0090.08.83.0920110             37.8975 090 99     0.00   0.00   0.00
53425  Reconstruct urethra, stage 2                      A  16.94   7.52NA   9.42NA   7.52     9.42     1.13  25.59  27.49  25.59  27.49  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53430  Reconstruction of urethra                         A  17.30   7.45NA   8.81NA   7.45     8.81     1.15  25.90  27.26  25.90  27.26  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53431  Reconstruct urethra/bladder                       A  21.03   8.84NA  11.21NA   8.84    11.21     1.41  31.28  33.65  31.28  33.65  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53440  Male sling procedure                              A  15.34   6.83NA   9.39NA   6.83     9.39     0.96  23.13  25.69  23.13  25.69  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53442  Remove/revise male sling                          A  13.29   6.21NA   8.56NA   6.21     8.56     0.82  20.32  22.67  20.32  22.67  0090.08.83.0920200             37.8975 090 99     0.00   0.00   0.00
53444  Insert tandem cuff                                A  14.06   6.45NA   8.18NA   6.45     8.18     0.94  21.45  23.18  21.45  23.18  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53445  Insert uro/ves nck sphincter                      A  15.21   7.55NA   8.96NA   7.55     8.96     0.99  23.75  25.16  23.75  25.16  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53446  Remove uro sphincter                              A  10.89   5.70NA   7.17NA   5.70     7.17     0.72  17.31  18.78  17.31  18.78  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53447  Remove/replace ur sphincter                       A  14.15   6.96NA   8.58NA   6.96     8.58     0.95  22.06  23.68  22.06  23.68  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53448  Remov/replc ur sphinctr comp                      A  23.26   9.95NA  12.68NA   9.95    12.68     1.50  34.71  37.44  34.71  37.44  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53449  Repair uro sphincter                              A  10.43   5.23NA   6.76NA   5.23     6.76     0.68  16.34  17.87  16.34  17.87  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53450  Revision of urethra                               A   6.67   3.68NA   4.85NA   3.68     4.85     0.43  10.78  11.95  10.78  11.95  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
53460  Revision of urethra                               A   7.65   4.07NA   5.21NA   4.07     5.21     0.50  12.22  13.36  12.22  13.36  0090.08.83.0920000             37.8975 090 99     0.00   0.00   0.00
53500  Urethrlys, transvag w/ scope                      A  12.87   6.53NA   7.53NA   6.53     7.53     0.90  20.30  21.30  20.30  21.30  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
53502  Repair of urethra injury                          A   8.16   4.26NA   5.09NA   4.26     5.09     0.62  13.04  13.87  13.04  13.87  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
53505  Repair of urethra injury                          A   8.16   4.27NA   5.50NA   4.27     5.50     0.54  12.97  14.20  12.97  14.20  0090.08.83.0920200             37.8975 090 99     0.00   0.00   0.00
53510  Repair of urethra injury                          A  10.83   5.58NA   6.85NA   5.58     6.85     0.74  17.15  18.42  17.15  18.42  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53515  Repair of urethra injury                          A  14.09   6.43NA   7.96NA   6.43     7.96     1.05  21.57  23.10  21.57  23.10  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
53520  Repair of urethra defect                          A   9.35   4.91NA   6.23NA   4.91     6.23     0.61  14.87  16.19  14.87  16.19  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
53600  Dilate urethra stricture                          A   1.21   1.15     1.16     0.47     0.58     0.09   2.45   2.46   1.77   1.88  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
53601  Dilate urethra stricture                          A   0.98   1.30     1.38     0.41     0.53     0.07   2.35   2.43   1.46   1.58  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
53605  Dilate urethra stricture                          A   1.28   0.44NA   0.53NA   0.44     0.53     0.09   1.81   1.90   1.81   1.90  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
53620  Dilate urethra stricture                          A   1.62   1.92     1.72     0.66     0.85     0.11   3.65   3.45   2.39   2.58  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
53621  Dilate urethra stricture                          A   1.35   2.01     1.82     0.54     0.69     0.10   3.46   3.27   1.99   2.14  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
53660  Dilation of urethra                               A   0.71   1.31     1.32     0.35     0.46     0.05   2.07   2.08   1.11   1.22  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
53661  Dilation of urethra                               A   0.72   1.30     1.30     0.33     0.43     0.05   2.07   2.07   1.10   1.20  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
53665  Dilation of urethra                               A   0.76   0.26NA   0.27NA   0.26     0.27     0.06   1.08   1.09   1.08   1.09  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
53850  Prostatic microwave thermotx                      A   9.98  82.87    49.30     4.46     6.01     0.67  93.52  59.95  15.11  16.66  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
53852  Prostatic rf thermotx                             A  10.68  78.20    46.49     4.98     6.82     0.70  89.58  57.87  16.36  18.20  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
53853  Prostatic water thermother                        A   5.54  48.79    29.12     3.25     4.43     0.37  54.70  35.03   9.16  10.34  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
53899  Urology surgery procedure                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
54000  Slitting of prepuce                               A   1.56   2.86     2.72     1.07     1.50     0.11   4.53   4.39   2.74   3.17  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
54001  Slitting of prepuce                               A   2.21   3.15     3.07     1.26     1.69     0.15   5.51   5.43   3.62   4.05  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54015  Drain penis lesion                                A   5.33   2.72NA   3.24NA   2.72     3.24     0.38   8.43   8.95   8.43   8.95  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
54050  Destruction, penis lesion(s)                      A   1.26   1.77     2.08     1.12     1.39     0.08   3.11   3.42   2.46   2.73  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54055  Destruction, penis lesion(s)                      A   1.23   1.68     2.00     0.92     1.26     0.08   2.99   3.31   2.23   2.57  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54056  Cryosurgery, penis lesion(s)                      A   1.26   1.86     2.37     1.23     1.54     0.06   3.18   3.69   2.55   2.86  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54057  Laser surg, penis lesion(s)                       A   1.26   2.31     2.61     0.96     1.36     0.09   3.66   3.96   2.31   2.71  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54060  Excision of penis lesion(s)                       A   1.95   3.10     3.11     1.21     1.66     0.13   5.18   5.19   3.29   3.74  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54065  Destruction, penis lesion(s)                      A   2.44   2.80     3.30     1.43     2.01     0.13   5.37   5.87   4.00   4.58  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54100  Biopsy of penis                                   A   1.90   2.94     3.37     0.96     1.39     0.10   4.94   5.37   2.96   3.39  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
54105  Biopsy of penis                                   A   3.51   4.22     4.04     2.07     2.49     0.25   7.98   7.80   5.83   6.25  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54110  Treatment of penis lesion                         A  10.79   5.23NA   6.65NA   5.23     6.65     0.72  16.74  18.16  16.74  18.16  0090.10.80.1020200             37.8975 090 99     0.00   0.00   0.00
54111  Treat penis lesion, graft                         A  14.29   6.38NA   8.22NA   6.38     8.22     0.96  21.63  23.47  21.63  23.47  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54112  Treat penis lesion, graft                         A  16.83   7.48NA   9.54NA   7.48     9.54     1.11  25.42  27.48  25.42  27.48  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54115  Treatment of penis lesion                         A   6.82   4.75     5.90     3.86     5.07     0.43  12.00  13.15  11.11  12.32  0090.10.80.1020200             37.8975 090 99     0.00   0.00   0.00
54120  Partial removal of penis                          A  10.88   5.23NA   6.89NA   5.23     6.89     0.68  16.79  18.45  16.79  18.45  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54125  Removal of penis                                  A  14.43   6.45NA   8.35NA   6.45     8.35     0.95  21.83  23.73  21.83  23.73  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54130  Remove penis & nodes                              A  21.66   9.02NA  11.56NA   9.02    11.56     1.52  32.20  34.74  32.20  34.74  0090.10.80.1022210             37.8975 090 99     0.00   0.00   0.00
54135  Remove penis & nodes                              A  27.99  11.25NA  14.51NA  11.25    14.51     1.88  41.12  44.38  41.12  44.38  0090.10.80.1022200             37.8975 090 99     0.00   0.00   0.00
54150  Circumcision w/regionl block                      A   1.90   3.38     2.40     0.73     0.75     0.16   5.44   4.46   2.79   2.81  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
54160  Circumcision, neonate                             A   2.50   4.03     3.69     1.19     1.47     0.19   6.72   6.38   3.88   4.16  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54161  Circum 28 days or older                           A   3.29   1.73NA   2.24NA   1.73     2.24     0.23   5.25   5.76   5.25   5.76  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54162  Lysis penil circumic lesion                       A   3.27   4.49     4.02     1.65     2.28     0.21   7.97   7.50   5.13   5.76  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54163  Repair of circumcision                            A   3.27   2.23NA   2.91NA   2.23     2.91     0.21   5.71   6.39   5.71   6.39  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54164  Frenulotomy of penis                              A   2.77   2.04NA   2.66NA   2.04     2.66     0.18   4.99   5.61   4.99   5.61  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54200  Treatment of penis lesion                         A   1.08   1.85     2.03     1.06     1.32     0.08   3.01   3.19   2.22   2.48  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54205  Treatment of penis lesion                         A   8.84   5.06NA   6.18NA   5.06     6.18     0.56  14.46  15.58  14.46  15.58  0090.10.80.1020200             37.8975 090 99     0.00   0.00   0.00
54220  Treatment of penis lesion                         A   2.42   3.72     3.34     1.06     1.38     0.17   6.31   5.93   3.65   3.97  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
54230  Prepare penis study                               A   1.34   1.16     1.41     0.70     0.91     0.09   2.59   2.84   2.13   2.34  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
54231  Dynamic cavernosometry                            A   2.04   1.50     1.87     0.95     1.19     0.16   3.70   4.07   3.15   3.39  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
54235  Penile injection                                  A   1.19   1.07     1.40     0.66     0.90     0.08   2.34   2.67   1.93   2.17  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
54240  Penis study                                       A   1.31   1.16     1.52     1.16     1.52     0.17   2.64   3.00   2.64   3.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
54240TCPenis study                                       A   0.00   0.71     1.02     0.71     1.02     0.06   0.77   1.08   0.77   1.08  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
5424026Penis study                                       A   1.31   0.45     0.50     0.45     0.50     0.11   1.87   1.92   1.87   1.92  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
54250  Penis study                                       A   2.22   1.00     1.26     1.00     1.26     0.18   3.40   3.66   3.40   3.66  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
54250TCPenis study                                       A   0.00   0.24     0.37     0.24     0.37     0.02   0.26   0.39   0.26   0.39  1000.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
5425026Penis study                                       A   2.22   0.76     0.89     0.76     0.89     0.16   3.14   3.27   3.14   3.27  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
54300  Revision of penis                                 A  11.07   5.89NA   6.88NA   5.89     6.88     0.76  17.72  18.71  17.72  18.71  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54304  Revision of penis                                 A  13.15   6.74NA   7.98NA   6.74     7.98     0.88  20.77  22.01  20.77  22.01  0090.10.80.1020200             37.8975 090 99     0.00   0.00   0.00
54308  Reconstruction of urethra                         A  12.49   6.38NA   7.66NA   6.38     7.66     0.84  19.71  20.99  19.71  20.99  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54312  Reconstruction of urethra                         A  14.36   7.41NA   8.68NA   7.41     8.68     1.24  23.01  24.28  23.01  24.28  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54316  Reconstruction of urethra                         A  17.90   8.51NA  10.20NA   8.51    10.20     1.21  27.62  29.31  27.62  29.31  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54318  Reconstruction of urethra                         A  12.28   5.90NA   6.26NA   5.90     6.26     1.39  19.57  19.93  19.57  19.93  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54322  Reconstruction of urethra                         A  13.85   6.84NA   8.02NA   6.84     8.02     0.92  21.61  22.79  21.61  22.79  0090.10.80.1020200             37.8975 090 99     0.00   0.00   0.00
54324  Reconstruction of urethra                         A  17.40   8.45NA   9.96NA   8.45     9.96     1.14  26.99  28.50  26.99  28.50  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54326  Reconstruction of urethra                         A  16.87   8.27NA   9.76NA   8.27     9.76     1.11  26.25  27.74  26.25  27.74  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54328  Revise penis/urethra                              A  16.74   7.90NA   9.87NA   7.90     9.87     0.98  25.62  27.59  25.62  27.59  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54332  Revise penis/urethra                              A  18.22   8.37NA  10.33NA   8.37    10.33     1.21  27.80  29.76  27.80  29.76  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54336  Revise penis/urethra                              A  21.44  10.72NA  12.03NA  10.72    12.03     2.21  34.37  35.68  34.37  35.68  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54340  Secondary urethral surgery                        A   9.58   5.40NA   6.50NA   5.40     6.50     0.63  15.61  16.71  15.61  16.71  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54344  Secondary urethral surgery                        A  16.91   8.29NA   9.93NA   8.29     9.93     1.54  26.74  28.38  26.74  28.38  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54348  Secondary urethral surgery                        A  18.17   7.84NA   6.33NA   7.84     6.33     1.23  27.24  25.73  27.24  25.73  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54352  Reconstruct urethra/penis                         A  25.95  11.85NA  13.90NA  11.85    13.90     2.25  40.05  42.10  40.05  42.10  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54360  Penis plastic surgery                             A  12.65   6.42NA   7.63NA   6.42     7.63     0.84  19.91  21.12  19.91  21.12  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54380  Repair penis                                      A  14.03   6.37NA   5.67NA   6.37     5.67     0.93  21.33  20.63  21.33  20.63  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54385  Repair penis                                      A  16.38   8.29NA   8.41NA   8.29     8.41     0.86  25.53  25.65  25.53  25.65  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54390  Repair penis and bladder                          A  22.59   8.90NA   7.41NA   8.90     7.41     1.54  33.03  31.54  33.03  31.54  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54400  Insert semi-rigid prosthesis                      A   9.09   4.72NA   5.87NA   4.72     5.87     0.64  14.45  15.60  14.45  15.60  0090.10.80.1020110             37.8975 090 99     0.00   0.00   0.00
54401  Insert self-contd prosthesis                      A  10.26   6.36NA   8.29NA   6.36     8.29     0.73  17.35  19.28  17.35  19.28  0090.10.80.1020110             37.8975 090 99     0.00   0.00   0.00
54405  Insert multi-comp penis pros                      A  14.39   6.51NA   8.32NA   6.51     8.32     0.95  21.85  23.66  21.85  23.66  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54406  Remove muti-comp penis pros                       A  12.76   6.01NA   7.79NA   6.01     7.79     0.86  19.63  21.41  19.63  21.41  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54408  Repair multi-comp penis pros                      A  13.73   6.39NA   8.40NA   6.39     8.40     0.90  21.02  23.03  21.02  23.03  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54410  Remove/replace penis prosth                       A  16.48   7.35NA   9.56NA   7.35     9.56     1.10  24.93  27.14  24.93  27.14  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54411  Remov/replc penis pros, comp                      A  18.14   7.93NA  10.63NA   7.93    10.63     1.13  27.20  29.90  27.20  29.90  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54415  Remove self-contd penis pros                      A   8.75   4.67NA   6.12NA   4.67     6.12     0.58  14.00  15.45  14.00  15.45  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54416  Remv/repl penis contain pros                      A  11.87   6.03NA   8.04NA   6.03     8.04     0.77  18.67  20.68  18.67  20.68  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54417  Remv/replc penis pros, compl                      A  15.94   6.95NA   9.33NA   6.95     9.33     1.00  23.89  26.27  23.89  26.27  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54420  Revision of penis                                 A  12.26   6.09NA   7.69NA   6.09     7.69     0.81  19.16  20.76  19.16  20.76  0090.10.80.1020200             37.8975 090 99     0.00   0.00   0.00
54430  Revision of penis                                 A  10.93   5.59NA   7.06NA   5.59     7.06     0.72  17.24  18.71  17.24  18.71  0090.10.80.1022200             37.8975 090 99     0.00   0.00   0.00
54435  Revision of penis                                 A   6.71   3.96NA   5.01NA   3.96     5.01     0.43  11.10  12.15  11.10  12.15  0090.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54440  Repair of penis                                   C   0.00   0.00NA   0.00NA   0.00     0.00     0.00   0.00   0.00   0.00   0.00  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
54450  Preputial stretching                              A   1.12   0.93     0.86     0.45     0.49     0.08   2.13   2.06   1.65   1.69  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
54500  Biopsy of testis                                  A   1.31   0.62NA   0.80NA   0.62     0.80     0.10   2.03   2.21   2.03   2.21  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
54505  Biopsy of testis                                  A   3.47   2.04NA   2.44NA   2.04     2.44     0.27   5.78   6.18   5.78   6.18  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
54512  Excise lesion testis                              A   9.23   4.53NA   5.77NA   4.53     5.77     0.67  14.43  15.67  14.43  15.67  0090.10.80.1021210             37.8975 090 99     0.00   0.00   0.00
54520  Removal of testis                                 A   5.25   3.03NA   3.78NA   3.03     3.78     0.50   8.78   9.53   8.78   9.53  0090.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
54522  Orchiectomy, partial                              A  10.15   5.10NA   5.82NA   5.10     5.82     0.89  16.14  16.86  16.14  16.86  0090.10.80.1021210             37.8975 090 99     0.00   0.00   0.00
54530  Removal of testis                                 A   9.31   4.72NA   6.19NA   4.72     6.19     0.66  14.69  16.16  14.69  16.16  0090.10.80.1021210             37.8975 090 99     0.00   0.00   0.00
54535  Extensive testis surgery                          A  13.06   6.07NA   7.67NA   6.07     7.67     0.95  20.08  21.68  20.08  21.68  0090.10.80.1021200             37.8975 090 99     0.00   0.00   0.00
54550  Exploration for testis                            A   8.31   4.21NA   5.42NA   4.21     5.42     0.59  13.11  14.32  13.11  14.32  0090.10.80.1021200             37.8975 090 99     0.00   0.00   0.00
54560  Exploration for testis                            A  11.97   5.45NA   6.34NA   5.45     6.34     0.90  18.32  19.21  18.32  19.21  0090.10.80.1021210             37.8975 090 99     0.00   0.00   0.00
54600  Reduce testis torsion                             A   7.54   3.96NA   5.23NA   3.96     5.23     0.51  12.01  13.28  12.01  13.28  0090.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
54620  Suspension of testis                              A   5.16   2.65NA   3.31NA   2.65     3.31     0.37   8.18   8.84   8.18   8.84  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
54640  Suspension of testis                              A   7.57   4.18NA   5.53NA   4.18     5.53     0.62  12.37  13.72  12.37  13.72  0090.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
54650  Orchiopexy (Fowler-Stephens)                      A  12.24   6.00NA   7.81NA   6.00     7.81     1.16  19.40  21.21  19.40  21.21  0090.10.80.1021200             37.8975 090 99     0.00   0.00   0.00
54660  Revision of testis                                A   5.64   3.36NA   4.47NA   3.36     4.47     0.44   9.44  10.55   9.44  10.55  0090.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
54670  Repair testis injury                              A   6.57   3.87NA   4.88NA   3.87     4.88     0.47  10.91  11.92  10.91  11.92  0090.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
54680  Relocation of testis(es)                          A  13.91   6.57NA   7.86NA   6.57     7.86     1.16  21.64  22.93  21.64  22.93  0090.10.80.1021210             37.8975 090 99     0.00   0.00   0.00
54690  Laparoscopy, orchiectomy                          A  11.60   5.26NA   6.24NA   5.26     6.24     1.02  17.88  18.86  17.88  18.86  0090.10.80.1021210             37.8975 090 99     0.00   0.00   0.00
54692  Laparoscopy, orchiopexy                           A  13.64   6.00NA   7.75NA   6.00     7.75     1.30  20.94  22.69  20.94  22.69  0090.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
54699  Laparoscope proc, testis                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
54700  Drainage of scrotum                               A   3.44   2.05NA   2.42NA   2.05     2.42     0.28   5.77   6.14   5.77   6.14  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54800  Biopsy of epididymis                              A   2.33   0.93NA   1.00NA   0.93     1.00     0.23   3.49   3.56   3.49   3.56  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
54830  Remove epididymis lesion                          A   5.91   3.39NA   4.51NA   3.39     4.51     0.41   9.71  10.83   9.71  10.83  0090.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
54840  Remove epididymis lesion                          A   5.22   3.05NA   3.87NA   3.05     3.87     0.37   8.64   9.46   8.64   9.46  0090.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54860  Removal of epididymis                             A   6.85   3.72NA   4.96NA   3.72     4.96     0.45  11.02  12.26  11.02  12.26  0090.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
54861  Removal of epididymis                             A   9.57   4.82NA   6.38NA   4.82     6.38     0.63  15.02  16.58  15.02  16.58  0090.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
54865  Explore epididymis                                A   5.67   3.29NA   4.35NA   3.29     4.35     0.40   9.36  10.42   9.36  10.42  0090.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
54900  Fusion of spermatic ducts                         A  14.05   5.64NA   5.23NA   5.64     5.23     0.93  20.62  20.21  20.62  20.21  0090.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
54901  Fusion of spermatic ducts                         A  18.92   7.28NA   6.57NA   7.28     6.57     1.83  28.03  27.32  28.03  27.32  0090.10.80.1022000             37.8975 090 99     0.00   0.00   0.00
55000  Drainage of hydrocele                             A   1.43   2.01     1.86     0.72     0.92     0.11   3.55   3.40   2.26   2.46  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
55040  Removal of hydrocele                              A   5.39   3.17NA   4.01NA   3.17     4.01     0.43   8.99   9.83   8.99   9.83  0090.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
55041  Removal of hydroceles                             A   8.41   4.42NA   5.78NA   4.42     5.78     0.60  13.43  14.79  13.43  14.79  0090.10.80.1022100             37.8975 090 99     0.00   0.00   0.00
55060  Repair of hydrocele                               A   6.05   3.43NA   4.50NA   3.43     4.50     0.46   9.94  11.01   9.94  11.01  0090.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
55100  Drainage of scrotum abscess                       A   2.40   3.63     3.51     1.70     2.13     0.17   6.20   6.08   4.27   4.70  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
55110  Explore scrotum                                   A   6.23   3.48NA   4.55NA   3.48     4.55     0.43  10.14  11.21  10.14  11.21  0090.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
55120  Removal of scrotum lesion                         A   5.62   3.29NA   4.33NA   3.29     4.33     0.39   9.30  10.34   9.30  10.34  0090.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
55150  Removal of scrotum                                A   8.01   4.26NA   5.53NA   4.26     5.53     0.56  12.83  14.10  12.83  14.10  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
55175  Revision of scrotum                               A   5.77   3.35NA   4.41NA   3.35     4.41     0.37   9.49  10.55   9.49  10.55  0090.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
55180  Revision of scrotum                               A  11.63   5.87NA   7.41NA   5.87     7.41     0.90  18.40  19.94  18.40  19.94  0090.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
55200  Incision of sperm duct                            A   4.50  11.29     8.24     2.63     3.40     0.33  16.12  13.07   7.46   8.23  0090.10.80.1022000             37.8975 090 99     0.00   0.00   0.00
55250  Removal of sperm duct(s)                          A   3.32  10.53     7.70     2.41     3.02     0.25  14.10  11.27   5.98   6.59  0090.10.80.1022100             37.8975 090 99     0.00   0.00   0.00
55300  Prepare, sperm duct x-ray                         A   3.50   1.39NA   1.61NA   1.39     1.61     0.25   5.14   5.36   5.14   5.36  0000.00.00.0022000             37.8975 090 99     0.00   0.00   0.00
55400  Repair of sperm duct                              A   8.53   4.43NA   5.56NA   4.43     5.56     0.64  13.60  14.73  13.60  14.73  0090.10.80.1021210             37.8975 090 99     0.00   0.00   0.00
55450  Ligation of sperm duct                            A   4.38   6.74     6.00     2.12     2.89     0.29  11.41  10.67   6.79   7.56  0010.10.80.1022000             37.8975 090 99     0.00   0.00   0.00
55500  Removal of hydrocele                              A   6.12   3.38NA   4.27NA   3.38     4.27     0.55  10.05  10.94  10.05  10.94  0090.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
55520  Removal of sperm cord lesion                      A   6.56   3.39NA   3.83NA   3.39     3.83     0.75  10.70  11.14  10.70  11.14  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
55530  Revise spermatic cord veins                       A   5.69   3.30NA   4.19NA   3.30     4.19     0.45   9.44  10.33   9.44  10.33  0090.10.80.1021110             37.8975 090 99     0.00   0.00   0.00
55535  Revise spermatic cord veins                       A   7.09   3.77NA   4.92NA   3.77     4.92     0.47  11.33  12.48  11.33  12.48  0090.10.80.1021210             37.8975 090 99     0.00   0.00   0.00
55540  Revise hernia & sperm veins                       A   8.20   3.92NA   4.30NA   3.92     4.30     0.94  13.06  13.44  13.06  13.44  0090.10.80.1021210             37.8975 090 99     0.00   0.00   0.00
55550  Laparo ligate spermatic vein                      A   7.10   3.62NA   4.60NA   3.62     4.60     0.57  11.29  12.27  11.29  12.27  0090.10.80.1021210             37.8975 090 99     0.00   0.00   0.00
55559  Laparo proc, spermatic cord                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
55600  Incise sperm duct pouch                           A   6.91   3.74NA   4.99NA   3.74     4.99     0.62  11.27  12.52  11.27  12.52  0090.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
55605  Incise sperm duct pouch                           A   8.63   4.45NA   4.95NA   4.45     4.95     0.64  13.72  14.22  13.72  14.22  0090.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
55650  Remove sperm duct pouch                           A  12.52   5.79NA   7.38NA   5.79     7.38     0.92  19.23  20.82  19.23  20.82  0090.10.80.1021210             37.8975 090 99     0.00   0.00   0.00
55680  Remove sperm pouch lesion                         A   5.59   3.20NA   3.91NA   3.20     3.91     0.47   9.26   9.97   9.26   9.97  0090.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
55700  Biopsy of prostate                                A   2.58   4.08     3.74     0.82     1.36     0.11   6.77   6.43   3.51   4.05  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
55705  Biopsy of prostate                                A   4.58   2.45NA   2.92NA   2.45     2.92     0.32   7.35   7.82   7.35   7.82  0010.10.80.1020110             37.8975 090 99     0.00   0.00   0.00
55720  Drainage of prostate abscess                      A   7.67   4.08NA   4.87NA   4.08     4.87     0.95  12.70  13.49  12.70  13.49  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
55725  Drainage of prostate abscess                      A   9.90   4.95NA   6.37NA   4.95     6.37     0.70  15.55  16.97  15.55  16.97  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
55801  Removal of prostate                               A  19.62   8.40NA  10.80NA   8.40    10.80     1.34  29.36  31.76  29.36  31.76  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
55810  Extensive prostate surgery                        A  24.14   9.86NA  12.66NA   9.86    12.66     1.60  35.60  38.40  35.60  38.40  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
55812  Extensive prostate surgery                        A  29.69  12.04NA  15.26NA  12.04    15.26     2.05  43.78  47.00  43.78  47.00  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
55815  Extensive prostate surgery                        A  32.75  13.09NA  16.73NA  13.09    16.73     2.17  48.01  51.65  48.01  51.65  0090.10.80.1022210             37.8975 090 99     0.00   0.00   0.00
55821  Removal of prostate                               A  15.63   6.87NA   8.89NA   6.87     8.89     1.01  23.51  25.53  23.51  25.53  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
55831  Removal of prostate                               A  17.06   7.35NA   9.49NA   7.35     9.49     1.10  25.51  27.65  25.51  27.65  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
55840  Extensive prostate surgery                        A  24.45  10.19NA  12.99NA  10.19    12.99     1.61  36.25  39.05  36.25  39.05  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
55842  Extensive prostate surgery                        A  26.31  10.83NA  13.85NA  10.83    13.85     1.73  38.87  41.89  38.87  41.89  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
55845  Extensive prostate surgery                        A  30.52  12.01NA  15.29NA  12.01    15.29     2.03  44.56  47.84  44.56  47.84  0090.10.80.1022210             37.8975 090 99     0.00   0.00   0.00
55860  Surgical exposure, prostate                       A  15.71   7.00NA   8.84NA   7.00     8.84     1.02  23.73  25.57  23.73  25.57  0090.10.80.1020110             37.8975 090 99     0.00   0.00   0.00
55862  Extensive prostate surgery                        A  19.89   8.62NA  10.98NA   8.62    10.98     1.49  30.00  32.36  30.00  32.36  0090.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
55865  Extensive prostate surgery                        A  24.39  10.22NA  13.14NA  10.22    13.14     1.63  36.24  39.16  36.24  39.16  0090.10.80.1022210             37.8975 090 99     0.00   0.00   0.00
55866  Laparo radical prostatectomy                      A  32.25  12.87NA  16.38NA  12.87    16.38     2.17  47.29  50.80  47.29  50.80  0090.08.83.0920210             37.8975 090 99     0.00   0.00   0.00
55870  Electroejaculation                                A   2.58   1.77     2.47     1.18     1.46     0.16   4.51   5.21   3.92   4.20  0000.00.00.0020110             37.8975 090 99     0.00   0.00   0.00
55873  Cryoablate prostate                               A  20.25   9.59NA  11.57NA   9.59    11.57     1.38  31.22  33.20  31.22  33.20  0090.08.83.0920100             37.8975 090 99     0.00   0.00   0.00
55875  Transperi needle place, pros                      A  13.31   6.38NA   8.03NA   6.38     8.03     0.89  20.58  22.23  20.58  22.23  0090.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
55876  Place rt device/marker, pros                      A   1.73   2.04     2.04     1.03     1.03     0.28   4.05   4.05   3.04   3.04  0000.00.00.0020111             37.8975 090 99     0.00   0.00   0.00
55899  Genital surgery procedure                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020111             37.8975 090 99     0.00   0.00   0.00
55970  Sex transformation, M to F                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
55980  Sex transformation, F to M                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
56405  I & D of vulva/perineum                           A   1.46   1.29     1.17     1.14     1.15     0.17   2.92   2.80   2.77   2.78  0010.10.80.1020120             37.8975 090 99     0.00   0.00   0.00
56420  Drainage of gland abscess                         A   1.41   2.08     1.50     0.97     0.77     0.16   3.65   3.07   2.54   2.34  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
56440  Surgery for vulva lesion                          A   2.86   1.68NA   1.58NA   1.68     1.58     0.34   4.88   4.78   4.88   4.78  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
56441  Lysis of labial lesion(s)                         A   1.99   1.79     1.71     1.45     1.56     0.20   3.98   3.90   3.64   3.75  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
56442  Hymenotomy                                        A   0.68   0.51NA   0.51NA   0.51     0.51     0.08   1.27   1.27   1.27   1.27  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
56501  Destroy, vulva lesions, sim                       A   1.55   1.74     1.63     1.24     1.22     0.18   3.47   3.36   2.97   2.95  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
56515  Destroy vulva lesion/s compl                      A   3.03   2.50     2.36     1.79     1.72     0.33   5.86   5.72   5.15   5.08  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
56605  Biopsy of vulva/perineum                          A   1.10   1.03     0.90     0.43     0.35     0.13   2.26   2.13   1.66   1.58  0000.00.00.0020120             37.8975 090 99     0.00   0.00   0.00
56606  Biopsy of vulva/perineum                          A   0.55   0.46     0.36     0.20     0.15     0.07   1.08   0.98   0.82   0.77  0ZZZ.00.00.0000120             37.8975 090 99     0.00   0.00   0.00
56620  Partial removal of vulva                          A   8.44   4.70NA   4.41NA   4.70     4.41     0.90  14.04  13.75  14.04  13.75  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
56625  Complete removal of vulva                         A   9.55   5.18NA   4.78NA   5.18     4.78     1.02  15.75  15.35  15.75  15.35  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
56630  Extensive vulva surgery                           A  14.67   6.70NA   6.31NA   6.70     6.31     1.49  22.86  22.47  22.86  22.47  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
56631  Extensive vulva surgery                           A  18.81   8.54NA   7.77NA   8.54     7.77     1.96  29.31  28.54  29.31  28.54  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
56632  Extensive vulva surgery                           A  21.61   9.47NA   9.36NA   9.47     9.36     2.39  33.47  33.36  33.47  33.36  0090.12.74.1422220             37.8975 090 99     0.00   0.00   0.00
56633  Extensive vulva surgery                           A  19.47   8.40NA   7.82NA   8.40     7.82     1.98  29.85  29.27  29.85  29.27  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
56634  Extensive vulva surgery                           A  20.48   9.12NA   8.22NA   9.12     8.22     2.17  31.77  30.87  31.77  30.87  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
56637  Extensive vulva surgery                           A  24.57  10.62NA   9.28NA  10.62     9.28     2.61  37.80  36.46  37.80  36.46  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
56640  Extensive vulva surgery                           A  24.65  10.23NA   9.10NA  10.23     9.10     2.89  37.77  36.64  37.77  36.64  0090.12.74.1421210             37.8975 090 99     0.00   0.00   0.00
56700  Partial removal of hymen                          A   2.79   1.81NA   1.76NA   1.81     1.76     0.30   4.90   4.85   4.90   4.85  0010.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
56740  Remove vagina gland lesion                        A   4.83   2.50NA   2.30NA   2.50     2.30     0.56   7.89   7.69   7.89   7.69  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
56800  Repair of vagina                                  A   3.90   2.14NA   1.99NA   2.14     1.99     0.44   6.48   6.33   6.48   6.33  0010.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
56805  Repair clitoris                                   A  19.75   9.39NA   9.31NA   9.39     9.31     2.15  31.29  31.21  31.29  31.21  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
56810  Repair of perineum                                A   4.26   2.23NA   2.05NA   2.23     2.05     0.49   6.98   6.80   6.98   6.80  0010.10.80.1020220             37.8975 090 99     0.00   0.00   0.00
56820  Exam of vulva w/scope                             A   1.50   1.28     1.19     0.62     0.53     0.18   2.96   2.87   2.30   2.21  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
56821  Exam/biopsy of vulva w/scope                      A   2.05   1.69     1.52     0.86     0.69     0.25   3.99   3.82   3.16   2.99  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
57000  Exploration of vagina                             A   2.99   1.72NA   1.71NA   1.72     1.71     0.31   5.02   5.01   5.02   5.01  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
57010  Drainage of pelvic abscess                        A   6.74   3.81NA   3.82NA   3.81     3.82     0.71  11.26  11.27  11.26  11.27  0090.12.74.1420000             37.8975 090 99     0.00   0.00   0.00
57020  Drainage of pelvic fluid                          A   1.50   0.89     0.75     0.55     0.44     0.18   2.57   2.43   2.23   2.12  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
57022  I & d vaginal hematoma, pp                        A   2.70   1.48NA   1.43NA   1.48     1.43     0.26   4.44   4.39   4.44   4.39  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
57023  I & d vag hematoma, non-ob                        A   5.13   2.53NA   2.39NA   2.53     2.39     0.58   8.24   8.10   8.24   8.10  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
57061  Destroy vag lesions, simple                       A   1.27   1.61     1.50     1.12     1.11     0.15   3.03   2.92   2.54   2.53  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
57065  Destroy vag lesions, complex                      A   2.63   2.22     2.01     1.63     1.49     0.31   5.16   4.95   4.57   4.43  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
57100  Biopsy of vagina                                  A   1.20   1.04     0.92     0.45     0.37     0.14   2.38   2.26   1.79   1.71  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
57105  Biopsy of vagina                                  A   1.71   1.74     1.58     1.40     1.33     0.20   3.65   3.49   3.31   3.24  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
57106  Remove vagina wall, partial                       A   7.35   4.20NA   4.25NA   4.20     4.25     0.73  12.28  12.33  12.28  12.33  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57107  Remove vagina tissue, part                        A  24.43  10.12NA   9.10NA  10.12     9.10     2.72  37.27  36.25  37.27  36.25  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57109  Vaginectomy partial w/nodes                       A  28.25  11.03NA  10.40NA  11.03    10.40     3.22  42.50  41.87  42.50  41.87  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
57110  Remove vagina wall, complete                      A  15.38   7.01NA   6.22NA   7.01     6.22     1.74  24.13  23.34  24.13  23.34  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57111  Remove vagina tissue, compl                       A  28.25  12.02NA  10.26NA  12.02    10.26     3.18  43.45  41.69  43.45  41.69  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
57112  Vaginectomy w/nodes, compl                        A  30.37  11.99NA  11.67NA  11.99    11.67     3.08  45.44  45.12  45.44  45.12  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
57120  Closure of vagina                                 A   8.18   4.49NA   4.17NA   4.49     4.17     0.89  13.56  13.24  13.56  13.24  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57130  Remove vagina lesion                              A   2.44   2.11     1.97     1.53     1.48     0.29   4.84   4.70   4.26   4.21  0010.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
57135  Remove vagina lesion                              A   2.68   2.20     2.01     1.62     1.52     0.31   5.19   5.00   4.61   4.51  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
57150  Treat vagina infection                            A   0.55   0.97     0.57     0.20     0.15     0.07   1.59   1.19   0.82   0.77  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
57155  Insert uteri tandems/ovoids                       A   6.79   4.30NA   3.53NA   4.30     3.53     0.43  11.52  10.75  11.52  10.75  0090.12.74.1420100             37.8975 090 99     0.00   0.00   0.00
57160  Insert pessary/other device                       A   0.89   1.02     1.03     0.32     0.26     0.10   2.01   2.02   1.31   1.25  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
57170  Fitting of diaphragm/cap                          A   0.91   1.25     0.56     0.31     0.25     0.11   2.27   1.58   1.33   1.27  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
57180  Treat vaginal bleeding                            A   1.60   2.08     1.83     1.18     0.92     0.19   3.87   3.62   2.97   2.71  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
57200  Repair of vagina                                  A   4.34   2.90NA   2.93NA   2.90     2.93     0.46   7.70   7.73   7.70   7.73  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57210  Repair vagina/perineum                            A   5.63   3.39NA   3.25NA   3.39     3.25     0.62   9.64   9.50   9.64   9.50  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57220  Revision of urethra                               A   4.77   3.08NA   3.00NA   3.08     3.00     0.51   8.36   8.28   8.36   8.28  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57230  Repair of urethral lesion                         A   6.22   3.49NA   3.77NA   3.49     3.77     0.54  10.25  10.53  10.25  10.53  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57240  Repair bladder & vagina                           A  11.42   4.22NA   5.46NA   4.22     5.46     0.62  16.26  17.50  16.26  17.50  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57250  Repair rectum & vagina                            A  11.42   3.93NA   5.01NA   3.93     5.01     0.65  16.00  17.08  16.00  17.08  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57260  Repair of vagina                                  A  14.36   5.08NA   5.82NA   5.08     5.82     0.97  20.41  21.15  20.41  21.15  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57265  Extensive repair of vagina                        A  15.86   6.10NA   6.29NA   6.10     6.29     1.32  23.28  23.47  23.28  23.47  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57267  Insert mesh/pelvic flr addon                      A   4.88   1.86NA   1.53NA   1.86     1.53     0.64   7.38   7.05   7.38   7.05  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
57268  Repair of bowel bulge                             A   7.47   4.21NA   4.28NA   4.21     4.28     0.79  12.47  12.54  12.47  12.54  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57270  Repair of bowel pouch                             A  13.57   6.10NA   5.68NA   6.10     5.68     1.42  21.09  20.67  21.09  20.67  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57280  Suspension of vagina                              A  16.62   7.27NA   7.01NA   7.27     7.01     1.68  25.57  25.31  25.57  25.31  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57282  Colpopexy, extraperitoneal                        A   7.84   4.48NA   4.40NA   4.48     4.40     1.02  13.34  13.26  13.34  13.26  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57283  Colpopexy, intraperitoneal                        A  11.58   5.74NA   5.21NA   5.74     5.21     1.02  18.34  17.81  18.34  17.81  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57284  Repair paravaginal defect                         A  13.51   7.04NA   6.75NA   7.04     6.75     1.41  21.96  21.67  21.96  21.67  0090.08.83.0920220             37.8975 090 99     0.00   0.00   0.00
57287  Revise/remove sling repair                        A  11.49   5.73NA   6.50NA   5.73     6.50     0.90  18.12  18.89  18.12  18.89  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57288  Repair bladder defect                             A  14.01   6.21NA   7.13NA   6.21     7.13     1.12  21.34  22.26  21.34  22.26  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57289  Repair bladder & vagina                           A  12.69   6.08NA   6.21NA   6.08     6.21     1.21  19.98  20.11  19.98  20.11  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57291  Construction of vagina                            A   8.54   4.78NA   4.37NA   4.78     4.37     0.93  14.25  13.84  14.25  13.84  0090.12.74.1420200             37.8975 090 99     0.00   0.00   0.00
57292  Construct vagina with graft                       A  13.91   6.71NA   6.06NA   6.71     6.06     1.58  22.20  21.55  22.20  21.55  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57295  Revise vag graft via vagina                       A   7.74   4.33NA   4.01NA   4.33     4.01     0.91  12.98  12.66  12.98  12.66  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57296  Revise vag graft, open abd                        A  16.46   6.75NA   6.75NA   6.75     6.75     1.68  24.89  24.89  24.89  24.89  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57300  Repair rectum-vagina fistula                      A   8.58   4.33NA   4.47NA   4.33     4.47     0.87  13.78  13.92  13.78  13.92  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57305  Repair rectum-vagina fistula                      A  15.24   6.24NA   6.19NA   6.24     6.19     1.73  23.21  23.16  23.21  23.16  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57307  Fistula repair & colostomy                        A  17.02   7.00NA   7.02NA   7.00     7.02     2.02  26.04  26.06  26.04  26.06  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57308  Fistula repair, transperine                       A  10.48   5.04NA   4.90NA   5.04     4.90     1.14  16.66  16.52  16.66  16.52  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57310  Repair urethrovaginal lesion                      A   7.55   4.15NA   5.12NA   4.15     5.12     0.54  12.24  13.21  12.24  13.21  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57311  Repair urethrovaginal lesion                      A   8.81   4.39NA   5.22NA   4.39     5.22     0.65  13.85  14.68  13.85  14.68  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57320  Repair bladder-vagina lesion                      A   8.78   4.62NA   5.41NA   4.62     5.41     0.69  14.09  14.88  14.09  14.88  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57330  Repair bladder-vagina lesion                      A  13.11   6.09NA   7.25NA   6.09     7.25     1.06  20.26  21.42  20.26  21.42  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57335  Repair vagina                                     A  19.87   9.03NA   9.05NA   9.03     9.05     1.92  30.82  30.84  30.82  30.84  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57400  Dilation of vagina                                A   2.27   1.08NA   0.98NA   1.08     0.98     0.26   3.61   3.51   3.61   3.51  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
57410  Pelvic examination                                A   1.75   0.90NA   0.92NA   0.90     0.92     0.18   2.83   2.85   2.83   2.85  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
57415  Remove vaginal foreign body                       A   2.44   1.44NA   1.50NA   1.44     1.50     0.24   4.12   4.18   4.12   4.18  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
57420  Exam of vagina w/scope                            A   1.60   1.32     1.23     0.65     0.57     0.19   3.11   3.02   2.44   2.36  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
57421  Exam/biopsy of vag w/scope                        A   2.20   1.78     1.59     0.90     0.73     0.27   4.25   4.06   3.37   3.20  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
57425  Laparoscopy, surg, colpopexy                      A  16.93   6.71NA   6.96NA   6.71     6.96     1.76  25.40  25.65  25.40  25.65  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57452  Exam of cervix w/scope                            A   1.50   1.25     1.17     0.76     0.74     0.18   2.93   2.85   2.44   2.42  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
57454  Bx/curett of cervix w/scope                       A   2.33   1.58     1.39     1.10     0.96     0.28   4.19   4.00   3.71   3.57  0000.00.00.0030100       57452 37.8975 090 99     0.00   0.00   0.00
57455  Biopsy of cervix w/scope                          A   1.99   1.66     1.49     0.82     0.66     0.24   3.89   3.72   3.05   2.89  0000.00.00.0030100       57452 37.8975 090 99     0.00   0.00   0.00
57456  Endocerv curettage w/scope                        A   1.85   1.60     1.45     0.77     0.63     0.22   3.67   3.52   2.84   2.70  0000.00.00.0030100       57452 37.8975 090 99     0.00   0.00   0.00
57460  Bx of cervix w/scope, leep                        A   2.83   5.45     4.26     1.31     1.10     0.34   8.62   7.43   4.48   4.27  0000.00.00.0030100       57452 37.8975 090 99     0.00   0.00   0.00
57461  Conz of cervix w/scope, leep                      A   3.43   5.71     4.55     1.37     1.07     0.41   9.55   8.39   5.21   4.91  0000.00.00.0030100       57452 37.8975 090 99     0.00   0.00   0.00
57500  Biopsy of cervix                                  A   1.20   2.40     1.99     0.63     0.64     0.12   3.72   3.31   1.95   1.96  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
57505  Endocervical curettage                            A   1.16   1.42     1.30     1.09     1.06     0.14   2.72   2.60   2.39   2.36  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
57510  Cauterization of cervix                           A   1.90   1.50     1.30     1.01     0.90     0.23   3.63   3.43   3.14   3.03  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
57511  Cryocautery of cervix                             A   1.92   1.76     1.59     1.34     1.26     0.23   3.91   3.74   3.49   3.41  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
57513  Laser surgery of cervix                           A   1.92   1.68     1.56     1.37     1.27     0.23   3.83   3.71   3.52   3.42  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
57520  Conization of cervix                              A   4.06   3.79     3.35     2.78     2.50     0.49   8.34   7.90   7.33   7.05  0090.12.74.1420100             37.8975 090 99     0.00   0.00   0.00
57522  Conization of cervix                              A   3.62   3.05     2.75     2.40     2.25     0.41   7.08   6.78   6.43   6.28  0090.12.74.1420100             37.8975 090 99     0.00   0.00   0.00
57530  Removal of cervix                                 A   5.19   3.31NA   3.09NA   3.31     3.09     0.58   9.08   8.86   9.08   8.86  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57531  Removal of cervix, radical                        A  29.77  12.56NA  10.74NA  12.56    10.74     3.35  45.68  43.86  45.68  43.86  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
57540  Removal of residual cervix                        A  13.19   6.08NA   5.61NA   6.08     5.61     1.49  20.76  20.29  20.76  20.29  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57545  Remove cervix/repair pelvis                       A  14.00   6.56NA   6.21NA   6.56     6.21     1.52  22.08  21.73  22.08  21.73  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57550  Removal of residual cervix                        A   6.24   3.77NA   3.62NA   3.77     3.62     0.67  10.68  10.53  10.68  10.53  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57555  Remove cervix/repair vagina                       A   9.84   5.00NA   4.76NA   5.00     4.76     1.09  15.93  15.69  15.93  15.69  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57556  Remove cervix, repair bowel                       A   9.26   4.80NA   4.66NA   4.80     4.66     0.92  14.98  14.84  14.98  14.84  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
57558  D&c of cervical stump                             A   1.69   1.44     1.34     1.12     1.05     0.20   3.33   3.23   3.01   2.94  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
57700  Revision of cervix                                A   4.22   3.14NA   3.27NA   3.14     3.27     0.41   7.77   7.90   7.77   7.90  0090.12.74.1420000             37.8975 090 99     0.00   0.00   0.00
57720  Revision of cervix                                A   4.53   3.05NA   2.89NA   3.05     2.89     0.49   8.07   7.91   8.07   7.91  0090.12.74.1420200             37.8975 090 99     0.00   0.00   0.00
57800  Dilation of cervical canal                        A   0.77   0.75     0.70     0.46     0.41     0.09   1.61   1.56   1.32   1.27  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
58100  Biopsy of uterus lining                           A   1.53   1.27     1.12     0.69     0.58     0.18   2.98   2.83   2.40   2.29  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
58110  Bx done w/colposcopy add-on                       A   0.77   0.51     0.39     0.29     0.21     0.09   1.37   1.25   1.15   1.07  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
58120  Dilation and curettage                            A   3.54   2.40     2.68     1.82     1.65     0.39   6.33   6.61   5.75   5.58  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
58140  Myomectomy abdom method                           A  15.69   6.88NA   6.21NA   6.88     6.21     1.82  24.39  23.72  24.39  23.72  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58145  Myomectomy vag method                             A   8.81   4.65NA   4.24NA   4.65     4.24     0.97  14.43  14.02  14.43  14.02  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58146  Myomectomy abdom complex                          A  20.24   8.58NA   7.30NA   8.58     7.30     2.33  31.15  29.87  31.15  29.87  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58150  Total hysterectomy                                A  17.21   7.25NA   6.55NA   7.25     6.55     1.85  26.31  25.61  26.31  25.61  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58152  Total hysterectomy                                A  21.73   9.42NA   8.12NA   9.42     8.12     2.48  33.63  32.33  33.63  32.33  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58180  Partial hysterectomy                              A  16.50   7.17NA   6.34NA   7.17     6.34     1.64  25.31  24.48  25.31  24.48  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58200  Extensive hysterectomy                            A  23.00   9.54NA   8.18NA   9.54     8.18     2.55  35.09  33.73  35.09  33.73  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58210  Extensive hysterectomy                            A  30.76  12.59NA  10.77NA  12.59    10.77     3.38  46.73  44.91  46.73  44.91  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58240  Removal of pelvis contents                        A  49.02  17.65NA  17.78NA  17.65    17.78     4.23  70.90  71.03  70.90  71.03  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58260  Vaginal hysterectomy                              A  14.02   6.46NA   5.78NA   6.46     5.78     1.57  22.05  21.37  22.05  21.37  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58262  Vag hyst including t/o                            A  15.81   7.10NA   6.25NA   7.10     6.25     1.80  24.71  23.86  24.71  23.86  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
58263  Vag hyst w/t/o & vag repair                       A  17.10   7.57NA   6.62NA   7.57     6.62     1.95  26.62  25.67  26.62  25.67  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
58267  Vag hyst w/urinary repair                         A  18.23   8.03NA   7.01NA   8.03     7.01     2.07  28.33  27.31  28.33  27.31  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58270  Vag hyst w/enterocele repair                      A  15.20   6.78NA   5.94NA   6.78     5.94     1.74  23.72  22.88  23.72  22.88  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58275  Hysterectomy/revise vagina                        A  16.90   7.49NA   6.66NA   7.49     6.66     1.92  26.31  25.48  26.31  25.48  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58280  Hysterectomy/revise vagina                        A  18.20   7.95NA   7.03NA   7.95     7.03     2.07  28.22  27.30  28.22  27.30  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58285  Extensive hysterectomy                            A  23.30   9.47NA   8.05NA   9.47     8.05     2.71  35.48  34.06  35.48  34.06  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58290  Vag hyst complex                                  A  20.17   8.69NA   7.38NA   8.69     7.38     2.30  31.16  29.85  31.16  29.85  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58291  Vag hyst incl t/o, complex                        A  21.96   9.36NA   7.81NA   9.36     7.81     2.53  33.85  32.30  33.85  32.30  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
58292  Vag hyst t/o & repair, compl                      A  23.25   9.84NA   8.29NA   9.84     8.29     2.68  35.77  34.22  35.77  34.22  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
58293  Vag hyst w/uro repair, compl                      A  24.23  10.11NA   8.48NA  10.11     8.48     2.79  37.13  35.50  37.13  35.50  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58294  Vag hyst w/enterocele, compl                      A  21.45   8.97NA   7.24NA   8.97     7.24     2.40  32.82  31.09  32.82  31.09  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58300  Insert intrauterine device                        N+  1.01   1.22     0.62     0.34     0.23     0.12   2.35   1.75   1.47   1.36  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
58301  Remove intrauterine device                        A   1.27   1.25     1.04     0.45     0.35     0.15   2.67   2.46   1.87   1.77  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
58321  Artificial insemination                           A   0.92   1.10     0.96     0.34     0.25     0.10   2.12   1.98   1.36   1.27  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
58322  Artificial insemination                           A   1.10   1.16     1.03     0.39     0.31     0.13   2.39   2.26   1.62   1.54  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
58323  Sperm washing                                     A   0.23   0.44     0.15     0.09     0.07     0.03   0.70   0.41   0.35   0.33  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
58340  Catheter for hysterography                        A   0.88   2.90     2.11     0.63     0.55     0.09   3.87   3.08   1.60   1.52  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
58345  Reopen fallopian tube                             A   4.67   2.33NA   2.04NA   2.33     2.04     0.41   7.41   7.12   7.41   7.12  0010.10.80.1021220             37.8975 090 99     0.00   0.00   0.00
58346  Insert heyman uteri capsule                       A   7.48   3.89NA   3.81NA   3.89     3.81     0.56  11.93  11.85  11.93  11.85  0090.12.74.1420100             37.8975 090 99     0.00   0.00   0.00
58350  Reopen fallopian tube                             A   1.03   1.45     1.32     0.91     0.87     0.12   2.60   2.47   2.06   2.02  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
58353  Endometr ablate, thermal                          A   3.57  32.41    22.66     1.97     1.71     0.43  36.41  26.66   5.97   5.71  0010.10.80.1021220             37.8975 090 99     0.00   0.00   0.00
58356  Endometrial cryoablation                          A   6.36  56.80    42.90     2.48     1.85     0.82  63.98  50.08   9.66   9.03  0010.10.80.1021220             37.8975 090 99     0.00   0.00   0.00
58400  Suspension of uterus                              A   7.06   3.90NA   3.82NA   3.90     3.82     0.75  11.71  11.63  11.71  11.63  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58410  Suspension of uterus                              A  13.70   6.29NA   5.88NA   6.29     5.88     1.45  21.44  21.03  21.44  21.03  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58520  Repair of ruptured uterus                         A  13.38   5.89NA   5.45NA   5.89     5.45     1.47  20.74  20.30  20.74  20.30  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58540  Revision of uterus                                A  15.61   6.76NA   6.20NA   6.76     6.20     1.79  24.16  23.60  24.16  23.60  0090.12.74.1420200             37.8975 090 99     0.00   0.00   0.00
58541  Lsh, uterus 250 g or less                         A  14.57   6.14NA   6.14NA   6.14     6.14     1.68  22.39  22.39  22.39  22.39  0090.12.74.1430220       49320 37.8975 090 99     0.00   0.00   0.00
58542  Lsh w/t/o ut 250 g or less                        A  16.43   6.66NA   6.66NA   6.66     6.66     1.69  24.78  24.78  24.78  24.78  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
58543  Lsh uterus above 250 g                            A  16.74   6.73NA   6.73NA   6.73     6.73     1.73  25.20  25.20  25.20  25.20  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
58544  Lsh w/t/o uterus above 250 g                      A  18.24   7.16NA   7.16NA   7.16     7.16     1.89  27.29  27.29  27.29  27.29  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
58545  Laparoscopic myomectomy                           A  15.45   6.87NA   5.93NA   6.87     5.93     1.78  24.10  23.16  24.10  23.16  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
58546  Laparo-myomectomy, complex                        A  19.84   8.46NA   7.10NA   8.46     7.10     2.31  30.61  29.25  30.61  29.25  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
58548  Lap radical hyst                                  A  31.45  12.74NA  12.74NA  12.74    12.74     3.52  47.71  47.71  47.71  47.71  0090.12.74.1422220             37.8975 090 99     0.00   0.00   0.00
58550  Laparo-asst vag hysterectomy                      A  14.97   7.01NA   6.16NA   7.01     6.16     1.73  23.71  22.86  23.71  22.86  0090.12.74.1430220       49320 37.8975 090 99     0.00   0.00   0.00
58552  Laparo-vag hyst incl t/o                          A  16.78   7.66NA   6.59NA   7.66     6.59     1.73  26.17  25.10  26.17  25.10  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
58553  Laparo-vag hyst, complex                          A  19.96   8.47NA   7.13NA   8.47     7.13     2.31  30.74  29.40  30.74  29.40  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
58554  Laparo-vag hyst w/t/o, compl                      A  22.98   9.88NA   8.33NA   9.88     8.33     2.28  35.14  33.59  35.14  33.59  0090.12.74.1420220             37.8975 090 99     0.00   0.00   0.00
58555  Hysteroscopy, dx, sep proc                        A   3.33   2.32     2.72     1.47     1.24     0.40   6.05   6.45   5.20   4.97  0000.00.00.0020020             37.8975 090 99     0.00   0.00   0.00
58558  Hysteroscopy, biopsy                              A   4.74   2.52     3.57     2.05     1.67     0.57   7.83   8.88   7.36   6.98  0000.00.00.0030120       58555 37.8975 090 99     0.00   0.00   0.00
58559  Hysteroscopy, lysis                               A   6.16   2.56NA   2.05NA   2.56     2.05     0.74   9.46   8.95   9.46   8.95  0000.00.00.0030120       58555 37.8975 090 99     0.00   0.00   0.00
58560  Hysteroscopy, resect septum                       A   6.99   2.88NA   2.29NA   2.88     2.29     0.84  10.71  10.12  10.71  10.12  0000.00.00.0030220       58555 37.8975 090 99     0.00   0.00   0.00
58561  Hysteroscopy, remove myoma                        A   9.99   4.00NA   3.14NA   4.00     3.14     1.21  15.20  14.34  15.20  14.34  0000.00.00.0030020       58555 37.8975 090 99     0.00   0.00   0.00
58562  Hysteroscopy, remove fb                           A   5.20   2.63     3.48     2.21     1.77     0.63   8.46   9.31   8.04   7.60  0000.00.00.0030120       58555 37.8975 090 99     0.00   0.00   0.00
58563  Hysteroscopy, ablation                            A   6.16  51.38    36.94     2.58     2.06     0.74  58.28  43.84   9.48   8.96  0000.00.00.0030020       58555 37.8975 090 99     0.00   0.00   0.00
58565  Hysteroscopy, sterilization                       A   7.06  45.68    34.05     3.77     3.36     1.19  53.93  42.30  12.02  11.61  0090.12.74.1432120       58555 37.8975 090 99     0.00   0.00   0.00
58578  Laparo proc, uterus                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
58579  Hysteroscope procedure                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
58600  Division of fallopian tube                        A   5.86   3.23NA   2.91NA   3.23     2.91     0.66   9.75   9.43   9.75   9.43  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58605  Division of fallopian tube                        A   5.25   3.00NA   2.67NA   3.00     2.67     0.59   8.84   8.51   8.84   8.51  0090.12.74.1422200             37.8975 090 99     0.00   0.00   0.00
58611  Ligate oviduct(s) add-on                          A   1.45   0.53NA   0.40NA   0.53     0.40     0.18   2.16   2.03   2.16   2.03  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
58615  Occlude fallopian tube(s)                         A   3.91   2.52NA   1.98NA   2.52     1.98     0.47   6.90   6.36   6.90   6.36  0010.10.80.1020200             37.8975 090 99     0.00   0.00   0.00
58660  Laparoscopy, lysis                                A  11.54   5.07NA   4.52NA   5.07     4.52     1.40  18.01  17.46  18.01  17.46  0090.09.84.0730220       49320 37.8975 090 99     0.00   0.00   0.00
58661  Laparoscopy, remove adnexa                        A  11.30   4.84NA   4.01NA   4.84     4.01     1.34  17.48  16.65  17.48  16.65  0010.10.80.1030220       49320 37.8975 090 99     0.00   0.00   0.00
58662  Laparoscopy, excise lesions                       A  12.08   5.53NA   4.78NA   5.53     4.78     1.43  19.04  18.29  19.04  18.29  0090.09.84.0730220       49320 37.8975 090 99     0.00   0.00   0.00
58670  Laparoscopy, tubal cautery                        A   5.86   3.19NA   2.95NA   3.19     2.95     0.67   9.72   9.48   9.72   9.48  0090.10.80.1030120       49320 37.8975 090 99     0.00   0.00   0.00
58671  Laparoscopy, tubal block                          A   5.86   3.19NA   2.94NA   3.19     2.94     0.68   9.73   9.48   9.73   9.48  0090.10.80.1030120       49320 37.8975 090 99     0.00   0.00   0.00
58672  Laparoscopy, fimbrioplasty                        A  12.88   5.82NA   4.75NA   5.82     4.75     1.60  20.30  19.23  20.30  19.23  0090.10.80.1031200       49320 37.8975 090 99     0.00   0.00   0.00
58673  Laparoscopy, salpingostomy                        A  13.99   6.23NA   5.19NA   6.23     5.19     1.70  21.92  20.88  21.92  20.88  0090.10.80.1031200       49320 37.8975 090 99     0.00   0.00   0.00
58679  Laparo proc, oviduct-ovary                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
58700  Removal of fallopian tube                         A  12.84   5.87NA   5.53NA   5.87     5.53     1.51  20.22  19.88  20.22  19.88  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58720  Removal of ovary/tube(s)                          A  12.08   5.60NA   5.10NA   5.60     5.10     1.39  19.07  18.57  19.07  18.57  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58740  Revise fallopian tube(s)                          A  14.79   6.87NA   6.07NA   6.87     6.07     1.72  23.38  22.58  23.38  22.58  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58750  Repair oviduct                                    A  15.56   7.04NA   6.08NA   7.04     6.08     1.85  24.45  23.49  24.45  23.49  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58752  Revise ovarian tube(s)                            A  15.56   6.71NA   6.00NA   6.71     6.00     1.81  24.08  23.37  24.08  23.37  0090.12.74.1420200             37.8975 090 99     0.00   0.00   0.00
58760  Remove tubal obstruction                          A  13.85   6.44NA   5.61NA   6.44     5.61     1.80  22.09  21.26  22.09  21.26  0090.12.74.1421210             37.8975 090 99     0.00   0.00   0.00
58770  Create new tubal opening                          A  14.69   6.62NA   5.76NA   6.62     5.76     1.74  23.05  22.19  23.05  22.19  0090.12.74.1421200             37.8975 090 99     0.00   0.00   0.00
58800  Drainage of ovarian cyst(s)                       A   4.54   3.51     3.10     2.83     2.60     0.43   8.48   8.07   7.80   7.57  0090.12.74.1422100             37.8975 090 99     0.00   0.00   0.00
58805  Drainage of ovarian cyst(s)                       A   6.34   3.48NA   3.40NA   3.48     3.40     0.69  10.51  10.43  10.51  10.43  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58820  Drain ovary abscess, open                         A   4.62   3.19NA   2.88NA   3.19     2.88     0.52   8.33   8.02   8.33   8.02  0090.12.74.1420200             37.8975 090 99     0.00   0.00   0.00
58822  Drain ovary abscess, percut                       A  11.71   5.17NA   5.05NA   5.17     5.05     1.16  18.04  17.92  18.04  17.92  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58823  Drain pelvic abscess, percut                      A   3.37  20.75    19.03     1.08     0.95     0.24  24.36  22.64   4.69   4.56  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
58825  Transposition, ovary(s)                           A  11.70   5.59NA   4.98NA   5.59     4.98     1.32  18.61  18.00  18.61  18.00  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58900  Biopsy of ovary(s)                                A   6.51   3.53NA   3.42NA   3.53     3.42     0.69  10.73  10.62  10.73  10.62  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58920  Partial removal of ovary(s)                       A  11.87   5.49NA   5.23NA   5.49     5.23     1.43  18.79  18.53  18.79  18.53  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58925  Removal of ovarian cyst(s)                        A  12.33   5.58NA   5.27NA   5.58     5.27     1.41  19.32  19.01  19.32  19.01  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58940  Removal of ovary(s)                               A   8.12   4.09NA   4.04NA   4.09     4.04     0.91  13.12  13.07  13.12  13.07  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58943  Removal of ovary(s)                               A  19.42   8.29NA   7.24NA   8.29     7.24     2.23  29.94  28.89  29.94  28.89  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58950  Resect ovarian malignancy                         A  18.24   8.13NA   7.30NA   8.13     7.30     2.05  28.42  27.59  28.42  27.59  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58951  Resect ovarian malignancy                         A  24.15   9.99NA   8.64NA   9.99     8.64     2.64  36.78  35.43  36.78  35.43  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58952  Resect ovarian malignancy                         A  27.15  11.28NA   9.85NA  11.28     9.85     3.03  41.46  40.03  41.46  40.03  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58953  Tah, rad dissect for debulk                       A  33.97  13.83NA  11.71NA  13.83    11.71     3.84  51.64  49.52  51.64  49.52  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58954  Tah rad debulk/lymph remove                       A  36.97  14.92NA  12.56NA  14.92    12.56     4.18  56.07  53.71  56.07  53.71  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58956  Bso, omentectomy w/tah                            A  22.65   9.89NA   8.63NA   9.89     8.63     4.01  36.55  35.29  36.55  35.29  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58957  Resect recurrent gyn mal                          A  26.06   9.63NA   9.63NA   9.63     9.63     2.95  38.64  38.64  38.64  38.64  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58958  Resect recur gyn mal w/lym                        A  29.06  10.44NA  10.44NA  10.44    10.44     3.29  42.79  42.79  42.79  42.79  0090.12.74.1422210             37.8975 090 99     0.00   0.00   0.00
58960  Exploration of abdomen                            A  15.68   7.09NA   6.29NA   7.09     6.29     1.80  24.57  23.77  24.57  23.77  0090.12.74.1420210             37.8975 090 99     0.00   0.00   0.00
58970  Retrieval of oocyte                               A   3.52   2.19     1.82     1.43     1.26     0.43   6.14   5.77   5.38   5.21  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
58974  Transfer of embryo                                C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0000.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
58976  Transfer of embryo                                A   3.82   2.49     1.93     1.67     1.20     0.47   6.78   6.22   5.96   5.49  0000.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
58999  Genital surgery procedure                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
59000  Amniocentesis, diagnostic                         A   1.30   1.98     1.72     0.64     0.55     0.31   3.59   3.33   2.25   2.16  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
59001  Amniocentesis, therapeutic                        A   3.00   1.33NA   1.08NA   1.33     1.08     0.71   5.04   4.79   5.04   4.79  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
59012  Fetal cord puncture,prenatal                      A   3.44   1.44NA   1.15NA   1.44     1.15     0.82   5.70   5.41   5.70   5.41  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59015  Chorion biopsy                                    A   2.20   1.52     1.41     0.98     0.80     0.52   4.24   4.13   3.70   3.52  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59020  Fetal contract stress test                        A   0.66   0.85     1.06     0.85     1.06     0.26   1.77   1.98   1.77   1.98  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59020TCFetal contract stress test                        A   0.00   0.61     0.88     0.61     0.88     0.10   0.71   0.98   0.71   0.98  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
5902026Fetal contract stress test                        A   0.66   0.24     0.18     0.24     0.18     0.16   1.06   1.00   1.06   1.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59025  Fetal non-stress test                             A   0.53   0.49     0.63     0.49     0.63     0.15   1.17   1.31   1.17   1.31  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59025TCFetal non-stress test                             A   0.00   0.29     0.48     0.29     0.48     0.02   0.31   0.50   0.31   0.50  1000.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
5902526Fetal non-stress test                             A   0.53   0.20     0.15     0.20     0.15     0.13   0.86   0.81   0.86   0.81  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59030  Fetal scalp blood sample                          A   1.99   0.72NA   0.56NA   0.72     0.56     0.47   3.18   3.02   3.18   3.02  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59050  Fetal monitor w/report                            A   0.89   0.33NA   0.25NA   0.33     0.25     0.21   1.43   1.35   1.43   1.35  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
59051  Fetal monitor/interpret only                      A   0.74   0.27NA   0.21NA   0.27     0.21     0.17   1.18   1.12   1.18   1.12  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
59070  Transabdom amnioinfus w/us                        A   5.24   4.95     4.33     2.17     1.76     0.28  10.47   9.85   7.69   7.28  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
59072  Umbilical cord occlud w/us                        A   8.99   3.06NA   2.86NA   3.06     2.86     0.16  12.21  12.01  12.21  12.01  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
59074  Fetal fluid drainage w/us                         A   5.24   4.39     3.86     2.16     1.70     0.28   9.91   9.38   7.68   7.22  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
59076  Fetal shunt placement, w/us                       A   8.99   2.94NA   2.40NA   2.94     2.40     0.16  12.09  11.55  12.09  11.55  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
59100  Remove uterus lesion                              A  13.26   6.29NA   5.81NA   6.29     5.81     2.95  22.50  22.02  22.50  22.02  0090.17.60.2320210             37.8975 090 99     0.00   0.00   0.00
59120  Treat ectopic pregnancy                           A  12.56   6.04NA   5.42NA   6.04     5.42     2.73  21.33  20.71  21.33  20.71  0090.17.60.2320210             37.8975 090 99     0.00   0.00   0.00
59121  Treat ectopic pregnancy                           A  12.64   6.08NA   5.37NA   6.08     5.37     2.79  21.51  20.80  21.51  20.80  0090.17.60.2320210             37.8975 090 99     0.00   0.00   0.00
59130  Treat ectopic pregnancy                           A  14.98   5.11NA   6.05NA   5.11     6.05     3.39  23.48  24.42  23.48  24.42  0090.17.60.2320000             37.8975 090 99     0.00   0.00   0.00
59135  Treat ectopic pregnancy                           A  14.82   6.68NA   5.07NA   6.68     5.07     3.31  24.81  23.20  24.81  23.20  0090.17.60.2320000             37.8975 090 99     0.00   0.00   0.00
59136  Treat ectopic pregnancy                           A  14.15   6.38NA   5.72NA   6.38     5.72     3.14  23.67  23.01  23.67  23.01  0090.17.60.2320200             37.8975 090 99     0.00   0.00   0.00
59140  Treat ectopic pregnancy                           A   5.86   2.38NA   2.88NA   2.38     2.88     1.29   9.53  10.03   9.53  10.03  0090.17.60.2320200             37.8975 090 99     0.00   0.00   0.00
59150  Treat ectopic pregnancy                           A  12.19   5.80NA   5.21NA   5.80     5.21     2.79  20.78  20.19  20.78  20.19  0090.17.60.2320200             37.8975 090 99     0.00   0.00   0.00
59151  Treat ectopic pregnancy                           A  12.01   5.76NA   4.89NA   5.76     4.89     2.74  20.51  19.64  20.51  19.64  0090.17.60.2320200             37.8975 090 99     0.00   0.00   0.00
59160  D & c after delivery                              A   2.73   2.96     1.98     1.89     1.18     0.64   6.33   5.35   5.26   4.55  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
59200  Insert cervical dilator                           A   0.79   1.13     0.93     0.28     0.22     0.19   2.11   1.91   1.26   1.20  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
59300  Episiotomy or vaginal repair                      A   2.41   2.18     2.19     0.98     1.03     0.57   5.16   5.17   3.96   4.01  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59320  Revision of cervix                                A   2.48   1.18NA   1.00NA   1.18     1.00     0.59   4.25   4.07   4.25   4.07  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59325  Revision of cervix                                A   4.06   1.73NA   1.23NA   1.73     1.23     0.88   6.67   6.17   6.67   6.17  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59350  Repair of uterus                                  A   4.94   1.75NA   1.40NA   1.75     1.40     1.17   7.86   7.51   7.86   7.51  0000.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
59400  Obstetrical care                                  A  26.80  15.06NA  14.26NA  15.06    14.26     5.50  47.36  46.56  47.36  46.56  0MMM.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
59409  Obstetrical care                                  A  13.48   4.91NA   3.75NA   4.91     3.75     3.22  21.61  20.45  21.61  20.45  0MMM.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59410  Obstetrical care                                  A  15.29   5.96NA   4.95NA   5.96     4.95     3.52  24.77  23.76  24.77  23.76  0MMM.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
59412  Antepartum manipulation                           A   1.71   0.77NA   0.64NA   0.77     0.64     0.40   2.88   2.75   2.88   2.75  0MMM.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
59414  Deliver placenta                                  A   1.61   0.59NA   0.44NA   0.59     0.44     0.38   2.58   2.43   2.58   2.43  0MMM.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59425  Antepartum care only                              A   6.22   4.21     4.22     1.81     1.70     1.14  11.57  11.58   9.17   9.06  0MMM.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
59426  Antepartum care only                              A  11.04   7.60     7.77     3.17     3.02     1.98  20.62  20.79  16.19  16.04  0MMM.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
59430  Care after delivery                               A   2.13   1.19     1.08     0.88     0.71     0.50   3.82   3.71   3.51   3.34  0MMM.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
59510  Cesarean delivery                                 A  30.34  16.92NA  15.91NA  16.92    15.91     6.25  53.51  52.50  53.51  52.50  0MMM.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
59514  Cesarean delivery only                            A  15.95   5.78NA   4.49NA   5.78     4.49     3.80  25.53  24.24  25.53  24.24  0MMM.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
59515  Cesarean delivery                                 A  18.26   7.43NA   6.21NA   7.43     6.21     4.13  29.82  28.60  29.82  28.60  0MMM.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
59525  Remove uterus after cesarean                      A   8.53   3.07NA   2.39NA   3.07     2.39     1.95  13.55  12.87  13.55  12.87  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
59610  Vbac delivery                                     A  28.21  15.52NA  14.51NA  15.52    14.51     5.87  49.60  48.59  49.60  48.59  0MMM.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59612  Vbac delivery only                                A  15.04   5.60NA   4.26NA   5.60     4.26     3.59  24.23  22.89  24.23  22.89  0MMM.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59614  Vbac care after delivery                          A  16.59   6.49NA   5.15NA   6.49     5.15     3.89  26.97  25.63  26.97  25.63  0MMM.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59618  Attempted vbac delivery                           A  31.78  17.74NA  16.28NA  17.74    16.28     6.61  56.13  54.67  56.13  54.67  0MMM.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
59620  Attempted vbac delivery only                      A  17.50   6.27NA   4.80NA   6.27     4.80     4.17  27.94  26.47  27.94  26.47  0MMM.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
59622  Attempted vbac after care                         A  19.70   8.14NA   6.66NA   8.14     6.66     4.50  32.34  30.86  32.34  30.86  0MMM.00.00.0020200             37.8975 090 99     0.00   0.00   0.00
59812  Treatment of miscarriage                          A   4.39   2.68     3.08     2.49     2.35     0.95   8.02   8.42   7.83   7.69  0090.17.60.2320100             37.8975 090 99     0.00   0.00   0.00
59820  Care of miscarriage                               A   4.68   4.33     4.04     3.53     3.45     0.95   9.96   9.67   9.16   9.08  0090.17.60.2320100             37.8975 090 99     0.00   0.00   0.00
59821  Treatment of miscarriage                          A   4.97   4.15     3.80     3.34     3.15     1.06  10.18   9.83   9.37   9.18  0090.17.60.2320000             37.8975 090 99     0.00   0.00   0.00
59830  Treat uterus infection                            A   6.51   3.85NA   3.44NA   3.85     3.44     1.44  11.80  11.39  11.80  11.39  0090.17.60.2320000             37.8975 090 99     0.00   0.00   0.00
59840  Abortion                                          R   3.01   2.09     2.01     2.04     1.79     0.71   5.81   5.73   5.76   5.51  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
59841  Abortion                                          R   5.57   3.41     3.15     2.88     2.59     1.24  10.22   9.96   9.69   9.40  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
59850  Abortion                                          R   5.90   3.10NA   2.63NA   3.10     2.63     1.28  10.28   9.81  10.28   9.81  0090.17.60.2320000             37.8975 090 99     0.00   0.00   0.00
59851  Abortion                                          R   5.92   3.63NA   3.28NA   3.63     3.28     1.28  10.83  10.48  10.83  10.48  0090.17.60.2320000             37.8975 090 99     0.00   0.00   0.00
59852  Abortion                                          R   8.23   4.73NA   3.79NA   4.73     3.79     1.81  14.77  13.83  14.77  13.83  0090.17.60.2320000             37.8975 090 99     0.00   0.00   0.00
59855  Abortion                                          R   6.38   3.40NA   2.98NA   3.40     2.98     1.45  11.23  10.81  11.23  10.81  0090.17.60.2320000             37.8975 090 99     0.00   0.00   0.00
59856  Abortion                                          R   7.74   4.01NA   3.85NA   4.01     3.85     1.79  13.54  13.38  13.54  13.38  0090.17.60.2320000             37.8975 090 99     0.00   0.00   0.00
59857  Abortion                                          R   9.30   4.32NA   3.13NA   4.32     3.13     2.02  15.64  14.45  15.64  14.45  0090.17.60.2320000             37.8975 090 99     0.00   0.00   0.00
59866  Abortion (mpr)                                    R   3.99   1.73NA   1.24NA   1.73     1.24     0.87   6.59   6.10   6.59   6.10  0000.00.00.0020210             37.8975 090 99     0.00   0.00   0.00
59870  Evacuate mole of uterus                           A   6.40   4.43NA   4.28NA   4.43     4.28     1.42  12.25  12.10  12.25  12.10  0090.17.60.2320200             37.8975 090 99     0.00   0.00   0.00
59871  Remove cerclage suture                            A   2.13   1.08NA   0.93NA   1.08     0.93     0.50   3.71   3.56   3.71   3.56  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
59897  Fetal invas px w/us                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
59898  Laparo proc, ob care/deliver                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
59899  Maternity care procedure                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
60000  Drain thyroid/tongue cyst                         A   1.78   1.95     2.03     1.70     1.65     0.15   3.88   3.96   3.63   3.58  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
60001  Aspirate/inject thyriod cyst                      A   0.97   1.52     1.86     0.32     0.27     0.07   2.56   2.90   1.36   1.31  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
6005F  Care level rationale doc                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
6010F  Dysphag test done b/4 eating                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
60100  Biopsy of thyroid                                 A   1.56   1.35     1.20     0.51     0.43     0.10   3.01   2.86   2.17   2.09  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
6015F  Pt recvng/OK for eating/swal                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
6020F  NPO (nothing-mouth) ordered                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
60200  Remove thyroid lesion                             A   9.91   5.80NA   5.25NA   5.80     5.25     1.01  16.72  16.17  16.72  16.17  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60210  Partial thyroid excision                          A  11.15   5.49NA   5.05NA   5.49     5.05     1.23  17.87  17.43  17.87  17.43  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60212  Partial thyroid excision                          A  16.32   7.45NA   6.80NA   7.45     6.80     1.95  25.72  25.07  25.72  25.07  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60220  Partial removal of thyroid                        A  12.29   5.96NA   5.40NA   5.96     5.40     1.32  19.57  19.01  19.57  19.01  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60225  Partial removal of thyroid                        A  14.67   7.22NA   6.69NA   7.22     6.69     1.64  23.53  23.00  23.53  23.00  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60240  Removal of thyroid                                A  16.18   7.23NA   6.16NA   7.23     6.16     1.86  25.27  24.20  25.27  24.20  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60252  Removal of thyroid                                A  21.88   9.68NA   8.43NA   9.68     8.43     2.30  33.86  32.61  33.86  32.61  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60254  Extensive thyroid surgery                         A  28.29  13.22NA  10.44NA  13.22    10.44     2.61  44.12  41.34  44.12  41.34  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60260  Repeat thyroid surgery                            A  18.18   8.24NA   7.02NA   8.24     7.02     1.94  28.36  27.14  28.36  27.14  0090.09.82.0921210             37.8975 090 99     0.00   0.00   0.00
60270  Removal of thyroid                                A  23.07  10.08NA   8.96NA  10.08     8.96     2.33  35.48  34.36  35.48  34.36  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60271  Removal of thyroid                                A  17.54   8.14NA   6.83NA   8.14     6.83     1.75  27.43  26.12  27.43  26.12  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60280  Remove thyroid duct lesion                        A   6.05   4.53NA   4.12NA   4.53     4.12     0.54  11.12  10.71  11.12  10.71  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60281  Remove thyroid duct lesion                        A   8.71   5.54NA   4.67NA   5.54     4.67     0.73  14.98  14.11  14.98  14.11  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60500  Explore parathyroid glands                        A  16.69   7.23NA   6.73NA   7.23     6.73     2.01  25.93  25.43  25.93  25.43  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60502  Re-explore parathyroids                           A  21.01   9.13NA   8.46NA   9.13     8.46     2.54  32.68  32.01  32.68  32.01  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60505  Explore parathyroid glands                        A  22.91  10.50NA   9.24NA  10.50     9.24     2.65  36.06  34.80  36.06  34.80  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60512  Autotransplant parathyroid                        A   4.44   1.51NA   1.19NA   1.51     1.19     0.53   6.48   6.16   6.48   6.16  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
60520  Removal of thymus gland                           A  17.07   7.95NA   6.93NA   7.95     6.93     2.20  27.22  26.20  27.22  26.20  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60521  Removal of thymus gland                           A  19.11   9.22NA   8.27NA   9.22     8.27     2.82  31.15  30.20  31.15  30.20  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60522  Removal of thymus gland                           A  23.37  10.89NA   9.76NA  10.89     9.76     3.27  37.53  36.40  37.53  36.40  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60540  Explore adrenal gland                             A  17.91   7.72NA   8.12NA   7.72     8.12     1.75  27.38  27.78  27.38  27.78  0090.09.82.0921210             37.8975 090 99     0.00   0.00   0.00
60545  Explore adrenal gland                             A  20.82   8.62NA   8.89NA   8.62     8.89     2.08  31.52  31.79  31.52  31.79  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60600  Remove carotid body lesion                        A  24.99  10.41NA   8.77NA  10.41     8.77     2.20  37.60  35.96  37.60  35.96  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60605  Remove carotid body lesion                        A  31.86  12.25NA  12.23NA  12.25    12.23     2.50  46.61  46.59  46.61  46.59  0090.09.82.0920210             37.8975 090 99     0.00   0.00   0.00
60650  Laparoscopy adrenalectomy                         A  20.63   8.04NA   8.20NA   8.04     8.20     2.29  30.96  31.12  30.96  31.12  0090.09.84.0721210             37.8975 090 99     0.00   0.00   0.00
60659  Laparo proc, endocrine                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021200             37.8975 090 99     0.00   0.00   0.00
60699  Endocrine surgery procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020211             37.8975 090 99     0.00   0.00   0.00
61000  Remove cranial cavity fluid                       A   1.58   1.02NA   1.23NA   1.02     1.23     0.13   2.73   2.94   2.73   2.94  0000.00.00.0022100             37.8975 090 99     0.00   0.00   0.00
61001  Remove cranial cavity fluid                       A   1.49   1.10NA   1.21NA   1.10     1.21     0.16   2.75   2.86   2.75   2.86  0000.00.00.0022100             37.8975 090 99     0.00   0.00   0.00
61020  Remove brain cavity fluid                         A   1.51   1.40NA   1.59NA   1.40     1.59     0.34   3.25   3.44   3.25   3.44  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
61026  Injection into brain canal                        A   1.69   1.42NA   1.49NA   1.42     1.49     0.33   3.44   3.51   3.44   3.51  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
61050  Remove brain canal fluid                          A   1.51   1.23NA   1.09NA   1.23     1.09     0.11   2.85   2.71   2.85   2.71  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
61055  Injection into brain canal                        A   2.10   1.37NA   1.21NA   1.37     1.21     0.17   3.64   3.48   3.64   3.48  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
61070  Brain canal shunt procedure                       A   0.89   1.05NA   1.15NA   1.05     1.15     0.17   2.11   2.21   2.11   2.21  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
61105  Twist drill hole                                  A   5.40   4.18NA   4.93NA   4.18     4.93     1.32  10.90  11.65  10.90  11.65  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
61107  Drill skull for implantation                      A   4.99   2.37NA   1.89NA   2.37     1.89     1.29   8.65   8.17   8.65   8.17  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
61108  Drill skull for drainage                          A  11.51   7.49NA   8.52NA   7.49     8.52     2.64  21.64  22.67  21.64  22.67  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
61120  Burr hole for puncture                            A   9.52   6.18NA   6.75NA   6.18     6.75     2.10  17.80  18.37  17.80  18.37  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
61140  Pierce skull for biopsy                           A  17.10  10.04NA  10.52NA  10.04    10.52     4.12  31.26  31.74  31.26  31.74  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
61150  Pierce skull for drainage                         A  18.80  10.50NA  10.88NA  10.50    10.88     4.32  33.62  34.00  33.62  34.00  0090.11.76.1320110             37.8975 090 99     0.00   0.00   0.00
61151  Pierce skull for drainage                         A  13.41   8.01NA   8.59NA   8.01     8.59     3.01  24.43  25.01  24.43  25.01  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
61154  Pierce skull & remove clot                        A  16.92   9.83NA  10.89NA   9.83    10.89     4.21  30.96  32.02  30.96  32.02  0090.11.76.1321210             37.8975 090 99     0.00   0.00   0.00
61156  Pierce skull for drainage                         A  17.37   9.88NA  10.01NA   9.88    10.01     4.23  31.48  31.61  31.48  31.61  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61210  Pierce skull, implant device                      A   5.83   2.74NA   2.23NA   2.74     2.23     1.50  10.07   9.56  10.07   9.56  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
61215  Insert brain-fluid device                         A   5.77   4.37NA   5.48NA   4.37     5.48     1.26  11.40  12.51  11.40  12.51  0090.11.76.1320110             37.8975 090 99     0.00   0.00   0.00
61250  Pierce skull & explore                            A  11.41   7.05NA   7.64NA   7.05     7.64     2.77  21.23  21.82  21.23  21.82  0090.11.76.1321210             37.8975 090 99     0.00   0.00   0.00
61253  Pierce skull & explore                            A  13.41   7.76NA   7.87NA   7.76     7.87     2.62  23.79  23.90  23.79  23.90  0090.11.76.1322200             37.8975 090 99     0.00   0.00   0.00
61304  Open skull for exploration                        A  23.31  12.82NA  12.79NA  12.82    12.79     5.63  41.76  41.73  41.76  41.73  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61305  Open skull for exploration                        A  28.51  15.31NA  15.30NA  15.31    15.30     6.09  49.91  49.90  49.91  49.90  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61312  Open skull for drainage                           A  30.07  15.17NA  15.57NA  15.17    15.57     6.36  51.60  52.00  51.60  52.00  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61313  Open skull for drainage                           A  27.94  15.03NA  15.70NA  15.03    15.70     6.45  49.42  50.09  49.42  50.09  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61314  Open skull for drainage                           A  25.77  13.38NA  14.43NA  13.38    14.43     6.28  45.43  46.48  45.43  46.48  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61315  Open skull for drainage                           A  29.52  15.96NA  15.80NA  15.96    15.80     7.16  52.64  52.48  52.64  52.48  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61316  Implt cran bone flap to abdo                      A   1.39   0.58NA   0.53NA   0.58     0.53     0.35   2.32   2.27   2.32   2.27  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
61320  Open skull for drainage                           A  27.32  14.69NA  14.49NA  14.69    14.49     6.62  48.63  48.43  48.63  48.43  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61321  Open skull for drainage                           A  30.40  15.72NA  14.51NA  15.72    14.51     7.14  53.26  52.05  53.26  52.05  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61322  Decompressive craniotomy                          A  34.08  16.26NA  18.05NA  16.26    18.05     7.63  57.97  59.76  57.97  59.76  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61323  Decompressive lobectomy                           A  34.93  16.38NA  17.28NA  16.38    17.28     8.03  59.34  60.24  59.34  60.24  0090.11.76.1320110             37.8975 090 99     0.00   0.00   0.00
61330  Decompress eye socket                             A  25.17  13.31NA  12.08NA  13.31    12.08     2.32  40.80  39.57  40.80  39.57  0090.11.76.1321210             37.8975 090 99     0.00   0.00   0.00
61332  Explore/biopsy eye socket                         A  28.50  15.11NA  13.68NA  15.11    13.68     4.83  48.44  47.01  48.44  47.01  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61333  Explore orbit/remove lesion                       A  29.17  15.07NA  13.56NA  15.07    13.56     3.92  48.16  46.65  48.16  46.65  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61334  Explore orbit/remove object                       A  19.50  10.29NA   9.25NA  10.29     9.25     1.75  31.54  30.50  31.54  30.50  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61340  Subtemporal decompression                         A  20.01  11.23NA  11.55NA  11.23    11.55     4.84  36.08  36.40  36.08  36.40  0090.11.76.1321210             37.8975 090 99     0.00   0.00   0.00
61343  Incise skull (press relief)                       A  31.73  16.70NA  16.38NA  16.70    16.38     7.64  56.07  55.75  56.07  55.75  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61345  Relieve cranial pressure                          A  29.10  15.41NA  15.47NA  15.41    15.47     7.04  51.55  51.61  51.55  51.61  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61440  Incise skull for surgery                          A  28.53  14.22NA  14.27NA  14.22    14.27     6.90  49.65  49.70  49.65  49.70  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61450  Incise skull for surgery                          A  27.59  13.93NA  12.89NA  13.93    12.89     5.79  47.31  46.27  47.31  46.27  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61458  Incise skull for brain wound                      A  28.71  15.44NA  15.23NA  15.44    15.23     7.03  51.18  50.97  51.18  50.97  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61460  Incise skull for surgery                          A  30.11  16.15NA  15.37NA  16.15    15.37     6.04  52.30  51.52  52.30  51.52  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
61470  Incise skull for surgery                          A  27.52  13.72NA  13.31NA  13.72    13.31     5.90  47.14  46.73  47.14  46.73  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61480  Incise skull for surgery                          A  27.95  13.49NA   8.15NA  13.49     8.15     6.73  48.17  42.83  48.17  42.83  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61490  Incise skull for surgery                          A  27.12  14.38NA  14.55NA  14.38    14.55     6.92  48.42  48.59  48.42  48.59  0090.11.76.1321210             37.8975 090 99     0.00   0.00   0.00
61500  Removal of skull lesion                           A  19.05  10.79NA  10.77NA  10.79    10.77     4.11  33.95  33.93  33.95  33.93  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61501  Remove infected skull bone                        A  16.22   9.32NA   9.66NA   9.32     9.66     3.22  28.76  29.10  28.76  29.10  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61510  Removal of brain lesion                           A  30.63  16.85NA  17.32NA  16.85    17.32     7.35  54.83  55.30  54.83  55.30  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61512  Remove brain lining lesion                        A  36.99  19.47NA  18.85NA  19.47    18.85     9.08  65.54  64.92  65.54  64.92  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61514  Removal of brain abscess                          A  27.10  14.51NA  14.74NA  14.51    14.74     6.54  48.15  48.38  48.15  48.38  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61516  Removal of brain lesion                           A  26.45  14.32NA  14.50NA  14.32    14.50     6.35  47.12  47.30  47.12  47.30  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61517  Implt brain chemotx add-on                        A   1.38   0.61NA   0.52NA   0.61     0.52     0.35   2.34   2.25   2.34   2.25  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
61518  Removal of brain lesion                           A  39.69  21.01NA  20.75NA  21.01    20.75     9.65  70.35  70.09  70.35  70.09  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61519  Remove brain lining lesion                        A  43.28  22.27NA  21.16NA  22.27    21.16    10.63  76.18  75.07  76.18  75.07  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61520  Removal of brain lesion                           A  56.89  29.27NA  26.11NA  29.27    26.11    11.21  97.37  94.21  97.37  94.21  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
61521  Removal of brain lesion                           A  46.84  23.79NA  22.54NA  23.79    22.54    11.39  82.02  80.77  82.02  80.77  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61522  Removal of brain abscess                          A  31.41  16.25NA  15.77NA  16.25    15.77     7.62  55.28  54.80  55.28  54.80  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61524  Removal of brain lesion                           A  29.76  15.75NA  16.01NA  15.75    16.01     7.16  52.67  52.93  52.67  52.93  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61526  Removal of brain lesion                           A  53.90  27.65NA  22.15NA  27.65    22.15     7.07  88.62  83.12  88.62  83.12  0090.11.76.1320120             37.8975 090 99     0.00   0.00   0.00
61530  Removal of brain lesion                           A  45.43  23.44NA  18.59NA  23.44    18.59     6.15  75.02  70.17  75.02  70.17  0090.11.76.1320120             37.8975 090 99     0.00   0.00   0.00
61531  Implant brain electrodes                          A  16.28   9.44NA  10.39NA   9.44    10.39     3.79  29.51  30.46  29.51  30.46  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
61533  Implant brain electrodes                          A  21.36  11.63NA  11.94NA  11.63    11.94     5.12  38.11  38.42  38.11  38.42  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61534  Removal of brain lesion                           A  22.88  12.41NA  13.39NA  12.41    13.39     5.44  40.73  41.71  40.73  41.71  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61535  Remove brain electrodes                           A  13.05   7.82NA   9.03NA   7.82     9.03     3.02  23.89  25.10  23.89  25.10  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61536  Removal of brain lesion                           A  37.59  19.53NA  18.76NA  19.53    18.76     9.21  66.33  65.56  66.33  65.56  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61537  Removal of brain tissue                           A  36.35  15.51NA  17.80NA  15.51    17.80     6.94  58.80  61.09  58.80  61.09  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61538  Removal of brain tissue                           A  39.35  16.26NA  19.10NA  16.26    19.10     6.94  62.55  65.39  62.55  65.39  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61539  Removal of brain tissue                           A  34.15  17.26NA  15.75NA  17.26    15.75     8.32  59.73  58.22  59.73  58.22  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61540  Removal of brain tissue                           A  31.30  16.97NA  16.15NA  16.97    16.15     8.32  56.59  55.77  56.59  55.77  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61541  Incision of brain tissue                          A  30.81  16.24NA  16.34NA  16.24    16.34     6.60  53.65  53.75  53.65  53.75  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61542  Removal of brain tissue                           A  33.03  17.48NA  16.46NA  17.48    16.46     8.03  58.54  57.52  58.54  57.52  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61543  Removal of brain tissue                           A  31.18  16.43NA  16.59NA  16.43    16.59     7.56  55.17  55.33  55.17  55.33  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61544  Remove & treat brain lesion                       A  27.26  14.02NA  14.60NA  14.02    14.60     5.97  47.25  47.83  47.25  47.83  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
61545  Excision of brain tumor                           A  46.23  23.84NA  22.72NA  23.84    22.72    10.63  80.70  79.58  80.70  79.58  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61546  Removal of pituitary gland                        A  33.31  17.34NA  16.89NA  17.34    16.89     7.67  58.32  57.87  58.32  57.87  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61548  Removal of pituitary gland                        A  23.27  12.48NA  11.56NA  12.48    11.56     3.43  39.18  38.26  39.18  38.26  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
61550  Release of skull seams                            A  15.44   6.61NA   5.64NA   6.61     5.64     0.98  23.03  22.06  23.03  22.06  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61552  Release of skull seams                            A  20.27   8.49NA   6.64NA   8.49     6.64     1.06  29.82  27.97  29.82  27.97  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61556  Incise skull/sutures                              A  24.00  11.76NA  12.94NA  11.76    12.94     4.65  40.41  41.59  40.41  41.59  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
61557  Incise skull/sutures                              A  23.16  13.69NA  13.91NA  13.69    13.91     5.80  42.65  42.87  42.65  42.87  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
61558  Excision of skull/sutures                         A  26.35  12.68NA   8.16NA  12.68     8.16     1.36  40.39  35.87  40.39  35.87  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
61559  Excision of skull/sutures                         A  33.82  19.33NA  19.40NA  19.33    19.40     8.51  61.66  61.73  61.66  61.73  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61563  Excision of skull tumor                           A  28.35  15.07NA  14.57NA  15.07    14.57     5.17  48.59  48.09  48.59  48.09  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61564  Excision of skull tumor                           A  34.59  17.84NA  16.53NA  17.84    16.53     8.78  61.21  59.90  61.21  59.90  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61566  Removal of brain tissue                           A  32.32  17.56NA  16.91NA  17.56    16.91     6.94  56.82  56.17  56.82  56.17  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61567  Incision of brain tissue                          A  36.84  19.78NA  17.10NA  19.78    17.10     6.54  63.16  60.48  63.16  60.48  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61570  Remove foreign body, brain                        A  26.38  14.03NA  14.37NA  14.03    14.37     5.88  46.29  46.63  46.29  46.63  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61571  Incise skull for brain wound                      A  28.29  15.21NA  15.43NA  15.21    15.43     6.79  50.29  50.51  50.29  50.51  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61575  Skull base/brainstem surgery                      A  36.43  18.70NA  15.92NA  18.70    15.92     5.34  60.47  57.69  60.47  57.69  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61576  Skull base/brainstem surgery                      A  55.11  32.61NA  26.26NA  32.61    26.26     5.58  93.30  86.95  93.30  86.95  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61580  Craniofacial approach, skull                      A  34.34  24.44NA  21.02NA  24.44    21.02     3.37  62.15  58.73  62.15  58.73  0090.11.76.1321212             37.8975 090 99     0.00   0.00   0.00
61581  Craniofacial approach, skull                      A  38.88  23.89NA  25.23NA  23.89    25.23     3.92  66.69  68.03  66.69  68.03  0090.11.76.1321122             37.8975 090 99     0.00   0.00   0.00
61582  Craniofacial approach, skull                      A  34.93  28.14NA  30.66NA  28.14    30.66     7.21  70.28  72.80  70.28  72.80  0090.11.76.1320212             37.8975 090 99     0.00   0.00   0.00
61583  Craniofacial approach, skull                      A  38.41  25.36NA  26.09NA  25.36    26.09     9.21  72.98  73.71  72.98  73.71  0090.11.76.1320212             37.8975 090 99     0.00   0.00   0.00
61584  Orbitocranial approach/skull                      A  37.61  24.84NA  25.81NA  24.84    25.81     8.18  70.63  71.60  70.63  71.60  0090.11.76.1321212             37.8975 090 99     0.00   0.00   0.00
61585  Orbitocranial approach/skull                      A  42.46  26.16NA  25.16NA  26.16    25.16     7.03  75.65  74.65  75.65  74.65  0090.11.76.1321212             37.8975 090 99     0.00   0.00   0.00
61586  Resect nasopharynx, skull                         A  27.28  22.98NA  24.16NA  22.98    24.16     4.37  54.63  55.81  54.63  55.81  0090.11.76.1320212             37.8975 090 99     0.00   0.00   0.00
61590  Infratemporal approach/skull                      A  46.87  27.36NA  23.59NA  27.36    23.59     5.31  79.54  75.77  79.54  75.77  0090.11.76.1321212             37.8975 090 99     0.00   0.00   0.00
61591  Infratemporal approach/skull                      A  46.87  28.20NA  24.23NA  28.20    24.23     5.66  80.73  76.76  80.73  76.76  0090.11.76.1321212             37.8975 090 99     0.00   0.00   0.00
61592  Orbitocranial approach/skull                      A  42.98  26.85NA  27.88NA  26.85    27.88    10.07  79.90  80.93  79.90  80.93  0090.11.76.1321212             37.8975 090 99     0.00   0.00   0.00
61595  Transtemporal approach/skull                      A  33.57  21.66NA  19.59NA  21.66    19.59     3.98  59.21  57.14  59.21  57.14  0090.11.76.1321212             37.8975 090 99     0.00   0.00   0.00
61596  Transcochlear approach/skull                      A  39.31  23.03NA  18.79NA  23.03    18.79     3.40  65.74  61.50  65.74  61.50  0090.11.76.1321212             37.8975 090 99     0.00   0.00   0.00
61597  Transcondylar approach/skull                      A  40.73  23.03NA  23.14NA  23.03    23.14     8.84  72.60  72.71  72.60  72.71  0090.11.76.1321212             37.8975 090 99     0.00   0.00   0.00
61598  Transpetrosal approach/skull                      A  36.41  22.75NA  21.31NA  22.75    21.31     5.70  64.86  63.42  64.86  63.42  0090.11.76.1320212             37.8975 090 99     0.00   0.00   0.00
61600  Resect/excise cranial lesion                      A  29.84  19.48NA  18.60NA  19.48    18.60     3.79  53.11  52.23  53.11  52.23  0090.11.76.1320212             37.8975 090 99     0.00   0.00   0.00
61601  Resect/excise cranial lesion                      A  31.04  21.01NA  22.56NA  21.01    22.56     6.63  58.68  60.23  58.68  60.23  0090.11.76.1320212             37.8975 090 99     0.00   0.00   0.00
61605  Resect/excise cranial lesion                      A  32.40  20.95NA  17.90NA  20.95    17.90     2.86  56.21  53.16  56.21  53.16  0090.11.76.1320212             37.8975 090 99     0.00   0.00   0.00
61606  Resect/excise cranial lesion                      A  41.94  25.02NA  24.64NA  25.02    24.64     8.97  75.93  75.55  75.93  75.55  0090.11.76.1320212             37.8975 090 99     0.00   0.00   0.00
61607  Resect/excise cranial lesion                      A  40.82  23.07NA  20.93NA  23.07    20.93     6.90  70.79  68.65  70.79  68.65  0090.11.76.1320212             37.8975 090 99     0.00   0.00   0.00
61608  Resect/excise cranial lesion                      A  45.45  26.66NA  26.88NA  26.66    26.88    10.75  82.86  83.08  82.86  83.08  0090.11.76.1320212             37.8975 090 99     0.00   0.00   0.00
61609  Transect artery, sinus                            A   9.88   4.59NA   3.81NA   4.59     3.81     2.56  17.03  16.25  17.03  16.25  0ZZZ.00.00.0000212             37.8975 090 99     0.00   0.00   0.00
61610  Transect artery, sinus                            A  29.63  12.71NA  11.43NA  12.71    11.43     7.68  50.02  48.74  50.02  48.74  0ZZZ.00.00.0000212             37.8975 090 99     0.00   0.00   0.00
61611  Transect artery, sinus                            A   7.41   3.58NA   2.86NA   3.58     2.86     1.89  12.88  12.16  12.88  12.16  0ZZZ.00.00.0000212             37.8975 090 99     0.00   0.00   0.00
61612  Transect artery, sinus                            A  27.84  12.07NA   8.34NA  12.07     8.34     4.31  44.22  40.49  44.22  40.49  0ZZZ.00.00.0000212             37.8975 090 99     0.00   0.00   0.00
61613  Remove aneurysm, sinus                            A  44.94  26.66NA  27.87NA  26.66    27.87     8.45  80.05  81.26  80.05  81.26  0090.11.76.1321212             37.8975 090 99     0.00   0.00   0.00
61615  Resect/excise lesion, skull                       A  35.63  21.94NA  19.60NA  21.94    19.60     4.73  62.30  59.96  62.30  59.96  0090.11.76.1320212             37.8975 090 99     0.00   0.00   0.00
61616  Resect/excise lesion, skull                       A  46.60  28.22NA  26.91NA  28.22    26.91     8.26  83.08  81.77  83.08  81.77  0090.11.76.1320212             37.8975 090 99     0.00   0.00   0.00
61618  Repair dura                                       A  18.58  10.39NA  10.25NA  10.39    10.25     3.72  32.69  32.55  32.69  32.55  0090.11.76.1320212             37.8975 090 99     0.00   0.00   0.00
61619  Repair dura                                       A  22.01  11.97NA  11.17NA  11.97    11.17     3.95  37.93  37.13  37.93  37.13  0090.11.76.1320212             37.8975 090 99     0.00   0.00   0.00
61623  Endovasc tempory vessel occl                      A   9.95   3.85NA   3.16NA   3.85     3.16     1.05  14.85  14.16  14.85  14.16  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
61624  Transcath occlusion, cns                          A  20.12   6.74NA   6.30NA   6.74     6.30     1.96  28.82  28.38  28.82  28.38  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
61626  Transcath occlusion, non-cns                      A  16.60   5.36NA   4.91NA   5.36     4.91     1.24  23.20  22.75  23.20  22.75  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
61630  Intracranial angioplasty                          N+ 22.07  10.98NA   6.44NA  10.98     6.44     2.02  35.07  30.53  35.07  30.53  9090.09.84.0799999             37.8975 090 99     0.00   0.00   0.00
61635  Intracran angioplsty w/stent                      N+ 24.28  11.89NA   6.95NA  11.89     6.95     2.21  38.38  33.44  38.38  33.44  9090.09.84.0799999             37.8975 090 99     0.00   0.00   0.00
61640  Dilate ic vasospasm, init                         N+ 12.32   2.85NA   2.85NA   2.85     2.85     0.71  15.88  15.88  15.88  15.88  9000.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
61641  Dilate ic vasospasm add-on                        N+  4.33   1.00NA   1.00NA   1.00     1.00     0.25   5.58   5.58   5.58   5.58  9ZZZ.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
61642  Dilate ic vasospasm add-on                        N+  8.66   2.00NA   2.00NA   2.00     2.00     0.50  11.16  11.16  11.16  11.16  9ZZZ.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
61680  Intracranial vessel surgery                       A  32.40  17.35NA  17.11NA  17.35    17.11     7.95  57.70  57.46  57.70  57.46  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61682  Intracranial vessel surgery                       A  63.31  31.11NA  27.79NA  31.11    27.79    15.90 110.32 107.00 110.32 107.00  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61684  Intracranial vessel surgery                       A  41.49  21.70NA  20.79NA  21.70    20.79    10.31  73.50  72.59  73.50  72.59  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61686  Intracranial vessel surgery                       A  67.32  33.74NA  30.80NA  33.74    30.80    16.71 117.77 114.83 117.77 114.83  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61690  Intracranial vessel surgery                       A  31.18  16.57NA  16.13NA  16.57    16.13     6.94  54.69  54.25  54.69  54.25  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61692  Intracranial vessel surgery                       A  54.43  26.87NA  25.06NA  26.87    25.06    13.43  94.73  92.92  94.73  92.92  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61697  Brain aneurysm repr, complx                       A  63.22  28.33NA  29.29NA  28.33    29.29    12.85 104.40 105.36 104.40 105.36  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61698  Brain aneurysm repr, complx                       A  69.45  27.88NA  31.45NA  27.88    31.45    12.54 109.87 113.44 109.87 113.44  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61700  Brain aneurysm repr, simple                       A  50.44  26.95NA  24.39NA  26.95    24.39    13.02  90.41  87.85  90.41  87.85  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61702  Inner skull vessel surgery                        A  59.86  26.63NA  28.41NA  26.63    28.41    10.79  97.28  99.06  97.28  99.06  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61703  Clamp neck artery                                 A  18.70  10.59NA  10.98NA  10.59    10.98     4.06  33.35  33.74  33.35  33.74  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61705  Revise circulation to head                        A  37.97  18.91NA  17.87NA  18.91    17.87     8.87  65.75  64.71  65.75  64.71  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61708  Revise circulation to head                        A  37.07  14.58NA  12.85NA  14.58    12.85     2.51  54.16  52.43  54.16  52.43  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
61710  Revise circulation to head                        A  31.19  13.42NA  12.75NA  13.42    12.75     4.52  49.13  48.46  49.13  48.46  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
61711  Fusion of skull arteries                          A  38.10  19.57NA  18.86NA  19.57    18.86     9.42  67.09  66.38  67.09  66.38  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61720  Incise skull/brain surgery                        A  17.52   9.54NA   8.24NA   9.54     8.24     2.79  29.85  28.55  29.85  28.55  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
61735  Incise skull/brain surgery                        A  22.22  11.99NA  11.48NA  11.99    11.48     2.73  36.94  36.43  36.94  36.43  0090.11.76.1320110             37.8975 090 99     0.00   0.00   0.00
61750  Incise skull/brain biopsy                         A  19.73  10.74NA  11.13NA  10.74    11.13     4.72  35.19  35.58  35.19  35.58  0090.11.76.1320110             37.8975 090 99     0.00   0.00   0.00
61751  Brain biopsy w/ct/mr guide                        A  18.64  11.01NA  11.57NA  11.01    11.57     4.56  34.21  34.77  34.21  34.77  0090.11.76.1320110             37.8975 090 99     0.00   0.00   0.00
61760  Implant brain electrodes                          A  22.24   9.56NA  12.10NA   9.56    12.10     5.42  37.22  39.76  37.22  39.76  0090.11.76.1320120             37.8975 090 99     0.00   0.00   0.00
61770  Incise skull for treatment                        A  23.09  11.70NA  10.06NA  11.70    10.06     3.55  38.34  36.70  38.34  36.70  0090.11.76.1320110             37.8975 090 99     0.00   0.00   0.00
61790  Treat trigeminal nerve                            A  11.50   6.40NA   7.87NA   6.40     7.87     2.82  20.72  22.19  20.72  22.19  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
61791  Treat trigeminal tract                            A  15.31   8.61NA   7.70NA   8.61     7.70     3.40  27.32  26.41  27.32  26.41  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
61793  Focus radiation beam                              A  17.75  10.08NA   9.94NA  10.08     9.94     4.46  32.29  32.15  32.29  32.15  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
61795  Brain surgery using computer                      A   4.03   1.87NA   1.40NA   1.87     1.40     0.79   6.69   6.22   6.69   6.22  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
61850  Implant neuroelectrodes                           A  13.26   7.16NA   5.63NA   7.16     5.63     3.22  23.64  22.11  23.64  22.11  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
61860  Implant neuroelectrodes                           A  22.16  11.89NA  11.36NA  11.89    11.36     4.95  39.00  38.47  39.00  38.47  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
61863  Implant neuroelectrode                            A  20.56  11.99NA  12.64NA  11.99    12.64     5.43  37.98  38.63  37.98  38.63  0090.11.76.1321210             37.8975 090 99     0.00   0.00   0.00
61864  Implant neuroelectrde, addl                       A   4.49   2.14NA   1.73NA   2.14     1.73     5.43  12.06  11.65  12.06  11.65  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
61867  Implant neuroelectrode                            A  32.88  17.75NA  16.95NA  17.75    16.95     5.43  56.06  55.26  56.06  55.26  0090.11.76.1321210             37.8975 090 99     0.00   0.00   0.00
61868  Implant neuroelectrde, addl                      A   7.91   3.76NA   3.02NA   3.76     3.02     5.43  17.10  16.36  17.10  16.36  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
61870  Implant neuroelectrodes                           A  16.24   9.47NA   8.78NA   9.47     8.78     3.87  29.58  28.89  29.58  28.89  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
61875  Implant neuroelectrodes                           A  16.36   7.76NA   5.33NA   7.76     5.33     2.95  27.07  24.64  27.07  24.64  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
61880  Revise/remove neuroelectrode                      A   6.87   4.81NA   5.53NA   4.81     5.53     1.66  13.34  14.06  13.34  14.06  0090.11.76.1321210             37.8975 090 99     0.00   0.00   0.00
61885  Insrt/redo neurostim 1 array                      A   7.37   5.85NA   7.48NA   5.85     7.48     1.59  14.81  16.44  14.81  16.44  0090.11.76.1321000             37.8975 090 99     0.00   0.00   0.00
61886  Implant neurostim arrays                          A   9.73   6.97NA   8.82NA   6.97     8.82     1.97  18.67  20.52  18.67  20.52  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
61888  Revise/remove neuroreceiver                       A   5.20   3.66NA   3.63NA   3.66     3.63     1.33  10.19  10.16  10.19  10.16  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
62000  Treat skull fracture                              A  13.83   5.95NA   7.28NA   5.95     7.28     1.06  20.84  22.17  20.84  22.17  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
62005  Treat skull fracture                              A  17.53   9.00NA   9.61NA   9.00     9.61     3.87  30.40  31.01  30.40  31.01  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62010  Treatment of head injury                          A  21.30  11.80NA  12.08NA  11.80    12.08     5.14  38.24  38.52  38.24  38.52  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62100  Repair brain fluid leakage                        A  23.40  12.60NA  12.05NA  12.60    12.05     4.84  40.84  40.29  40.84  40.29  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62115  Reduction of skull defect                         A  22.71  12.27NA  14.15NA  12.27    14.15     5.51  40.49  42.37  40.49  42.37  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62116  Reduction of skull defect                         A  24.90  13.38NA  13.44NA  13.38    13.44     6.11  44.39  44.45  44.39  44.45  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
62117  Reduction of skull defect                         A  28.26  15.26NA  14.92NA  15.26    14.92     4.53  48.05  47.71  48.05  47.71  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62120  Repair skull cavity lesion                        A  24.39  17.84NA  15.93NA  17.84    15.93     3.00  45.23  43.32  45.23  43.32  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62121  Incise skull repair                               A  22.93  15.14NA  14.22NA  15.14    14.22     4.17  42.24  41.32  42.24  41.32  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62140  Repair of skull defect                            A  14.45   8.42NA   8.71NA   8.42     8.71     3.47  26.34  26.63  26.34  26.63  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62141  Repair of skull defect                            A  15.97   9.14NA   9.43NA   9.14     9.43     3.76  28.87  29.16  28.87  29.16  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62142  Remove skull plate/flap                           A  11.73   7.20NA   7.81NA   7.20     7.81     2.73  21.66  22.27  21.66  22.27  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
62143  Replace skull plate/flap                          A  14.05   8.25NA   8.89NA   8.25     8.89     3.37  25.67  26.31  25.67  26.31  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62145  Repair of skull & brain                           A  19.99  10.76NA  10.35NA  10.76    10.35     4.50  35.25  34.84  35.25  34.84  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62146  Repair of skull with graft                        A  17.18   9.53NA   9.21NA   9.53     9.21     3.62  30.33  30.01  30.33  30.01  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62147  Repair of skull with graft                        A  20.57  11.16NA  10.75NA  11.16    10.75     4.32  36.05  35.64  36.05  35.64  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62148  Retr bone flap to fix skull                       A   2.00   0.84NA   0.78NA   0.84     0.78     0.48   3.32   3.26   3.32   3.26  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
62160  Neuroendoscopy add-on                             A   3.00   1.44NA   1.15NA   1.44     1.15     0.77   5.21   4.92   5.21   4.92  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
62161  Dissect brain w/scope                             A  21.10  12.14NA  12.29NA  12.14    12.29     5.19  38.43  38.58  38.43  38.58  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62162  Remove colloid cyst w/scope                       A  26.67  14.65NA  14.05NA  14.65    14.05     5.91  47.23  46.63  47.23  46.63  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62163  Neuroendoscopy w/fb removal                       A  16.40  10.11NA  10.66NA  10.11    10.66     4.01  30.52  31.07  30.52  31.07  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62164  Remove brain tumor w/scope                        A  29.27  15.00NA  15.15NA  15.00    15.15     5.38  49.65  49.80  49.65  49.80  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62165  Remove pituit tumor w/scope                       A  23.10  12.95NA  11.67NA  12.95    11.67     3.01  39.06  37.78  39.06  37.78  0090.11.76.1320010             37.8975 090 99     0.00   0.00   0.00
62180  Establish brain cavity shunt                      A  22.45  12.25NA  12.17NA  12.25    12.17     4.98  39.68  39.60  39.68  39.60  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
62190  Establish brain cavity shunt                      A  12.07   7.25NA   7.76NA   7.25     7.76     2.80  22.12  22.63  22.12  22.63  0090.11.76.1320110             37.8975 090 99     0.00   0.00   0.00
62192  Establish brain cavity shunt                      A  13.25   7.84NA   8.49NA   7.84     8.49     3.02  24.11  24.76  24.11  24.76  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62194  Replace/irrigate catheter                         A   5.68   2.76NA   3.75NA   2.76     3.75     0.92   9.36  10.35   9.36  10.35  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
62200  Establish brain cavity shunt                      A  19.19  10.84NA  10.84NA  10.84    10.84     4.65  34.68  34.68  34.68  34.68  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62201  Brain cavity shunt w/scope                        A  15.89   9.74NA  10.64NA   9.74    10.64     3.68  29.31  30.21  29.31  30.21  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
62220  Establish brain cavity shunt                      A  14.00   8.11NA   8.49NA   8.11     8.49     3.35  25.46  25.84  25.46  25.84  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62223  Establish brain cavity shunt                      A  13.90   8.56NA   9.52NA   8.56     9.52     3.14  25.60  26.56  25.60  26.56  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62225  Replace/irrigate catheter                         A   6.11   4.45NA   5.54NA   4.45     5.54     1.39  11.95  13.04  11.95  13.04  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
62230  Replace/revise brain shunt                        A  11.35   6.70NA   7.36NA   6.70     7.36     2.71  20.76  21.42  20.76  21.42  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62252  Csf shunt reprogram                               A   0.74   1.55     1.78     1.55NA   1.78 NA  0.21   2.50   2.73   2.50   2.73  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
62252TCCsf shunt reprogram                               A   0.00   1.20     1.50     1.20NA   1.50 NA  0.02   1.22   1.52   1.22   1.52  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
6225226Csf shunt reprogram                               A   0.74   0.35     0.28     0.35     0.28     0.19   1.28   1.21   1.28   1.21  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
62256  Remove brain cavity shunt                         A   7.30   5.00NA   5.94NA   5.00     5.94     1.72  14.02  14.96  14.02  14.96  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
62258  Replace brain cavity shunt                        A  15.54   8.88NA   9.37NA   8.88     9.37     3.74  28.16  28.65  28.16  28.65  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
62263  Epidural lysis mult sessions                      A   6.41  11.78     9.04     3.11     2.86     0.41  18.60  15.86   9.93   9.68  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
62264  Epidural lysis on single day                      A   4.42   7.20     5.62     1.38     1.27     0.27  11.89  10.31   6.07   5.96  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
62268  Drain spinal cord cyst                            A   4.73  10.26     6.44     2.01     1.63     0.43  15.42  11.60   7.17   6.79  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
62269  Needle biopsy, spinal cord                        A   5.01  12.67     6.62     1.88     1.61     0.37  18.05  12.00   7.26   6.99  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
62270  Spinal fluid tap, diagnostic                      A   1.37   2.82     2.30     0.55     0.53     0.08   4.27   3.75   2.00   1.98  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
62272  Drain cerebro spinal fluid                        A   1.35   3.47     3.06     0.68     0.60     0.18   5.00   4.59   2.21   2.13  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
62273  Inject epidural patch                             A   2.15   2.45     1.66     0.68     0.57     0.13   4.73   3.94   2.96   2.85  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
62280  Treat spinal cord lesion                          A   2.63   6.25     4.21     1.02     1.06     0.30   9.18   7.14   3.95   3.99  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
62281  Treat spinal cord lesion                          A   2.66   5.16     3.69     0.89     0.89     0.19   8.01   6.54   3.74   3.74  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
62282  Treat spinal canal lesion                         A   2.33   7.25     3.90     0.96     1.06     0.17   9.75   6.40   3.46   3.56  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
62284  Injection for myelogram                           A   1.54   4.62     3.58     0.67     0.62     0.13   6.29   5.25   2.34   2.29  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
62287  Percutaneous diskectomy                           A   8.88   5.18NA   4.08NA   5.18     4.08     0.58  14.64  13.54  14.64  13.54  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
62290  Inject for spine disk x-ray                       A   3.00   6.43     4.31     1.31     1.09     0.23   9.66   7.54   4.54   4.32  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
62291  Inject for spine disk x-ray                       A   2.91   5.47     4.09     1.18     1.02     0.26   8.64   7.26   4.35   4.19  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
62292  Injection into disk lesion                        A   9.14   4.15NA   3.19NA   4.15     3.19     0.82  14.11  13.15  14.11  13.15  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
62294  Injection into spinal artery                      A  12.77   5.58NA   5.56NA   5.58     5.56     1.24  19.59  19.57  19.59  19.57  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
62310  Inject spine c/t                                  A   1.91   4.35     2.98     0.63     0.57     0.12   6.38   5.01   2.66   2.60  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
62311  Inject spine l/s (cd)                             A   1.54   4.35     2.65     0.58     0.53     0.09   5.98   4.28   2.21   2.16  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
62318  Inject spine w/cath, c/t                          A   2.04   5.09     3.19     0.61     0.48     0.12   7.25   5.35   2.77   2.64  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
62319  Inject spine w/cath l/s (cd)                      A   1.87   4.45     2.85     0.58     0.47     0.11   6.43   4.83   2.56   2.45  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
62350  Implant spinal canal cath                         A   8.04   4.00NA   4.16NA   4.00     4.16     1.02  13.06  13.22  13.06  13.22  0090.11.76.1320110             37.8975 090 99     0.00   0.00   0.00
62351  Implant spinal canal cath                         A  11.54   7.29NA   7.79NA   7.29     7.79     2.25  21.08  21.58  21.08  21.58  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
62355  Remove spinal canal catheter                      A   6.60   3.27NA   3.61NA   3.27     3.61     0.71  10.58  10.92  10.58  10.92  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
62360  Insert spine infusion device                      A   3.68   2.87NA   3.45NA   2.87     3.45     0.34   6.89   7.47   6.89   7.47  0090.11.76.1320010             37.8975 090 99     0.00   0.00   0.00
62361  Implant spine infusion pump                       A   6.59   3.94NA   4.00NA   3.94     4.00     0.80  11.33  11.39  11.33  11.39  0090.11.76.1320010             37.8975 090 99     0.00   0.00   0.00
62362  Implant spine infusion pump                       A   8.58   4.46NA   4.77NA   4.46     4.77     1.18  14.22  14.53  14.22  14.53  0090.11.76.1320010             37.8975 090 99     0.00   0.00   0.00
62365  Remove spine infusion device                      A   6.57   3.65NA   3.85NA   3.65     3.85     0.86  11.08  11.28  11.08  11.28  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
62367  Analyze spine infusion pump                       A   0.48   0.56     0.41     0.10     0.11     0.03   1.07   0.92   0.61   0.62  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
62368  Analyze spine infusion pump                       A   0.75   0.67     0.59     0.17     0.18     0.06   1.48   1.40   0.98   0.99  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
63001  Removal of spinal lamina                          A  17.51   9.64NA  10.01NA   9.64    10.01     3.77  30.92  31.29  30.92  31.29  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
63003  Removal of spinal lamina                          A  17.64   9.87NA   9.91NA   9.87     9.91     3.73  31.24  31.28  31.24  31.28  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
63005  Removal of spinal lamina                          A  16.28   9.94NA   9.86NA   9.94     9.86     3.35  29.57  29.49  29.57  29.49  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
63011  Removal of spinal lamina                          A  15.78   8.53NA   9.30NA   8.53     9.30     3.38  27.69  28.46  27.69  28.46  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
63012  Removal of spinal lamina                          A  16.72  10.08NA   9.94NA  10.08     9.94     3.49  30.29  30.15  30.29  30.15  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
63015  Removal of spinal lamina                          A  20.70  11.94NA  12.16NA  11.94    12.16     4.76  37.40  37.62  37.40  37.62  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
63016  Removal of spinal lamina                          A  21.90  11.86NA  12.09NA  11.86    12.09     4.59  38.35  38.58  38.35  38.58  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
63017  Removal of spinal lamina                          A  17.18  10.43NA  10.54NA  10.43    10.54     3.64  31.25  31.36  31.25  31.36  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
63020  Neck spine disk surgery                           A  16.05   9.78NA  10.09NA   9.78    10.09     3.72  29.55  29.86  29.55  29.86  0090.11.76.1321220             37.8975 090 99     0.00   0.00   0.00
63030  Low back disk surgery                             A  13.03   8.50NA   8.74NA   8.50     8.74     3.01  24.54  24.78  24.54  24.78  0090.11.76.1321220             37.8975 090 99     0.00   0.00   0.00
63035  Spinal disk surgery add-on                        A   3.15   1.50NA   1.22NA   1.50     1.22     0.79   5.44   5.16   5.44   5.16  0ZZZ.00.00.0001220             37.8975 090 99     0.00   0.00   0.00
63040  Laminotomy, single cervical                       A  20.18  11.43NA  11.20NA  11.43    11.20     4.68  36.29  36.06  36.29  36.06  0090.11.76.1321220             37.8975 090 99     0.00   0.00   0.00
63042  Laminotomy, single lumbar                         A  18.61  11.20NA  10.78NA  11.20    10.78     4.26  34.07  33.65  34.07  33.65  0090.11.76.1321220             37.8975 090 99     0.00   0.00   0.00
63043  Laminotomy, addl cervical                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0ZZZ.00.00.0001220             37.8975 090 99     0.00   0.00   0.00
63044  Laminotomy, addl lumbar                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0ZZZ.00.00.0001220             37.8975 090 99     0.00   0.00   0.00
63045  Removal of spinal lamina                          A  17.82  10.40NA  10.53NA  10.40    10.53     3.99  32.21  32.34  32.21  32.34  0090.11.76.1322220             37.8975 090 99     0.00   0.00   0.00
63046  Removal of spinal lamina                          A  17.12  10.13NA   9.98NA  10.13     9.98     3.56  30.81  30.66  30.81  30.66  0090.11.76.1322220             37.8975 090 99     0.00   0.00   0.00
63047  Removal of spinal lamina                          A  15.22   9.79NA   9.49NA   9.79     9.49     3.24  28.25  27.95  28.25  27.95  0090.11.76.1322220             37.8975 090 99     0.00   0.00   0.00
63048  Remove spinal lamina add-on                       A   3.47   1.58NA   1.35NA   1.58     1.35     0.72   5.77   5.54   5.77   5.54  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
63050  Cervical laminoplasty                             A  21.88  11.11NA   8.91NA  11.11     8.91     4.67  37.66  35.46  37.66  35.46  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
63051  C-laminoplasty w/graft/plate                      A  25.38  13.05NA  11.79NA  13.05    11.79     4.67  43.10  41.84  43.10  41.84  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
63055  Decompress spinal cord                            A  23.42  12.99NA  12.55NA  12.99    12.55     5.29  41.70  41.26  41.70  41.26  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63056  Decompress spinal cord                            A  21.73  12.31NA  11.54NA  12.31    11.54     4.76  38.80  38.03  38.80  38.03  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63057  Decompress spine cord add-on                      A   5.25   2.47NA   2.00NA   2.47     2.00     1.22   8.94   8.47   8.94   8.47  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
63064  Decompress spinal cord                            A  26.09  14.21NA  13.58NA  14.21    13.58     5.71  46.01  45.38  46.01  45.38  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63066  Decompress spine cord add-on                      A   3.26   1.56NA   1.26NA   1.56     1.26     0.69   5.51   5.21   5.51   5.21  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
63075  Neck spine disk surgery                           A  19.47  11.87NA  11.24NA  11.87    11.24     4.63  35.97  35.34  35.97  35.34  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
63076  Neck spine disk surgery                           A   4.04   1.93NA   1.56NA   1.93     1.56     0.96   6.93   6.56   6.93   6.56  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
63077  Spine disk surgery, thorax                        A  22.75  12.41NA  11.28NA  12.41    11.28     3.99  39.15  38.02  39.15  38.02  0090.11.76.1320220             37.8975 090 99     0.00   0.00   0.00
63078  Spine disk surgery, thorax                        A   3.28   1.54NA   1.22NA   1.54     1.22     0.66   5.48   5.16   5.48   5.16  0ZZZ.00.00.0000220             37.8975 090 99     0.00   0.00   0.00
63081  Removal of vertebral body                         A  25.97  14.19NA  13.78NA  14.19    13.78     5.56  45.72  45.31  45.72  45.31  0090.11.76.1320212             37.8975 090 99     0.00   0.00   0.00
63082  Remove vertebral body add-on                      A   4.36   2.09NA   1.69NA   2.09     1.69     1.02   7.47   7.07   7.47   7.07  0ZZZ.00.00.0000212             37.8975 090 99     0.00   0.00   0.00
63085  Removal of vertebral body                         A  29.34  15.08NA  13.89NA  15.08    13.89     4.49  48.91  47.72  48.91  47.72  0090.11.76.1320222             37.8975 090 99     0.00   0.00   0.00
63086  Remove vertebral body add-on                      A   3.19   1.49NA   1.19NA   1.49     1.19     0.59   5.27   4.97   5.27   4.97  0ZZZ.00.00.0000222             37.8975 090 99     0.00   0.00   0.00
63087  Removal of vertebral body                         A  37.38  18.84NA  16.99NA  18.84    16.99     6.22  62.44  60.59  62.44  60.59  0090.11.76.1320222             37.8975 090 99     0.00   0.00   0.00
63088  Remove vertebral body add-on                      A   4.32   2.04NA   1.66NA   2.04     1.66     0.82   7.18   6.80   7.18   6.80  0ZZZ.00.00.0000222             37.8975 090 99     0.00   0.00   0.00
63090  Removal of vertebral body                         A  30.78  15.58NA  14.24NA  15.58    14.24     4.22  50.58  49.24  50.58  49.24  0090.11.76.1320222             37.8975 090 99     0.00   0.00   0.00
63091  Remove vertebral body add-on                      A   3.03   1.38NA   1.14NA   1.38     1.14     0.48   4.89   4.65   4.89   4.65  0ZZZ.00.00.0000222             37.8975 090 99     0.00   0.00   0.00
63101  Removal of vertebral body                         A  33.92  18.80NA  17.38NA  18.80    17.38     5.71  58.43  57.01  58.43  57.01  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63102  Removal of vertebral body                         A  33.92  18.73NA  17.09NA  18.73    17.09     5.71  58.36  56.72  58.36  56.72  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63103  Remove vertebral body add-on                      A   4.82   2.33NA   1.82NA   2.33     1.82     0.69   7.84   7.33   7.84   7.33  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
63170  Incise spinal cord tract(s)                       A  22.08  12.10NA  12.80NA  12.10    12.80     4.87  39.05  39.75  39.05  39.75  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63172  Drainage of spinal cyst                           A  19.66  10.84NA  11.44NA  10.84    11.44     4.49  34.99  35.59  34.99  35.59  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63173  Drainage of spinal cyst                           A  24.18  12.99NA  13.56NA  12.99    13.56     5.70  42.87  43.44  42.87  43.44  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63180  Revise spinal cord ligaments                      A  20.40  10.98NA  10.98NA  10.98    10.98     3.96  35.34  35.34  35.34  35.34  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63182  Revise spinal cord ligaments                      A  22.69  10.01NA   7.18NA  10.01     7.18     5.32  38.02  35.19  38.02  35.19  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63185  Incise spinal column/nerves                       A  16.36   8.62NA  10.19NA   8.62    10.19     2.80  27.78  29.35  27.78  29.35  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63190  Incise spinal column/nerves                       A  18.76  10.16NA  10.26NA  10.16    10.26     3.25  32.17  32.27  32.17  32.27  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63191  Incise spinal column/nerves                       A  18.79  10.58NA  10.89NA  10.58    10.89     6.36  35.73  36.04  35.73  36.04  0090.11.76.1321210             37.8975 090 99     0.00   0.00   0.00
63194  Incise spinal column & cord                       A  21.97  11.01NA   8.89NA  11.01     8.89     3.27  36.25  34.13  36.25  34.13  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63195  Incise spinal column & cord                       A  21.54  11.37NA  12.35NA  11.37    12.35     4.88  37.79  38.77  37.79  38.77  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63196  Incise spinal column & cord                       A  25.14  13.56NA  14.08NA  13.56    14.08     5.78  44.48  45.00  44.48  45.00  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63197  Incise spinal column & cord                       A  23.95  12.55NA  13.61NA  12.55    13.61     5.38  41.88  42.94  41.88  42.94  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63198  Incise spinal column & cord                       A  29.75   8.56NA   8.93NA   8.56     8.93     6.45  44.76  45.13  44.76  45.13  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63199  Incise spinal column & cord                       A  31.32  13.60NA   9.29NA  13.60     9.29     1.40  46.32  42.01  46.32  42.01  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63200  Release of spinal cord                            A  21.31  11.45NA  11.92NA  11.45    11.92     4.97  37.73  38.20  37.73  38.20  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
63250  Revise spinal cord vessels                        A  43.73  20.30NA  21.43NA  20.30    21.43     9.04  73.07  74.20  73.07  74.20  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63251  Revise spinal cord vessels                        A  44.49  22.36NA  21.71NA  22.36    21.71    10.44  77.29  76.64  77.29  76.64  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63252  Revise spinal cord vessels                        A  44.48  22.07NA  21.59NA  22.07    21.59    10.67  77.22  76.74  77.22  76.74  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63265  Excise intraspinal lesion                         A  23.69  12.89NA  13.27NA  12.89    13.27     5.45  42.03  42.41  42.03  42.41  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63266  Excise intraspinal lesion                         A  24.55  13.24NA  13.44NA  13.24    13.44     5.56  43.35  43.55  43.35  43.55  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63267  Excise intraspinal lesion                         A  19.32  11.14NA  11.35NA  11.14    11.35     4.38  34.84  35.05  34.84  35.05  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63268  Excise intraspinal lesion                         A  19.89  10.51NA  10.95NA  10.51    10.95     3.70  34.10  34.54  34.10  34.54  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63270  Excise intraspinal lesion                         A  29.67  15.59NA  15.96NA  15.59    15.96     6.84  52.10  52.47  52.10  52.47  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63271  Excise intraspinal lesion                         A  29.79  15.56NA  15.57NA  15.56    15.57     6.92  52.27  52.28  52.27  52.28  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63272  Excise intraspinal lesion                         A  27.37  14.64NA  14.52NA  14.64    14.52     6.20  48.21  48.09  48.21  48.09  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63273  Excise intraspinal lesion                         A  26.34  14.25NA  14.02NA  14.25    14.02     5.76  46.35  46.12  46.35  46.12  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
63275  Biopsy/excise spinal tumor                        A  25.73  13.74NA  13.67NA  13.74    13.67     5.82  45.29  45.22  45.29  45.22  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63276  Biopsy/excise spinal tumor                        A  25.56  13.73NA  13.92NA  13.73    13.92     5.85  45.14  45.33  45.14  45.33  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63277  Biopsy/excise spinal tumor                        A  22.26  12.46NA  12.31NA  12.46    12.31     5.03  39.75  39.60  39.75  39.60  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63278  Biopsy/excise spinal tumor                        A  21.99  12.34NA  12.22NA  12.34    12.22     4.56  38.89  38.77  38.89  38.77  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63280  Biopsy/excise spinal tumor                        A  30.14  16.29NA  16.25NA  16.29    16.25     7.29  53.72  53.68  53.72  53.68  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63281  Biopsy/excise spinal tumor                        A  29.84  16.13NA  16.05NA  16.13    16.05     7.19  53.16  53.08  53.16  53.08  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63282  Biopsy/excise spinal tumor                        A  28.00  15.33NA  15.35NA  15.33    15.35     6.78  50.11  50.13  50.11  50.13  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63283  Biopsy/excise spinal tumor                        A  26.61  14.58NA  14.38NA  14.58    14.38     6.28  47.47  47.27  47.47  47.27  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63285  Biopsy/excise spinal tumor                        A  37.90  19.78NA  19.34NA  19.78    19.34     9.21  66.89  66.45  66.89  66.45  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63286  Biopsy/excise spinal tumor                        A  37.47  19.69NA  19.08NA  19.69    19.08     9.24  66.40  65.79  66.40  65.79  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63287  Biopsy/excise spinal tumor                        A  39.93  20.26NA  19.79NA  20.26    19.79     9.42  69.61  69.14  69.61  69.14  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63290  Biopsy/excise spinal tumor                        A  40.67  20.53NA  20.38NA  20.53    20.38     9.05  70.25  70.10  70.25  70.10  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63295  Repair of laminectomy defect                      A   5.25   1.94NA   1.34NA   1.94     1.34     1.03   8.22   7.62   8.22   7.62  0ZZZ.00.00.0002220             37.8975 090 99     0.00   0.00   0.00
63300  Removal of vertebral body                         A  26.67  14.15NA  13.72NA  14.15    13.72     5.99  46.81  46.38  46.81  46.38  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63301  Removal of vertebral body                         A  31.42  15.46NA  15.20NA  15.46    15.20     5.41  52.29  52.03  52.29  52.03  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63302  Removal of vertebral body                         A  31.00  15.62NA  14.96NA  15.62    14.96     5.55  52.17  51.51  52.17  51.51  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63303  Removal of vertebral body                         A  33.42  16.37NA  14.79NA  16.37    14.79     4.69  54.48  52.90  54.48  52.90  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63304  Removal of vertebral body                         A  33.70  17.27NA  17.29NA  17.27    17.29     6.43  57.40  57.42  57.40  57.42  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63305  Removal of vertebral body                         A  36.09  17.97NA  17.76NA  17.97    17.76     5.73  59.79  59.58  59.79  59.58  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63306  Removal of vertebral body                         A  35.40  17.30NA  15.81NA  17.30    15.81     8.35  61.05  59.56  61.05  59.56  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63307  Removal of vertebral body                         A  34.81  17.08NA  17.93NA  17.08    17.93     4.47  56.36  57.21  56.36  57.21  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63308  Remove vertebral body add-on                      A   5.24   2.44NA   1.96NA   2.44     1.96     1.29   8.97   8.49   8.97   8.49  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
63600  Remove spinal cord lesion                         A  15.02   5.18NA   4.54NA   5.18     4.54     1.52  21.72  21.08  21.72  21.08  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
63610  Stimulation of spinal cord                        A   8.72  48.25    13.95     2.08     1.57     0.86  57.83  23.53  11.66  11.15  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
63615  Remove lesion of spinal cord                      A  17.22   8.46NA   6.06NA   8.46     6.06     2.85  28.53  26.13  28.53  26.13  0090.11.76.1320110             37.8975 090 99     0.00   0.00   0.00
63650  Implant neuroelectrodes                           A   7.57   3.11NA   2.91NA   3.11     2.91     0.53  11.21  11.01  11.21  11.01  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
63655  Implant neuroelectrodes                           A  11.43   7.15NA   7.91NA   7.15     7.91     2.44  21.02  21.78  21.02  21.78  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63660  Revise/remove neuroelectrode                      A   6.87   3.54NA   3.33NA   3.54     3.33     0.78  11.19  10.98  11.19  10.98  0090.11.76.1320110             37.8975 090 99     0.00   0.00   0.00
63685  Insrt/redo spine n generator                      A   7.87   4.03NA   3.71NA   4.03     3.71     1.05  12.95  12.63  12.95  12.63  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63688  Revise/remove neuroreceiver                       A   6.10   3.56NA   3.59NA   3.56     3.59     0.89  10.55  10.58  10.55  10.58  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
63700  Repair of spinal herniation                       A  17.32  10.20NA   9.88NA  10.20     9.88     3.53  31.05  30.73  31.05  30.73  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63702  Repair of spinal herniation                       A  19.26  11.03NA  11.03NA  11.03    11.03     4.13  34.42  34.42  34.42  34.42  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63704  Repair of spinal herniation                       A  22.23  12.86NA  12.71NA  12.86    12.71     4.58  39.67  39.52  39.67  39.52  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63706  Repair of spinal herniation                       A  25.15  14.00NA  15.27NA  14.00    15.27     6.25  45.40  46.67  45.40  46.67  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63707  Repair spinal fluid leakage                       A  12.52   7.77NA   7.96NA   7.77     7.96     2.52  22.81  23.00  22.81  23.00  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63709  Repair spinal fluid leakage                       A  15.52   9.33NA   9.14NA   9.33     9.14     3.10  27.95  27.76  27.95  27.76  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63710  Graft repair of spine defect                      A  15.27   9.11NA   9.35NA   9.11     9.35     3.41  27.79  28.03  27.79  28.03  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63740  Install spinal shunt                              A  12.50   7.59NA   8.33NA   7.59     8.33     2.94  23.03  23.77  23.03  23.77  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63741  Install spinal shunt                              A   9.02   4.78NA   4.85NA   4.78     4.85     1.66  15.46  15.53  15.46  15.53  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63744  Revision of spinal shunt                          A   8.86   5.47NA   6.12NA   5.47     6.12     1.90  16.23  16.88  16.23  16.88  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
63746  Removal of spinal shunt                           A   7.25   4.02NA   4.78NA   4.02     4.78     1.53  12.80  13.56  12.80  13.56  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
64400  N block inj, trigeminal                           A   1.11   1.77     1.39     0.44     0.45     0.07   2.95   2.57   1.62   1.63  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64402  N block inj, facial                               A   1.25   1.57     1.45     0.58     0.53     0.09   2.91   2.79   1.92   1.87  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64405  N block inj, occipital                            A   1.32   1.39     1.16     0.47     0.51     0.08   2.79   2.56   1.87   1.91  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64408  N block inj, vagus                                A   1.41   1.55     1.46     0.82     0.72     0.10   3.06   2.97   2.33   2.23  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
64410  N block inj, phrenic                              A   1.43   2.33     1.80     0.48     0.52     0.09   3.85   3.32   2.00   2.04  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
64412  N block inj, spinal accessor                      A   1.18   2.50     2.03     0.46     0.55     0.08   3.76   3.29   1.72   1.81  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
64413  N block inj, cervical plexus                      A   1.40   1.70     1.28     0.49     0.47     0.08   3.18   2.76   1.97   1.95  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64415  N block inj, brachial plexus                      A   1.48   2.47     1.48     0.43     0.34     0.09   4.04   3.05   2.00   1.91  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64416  N block cont infuse, b plex                       A   3.85   0.74NA   0.58NA   0.74     0.58     0.31   4.90   4.74   4.90   4.74  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
64417  N block inj, axillary                             A   1.44   2.65     1.49     0.46     0.35     0.11   4.20   3.04   2.01   1.90  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64418  N block inj, suprascapular                        A   1.32   2.43     1.87     0.46     0.52     0.07   3.82   3.26   1.85   1.91  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
64420  N block inj, intercost, sng                       A   1.18   3.50     2.36     0.43     0.44     0.08   4.76   3.62   1.69   1.70  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64421  N block inj, intercost, mlt                       A   1.68   5.43     3.48     0.52     0.52     0.11   7.22   5.27   2.31   2.31  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64425  N block inj, ilio-ing/hypogi                      A   1.75   1.57     1.32     0.54     0.55     0.13   3.45   3.20   2.42   2.43  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64430  N block inj, pudendal                             A   1.46   2.48     2.40     0.61     0.79     0.10   4.04   3.96   2.17   2.35  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64435  N block inj, paracervical                         A   1.45   2.38     1.97     0.66     0.55     0.16   3.99   3.58   2.27   2.16  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64445  N block inj, sciatic, sng                         A   1.48   2.42     1.65     0.51     0.52     0.10   4.00   3.23   2.09   2.10  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64446  N blk inj, sciatic, cont inf                      A   3.61   0.90NA   0.59NA   0.90     0.59     0.20   4.71   4.40   4.71   4.40  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
64447  N block inj fem, single                           A   1.50   0.38NA   0.21NA   0.38     0.21     0.09   1.97   1.80   1.97   1.80  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64448  N block inj fem, cont inf                         A   3.36   0.73NA   0.47NA   0.73     0.47     0.18   4.27   4.01   4.27   4.01  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
64449  N block inj, lumbar plexus                        A   3.24   0.84NA   0.49NA   0.84     0.49     0.15   4.23   3.88   4.23   3.88  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
64450  N block, other peripheral                         A   1.27   1.25     1.29     0.49     0.50     0.13   2.65   2.69   1.89   1.90  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
64470  Inj paravertebral c/t                             A   1.85   6.37     3.79     0.71     0.70     0.11   8.33   5.75   2.67   2.66  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
64472  Inj paravertebral c/t add-on                      A   1.29   2.05     1.20     0.34     0.33     0.08   3.42   2.57   1.71   1.70  0ZZZ.00.00.0001100             37.8975 090 99     0.00   0.00   0.00
64475  Inj paravertebral l/s                             A   1.41   6.07     3.64     0.62     0.59     0.10   7.58   5.15   2.13   2.10  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
64476  Inj paravertebral l/s add-on                      A   0.98   1.86     1.09     0.24     0.23     0.07   2.91   2.14   1.29   1.28  0ZZZ.00.00.0001100             37.8975 090 99     0.00   0.00   0.00
64479  Inj foramen epidural c/t                          A   2.20   6.55     3.71     0.87     0.80     0.12   8.87   6.03   3.19   3.12  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
64480  Inj foramen epidural add-on                       A   1.54   2.50     1.46     0.45     0.37     0.10   4.14   3.10   2.09   2.01  0ZZZ.00.00.0001100             37.8975 090 99     0.00   0.00   0.00
64483  Inj foramen epidural l/s                          A   1.90   6.86     3.76     0.81     0.74     0.11   8.87   5.77   2.82   2.75  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
64484  Inj foramen epidural add-on                       A   1.33   2.86     1.59     0.36     0.32     0.08   4.27   3.00   1.77   1.73  0ZZZ.00.00.0001100             37.8975 090 99     0.00   0.00   0.00
64505  N block, spenopalatine gangl                      A   1.36   1.21     1.10     0.68     0.73     0.10   2.67   2.56   2.14   2.19  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64508  N block, carotid sinus s/p                        A   1.12   2.96     1.87     0.68     0.49     0.07   4.15   3.06   1.87   1.68  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
64510  N block, stellate ganglion                        A   1.22   3.06     1.88     0.49     0.43     0.07   4.35   3.17   1.78   1.72  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64517  N block inj, hypogas plxs                         A   2.20   2.45     1.65     0.81     0.64     0.11   4.76   3.96   3.12   2.95  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64520  N block, lumbar/thoracic                          A   1.35   4.50     2.56     0.54     0.51     0.08   5.93   3.99   1.97   1.94  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64530  N block inj, celiac pelus                         A   1.58   3.98     2.58     0.63     0.58     0.10   5.66   4.26   2.31   2.26  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64550  Apply neurostimulator                             A   0.18   0.26     0.20     0.05     0.06     0.01   0.45   0.39   0.24   0.25  0000.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
64553  Implant neuroelectrodes                           A   2.33   2.75     2.50     1.73     1.37     0.18   5.26   5.01   4.24   3.88  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
64555  Implant neuroelectrodes                           A   2.29   2.96     2.55     1.23     1.36     0.19   5.44   5.03   3.71   3.84  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
64560  Implant neuroelectrodes                           A   2.38   2.59     2.48     1.30     1.34     0.22   5.19   5.08   3.90   3.94  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
64561  Implant neuroelectrodes                           A   7.07  27.51    19.89     3.05     3.90     0.51  35.09  27.47  10.63  11.48  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
64565  Implant neuroelectrodes                           A   1.78   3.08     2.47     1.27     1.29     0.13   4.99   4.38   3.18   3.20  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
64573  Implant neuroelectrodes                           A   8.15   5.31NA   5.50NA   5.31     5.50     1.60  15.06  15.25  15.06  15.25  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
64575  Implant neuroelectrodes                           A   4.37   2.49NA   1.96NA   2.49     1.96     0.61   7.47   6.94   7.47   6.94  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
64577  Implant neuroelectrodes                           A   4.64   3.17NA   2.84NA   3.17     2.84     1.04   8.85   8.52   8.85   8.52  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
64580  Implant neuroelectrodes                           A   4.14   3.34NA   2.69NA   3.34     2.69     0.36   7.84   7.19   7.84   7.19  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64581  Implant neuroelectrodes                           A  14.15   5.73NA   6.79NA   5.73     6.79     1.05  20.93  21.99  20.93  21.99  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
64585  Revise/remove neuroelectrode                      A   2.08   9.90     5.74     2.16     2.23     0.20  12.18   8.02   4.44   4.51  0010.10.80.1020200             37.8975 090 99     0.00   0.00   0.00
64590  Insrt/redo pn/gastr stimul                        A   2.42   6.95     6.39     2.33     2.47     0.19   9.56   9.00   4.94   5.08  0010.10.80.1020210             37.8975 090 99     0.00   0.00   0.00
64595  Revise/rmv pn/gastr stimul                        A   1.75   9.41     6.46     1.99     2.20     0.19  11.35   8.40   3.93   4.14  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
64600  Injection treatment of nerve                      A   3.46   8.32     5.24     1.64     1.59     0.34  12.12   9.04   5.44   5.39  0010.10.80.1022100             37.8975 090 99     0.00   0.00   0.00
64605  Injection treatment of nerve                      A   5.62   9.04     7.49     2.23     2.36     0.79  15.45  13.90   8.64   8.77  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
64610  Injection treatment of nerve                      A   7.17   9.00     9.40     3.67     3.56     1.58  17.75  18.15  12.42  12.31  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
64612  Destroy nerve, face muscle                        A   1.98   2.27     1.63     1.34     1.38     0.11   4.36   3.72   3.43   3.47  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
64613  Destroy nerve, neck muscle                        A   1.98   2.54     1.37     1.20     1.14     0.11   4.63   3.46   3.29   3.23  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
64614  Destroy nerve, extrem musc                        A   2.20   2.82     1.62     1.31     1.32     0.10   5.12   3.92   3.61   3.62  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
64620  Injection treatment of nerve                      A   2.86   4.64     3.36     1.28     1.14     0.20   7.70   6.42   4.34   4.20  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
64622  Destr paravertebrl nerve l/s                      A   3.02   6.82     4.00     1.34     1.25     0.18  10.02   7.20   4.54   4.45  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
64623  Destr paravertebral n add-on                      A   0.99   2.62     1.61     0.22     0.21     0.06   3.67   2.66   1.27   1.26  0ZZZ.00.00.0001100             37.8975 090 99     0.00   0.00   0.00
64626  Destr paravertebrl nerve c/t                      A   3.82   6.99     4.60     1.93     1.82     0.20  11.01   8.62   5.95   5.84  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
64627  Destr paravertebral n add-on                      A   1.16   3.98     2.31     0.26     0.24     0.07   5.21   3.54   1.49   1.47  0ZZZ.00.00.0001100             37.8975 090 99     0.00   0.00   0.00
64630  Injection treatment of nerve                      A   3.02   2.74     2.78     1.53     1.87     0.22   5.98   6.02   4.77   5.11  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
64640  Injection treatment of nerve                      A   2.78   3.75     2.46     1.75     1.46     0.29   6.82   5.53   4.82   4.53  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
64650  Chemodenerv eccrine glands                        A   0.70   0.85     0.77     0.27     0.18     0.06   1.61   1.53   1.03   0.94  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
64653  Chemodenerv eccrine glands                        A   0.88   0.90     0.82     0.34     0.22     0.08   1.86   1.78   1.30   1.18  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
64680  Injection treatment of nerve                      A   2.64   6.02     3.93     1.34     1.08     0.18   8.84   6.75   4.16   3.90  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
64681  Injection treatment of nerve                      A   3.78   8.17     4.80     1.87     1.28     0.28  12.23   8.86   5.93   5.34  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
64702  Revise finger/toe nerve                           A   6.10   4.23NA   5.33NA   4.23     5.33     0.61  10.94  12.04  10.94  12.04  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
64704  Revise hand/foot nerve                            A   4.61   3.29NA   3.23NA   3.29     3.23     0.61   8.51   8.45   8.51   8.45  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64708  Revise arm/leg nerve                              A   6.22   4.73NA   4.32NA   4.73     4.32     0.96  11.91  11.50  11.91  11.50  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64712  Revision of sciatic nerve                         A   7.98   4.86NA   4.56NA   4.86     4.56     0.95  13.79  13.49  13.79  13.49  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64713  Revision of arm nerve(s)                          A  11.29   6.03NA   6.50NA   6.03     6.50     1.83  19.15  19.62  19.15  19.62  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64714  Revise low back nerve(s)                          A  10.44   4.38NA   4.93NA   4.38     4.93     1.19  16.01  16.56  16.01  16.56  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64716  Revision of cranial nerve                         A   6.86   5.79NA   5.23NA   5.79     5.23     0.63  13.28  12.72  13.28  12.72  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64718  Revise ulnar nerve at elbow                       A   7.06   6.06NA   6.27NA   6.06     6.27     1.05  14.17  14.38  14.17  14.38  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
64719  Revise ulnar nerve at wrist                       A   4.89   4.44NA   4.19NA   4.44     4.19     0.77  10.10   9.85  10.10   9.85  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
64721  Carpal tunnel surgery                             A   4.84   5.21     4.74     5.19     4.68     0.73  10.78  10.31  10.76  10.25  0090.11.76.1321100             37.8975 090 99     0.00   0.00   0.00
64722  Relieve pressure on nerve(s)                      A   4.74   2.99NA   2.83NA   2.99     2.83     0.48   8.21   8.05   8.21   8.05  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64726  Release foot/toe nerve                            A   4.21   2.78NA   2.76NA   2.78     2.76     0.54   7.53   7.51   7.53   7.51  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
64727  Internal nerve revision                           A   3.10   1.44NA   1.25NA   1.44     1.25     0.48   5.02   4.83   5.02   4.83  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
64732  Incision of brow nerve                            A   4.81   3.71NA   4.33NA   3.71     4.33     0.98   9.50  10.12   9.50  10.12  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64734  Incision of cheek nerve                           A   5.45   4.21NA   4.67NA   4.21     4.67     0.89  10.55  11.01  10.55  11.01  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
64736  Incision of chin nerve                            A   5.13   3.99NA   3.91NA   3.99     3.91     0.52   9.64   9.56   9.64   9.56  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64738  Incision of jaw nerve                             A   6.26   4.53NA   4.28NA   4.53     4.28     1.08  11.87  11.62  11.87  11.62  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64740  Incision of tongue nerve                          A   6.12   4.95NA   4.44NA   4.95     4.44     0.69  11.76  11.25  11.76  11.25  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64742  Incision of facial nerve                          A   6.75   4.63NA   4.41NA   4.63     4.41     0.73  12.11  11.89  12.11  11.89  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64744  Incise nerve, back of head                        A   5.64   3.98NA   4.62NA   3.98     4.62     1.16  10.78  11.42  10.78  11.42  0090.11.76.1321000             37.8975 090 99     0.00   0.00   0.00
64746  Incise diaphragm nerve                            A   6.46   4.34NA   3.87NA   4.34     3.87     0.82  11.62  11.15  11.62  11.15  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64752  Incision of vagus nerve                           A   7.59   4.22NA   4.04NA   4.22     4.04     0.93  12.74  12.56  12.74  12.56  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64755  Incision of stomach nerves                        A  14.97   5.67NA   5.80NA   5.67     5.80     1.84  22.48  22.61  22.48  22.61  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64760  Incision of vagus nerve                           A   7.49   3.55NA   3.84NA   3.55     3.84     0.81  11.85  12.14  11.85  12.14  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64761  Incision of pelvis nerve                          A   6.94   3.63NA   3.95NA   3.63     3.95     0.53  11.10  11.42  11.10  11.42  0090.11.76.1321200             37.8975 090 99     0.00   0.00   0.00
64763  Incise hip/thigh nerve                            A   7.46   5.18NA   5.13NA   5.18     5.13     0.94  13.58  13.53  13.58  13.53  0090.11.76.1321210             37.8975 090 99     0.00   0.00   0.00
64766  Incise hip/thigh nerve                            A   9.34   5.26NA   5.31NA   5.26     5.31     1.06  15.66  15.71  15.66  15.71  0090.11.76.1321200             37.8975 090 99     0.00   0.00   0.00
64771  Sever cranial nerve                               A   8.02   5.50NA   5.36NA   5.50     5.36     1.23  14.75  14.61  14.75  14.61  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64772  Incision of spinal nerve                          A   7.74   5.03NA   5.35NA   5.03     5.35     1.40  14.17  14.49  14.17  14.49  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64774  Remove skin nerve lesion                          A   5.70   3.87NA   4.00NA   3.87     4.00     0.74  10.31  10.44  10.31  10.44  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
64776  Remove digit nerve lesion                         A   5.52   3.70NA   3.77NA   3.70     3.77     0.76   9.98  10.05   9.98  10.05  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
64778  Digit nerve surgery add-on                        A   3.11   1.43NA   1.22NA   1.43     1.22     0.46   5.00   4.79   5.00   4.79  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
64782  Remove limb nerve lesion                          A   6.76   3.86NA   4.14NA   3.86     4.14     0.86  11.48  11.76  11.48  11.76  0090.11.76.1320110             37.8975 090 99     0.00   0.00   0.00
64783  Limb nerve surgery add-on                         A   3.71   1.73NA   1.44NA   1.73     1.44     0.51   5.95   5.66   5.95   5.66  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
64784  Remove nerve lesion                               A  10.49   6.51NA   6.26NA   6.51     6.26     1.38  18.38  18.13  18.38  18.13  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
64786  Remove sciatic nerve lesion                       A  16.12   9.65NA   9.10NA   9.65     9.10     2.61  28.38  27.83  28.38  27.83  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64787  Implant nerve end                                 A   4.29   2.00NA   1.64NA   2.00     1.64     0.58   6.87   6.51   6.87   6.51  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
64788  Remove skin nerve lesion                          A   5.14   3.57NA   3.91NA   3.57     3.91     0.73   9.44   9.78   9.44   9.78  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
64790  Removal of nerve lesion                           A  11.97   7.12NA   6.89NA   7.12     6.89     2.11  21.20  20.97  21.20  20.97  0090.11.76.1320010             37.8975 090 99     0.00   0.00   0.00
64792  Removal of nerve lesion                           A  15.71   8.74NA   8.50NA   8.74     8.50     2.49  26.94  26.70  26.94  26.70  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64795  Biopsy of nerve                                   A   3.01   1.53NA   1.45NA   1.53     1.45     0.52   5.06   4.98   5.06   4.98  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
64802  Remove sympathetic nerves                         A  10.24   4.91NA   4.23NA   4.91     4.23     1.29  16.44  15.76  16.44  15.76  0090.11.76.1321210             37.8975 090 99     0.00   0.00   0.00
64804  Remove sympathetic nerves                         A  15.78   6.87NA   5.99NA   6.87     5.99     2.15  24.80  23.92  24.80  23.92  0090.11.76.1321210             37.8975 090 99     0.00   0.00   0.00
64809  Remove sympathetic nerves                         A  14.61   5.98NA   6.63NA   5.98     6.63     1.50  22.09  22.74  22.09  22.74  0090.11.76.1321210             37.8975 090 99     0.00   0.00   0.00
64818  Remove sympathetic nerves                         A  11.24   5.03NA   4.29NA   5.03     4.29     1.33  17.60  16.86  17.60  16.86  0090.11.76.1321210             37.8975 090 99     0.00   0.00   0.00
64820  Remove sympathetic nerves                         A  10.64   7.13NA   7.14NA   7.13     7.14     1.49  19.26  19.27  19.26  19.27  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
64821  Remove sympathetic nerves                         A   9.19   7.19NA   6.73NA   7.19     6.73     1.24  17.62  17.16  17.62  17.16  0090.11.76.1321100             37.8975 090 99     0.00   0.00   0.00
64822  Remove sympathetic nerves                         A   9.19   7.06NA   6.53NA   7.06     6.53     1.30  17.55  17.02  17.55  17.02  0090.11.76.1321100             37.8975 090 99     0.00   0.00   0.00
64823  Remove sympathetic nerves                         A  10.80   7.90NA   7.22NA   7.90     7.22     1.57  20.27  19.59  20.27  19.59  0090.11.76.1321100             37.8975 090 99     0.00   0.00   0.00
64831  Repair of digit nerve                             A  10.23   7.00NA   6.77NA   7.00     6.77     1.41  18.64  18.41  18.64  18.41  0090.11.76.1320100             37.8975 090 99     0.00   0.00   0.00
64832  Repair nerve add-on                               A   5.65   2.80NA   2.41NA   2.80     2.41     0.85   9.30   8.91   9.30   8.91  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
64834  Repair of hand or foot nerve                      A  10.71   6.99NA   6.67NA   6.99     6.67     1.54  19.24  18.92  19.24  18.92  0090.11.76.1320000             37.8975 090 99     0.00   0.00   0.00
64835  Repair of hand or foot nerve                      A  11.60   7.62NA   7.42NA   7.62     7.42     1.74  20.96  20.76  20.96  20.76  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64836  Repair of hand or foot nerve                      A  11.60   7.53NA   7.15NA   7.53     7.15     1.68  20.81  20.43  20.81  20.43  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64837  Repair nerve add-on                               A   6.25   3.11NA   2.74NA   3.11     2.74     0.97  10.33   9.96  10.33   9.96  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
64840  Repair of leg nerve                               A  13.87   7.48NA   5.16NA   7.48     5.16     1.37  22.72  20.40  22.72  20.40  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64856  Repair/transpose nerve                            A  14.94   9.07NA   8.74NA   9.07     8.74     2.13  26.14  25.81  26.14  25.81  0090.11.76.1320110             37.8975 090 99     0.00   0.00   0.00
64857  Repair arm/leg nerve                              A  15.69   9.49NA   9.08NA   9.49     9.08     2.22  27.40  26.99  27.40  26.99  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64858  Repair sciatic nerve                              A  17.69  10.68NA  10.42NA  10.68    10.42     3.34  31.71  31.45  31.71  31.45  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64859  Nerve surgery                                     A   4.25   2.13NA   1.94NA   2.13     1.94     0.67   7.05   6.86   7.05   6.86  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
64861  Repair of arm nerves                              A  20.74  11.37NA  10.16NA  11.37    10.16     4.09  36.20  34.99  36.20  34.99  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64862  Repair of low back nerves                         A  20.94  10.64NA   6.76NA  10.64     6.76     4.32  35.90  32.02  35.90  32.02  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64864  Repair of facial nerve                            A  13.31   8.37NA   7.20NA   8.37     7.20     1.26  22.94  21.77  22.94  21.77  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64865  Repair of facial nerve                            A  15.96  12.66NA  10.06NA  12.66    10.06     1.50  30.12  27.52  30.12  27.52  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64866  Fusion of facial/other nerve                      A  16.70  12.98NA  12.44NA  12.98    12.44     2.05  31.73  31.19  31.73  31.19  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64868  Fusion of facial/other nerve                      A  14.80  10.87NA   9.19NA  10.87     9.19     1.43  27.10  25.42  27.10  25.42  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64870  Fusion of facial/other nerve                      A  16.95   8.68NA   8.55NA   8.68     8.55     1.30  26.93  26.80  26.93  26.80  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64872  Subsequent repair of nerve                        A   1.99   1.02NA   0.83NA   1.02     0.83     0.29   3.30   3.11   3.30   3.11  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
64874  Repair & revise nerve add-on                      A   2.98   1.46NA   1.24NA   1.46     1.24     0.42   4.86   4.64   4.86   4.64  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
64876  Repair nerve/shorten bone                         A   3.37   1.50NA   0.78NA   1.50     0.78     0.47   5.34   4.62   5.34   4.62  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
64885  Nerve graft, head or neck                         A  17.50  10.96NA   9.04NA  10.96     9.04     1.63  30.09  28.17  30.09  28.17  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64886  Nerve graft, head or neck                         A  20.72  12.65NA   9.96NA  12.65     9.96     2.09  35.46  32.77  35.46  32.77  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64890  Nerve graft, hand or foot                         A  16.11   9.80NA   9.24NA   9.80     9.24     2.30  28.21  27.65  28.21  27.65  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64891  Nerve graft, hand or foot                         A  17.22   8.20NA  10.07NA   8.20    10.07     1.63  27.05  28.92  27.05  28.92  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64892  Nerve graft, arm or leg                           A  15.61   8.92NA   9.09NA   8.92     9.09     2.48  27.01  27.18  27.01  27.18  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64893  Nerve graft, arm or leg                           A  16.74   9.87NA   9.88NA   9.87     9.88     2.62  29.23  29.24  29.23  29.24  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64895  Nerve graft, hand or foot                         A  20.26   9.81NA  10.27NA   9.81    10.27     2.58  32.65  33.11  32.65  33.11  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64896  Nerve graft, hand or foot                         A  21.81  11.25NA  12.07NA  11.25    12.07     3.17  36.23  37.05  36.23  37.05  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64897  Nerve graft, arm or leg                           A  19.25  10.67NA  10.59NA  10.67    10.59     2.55  32.47  32.39  32.47  32.39  0090.11.76.1320200             37.8975 090 99     0.00   0.00   0.00
64898  Nerve graft, arm or leg                           A  20.82  11.72NA  11.50NA  11.72    11.50     2.78  35.32  35.10  35.32  35.10  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64901  Nerve graft add-on                                A  10.20   4.93NA   3.94NA   4.93     3.94     1.37  16.50  15.51  16.50  15.51  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
64902  Nerve graft add-on                                A  11.81   5.57NA   4.38NA   5.57     4.38     1.55  18.93  17.74  18.93  17.74  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
64905  Nerve pedicle transfer                            A  14.98   8.12NA   7.01NA   8.12     7.01     2.01  25.11  24.00  25.11  24.00  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64907  Nerve pedicle transfer                            A  19.90  10.98NA   6.35NA  10.98     6.35     3.17  34.05  29.42  34.05  29.42  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64910  Nerve repair w/allograft                          A  11.21   5.21NA   5.21NA   5.21     5.21     1.74  18.16  18.16  18.16  18.16  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64911  Neurorraphy w/vein autograft                      A  14.21   5.97NA   5.97NA   5.97     5.97     1.91  22.09  22.09  22.09  22.09  0090.11.76.1320210             37.8975 090 99     0.00   0.00   0.00
64999  Nervous system surgery                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
65091  Revise eye                                        A   7.13   8.00NA   6.95NA   8.00     6.95     0.32  15.45  14.40  15.45  14.40  0090.10.70.2021010             37.8975 090 99     0.00   0.00   0.00
65093  Revise eye with implant                           A   6.93   8.29NA   7.04NA   8.29     7.04     0.34  15.56  14.31  15.56  14.31  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
65101  Removal of eye                                    A   8.10   9.19NA   8.19NA   9.19     8.19     0.35  17.64  16.64  17.64  16.64  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65103  Remove eye/insert implant                         A   8.64   9.40NA   8.42NA   9.40     8.42     0.37  18.41  17.43  18.41  17.43  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
65105  Remove eye/attach implant                         A   9.70  10.13NA   9.12NA  10.13     9.12     0.42  20.25  19.24  20.25  19.24  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
65110  Removal of eye                                    A  15.42  13.18NA  11.71NA  13.18    11.71     0.81  29.41  27.94  29.41  27.94  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
65112  Remove eye/revise socket                          A  18.18  15.40NA  13.21NA  15.40    13.21     1.30  34.88  32.69  34.88  32.69  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
65114  Remove eye/revise socket                          A  19.32  15.72NA  13.86NA  15.72    13.86     1.02  36.06  34.20  36.06  34.20  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
65125  Revise ocular implant                             A   3.18   8.30     6.78     3.50     3.18     0.19  11.67  10.15   6.87   6.55  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
65130  Insert ocular implant                             A   8.22   8.88NA   8.03NA   8.88     8.03     0.35  17.45  16.60  17.45  16.60  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
65135  Insert ocular implant                             A   8.40   8.99NA   8.01NA   8.99     8.01     0.36  17.75  16.77  17.75  16.77  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65140  Attach ocular implant                             A   9.23   9.57NA   8.65NA   9.57     8.65     0.40  19.20  18.28  19.20  18.28  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65150  Revise ocular implant                             A   6.32   7.61NA   6.51NA   7.61     6.51     0.31  14.24  13.14  14.24  13.14  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
65155  Reinsert ocular implant                           A   9.87  10.09NA   8.92NA  10.09     8.92     0.50  20.46  19.29  20.46  19.29  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65175  Removal of ocular implant                         A   7.22   8.19NA   7.32NA   8.19     7.32     0.31  15.72  14.85  15.72  14.85  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
65205  Remove foreign body from eye                      A   0.71   0.63     0.59     0.30     0.34     0.03   1.37   1.33   1.04   1.08  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
65210  Remove foreign body from eye                      A   0.84   0.79     0.74     0.39     0.41     0.04   1.67   1.62   1.27   1.29  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
65220  Remove foreign body from eye                      A   0.71   0.63     0.60     0.28     0.29     0.05   1.39   1.36   1.04   1.05  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
65222  Remove foreign body from eye                      A   0.93   0.87     0.81     0.40     0.44     0.04   1.84   1.78   1.37   1.41  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
65235  Remove foreign body from eye                      A   8.78   6.82NA   7.05NA   6.82     7.05     0.37  15.97  16.20  15.97  16.20  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
65260  Remove foreign body from eye                      A  12.29   9.52NA   9.13NA   9.52     9.13     0.57  22.38  21.99  22.38  21.99  0090.10.70.2021200             37.8975 090 99     0.00   0.00   0.00
65265  Remove foreign body from eye                      A  14.06  10.47NA  10.01NA  10.47    10.01     0.62  25.15  24.69  25.15  24.69  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
65270  Repair of eye wound                               A   1.92   4.88     3.87     1.35     1.24     0.09   6.89   5.88   3.36   3.25  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
65272  Repair of eye wound                               A   4.49   7.41     6.51     3.30     3.31     0.19  12.09  11.19   7.98   7.99  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65273  Repair of eye wound                               A   5.03   3.55NA   3.47NA   3.55     3.47     0.22   8.80   8.72   8.80   8.72  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
65275  Repair of eye wound                               A   6.14   6.35     6.46     3.97     4.04     0.26  12.75  12.86  10.37  10.44  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
65280  Repair of eye wound                               A   8.87   6.20NA   6.10NA   6.20     6.10     0.38  15.45  15.35  15.45  15.35  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
65285  Repair of eye wound                               A  14.43   9.12NA   8.83NA   9.12     8.83     0.64  24.19  23.90  24.19  23.90  0090.10.70.2021200             37.8975 090 99     0.00   0.00   0.00
65286  Repair of eye wound                               A   6.45  10.60     8.98     4.61     4.59     0.27  17.32  15.70  11.33  11.31  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65290  Repair of eye socket wound                        A   6.35   4.71NA   4.61NA   4.71     4.61     0.31  11.37  11.27  11.37  11.27  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
65400  Removal of eye lesion                             A   7.27   8.18     7.71     6.11     6.09     0.30  15.75  15.28  13.68  13.66  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65410  Biopsy of cornea                                  A   1.47   2.01     1.72     0.95     0.90     0.07   3.55   3.26   2.49   2.44  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
65420  Removal of eye lesion                             A   4.24   8.40     7.04     4.36     4.10     0.21  12.85  11.49   8.81   8.55  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65426  Removal of eye lesion                             A   5.93   9.74     8.43     4.88     4.76     0.25  15.92  14.61  11.06  10.94  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65430  Corneal smear                                     A   1.47   1.25     1.13     0.96     0.90     0.07   2.79   2.67   2.50   2.44  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
65435  Curette/treat cornea                              A   0.92   0.97     0.89     0.70     0.68     0.04   1.93   1.85   1.66   1.64  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
65436  Curette/treat cornea                              A   4.72   4.05     3.92     3.65     3.58     0.21   8.98   8.85   8.58   8.51  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65450  Treatment of corneal lesion                       A   3.35   4.00     3.79     3.88     3.71     0.16   7.51   7.30   7.39   7.22  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65600  Revision of cornea                                A   4.07   4.91     4.60     3.40     3.54     0.17   9.15   8.84   7.64   7.78  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65710  Corneal transplant                                A  14.09  11.05NA  10.60NA  11.05    10.60     0.61  25.75  25.30  25.75  25.30  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
65730  Corneal transplant                                A  15.99  11.87NA  11.41NA  11.87    11.41     0.70  28.56  28.10  28.56  28.10  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
65750  Corneal transplant                                A  16.60  11.76NA  11.13NA  11.76    11.13     0.74  29.10  28.47  29.10  28.47  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
65755  Corneal transplant                                A  16.49  11.69NA  11.10NA  11.69    11.10     0.73  28.91  28.32  28.91  28.32  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
65760  Revision of cornea                                N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
65765  Revision of cornea                                N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
65767  Corneal tissue transplant                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
65770  Revise cornea with implant                        A  19.41  12.96NA  12.24NA  12.96    12.24     0.87  33.24  32.52  33.24  32.52  0090.10.70.2021200             37.8975 090 99     0.00   0.00   0.00
65771  Radial keratotomy                                 N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
65772  Correction of astigmatism                         A   4.96   5.40     5.02     4.12     4.08     0.21  10.57  10.19   9.29   9.25  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65775  Correction of astigmatism                         A   6.73   5.84NA   5.52NA   5.84     5.52     0.28  12.85  12.53  12.85  12.53  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65780  Ocular reconst, transplant                        A  10.43  10.04NA   9.29NA  10.04     9.29     0.44  20.91  20.16  20.91  20.16  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
65781  Ocular reconst, transplant                        A  17.84  13.28NA  12.11NA  13.28    12.11     0.44  31.56  30.39  31.56  30.39  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
65782  Ocular reconst, transplant                        A  15.16  11.66NA  10.67NA  11.66    10.67     0.44  27.26  26.27  27.26  26.27  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
65800  Drainage of eye                                   A   1.91   1.71     1.46     1.16     1.08     0.09   3.71   3.46   3.16   3.08  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
65805  Drainage of eye                                   A   1.91   2.07     1.77     1.16     1.08     0.09   4.07   3.77   3.16   3.08  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
65810  Drainage of eye                                   A   5.67   4.74NA   4.87NA   4.74     4.87     0.24  10.65  10.78  10.65  10.78  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65815  Drainage of eye                                   A   5.85   9.54     8.15     4.80     4.76     0.25  15.64  14.25  10.90  10.86  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65820  Relieve inner eye pressure                        A   8.72   8.77NA   7.94NA   8.77     7.94     0.40  17.89  17.06  17.89  17.06  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
65850  Incision of eye                                   A  11.24   8.24NA   7.65NA   8.24     7.65     0.52  20.00  19.41  20.00  19.41  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
65855  Laser surgery of eye                              A   3.90   4.14     3.63     3.01     2.75     0.19   8.23   7.72   7.10   6.84  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
65860  Incise inner eye adhesions                        A   3.56   3.88     3.38     2.42     2.18     0.18   7.62   7.12   6.16   5.92  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
65865  Incise inner eye adhesions                        A   5.66   5.44NA   4.88NA   5.44     4.88     0.28  11.38  10.82  11.38  10.82  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
65870  Incise inner eye adhesions                        A   7.21   6.29NA   5.94NA   6.29     5.94     0.31  13.81  13.46  13.81  13.46  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
65875  Incise inner eye adhesions                        A   7.61   6.69NA   6.39NA   6.69     6.39     0.32  14.62  14.32  14.62  14.32  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
65880  Incise inner eye adhesions                        A   8.16   6.93NA   6.61NA   6.93     6.61     0.35  15.44  15.12  15.44  15.12  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
65900  Remove eye lesion                                 A  12.26  10.00NA   9.25NA  10.00     9.25     0.54  22.80  22.05  22.80  22.05  0090.10.70.2021200             37.8975 090 99     0.00   0.00   0.00
65920  Remove implant of eye                             A   9.74   8.08NA   7.80NA   8.08     7.80     0.41  18.23  17.95  18.23  17.95  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
65930  Remove blood clot from eye                        A   8.24   6.63NA   6.04NA   6.63     6.04     0.37  15.24  14.65  15.24  14.65  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
66020  Injection treatment of eye                        A   1.61   2.96     2.49     1.41     1.33     0.08   4.65   4.18   3.10   3.02  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
66030  Injection treatment of eye                        A   1.27   2.81     2.36     1.26     1.19     0.06   4.14   3.69   2.59   2.52  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
66130  Remove eye lesion                                 A   7.74   9.16     7.79     5.49     5.11     0.38  17.28  15.91  13.61  13.23  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
66150  Glaucoma surgery                                  A  10.18   9.33NA   9.13NA   9.33     9.13     0.46  19.97  19.77  19.97  19.77  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
66155  Glaucoma surgery                                  A  10.17   9.29NA   9.11NA   9.29     9.11     0.41  19.87  19.69  19.87  19.69  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66160  Glaucoma surgery                                  A  12.04  10.11NA   9.88NA  10.11     9.88     0.50  22.65  22.42  22.65  22.42  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
66165  Glaucoma surgery                                  A   9.89   9.20NA   9.06NA   9.20     9.06     0.40  19.49  19.35  19.49  19.35  0090.10.70.2021200             37.8975 090 99     0.00   0.00   0.00
66170  Glaucoma surgery                                  A  14.57  12.17NA  12.02NA  12.17    12.02     0.60  27.34  27.19  27.34  27.19  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
66172  Incision of eye                                   A  18.26  15.21NA  15.25NA  15.21    15.25     0.74  34.21  34.25  34.21  34.25  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
66180  Implant eye shunt                                 A  16.02  10.62NA  10.18NA  10.62    10.18     0.71  27.35  26.91  27.35  26.91  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
66185  Revise eye shunt                                  A   9.35   7.37NA   7.35NA   7.37     7.35     0.40  17.12  17.10  17.12  17.10  0090.10.70.2021200             37.8975 090 99     0.00   0.00   0.00
66220  Repair eye lesion                                 A   8.98   7.15NA   7.28NA   7.15     7.28     0.40  16.53  16.66  16.53  16.66  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
66225  Repair/graft eye lesion                           A  12.38   8.68NA   8.51NA   8.68     8.51     0.55  21.61  21.44  21.61  21.44  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
66250  Follow-up surgery of eye                          A   6.92  11.15     9.53     5.48     5.48     0.30  18.37  16.75  12.70  12.70  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66500  Incision of iris                                  A   3.75   4.50NA   4.09NA   4.50     4.09     0.18   8.43   8.02   8.43   8.02  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
66505  Incision of iris                                  A   4.13   4.86NA   4.46NA   4.86     4.46     0.20   9.19   8.79   9.19   8.79  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66600  Remove iris and lesion                            A   9.89   8.32NA   8.62NA   8.32     8.62     0.43  18.64  18.94  18.64  18.94  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66605  Removal of iris                                   A  13.99   9.89NA   9.51NA   9.89     9.51     0.77  24.65  24.27  24.65  24.27  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66625  Removal of iris                                   A   5.19   4.64NA   4.38NA   4.64     4.38     0.26  10.09   9.83  10.09   9.83  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66630  Removal of iris                                   A   7.10   5.68NA   5.58NA   5.68     5.58     0.31  13.09  12.99  13.09  12.99  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66635  Removal of iris                                   A   7.19   5.71NA   5.61NA   5.71     5.61     0.31  13.21  13.11  13.21  13.11  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66680  Repair iris & ciliary body                        A   6.24   5.27NA   5.27NA   5.27     5.27     0.27  11.78  11.78  11.78  11.78  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
66682  Repair iris & ciliary body                        A   7.15   6.70NA   6.97NA   6.70     6.97     0.31  14.16  14.43  14.16  14.43  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66700  Destruction, ciliary body                         A   5.06   5.18     4.98     3.89     3.77     0.24  10.48  10.28   9.19   9.07  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
66710  Ciliary transsleral therapy                       A   5.06   5.07     4.76     3.82     3.74     0.23  10.36  10.05   9.11   9.03  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66711  Ciliary endoscopic ablation                       A   7.70   6.49NA   6.56NA   6.49     6.56     0.30  14.49  14.56  14.49  14.56  0090.10.70.2031100       66710 37.8975 090 99     0.00   0.00   0.00
66720  Destruction, ciliary body                         A   4.86   5.72     5.50     4.65     4.44     0.26  10.84  10.62   9.77   9.56  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66740  Destruction, ciliary body                         A   5.06   4.99     4.70     3.92     3.77     0.23  10.28   9.99   9.21   9.06  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66761  Revision of iris                                  A   4.87   5.49     5.20     4.32     4.36     0.20  10.56  10.27   9.39   9.43  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66762  Revision of iris                                  A   5.25   5.56     5.29     4.28     4.24     0.23  11.04  10.77   9.76   9.72  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66770  Removal of inner eye lesion                       A   5.98   6.00     5.75     4.80     4.79     0.26  12.24  11.99  11.04  11.03  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66820  Incision, secondary cataract                      A   3.93   5.55NA   4.78NA   5.55     4.78     0.19   9.67   8.90   9.67   8.90  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66821  After cataract laser surgery                      A   3.32   4.05     3.94     3.60     3.53     0.11   7.48   7.37   7.03   6.96  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66825  Reposition intraocular lens                       A   8.82   8.81NA   8.07NA   8.81     8.07     0.40  18.03  17.29  18.03  17.29  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
66830  Removal of lens lesion                            A   9.27   6.88NA   6.65NA   6.88     6.65     0.36  16.51  16.28  16.51  16.28  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66840  Removal of lens material                          A   8.98   6.79NA   6.59NA   6.79     6.59     0.39  16.16  15.96  16.16  15.96  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66850  Removal of lens material                          A  10.32   7.58NA   7.40NA   7.58     7.40     0.45  18.35  18.17  18.35  18.17  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66852  Removal of lens material                          A  11.18   8.01NA   7.74NA   8.01     7.74     0.49  19.68  19.41  19.68  19.41  0090.10.70.2021010             37.8975 090 99     0.00   0.00   0.00
66920  Extraction of lens                                A   9.93   7.21NA   6.95NA   7.21     6.95     0.44  17.58  17.32  17.58  17.32  0090.10.70.2021010             37.8975 090 99     0.00   0.00   0.00
66930  Extraction of lens                                A  11.38   8.06NA   7.82NA   8.06     7.82     0.49  19.93  19.69  19.93  19.69  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
66940  Extraction of lens                                A  10.14   7.54NA   7.34NA   7.54     7.34     0.43  18.11  17.91  18.11  17.91  0090.10.70.2021010             37.8975 090 99     0.00   0.00   0.00
66982  Cataract surgery, complex                         A  14.83   9.75NA   9.40NA   9.75     9.40     0.63  25.21  24.86  25.21  24.86  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66983  Cataract surg w/iol, 1 stage                      A  10.20   6.18NA   6.37NA   6.18     6.37     0.14  16.52  16.71  16.52  16.71  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66984  Cataract surg w/iol, 1 stage                      A  10.36   7.24NA   6.70NA   7.24     6.70     0.39  17.99  17.45  17.99  17.45  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
66985  Insert lens prosthesis                            A   9.73   7.44NA   7.41NA   7.44     7.41     0.36  17.53  17.50  17.53  17.50  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
66986  Exchange lens prosthesis                          A  12.26   8.99NA   8.44NA   8.99     8.44     0.60  21.85  21.30  21.85  21.30  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
66990  Ophthalmic endoscope add-on                       A   1.51   0.66NA   0.58NA   0.66     0.58     0.07   2.24   2.16   2.24   2.16  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
66999  Eye surgery procedure                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021011             37.8975 090 99     0.00   0.00   0.00
67005  Partial removal of eye fluid                      A   5.77   4.84NA   4.77NA   4.84     4.77     0.28  10.89  10.82  10.89  10.82  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
67010  Partial removal of eye fluid                      A   6.94   5.36NA   5.22NA   5.36     5.22     0.34  12.64  12.50  12.64  12.50  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67015  Release of eye fluid                              A   7.00   6.32NA   5.94NA   6.32     5.94     0.34  13.66  13.28  13.66  13.28  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
67025  Replace eye fluid                                 A   7.91   8.95     8.15     6.21     6.17     0.34  17.20  16.40  14.46  14.42  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
67027  Implant eye drug system                           A  11.43   7.93NA   7.71NA   7.93     7.71     0.54  19.90  19.68  19.90  19.68  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67028  Injection eye drug                                A   2.52   2.59     2.24     1.42     1.31     0.12   5.23   4.88   4.06   3.95  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
67030  Incise inner eye strands                          A   5.91   5.84NA   5.81NA   5.84     5.81     0.24  11.99  11.96  11.99  11.96  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67031  Laser surgery, eye strands                        A   4.34   4.51     4.24     3.62     3.56     0.18   9.03   8.76   8.14   8.08  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67036  Removal of inner eye fluid                        A  13.09   8.96NA   8.46NA   8.96     8.46     0.58  22.63  22.13  22.63  22.13  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67038  Strip retinal membrane                            A  23.30  15.16NA  14.16NA  15.16    14.16     1.04  39.50  38.50  39.50  38.50  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67039  Laser treatment of retina                         A  16.39  11.94NA  11.22NA  11.94    11.22     0.71  29.04  28.32  29.04  28.32  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67040  Laser treatment of retina                         A  19.23  13.41NA  12.61NA  13.41    12.61     0.85  33.49  32.69  33.49  32.69  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67101  Repair detached retina                            A   8.60   9.04     8.80     6.51     6.45     0.37  18.01  17.77  15.48  15.42  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67105  Repair detached retina                            A   8.35   7.99     7.70     6.13     6.05     0.37  16.71  16.42  14.85  14.77  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67107  Repair detached retina                            A  16.35  11.19NA  10.86NA  11.19    10.86     0.73  28.27  27.94  28.27  27.94  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67108  Repair detached retina                            A  22.49  14.22NA  13.62NA  14.22    13.62     1.02  37.73  37.13  37.73  37.13  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67110  Repair detached retina                            A  10.02   9.99     9.28     7.37     7.29     0.44  20.45  19.74  17.83  17.75  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67112  Rerepair detached retina                          A  18.45  11.71NA  11.42NA  11.71    11.42     0.83  30.99  30.70  30.99  30.70  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67115  Release encircling material                       A   5.93   5.09NA   5.11NA   5.09     5.11     0.25  11.27  11.29  11.27  11.29  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67120  Remove eye implant material                       A   6.92   8.34     7.61     5.52     5.50     0.29  15.55  14.82  12.73  12.71  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
67121  Remove eye implant material                       A  12.00   8.49NA   8.35NA   8.49     8.35     0.53  21.02  20.88  21.02  20.88  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67141  Treatment of retina                               A   6.00   5.80     5.63     4.86     4.86     0.26  12.06  11.89  11.12  11.12  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67145  Treatment of retina                               A   6.17   5.68     5.55     4.93     4.92     0.27  12.12  11.99  11.37  11.36  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67208  Treatment of retinal lesion                       A   7.50   6.06     5.89     5.49     5.44     0.33  13.89  13.72  13.32  13.27  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67210  Treatment of retinal lesion                       A   9.35   6.48     6.21     5.84     5.72     0.44  16.27  16.00  15.63  15.51  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67218  Treatment of retinal lesion                       A  20.22  11.92NA  11.24NA  11.92    11.24     0.92  33.06  32.38  33.06  32.38  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67220  Treatment of choroid lesion                       A  14.19  10.23     9.66     8.90     8.58     0.65  25.07  24.50  23.74  23.42  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67221  Ocular photodynamic ther                          R   3.45   4.01     3.04     1.72     1.47     0.20   7.66   6.69   5.37   5.12  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
67225  Eye photodynamic ther add-on                      A   0.47   0.25     0.24     0.20     0.18     0.02   0.74   0.73   0.69   0.67  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
67227  Treatment of retinal lesion                       A   7.38   6.50     6.24     5.49     5.39     0.33  14.21  13.95  13.20  13.10  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67228  Treatment of retinal lesion                       A  13.67  11.20    10.36     8.43     8.09     0.63  25.50  24.66  22.73  22.39  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67250  Reinforce eye wall                                A   9.46   8.87NA   7.95NA   8.87     7.95     0.47  18.80  17.88  18.80  17.88  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
67255  Reinforce/graft eye wall                          A   9.97   9.61NA   8.78NA   9.61     8.78     0.44  20.02  19.19  20.02  19.19  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67299  Eye surgery procedure                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021011             37.8975 090 99     0.00   0.00   0.00
67311  Revise eye muscle                                 A   7.59   5.95NA   5.74NA   5.95     5.74     0.37  13.91  13.70  13.91  13.70  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67312  Revise two eye muscles                            A   9.48   6.69NA   6.49NA   6.69     6.49     0.43  16.60  16.40  16.60  16.40  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
67314  Revise eye muscle                                 A   8.59   6.52NA   6.44NA   6.52     6.44     0.39  15.50  15.42  15.50  15.42  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67316  Revise two eye muscles                            A  10.73   7.44NA   7.26NA   7.44     7.26     0.49  18.66  18.48  18.66  18.48  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
67318  Revise eye muscle(s)                              A   8.92   6.91NA   6.83NA   6.91     6.83     0.41  16.24  16.16  16.24  16.16  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
67320  Revise eye muscle(s) add-on                       A   5.40   1.98NA   2.07NA   1.98     2.07     0.22   7.60   7.69   7.60   7.69  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
67331  Eye surgery follow-up add-on                      A   5.13   1.86NA   1.95NA   1.86     1.95     0.21   7.20   7.29   7.20   7.29  0ZZZ.00.00.0000110             37.8975 090 99     0.00   0.00   0.00
67332  Rerevise eye muscles add-on                       A   5.56   2.05NA   2.13NA   2.05     2.13     0.23   7.84   7.92   7.84   7.92  0ZZZ.00.00.0000210             37.8975 090 99     0.00   0.00   0.00
67334  Revise eye muscle w/suture                        A   5.05   1.82NA   1.92NA   1.82     1.92     0.20   7.07   7.17   7.07   7.17  0ZZZ.00.00.0000110             37.8975 090 99     0.00   0.00   0.00
67335  Eye suture during surgery                         A   2.49   1.08NA   0.95NA   1.08     0.95     0.13   3.70   3.57   3.70   3.57  0ZZZ.00.00.0000110             37.8975 090 99     0.00   0.00   0.00
67340  Revise eye muscle add-on                          A   6.00   2.22NA   2.29NA   2.22     2.29     0.25   8.47   8.54   8.47   8.54  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
67343  Release eye tissue                                A   8.29   6.46NA   6.32NA   6.46     6.32     0.37  15.12  14.98  15.12  14.98  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67345  Destroy nerve of eye muscle                       A   2.98   2.51     2.29     1.96     1.80     0.17   5.66   5.44   5.11   4.95  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
67346  Biopsy, eye muscle                                A   2.87   1.83NA   1.71NA   1.83     1.71     0.15   4.85   4.73   4.85   4.73  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
67399  Eye muscle surgery procedure                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021211             37.8975 090 99     0.00   0.00   0.00
67400  Explore/biopsy eye socket                         A  10.97  10.89NA   9.79NA  10.89     9.79     0.56  22.42  21.32  22.42  21.32  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67405  Explore/drain eye socket                          A   9.00   9.46NA   8.53NA   9.46     8.53     0.44  18.90  17.97  18.90  17.97  0090.10.70.2021200             37.8975 090 99     0.00   0.00   0.00
67412  Explore/treat eye socket                          A  10.17  10.42NA   8.87NA  10.42     8.87     0.48  21.07  19.52  21.07  19.52  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67413  Explore/treat eye socket                          A  10.09  10.33NA   9.02NA  10.33     9.02     0.50  20.92  19.61  20.92  19.61  0090.10.70.2021200             37.8975 090 99     0.00   0.00   0.00
67414  Explr/decompress eye socket                       A  17.78  12.06NA  12.12NA  12.06    12.12     0.65  30.49  30.55  30.49  30.55  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67415  Aspiration, orbital contents                      A   1.76   0.73NA   0.64NA   0.73     0.64     0.09   2.58   2.49   2.58   2.49  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
67420  Explore/treat eye socket                          A  21.62  16.73NA  14.75NA  16.73    14.75     1.15  39.50  37.52  39.50  37.52  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67430  Explore/treat eye socket                          A  14.99  14.36NA  12.78NA  14.36    12.78     0.86  30.21  28.63  30.21  28.63  0090.10.70.2021200             37.8975 090 99     0.00   0.00   0.00
67440  Explore/drain eye socket                          A  14.56  13.75NA  12.23NA  13.75    12.23     0.70  29.01  27.49  29.01  27.49  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67445  Explr/decompress eye socket                       A  18.96  13.61NA  12.71NA  13.61    12.71     0.90  33.47  32.57  33.47  32.57  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67450  Explore/biopsy eye socket                         A  15.11  14.20NA  12.71NA  14.20    12.71     0.68  29.99  28.50  29.99  28.50  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67500  Inject/treat eye socket                           A   1.44   0.66     0.62     0.34     0.49     0.05   2.15   2.11   1.83   1.98  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
67505  Inject/treat eye socket                           A   1.27   0.65     0.54     0.34     0.41     0.05   1.97   1.86   1.66   1.73  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
67515  Inject/treat eye socket                           A   1.40   0.65     0.82     0.45     0.65     0.03   2.08   2.25   1.88   2.08  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
67550  Insert eye socket implant                         A  11.52  11.01NA  10.13NA  11.01    10.13     0.72  23.25  22.37  23.25  22.37  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
67560  Revise eye socket implant                         A  11.93  11.07NA  10.16NA  11.07    10.16     0.60  23.60  22.69  23.60  22.69  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
67570  Decompress optic nerve                            A  14.21  13.04NA  11.42NA  13.04    11.42     0.68  27.93  26.31  27.93  26.31  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67599  Orbit surgery procedure                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021211             37.8975 090 99     0.00   0.00   0.00
67700  Drainage of eyelid abscess                        A   1.37   5.62     4.41     1.26     1.22     0.07   7.06   5.85   2.70   2.66  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
67710  Incision of eyelid                                A   1.04   4.97     3.78     1.19     1.12     0.05   6.06   4.87   2.28   2.21  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
67715  Incision of eyelid fold                           A   1.24   5.00     3.90     1.27     1.20     0.06   6.30   5.20   2.57   2.50  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
67800  Remove eyelid lesion                              A   1.39   1.58     1.44     1.02     0.94     0.07   3.04   2.90   2.48   2.40  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
67801  Remove eyelid lesions                             A   1.89   1.91     1.74     1.23     1.13     0.09   3.89   3.72   3.21   3.11  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
67805  Remove eyelid lesions                             A   2.24   2.46     2.26     1.61     1.48     0.11   4.81   4.61   3.96   3.83  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
67808  Remove eyelid lesion(s)                           A   4.47   3.76NA   3.74NA   3.76     3.74     0.19   8.42   8.40   8.42   8.40  0090.10.70.2020100             37.8975 090 99     0.00   0.00   0.00
67810  Biopsy of eyelid                                  A   1.48   3.49     3.96     0.69     0.70     0.06   5.03   5.50   2.23   2.24  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
67820  Revise eyelashes                                  A   0.71   0.57     0.46     0.54     0.46     0.04   1.32   1.21   1.29   1.21  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
67825  Revise eyelashes                                  A   1.40   1.66     1.45     1.39     1.31     0.07   3.13   2.92   2.86   2.78  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
67830  Revise eyelashes                                  A   1.72   5.17     4.09     1.47     1.38     0.08   6.97   5.89   3.27   3.18  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
67835  Revise eyelashes                                  A   5.61   4.52NA   4.23NA   4.52     4.23     0.28  10.41  10.12  10.41  10.12  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
67840  Remove eyelid lesion                              A   2.06   5.10     4.00     1.62     1.52     0.10   7.26   6.16   3.78   3.68  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
67850  Treat eyelid lesion                               A   1.71   3.36     3.31     1.47     1.47     0.07   5.14   5.09   3.25   3.25  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
67875  Closure of eyelid by suture                       A   1.35   3.09     2.44     0.92     0.87     0.07   4.51   3.86   2.34   2.29  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
67880  Revision of eyelid                                A   4.47   6.36     5.60     3.78     3.71     0.19  11.02  10.26   8.44   8.37  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67882  Revision of eyelid                                A   5.87   7.37     6.59     4.77     4.66     0.25  13.49  12.71  10.89  10.78  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67900  Repair brow defect                                A   6.69   8.69     7.56     5.13     4.78     0.38  15.76  14.63  12.20  11.85  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67901  Repair eyelid defect                              A   7.47   6.37     9.29     5.43     5.53     0.54  14.38  17.30  13.44  13.54  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67902  Repair eyelid defect                              A   9.68   5.76NA   6.67NA   5.76     6.67     0.60  16.04  16.95  16.04  16.95  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
67903  Repair eyelid defect                              A   6.42   8.89     6.86     5.27     4.54     0.47  15.78  13.75  12.16  11.43  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
67904  Repair eyelid defect                              A   7.83   9.34     8.45     5.33     5.61     0.41  17.58  16.69  13.57  13.85  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
67906  Repair eyelid defect                              A   6.84   4.95NA   4.69NA   4.95     4.69     0.46  12.25  11.99  12.25  11.99  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67908  Repair eyelid defect                              A   5.19   6.41     5.74     5.08     4.30     0.28  11.88  11.21  10.55   9.77  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67909  Revise eyelid defect                              A   5.46   7.63     6.42     4.81     4.37     0.31  13.40  12.19  10.58  10.14  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67911  Revise eyelid defect                              A   7.38   4.91NA   5.28NA   4.91     5.28     0.31  12.60  12.97  12.60  12.97  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67912  Correction eyelid w/implant                       A   6.23  17.49    13.17     5.35     4.80     0.28  24.00  19.68  11.86  11.31  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67914  Repair eyelid defect                              A   3.70   5.98     4.89     2.99     2.79     0.19   9.87   8.78   6.88   6.68  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67915  Repair eyelid defect                              A   3.21   5.62     4.54     2.75     2.59     0.16   8.99   7.91   6.12   5.96  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67916  Repair eyelid defect                              A   5.37   7.68     6.56     4.65     4.31     0.28  13.33  12.21  10.30   9.96  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67917  Repair eyelid defect                              A   6.08   8.08     6.95     4.95     4.60     0.36  14.52  13.39  11.39  11.04  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67921  Repair eyelid defect                              A   3.42   5.83     4.76     2.84     2.67     0.17   9.42   8.35   6.43   6.26  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67922  Repair eyelid defect                              A   3.09   5.55     4.45     2.70     2.53     0.15   8.79   7.69   5.94   5.77  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67923  Repair eyelid defect                              A   5.94   7.76     6.66     4.86     4.52     0.30  14.00  12.90  11.10  10.76  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67924  Repair eyelid defect                              A   5.84   8.48     7.14     4.57     4.25     0.30  14.62  13.28  10.71  10.39  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67930  Repair eyelid wound                               A   3.62   5.41     4.51     2.10     1.88     0.19   9.22   8.32   5.91   5.69  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
67935  Repair eyelid wound                               A   6.27   8.14     6.99     4.25     3.77     0.39  14.80  13.65  10.91  10.43  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67938  Remove eyelid foreign body                        A   1.35   5.02     3.94     1.26     1.27     0.06   6.43   5.35   2.67   2.68  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
67950  Revision of eyelid                                A   5.88   8.18     6.84     5.04     4.53     0.36  14.42  13.08  11.28  10.77  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
67961  Revision of eyelid                                A   5.75   8.27     7.04     4.90     4.49     0.33  14.35  13.12  10.98  10.57  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
67966  Revision of eyelid                                A   8.83   8.94     8.35     5.67     6.01     0.37  18.14  17.55  14.87  15.21  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67971  Reconstruction of eyelid                          A   9.87   7.08NA   6.49NA   7.08     6.49     0.53  17.48  16.89  17.48  16.89  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67973  Reconstruction of eyelid                          A  12.96   9.02NA   8.14NA   9.02     8.14     0.75  22.73  21.85  22.73  21.85  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67974  Reconstruction of eyelid                          A  12.93   8.96NA   8.16NA   8.96     8.16     0.75  22.64  21.84  22.64  21.84  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
67975  Reconstruction of eyelid                          A   9.21   6.78NA   6.25NA   6.78     6.25     0.50  16.49  15.96  16.49  15.96  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
67999  Revision of eyelid                                C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021011             37.8975 090 99     0.00   0.00   0.00
68020  Incise/drain eyelid lining                        A   1.39   1.38     1.28     1.18     1.10     0.06   2.83   2.73   2.63   2.55  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68040  Treatment of eyelid lesions                       A   0.85   0.69     0.62     0.42     0.37     0.04   1.58   1.51   1.31   1.26  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
68100  Biopsy of eyelid lining                           A   1.35   3.04     2.40     0.94     0.89     0.07   4.46   3.82   2.36   2.31  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
68110  Remove eyelid lining lesion                       A   1.79   3.86     3.15     1.62     1.54     0.09   5.74   5.03   3.50   3.42  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68115  Remove eyelid lining lesion                       A   2.38   5.58     4.44     1.87     1.76     0.12   8.08   6.94   4.37   4.26  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68130  Remove eyelid lining lesion                       A   4.99   8.25     6.86     4.50     4.20     0.24  13.48  12.09   9.73   9.43  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
68135  Remove eyelid lining lesion                       A   1.86   1.77     1.64     1.62     1.53     0.09   3.72   3.59   3.57   3.48  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68200  Treat eyelid by injection                         A   0.49   0.52     0.47     0.32     0.30     0.02   1.03   0.98   0.83   0.81  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
68320  Revise/graft eyelid lining                        A   6.44  10.82     9.44     5.52     5.52     0.27  17.53  16.15  12.23  12.23  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
68325  Revise/graft eyelid lining                        A   8.43   6.46NA   6.23NA   6.46     6.23     0.44  15.33  15.10  15.33  15.10  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
68326  Revise/graft eyelid lining                        A   8.22   6.35NA   6.18NA   6.35     6.18     0.35  14.92  14.75  14.92  14.75  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
68328  Revise/graft eyelid lining                        A   9.25   7.15NA   6.74NA   7.15     6.74     0.54  16.94  16.53  16.94  16.53  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
68330  Revise eyelid lining                              A   5.63   8.97     7.65     4.70     4.64     0.24  14.84  13.52  10.57  10.51  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
68335  Revise/graft eyelid lining                        A   8.26   6.34NA   6.20NA   6.34     6.20     0.36  14.96  14.82  14.96  14.82  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
68340  Separate eyelid adhesions                         A   4.84   8.42     7.08     4.08     4.02     0.21  13.47  12.13   9.13   9.07  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
68360  Revise eyelid lining                              A   5.04   7.69     6.62     4.16     4.11     0.22  12.95  11.88   9.42   9.37  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
68362  Revise eyelid lining                              A   8.41   6.36NA   6.24NA   6.36     6.24     0.36  15.13  15.01  15.13  15.01  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
68371  Harvest eye tissue, alograft                      A   4.97   4.61NA   4.23NA   4.61     4.23     0.44  10.02   9.64  10.02   9.64  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68399  Eyelid lining surgery                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021011             37.8975 090 99     0.00   0.00   0.00
68400  Incise/drain tear gland                           A   1.71   5.53     4.42     1.68     1.24     0.08   7.32   6.21   3.47   3.03  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68420  Incise/drain tear sac                             A   2.32   5.82     4.69     1.95     1.48     0.11   8.25   7.12   4.38   3.91  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68440  Incise tear duct opening                          A   0.96   1.88     1.28     1.26     1.22     0.05   2.89   2.29   2.27   2.23  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68500  Removal of tear gland                             A  12.49   9.57NA   9.07NA   9.57     9.07     0.55  22.61  22.11  22.61  22.11  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
68505  Partial removal, tear gland                       A  12.41  10.29NA   9.21NA  10.29     9.21     0.55  23.25  22.17  23.25  22.17  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
68510  Biopsy of tear gland                              A   4.60   6.84     5.38     2.10     2.14     0.23  11.67  10.21   6.93   6.97  0000.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
68520  Removal of tear sac                               A   8.58   7.25NA   6.74NA   7.25     6.74     0.37  16.20  15.69  16.20  15.69  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
68525  Biopsy of tear sac                                A   4.42   1.94NA   1.68NA   1.94     1.68     0.22   6.58   6.32   6.58   6.32  0000.00.00.0021110             37.8975 090 99     0.00   0.00   0.00
68530  Clearance of tear duct                            A   3.67   7.56     5.74     2.52     2.17     0.18  11.41   9.59   6.37   6.02  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68540  Remove tear gland lesion                          A  11.93   9.25NA   8.81NA   9.25     8.81     0.52  21.70  21.26  21.70  21.26  0090.10.70.2021110             37.8975 090 99     0.00   0.00   0.00
68550  Remove tear gland lesion                          A  14.86  11.17NA  10.64NA  11.17    10.64     0.80  26.83  26.30  26.83  26.30  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
68700  Repair tear ducts                                 A   7.67   5.94NA   5.81NA   5.94     5.81     0.32  13.93  13.80  13.93  13.80  0090.10.70.2021100             37.8975 090 99     0.00   0.00   0.00
68705  Revise tear duct opening                          A   2.08   3.91     3.12     1.76     1.65     0.10   6.09   5.30   3.94   3.83  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68720  Create tear sac drain                             A   9.78   7.69NA   7.18NA   7.69     7.18     0.44  17.91  17.40  17.91  17.40  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
68745  Create tear duct drain                            A   9.70   7.78NA   7.54NA   7.78     7.54     0.52  18.00  17.76  18.00  17.76  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
68750  Create tear duct drain                            A   9.87   8.13NA   7.72NA   8.13     7.72     0.43  18.43  18.02  18.43  18.02  0090.10.70.2021210             37.8975 090 99     0.00   0.00   0.00
68760  Close tear duct opening                           A   1.75   3.32     2.66     1.60     1.51     0.09   5.16   4.50   3.44   3.35  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68761  Close tear duct opening                           A   1.38   2.17     1.88     1.31     1.29     0.06   3.61   3.32   2.75   2.73  0010.10.80.1021000             37.8975 090 99     0.00   0.00   0.00
68770  Close tear system fistula                         A   8.09   3.87NA   5.95NA   3.87     5.95     0.35  12.31  14.39  12.31  14.39  0090.10.70.2021000             37.8975 090 99     0.00   0.00   0.00
68801  Dilate tear duct opening                          A   0.96   1.91     1.82     1.48     1.46     0.05   2.92   2.83   2.49   2.47  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68810  Probe nasolacrimal duct                           A   2.63   3.62     3.50     2.70     2.78     0.10   6.35   6.23   5.43   5.51  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68811  Probe nasolacrimal duct                           A   2.39   2.36NA   2.19NA   2.36     2.19     0.13   4.88   4.71   4.88   4.71  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68815  Probe nasolacrimal duct                           A   3.24   7.82     6.56     2.74     2.52     0.17  11.23   9.97   6.15   5.93  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68840  Explore/irrigate tear ducts                       A   1.27   1.59     1.56     1.17     1.33     0.06   2.92   2.89   2.50   2.66  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
68850  Injection for tear sac x-ray                      A   0.80   0.83     0.69     0.65     0.57     0.04   1.67   1.53   1.49   1.41  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
68899  Tear duct system surgery                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021011             37.8975 090 99     0.00   0.00   0.00
69000  Drain external ear lesion                         A   1.47   2.84     2.71     1.34     1.26     0.12   4.43   4.30   2.93   2.85  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
69005  Drain external ear lesion                         A   2.13   2.89     2.76     1.74     1.48     0.17   5.19   5.06   4.04   3.78  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
69020  Drain outer ear canal lesion                      A   1.50   3.96     3.85     1.99     1.78     0.12   5.58   5.47   3.61   3.40  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
69090  Pierce earlobes                                   N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
69100  Biopsy of external ear                            A   0.81   1.75     1.86     0.40     0.41     0.03   2.59   2.70   1.24   1.25  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
69105  Biopsy of external ear canal                      A   0.85   2.38     2.49     0.74     0.66     0.07   3.30   3.41   1.66   1.58  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
69110  Remove external ear, partial                      A   3.47   6.96     7.62     4.43     4.32     0.30  10.73  11.39   8.20   8.09  0090.07.79.1420100             37.8975 090 99     0.00   0.00   0.00
69120  Removal of external ear                           A   4.08   5.91NA   5.11NA   5.91     5.11     0.38  10.37   9.57  10.37   9.57  0090.07.79.1420100             37.8975 090 99     0.00   0.00   0.00
69140  Remove ear canal lesion(s)                        A   8.03  13.06NA  12.39NA  13.06    12.39     0.65  21.74  21.07  21.74  21.07  0090.07.79.1420000             37.8975 090 99     0.00   0.00   0.00
69145  Remove ear canal lesion(s)                        A   2.65   5.97     6.55     3.26     3.13     0.21   8.83   9.41   6.12   5.99  0090.07.79.1420100             37.8975 090 99     0.00   0.00   0.00
69150  Extensive ear canal surgery                       A  13.49  12.72NA  10.66NA  12.72    10.66     1.22  27.43  25.37  27.43  25.37  0090.07.79.1420110             37.8975 090 99     0.00   0.00   0.00
69155  Extensive ear/neck surgery                        A  23.06  18.41NA  15.03NA  18.41    15.03     1.93  43.40  40.02  43.40  40.02  0090.07.79.1420210             37.8975 090 99     0.00   0.00   0.00
69200  Clear outer ear canal                             A   0.77   2.29     2.03     0.56     0.57     0.06   3.12   2.86   1.39   1.40  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
69205  Clear outer ear canal                             A   1.20   1.31NA   1.15NA   1.31     1.15     0.10   2.61   2.45   2.61   2.45  0010.10.80.1020100             37.8975 090 99     0.00   0.00   0.00
69210  Remove impacted ear wax                           A   0.61   0.61     0.56     0.21     0.16     0.05   1.27   1.22   0.87   0.82  0000.00.00.0022100             37.8975 090 99     0.00   0.00   0.00
69220  Clean out mastoid cavity                          A   0.83   2.37     2.38     0.70     0.62     0.07   3.27   3.28   1.60   1.52  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
69222  Clean out mastoid cavity                          A   1.42   3.81     3.68     1.98     1.75     0.12   5.35   5.22   3.52   3.29  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
69300  Revise external ear                               R   6.69   5.61     9.77     4.34     4.69     0.72  13.02  17.18  11.75  12.10  0YYY.00.00.0021000             37.8975 090 99     0.00   0.00   0.00
69310  Rebuild outer ear canal                           A  10.85  15.79NA  14.30NA  15.79    14.30     0.85  27.49  26.00  27.49  26.00  0090.07.79.1420100             37.8975 090 99     0.00   0.00   0.00
69320  Rebuild outer ear canal                           A  17.03  20.96NA  18.32NA  20.96    18.32     1.37  39.36  36.72  39.36  36.72  0090.07.79.1420200             37.8975 090 99     0.00   0.00   0.00
69399  Outer ear surgery procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0020011             37.8975 090 99     0.00   0.00   0.00
69400  Inflate middle ear canal                          A   0.83   2.27     2.61     0.66     0.62     0.07   3.17   3.51   1.56   1.52  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
69401  Inflate middle ear canal                          A   0.63   1.30     1.47     0.63     0.56     0.05   1.98   2.15   1.31   1.24  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
69405  Catheterize middle ear canal                      A   2.65   3.48     3.41     2.19     1.81     0.21   6.34   6.27   5.05   4.67  0010.10.80.1020000             37.8975 090 99     0.00   0.00   0.00
69420  Incision of eardrum                               A   1.35   3.13     3.06     1.55     1.43     0.11   4.59   4.52   3.01   2.89  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
69421  Incision of eardrum                               A   1.75   2.05NA   1.70NA   2.05     1.70     0.15   3.95   3.60   3.95   3.60  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
69424  Remove ventilating tube                           A   0.85   2.18     2.18     0.67     0.62     0.07   3.10   3.10   1.59   1.54  0000.00.00.0021100             37.8975 090 99     0.00   0.00   0.00
69433  Create eardrum opening                            A   1.54   3.09     3.07     1.60     1.47     0.13   4.76   4.74   3.27   3.14  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
69436  Create eardrum opening                            A   1.98   2.15NA   1.74NA   2.15     1.74     0.19   4.32   3.91   4.32   3.91  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
69440  Exploration of middle ear                         A   7.62   8.68NA   8.39NA   8.68     8.39     0.61  16.91  16.62  16.91  16.62  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69450  Eardrum revision                                  A   5.61   7.03NA   7.03NA   7.03     7.03     0.45  13.09  13.09  13.09  13.09  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69501  Mastoidectomy                                     A   9.12   8.73NA   7.90NA   8.73     7.90     0.73  18.58  17.75  18.58  17.75  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69502  Mastoidectomy                                     A  12.44  11.23NA  10.15NA  11.23    10.15     1.00  24.67  23.59  24.67  23.59  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69505  Remove mastoid structures                         A  13.05  16.63NA  14.94NA  16.63    14.94     1.05  30.73  29.04  30.73  29.04  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69511  Extensive mastoid surgery                         A  13.58  16.86NA  15.02NA  16.86    15.02     1.09  31.53  29.69  31.53  29.69  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69530  Extensive mastoid surgery                         A  20.24  20.77NA  18.19NA  20.77    18.19     1.54  42.55  39.97  42.55  39.97  0090.07.79.1421200             37.8975 090 99     0.00   0.00   0.00
69535  Remove part of temporal bone                      A  37.27  30.10NA  24.53NA  30.10    24.53     2.93  70.30  64.73  70.30  64.73  0090.07.79.1421110             37.8975 090 99     0.00   0.00   0.00
69540  Remove ear lesion                                 A   1.22   3.71     3.63     1.91     1.72     0.10   5.03   4.95   3.23   3.04  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
69550  Remove ear lesion                                 A  11.04  14.44NA  13.17NA  14.44    13.17     0.89  26.37  25.10  26.37  25.10  0090.07.79.1421200             37.8975 090 99     0.00   0.00   0.00
69552  Remove ear lesion                                 A  19.69  19.69NA  16.74NA  19.69    16.74     1.59  40.97  38.02  40.97  38.02  0090.07.79.1421200             37.8975 090 99     0.00   0.00   0.00
69554  Remove ear lesion                                 A  35.71  28.44NA  22.78NA  28.44    22.78     2.92  67.07  61.41  67.07  61.41  0090.07.79.1421210             37.8975 090 99     0.00   0.00   0.00
69601  Mastoid surgery revision                          A  13.31  12.25NA  10.98NA  12.25    10.98     1.07  26.63  25.36  26.63  25.36  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69602  Mastoid surgery revision                          A  13.64  12.85NA  11.71NA  12.85    11.71     1.10  27.59  26.45  27.59  26.45  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69603  Mastoid surgery revision                          A  14.08  17.57NA  15.18NA  17.57    15.18     1.14  32.79  30.40  32.79  30.40  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69604  Mastoid surgery revision                          A  14.08  13.22NA  11.82NA  13.22    11.82     1.14  28.44  27.04  28.44  27.04  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69605  Mastoid surgery revision                          A  18.55  20.14NA  17.69NA  20.14    17.69     1.50  40.19  37.74  40.19  37.74  0090.07.79.1421200             37.8975 090 99     0.00   0.00   0.00
69610  Repair of eardrum                                 A   4.44   5.29     4.52     3.04     2.35     0.36  10.09   9.32   7.84   7.15  0010.10.80.1021100             37.8975 090 99     0.00   0.00   0.00
69620  Repair of eardrum                                 A   5.94  10.87    10.10     6.06     5.36     0.48  17.29  16.52  12.48  11.78  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69631  Repair eardrum structures                         A   9.93  11.05NA  10.61NA  11.05    10.61     0.80  21.78  21.34  21.78  21.34  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69632  Rebuild eardrum structures                        A  12.82  13.16NA  12.22NA  13.16    12.22     1.03  27.01  26.07  27.01  26.07  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69633  Rebuild eardrum structures                        A  12.17  12.80NA  12.04NA  12.80    12.04     0.98  25.95  25.19  25.95  25.19  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69635  Repair eardrum structures                         A  13.39  16.30NA  14.97NA  16.30    14.97     1.08  30.77  29.44  30.77  29.44  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69636  Rebuild eardrum structures                        A  15.29  18.67NA  16.76NA  18.67    16.76     1.23  35.19  33.28  35.19  33.28  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69637  Rebuild eardrum structures                        A  15.18  18.60NA  16.73NA  18.60    16.73     1.22  35.00  33.13  35.00  33.13  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69641  Revise middle ear & mastoid                       A  12.77  12.45NA  11.45NA  12.45    11.45     1.03  26.25  25.25  26.25  25.25  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69642  Revise middle ear & mastoid                       A  16.91  15.77NA  14.23NA  15.77    14.23     1.36  34.04  32.50  34.04  32.50  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69643  Revise middle ear & mastoid                       A  15.45  14.36NA  12.98NA  14.36    12.98     1.24  31.05  29.67  31.05  29.67  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69644  Revise middle ear & mastoid                       A  17.09  19.62NA  17.27NA  19.62    17.27     1.37  38.08  35.73  38.08  35.73  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69645  Revise middle ear & mastoid                       A  16.57  19.31NA  17.17NA  19.31    17.17     1.33  37.21  35.07  37.21  35.07  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69646  Revise middle ear & mastoid                       A  18.23  19.97NA  17.60NA  19.97    17.60     1.46  39.66  37.29  39.66  37.29  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69650  Release middle ear bone                           A   9.71   9.62NA   8.74NA   9.62     8.74     0.78  20.11  19.23  20.11  19.23  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69660  Revise middle ear bone                            A  11.94  10.80NA   9.64NA  10.80     9.64     0.96  23.70  22.54  23.70  22.54  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69661  Revise middle ear bone                            A  15.80  14.11NA  12.34NA  14.11    12.34     1.27  31.18  29.41  31.18  29.41  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69662  Revise middle ear bone                            A  15.49  13.18NA  11.45NA  13.18    11.45     1.25  29.92  28.19  29.92  28.19  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69666  Repair middle ear structures                      A   9.80   9.73NA   9.02NA   9.73     9.02     0.79  20.32  19.61  20.32  19.61  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69667  Repair middle ear structures                      A   9.81   9.72NA   8.93NA   9.72     8.93     0.79  20.32  19.53  20.32  19.53  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69670  Remove mastoid air cells                          A  11.62  11.35NA  10.27NA  11.35    10.27     0.93  23.90  22.82  23.90  22.82  0090.07.79.1421200             37.8975 090 99     0.00   0.00   0.00
69676  Remove middle ear nerve                           A   9.58  10.50NA   9.74NA  10.50     9.74     0.81  20.89  20.13  20.89  20.13  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69700  Close mastoid fistula                             A   8.28   8.87NA   7.75NA   8.87     7.75     0.67  17.82  16.70  17.82  16.70  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69710  Implant/replace hearing aid                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
69711  Remove/repair hearing aid                         A  10.50  10.48NA   9.54NA  10.48     9.54     0.83  21.81  20.87  21.81  20.87  0090.07.79.1421200             37.8975 090 99     0.00   0.00   0.00
69714  Implant temple bone w/stimul                      A  14.31  12.18NA  10.72NA  12.18    10.72     1.13  27.62  26.16  27.62  26.16  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69715  Temple bne implnt w/stimulat                      A  18.80  14.31NA  12.14NA  14.31    12.14     1.48  34.59  32.42  34.59  32.42  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69717  Temple bone implant revision                      A  15.29  13.71NA  11.42NA  13.71    11.42     0.90  29.90  27.61  29.90  27.61  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69718  Revise temple bone implant                        A  19.05  16.57NA  20.38NA  16.57    20.38     3.22  38.84  42.65  38.84  42.65  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69720  Release facial nerve                              A  14.57  14.12NA  12.90NA  14.12    12.90     1.16  29.85  28.63  29.85  28.63  0090.07.79.1421010             37.8975 090 99     0.00   0.00   0.00
69725  Release facial nerve                              A  27.44  19.25NA  16.59NA  19.25    16.59     2.45  49.14  46.48  49.14  46.48  0090.07.79.1421200             37.8975 090 99     0.00   0.00   0.00
69740  Repair facial nerve                               A  16.18  12.89NA  11.32NA  12.89    11.32     1.27  30.34  28.77  30.34  28.77  0090.07.79.1421200             37.8975 090 99     0.00   0.00   0.00
69745  Repair facial nerve                               A  16.91  14.24NA  12.06NA  14.24    12.06     1.14  32.29  30.11  32.29  30.11  0090.07.79.1421200             37.8975 090 99     0.00   0.00   0.00
69799  Middle ear surgery procedure                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021011             37.8975 090 99     0.00   0.00   0.00
69801  Incise inner ear                                  A   8.61   9.31NA   8.84NA   9.31     8.84     0.69  18.61  18.14  18.61  18.14  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69802  Incise inner ear                                  A  13.39  11.91NA  10.68NA  11.91    10.68     1.06  26.36  25.13  26.36  25.13  0090.07.79.1421200             37.8975 090 99     0.00   0.00   0.00
69805  Explore inner ear                                 A  14.55  11.40NA   9.96NA  11.40     9.96     1.12  27.07  25.63  27.07  25.63  0090.07.79.1421200             37.8975 090 99     0.00   0.00   0.00
69806  Explore inner ear                                 A  12.52  10.66NA   9.50NA  10.66     9.50     1.00  24.18  23.02  24.18  23.02  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69820  Establish inner ear window                        A  10.40  10.89NA   9.91NA  10.89     9.91     0.90  22.19  21.21  22.19  21.21  0090.07.79.1421200             37.8975 090 99     0.00   0.00   0.00
69840  Revise inner ear window                           A  10.32  12.81NA  11.73NA  12.81    11.73     0.79  23.92  22.84  23.92  22.84  0090.07.79.1421200             37.8975 090 99     0.00   0.00   0.00
69905  Remove inner ear                                  A  11.15  11.06NA  10.20NA  11.06    10.20     0.90  23.11  22.25  23.11  22.25  0090.07.79.1421100             37.8975 090 99     0.00   0.00   0.00
69910  Remove inner ear & mastoid                        A  13.80  11.43NA   9.94NA  11.43     9.94     1.07  26.30  24.81  26.30  24.81  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69915  Incise inner ear nerve                            A  22.65  15.74NA  13.59NA  15.74    13.59     1.70  40.09  37.94  40.09  37.94  0090.07.79.1421210             37.8975 090 99     0.00   0.00   0.00
69930  Implant cochlear device                           A  17.60  14.06NA  11.99NA  14.06    11.99     1.36  33.02  30.95  33.02  30.95  0090.07.79.1421000             37.8975 090 99     0.00   0.00   0.00
69949  Inner ear surgery procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021011             37.8975 090 99     0.00   0.00   0.00
69950  Incise inner ear nerve                            A  27.44  18.06NA  15.54NA  18.06    15.54     2.29  47.79  45.27  47.79  45.27  0090.07.79.1421210             37.8975 090 99     0.00   0.00   0.00
69955  Release facial nerve                              A  29.22  20.43NA  17.57NA  20.43    17.57     2.49  52.14  49.28  52.14  49.28  0090.07.79.1421210             37.8975 090 99     0.00   0.00   0.00
69960  Release inner ear canal                           A  29.22  18.96NA  15.70NA  18.96    15.70     2.18  50.36  47.10  50.36  47.10  0090.07.79.1421210             37.8975 090 99     0.00   0.00   0.00
69970  Remove inner ear lesion                           A  32.21  21.97NA  18.08NA  21.97    18.08     2.42  56.60  52.71  56.60  52.71  0090.07.79.1421210             37.8975 090 99     0.00   0.00   0.00
69979  Temporal bone surgery                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0021011             37.8975 090 99     0.00   0.00   0.00
69990  Microsurgery add-on                               R   3.46   1.67NA   1.31NA   1.67     1.31     0.89   6.02   5.66   6.02   5.66  0ZZZ.00.00.0000200             37.8975 090 99     0.00   0.00   0.00
70010  Contrast x-ray of brain                           A   1.19   4.20     2.61     4.20NA   2.61 NA  0.27   5.66   4.07   5.66   4.07  1XXX.00.00.0000000             37.8975 090 99     4.30   4.30   0.27
70010TCContrast x-ray of brain                           A   0.00   3.82     2.27     3.82NA   2.27 NA  0.22   4.04   2.49   4.04   2.49  1XXX.00.00.0000000             37.8975 030 99     3.92   3.92   0.22
7001026Contrast x-ray of brain                           A   1.19   0.38     0.34     0.38     0.34     0.05   1.62   1.58   1.62   1.58  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70015  Contrast x-ray of brain                           A   1.19   1.98     2.68     1.98NA   2.68 NA  0.16   3.33   4.03   3.33   4.03  1XXX.00.00.0000000             37.8975 090 99     4.32   4.32   0.28
70015TCContrast x-ray of brain                           A   0.00   1.60     2.33     1.60NA   2.33 NA  0.08   1.68   2.41   1.68   2.41  1XXX.00.00.0000000             37.8975 030 99     3.94   3.94   0.20
7001526Contrast x-ray of brain                           A   1.19   0.38     0.35     0.38     0.35     0.08   1.65   1.62   1.65   1.62  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70030  X-ray eye for foreign body                        A   0.17   0.51     0.57     0.51NA   0.57 NA  0.03   0.71   0.77   0.71   0.77  1XXX.00.00.0003000             37.8975 090 99     1.16   1.16   0.06
70030TCX-ray eye for foreign body                        A   0.00   0.45     0.52     0.45NA   0.52 NA  0.02   0.47   0.54   0.47   0.54  1XXX.00.00.0003000             37.8975 010 99     1.10   1.10   0.05
7003026X-ray eye for foreign body                        A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
70100  X-ray exam of jaw                                 A   0.18   0.59     0.59     0.59NA   0.59 NA  0.03   0.80   0.80   0.80   0.80  1XXX.00.00.0000000             37.8975 090 99     1.17   1.17   0.05
70100TCX-ray exam of jaw                                 A   0.00   0.53     0.55     0.53NA   0.55 NA  0.02   0.55   0.57   0.55   0.57  1XXX.00.00.0000000             37.8975 010 99     1.11   1.11   0.04
7010026X-ray exam of jaw                                 A   0.18   0.06     0.04     0.06     0.04     0.01   0.25   0.23   0.25   0.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70110  X-ray exam of jaw                                 A   0.25   0.72     0.75     0.72NA   0.75 NA  0.05   1.02   1.05   1.02   1.05  1XXX.00.00.0000000             37.8975 090 99     1.16   1.16   0.08
70110TCX-ray exam of jaw                                 A   0.00   0.64     0.68     0.64NA   0.68 NA  0.04   0.68   0.72   0.68   0.72  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7011026X-ray exam of jaw                                 A   0.25   0.08     0.07     0.08     0.07     0.01   0.34   0.33   0.34   0.33  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70120  X-ray exam of mastoids                            A   0.18   0.68     0.66     0.68NA   0.66 NA  0.05   0.91   0.89   0.91   0.89  1XXX.00.00.0003000             37.8975 090 99     1.14   1.14   0.08
70120TCX-ray exam of mastoids                            A   0.00   0.62     0.61     0.62NA   0.61 NA  0.04   0.66   0.65   0.66   0.65  1XXX.00.00.0003000             37.8975 010 99     1.08   1.08   0.07
7012026X-ray exam of mastoids                            A   0.18   0.06     0.05     0.06     0.05     0.01   0.25   0.24   0.25   0.24  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
70130  X-ray exam of mastoids                            A   0.34   0.95     1.10     0.95NA   1.10 NA  0.07   1.36   1.51   1.36   1.51  1XXX.00.00.0003000             37.8975 090 99     1.20   1.20   0.08
70130TCX-ray exam of mastoids                            A   0.00   0.84     1.00     0.84NA   1.00 NA  0.05   0.89   1.05   0.89   1.05  1XXX.00.00.0003000             37.8975 010 99     1.09   1.09   0.06
7013026X-ray exam of mastoids                            A   0.34   0.11     0.10     0.11     0.10     0.02   0.47   0.46   0.47   0.46  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
70134  X-ray exam of middle ear                          A   0.34   0.85     0.88     0.85NA   0.88 NA  0.07   1.26   1.29   1.26   1.29  1XXX.00.00.0000000             37.8975 090 99     1.97   1.97   0.14
70134TCX-ray exam of middle ear                          A   0.00   0.74     0.78     0.74NA   0.78 NA  0.05   0.79   0.83   0.79   0.83  1XXX.00.00.0000000             37.8975 010 99     1.86   1.86   0.12
7013426X-ray exam of middle ear                          A   0.34   0.11     0.10     0.11     0.10     0.02   0.47   0.46   0.47   0.46  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70140  X-ray exam of facial bones                        A   0.19   0.64     0.51     0.64NA   0.51 NA  0.05   0.88   0.75   0.88   0.75  1XXX.00.00.0000000             37.8975 090 99     1.14   1.14   0.08
70140TCX-ray exam of facial bones                        A   0.00   0.58     0.47     0.58NA   0.47 NA  0.04   0.62   0.51   0.62   0.51  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7014026X-ray exam of facial bones                        A   0.19   0.06     0.04     0.06     0.04     0.01   0.26   0.24   0.26   0.24  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70150  X-ray exam of facial bones                        A   0.26   0.85     0.80     0.85NA   0.80 NA  0.06   1.17   1.12   1.17   1.12  1XXX.00.00.0000000             37.8975 090 99     1.16   1.16   0.08
70150TCX-ray exam of facial bones                        A   0.00   0.77     0.73     0.77NA   0.73 NA  0.05   0.82   0.78   0.82   0.78  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7015026X-ray exam of facial bones                        A   0.26   0.08     0.07     0.08     0.07     0.01   0.35   0.34   0.35   0.34  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70160  X-ray exam of nasal bones                         A   0.17   0.60     0.65     0.60NA   0.65 NA  0.03   0.80   0.85   0.80   0.85  1XXX.00.00.0000000             37.8975 090 99     1.17   1.17   0.05
70160TCX-ray exam of nasal bones                         A   0.00   0.54     0.61     0.54NA   0.61 NA  0.02   0.56   0.63   0.56   0.63  1XXX.00.00.0000000             37.8975 010 99     1.11   1.11   0.04
7016026X-ray exam of nasal bones                         A   0.17   0.06     0.04     0.06     0.04     0.01   0.24   0.22   0.24   0.22  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70170  X-ray exam of tear duct                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     4.61   4.61   0.30
70170TCX-ray exam of tear duct                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     4.51   4.51   0.29
7017026X-ray exam of tear duct                           A   0.30   0.10     0.08     0.10     0.08     0.01   0.41   0.39   0.41   0.39  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70190  X-ray exam of eye sockets                         A   0.21   0.69     0.68     0.69NA   0.68 NA  0.05   0.95   0.94   0.95   0.94  1XXX.00.00.0003000             37.8975 090 99     1.15   1.15   0.08
70190TCX-ray exam of eye sockets                         A   0.00   0.62     0.62     0.62NA   0.62 NA  0.04   0.66   0.66   0.66   0.66  1XXX.00.00.0003000             37.8975 010 99     1.08   1.08   0.07
7019026X-ray exam of eye sockets                         A   0.21   0.07     0.06     0.07     0.06     0.01   0.29   0.28   0.29   0.28  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
70200  X-ray exam of eye sockets                         A   0.28   0.86     0.82     0.86NA   0.82 NA  0.06   1.20   1.16   1.20   1.16  1XXX.00.00.0000000             37.8975 090 99     1.17   1.17   0.08
70200TCX-ray exam of eye sockets                         A   0.00   0.77     0.74     0.77NA   0.74 NA  0.05   0.82   0.79   0.82   0.79  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7020026X-ray exam of eye sockets                         A   0.28   0.09     0.08     0.09     0.08     0.01   0.38   0.37   0.38   0.37  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70210  X-ray exam of sinuses                             A   0.17   0.65     0.55     0.65NA   0.55 NA  0.05   0.87   0.77   0.87   0.77  1XXX.00.00.0000000             37.8975 090 99     1.14   1.14   0.08
70210TCX-ray exam of sinuses                             A   0.00   0.59     0.51     0.59NA   0.51 NA  0.04   0.63   0.55   0.63   0.55  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7021026X-ray exam of sinuses                             A   0.17   0.06     0.04     0.06     0.04     0.01   0.24   0.22   0.24   0.22  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70220  X-ray exam of sinuses                             A   0.25   0.82     0.69     0.82NA   0.69 NA  0.06   1.13   1.00   1.13   1.00  1XXX.00.00.0000000             37.8975 090 99     1.16   1.16   0.08
70220TCX-ray exam of sinuses                             A   0.00   0.74     0.62     0.74NA   0.62 NA  0.05   0.79   0.67   0.79   0.67  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7022026X-ray exam of sinuses                             A   0.25   0.08     0.07     0.08     0.07     0.01   0.34   0.33   0.34   0.33  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70240  X-ray exam, pituitary saddle                      A   0.19   0.51     0.58     0.51NA   0.58 NA  0.03   0.73   0.80   0.73   0.80  1XXX.00.00.0000000             37.8975 090 99     1.16   1.16   0.06
70240TCX-ray exam, pituitary saddle                      A   0.00   0.45     0.53     0.45NA   0.53 NA  0.02   0.47   0.55   0.47   0.55  1XXX.00.00.0000000             37.8975 010 99     1.10   1.10   0.05
7024026X-ray exam, pituitary saddle                      A   0.19   0.06     0.05     0.06     0.05     0.01   0.26   0.25   0.26   0.25  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70250  X-ray exam of skull                               A   0.24   0.70     0.66     0.70NA   0.66 NA  0.05   0.99   0.95   0.99   0.95  1XXX.00.00.0000000             37.8975 090 99     1.16   1.16   0.08
70250TCX-ray exam of skull                               A   0.00   0.62     0.60     0.62NA   0.60 NA  0.04   0.66   0.64   0.66   0.64  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7025026X-ray exam of skull                               A   0.24   0.08     0.06     0.08     0.06     0.01   0.33   0.31   0.33   0.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70260  X-ray exam of skull                               A   0.34   0.96     0.83     0.96NA   0.83 NA  0.08   1.38   1.25   1.38   1.25  1XXX.00.00.0000000             37.8975 090 99     1.96   1.96   0.15
70260TCX-ray exam of skull                               A   0.00   0.85     0.74     0.85NA   0.74 NA  0.06   0.91   0.80   0.91   0.80  1XXX.00.00.0000000             37.8975 010 99     1.85   1.85   0.13
7026026X-ray exam of skull                               A   0.34   0.11     0.09     0.11     0.09     0.02   0.47   0.45   0.47   0.45  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70300  X-ray exam of teeth                               A   0.10   0.30     0.24     0.30NA   0.24 NA  0.03   0.43   0.37   0.43   0.37  1XXX.00.00.0000000             37.8975 090 99     1.03   1.03   0.09
70300TCX-ray exam of teeth                               A   0.00   0.25     0.21     0.25NA   0.21 NA  0.02   0.27   0.23   0.27   0.23  1XXX.00.00.0000000             37.8975 010 99     0.98   0.98   0.08
7030026X-ray exam of teeth                               A   0.10   0.05     0.03     0.05     0.03     0.01   0.16   0.14   0.16   0.14  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70310  X-ray exam of teeth                               A   0.16   0.58     0.82     0.58NA   0.82 NA  0.03   0.77   1.01   0.77   1.01  1XXX.00.00.0000000             37.8975 090 99     1.09   1.09   0.05
70310TCX-ray exam of teeth                               A   0.00   0.51     0.77     0.51NA   0.77 NA  0.02   0.53   0.79   0.53   0.79  1XXX.00.00.0000000             37.8975 010 99     1.02   1.02   0.04
7031026X-ray exam of teeth                               A   0.16   0.07     0.05     0.07     0.05     0.01   0.24   0.22   0.24   0.22  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70320  Full mouth x-ray of teeth                         A   0.22   0.89     0.96     0.89NA   0.96 NA  0.06   1.17   1.24   1.17   1.24  1XXX.00.00.0000000             37.8975 090 99     1.08   1.08   0.07
70320TCFull mouth x-ray of teeth                         A   0.00   0.81     0.90     0.81NA   0.90 NA  0.05   0.86   0.95   0.86   0.95  1XXX.00.00.0000000             37.8975 010 99     1.00   1.00   0.06
7032026Full mouth x-ray of teeth                         A   0.22   0.08     0.06     0.08     0.06     0.01   0.31   0.29   0.31   0.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70328  X-ray exam of jaw joint                           A   0.18   0.56     0.59     0.56NA   0.59 NA  0.03   0.77   0.80   0.77   0.80  1XXX.00.00.0000000             37.8975 090 99     1.17   1.17   0.05
70328TCX-ray exam of jaw joint                           A   0.00   0.50     0.54     0.50NA   0.54 NA  0.02   0.52   0.56   0.52   0.56  1XXX.00.00.0000000             37.8975 010 99     1.11   1.11   0.04
7032826X-ray exam of jaw joint                           A   0.18   0.06     0.05     0.06     0.05     0.01   0.25   0.24   0.25   0.24  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70330  X-ray exam of jaw joints                          A   0.24   0.93     0.96     0.93NA   0.96 NA  0.06   1.23   1.26   1.23   1.26  1XXX.00.00.0002000             37.8975 090 99     1.17   1.17   0.07
70330TCX-ray exam of jaw joints                          A   0.00   0.85     0.89     0.85NA   0.89 NA  0.05   0.90   0.94   0.90   0.94  1XXX.00.00.0002000             37.8975 010 99     1.09   1.09   0.06
7033026X-ray exam of jaw joints                          A   0.24   0.08     0.07     0.08     0.07     0.01   0.33   0.32   0.33   0.32  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
70332  X-ray exam of jaw joint                           A   0.54   2.08     1.42     2.08NA   1.42 NA  0.14   2.76   2.10   2.76   2.10  1XXX.00.00.0003000             37.8975 090 99     5.82   5.82   0.38
70332TCX-ray exam of jaw joint                           A   0.00   1.89     1.26     1.89NA   1.26 NA  0.12   2.01   1.38   2.01   1.38  1XXX.00.00.0003000             37.8975 030 99     5.63   5.63   0.36
7033226X-ray exam of jaw joint                           A   0.54   0.19     0.16     0.19     0.16     0.02   0.75   0.72   0.75   0.72  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
70336  Magnetic image, jaw joint                         A   1.48  11.67    11.62    11.67NA  11.62 NA  0.66  13.81  13.76  13.81  13.76  1XXX.00.00.0003000             37.8975 090 99     7.48   7.48   0.44
70336TCMagnetic image, jaw joint                         A   0.00  11.20    11.20    11.20NA  11.20 NA  0.59  11.79  11.79  11.79  11.79  1XXX.00.00.0003000             37.8975 010 99     7.01   7.01   0.37
7033626Magnetic image, jaw joint                         A   1.48   0.47     0.42     0.47     0.42     0.07   2.02   1.97   2.02   1.97  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
70350  X-ray head for orthodontia                        A   0.17   0.42     0.32     0.42NA   0.32 NA  0.03   0.62   0.52   0.62   0.52  1XXX.00.00.0000000             37.8975 090 99     1.16   1.16   0.07
70350TCX-ray head for orthodontia                        A   0.00   0.35     0.27     0.35NA   0.27 NA  0.02   0.37   0.29   0.37   0.29  1XXX.00.00.0000000             37.8975 010 99     1.09   1.09   0.06
7035026X-ray head for orthodontia                        A   0.17   0.07     0.05     0.07     0.05     0.01   0.25   0.23   0.25   0.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70355  Panoramic x-ray of jaws                           A   0.20   0.56     0.29     0.56NA   0.29 NA  0.05   0.81   0.54   0.81   0.54  1XXX.00.00.0000000             37.8975 090 99     1.13   1.13   0.10
70355TCPanoramic x-ray of jaws                           A   0.00   0.49     0.23     0.49NA   0.23 NA  0.04   0.53   0.27   0.53   0.27  1XXX.00.00.0000000             37.8975 010 99     1.06   1.06   0.09
7035526Panoramic x-ray of jaws                           A   0.20   0.07     0.06     0.07     0.06     0.01   0.28   0.27   0.28   0.27  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70360  X-ray exam of neck                                A   0.17   0.50     0.53     0.50NA   0.53 NA  0.03   0.70   0.73   0.70   0.73  1XXX.00.00.0000000             37.8975 090 99     1.16   1.16   0.06
70360TCX-ray exam of neck                                A   0.00   0.44     0.48     0.44NA   0.48 NA  0.02   0.46   0.50   0.46   0.50  1XXX.00.00.0000000             37.8975 010 99     1.10   1.10   0.05
7036026X-ray exam of neck                                A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70370  Throat x-ray & fluoroscopy                        A   0.32   1.46     1.59     1.46NA   1.59 NA  0.08   1.86   1.99   1.86   1.99  1XXX.00.00.0000000             37.8975 090 99     2.09   2.09   0.11
70370TCThroat x-ray & fluoroscopy                        A   0.00   1.36     1.50     1.36NA   1.50 NA  0.07   1.43   1.57   1.43   1.57  1XXX.00.00.0000000             37.8975 030 99     1.99   1.99   0.10
7037026Throat x-ray & fluoroscopy                        A   0.32   0.10     0.09     0.10     0.09     0.01   0.43   0.42   0.43   0.42  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70371  Speech evaluation, complex                        A   0.84   2.14     1.40     2.14NA   1.40 NA  0.16   3.14   2.40   3.14   2.40  1XXX.00.00.0000000             37.8975 090 99     2.24   2.24   0.16
70371TCSpeech evaluation, complex                        A   0.00   1.87     1.17     1.87NA   1.17 NA  0.12   1.99   1.29   1.99   1.29  1XXX.00.00.0000000             37.8975 030 99     1.97   1.97   0.12
7037126Speech evaluation, complex                        A   0.84   0.27     0.23     0.27     0.23     0.04   1.15   1.11   1.15   1.11  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70373  Contrast x-ray of larynx                          A   0.44   1.83     1.57     1.83NA   1.57 NA  0.13   2.40   2.14   2.40   2.14  1XXX.00.00.0000000             37.8975 090 99     2.71   2.71   0.19
70373TCContrast x-ray of larynx                          A   0.00   1.70     1.46     1.70NA   1.46 NA  0.11   1.81   1.57   1.81   1.57  1XXX.00.00.0000000             37.8975 030 99     2.58   2.58   0.17
7037326Contrast x-ray of larynx                          A   0.44   0.13     0.11     0.13     0.11     0.02   0.59   0.57   0.59   0.57  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70380  X-ray exam of salivary gland                      A   0.17   0.75     0.80     0.75NA   0.80 NA  0.05   0.97   1.02   0.97   1.02  1XXX.00.00.0000000             37.8975 090 99     1.15   1.15   0.07
70380TCX-ray exam of salivary gland                      A   0.00   0.69     0.75     0.69NA   0.75 NA  0.04   0.73   0.79   0.73   0.79  1XXX.00.00.0000000             37.8975 010 99     1.09   1.09   0.06
7038026X-ray exam of salivary gland                      A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70390  X-ray exam of salivary duct                       A   0.38   1.98     2.20     1.98NA   2.20 NA  0.13   2.49   2.71   2.49   2.71  1XXX.00.00.0000000             37.8975 090 99     2.72   2.72   0.17
70390TCX-ray exam of salivary duct                       A   0.00   1.86     2.09     1.86NA   2.09 NA  0.11   1.97   2.20   1.97   2.20  1XXX.00.00.0000000             37.8975 030 99     2.60   2.60   0.15
7039026X-ray exam of salivary duct                       A   0.38   0.12     0.11     0.12     0.11     0.02   0.52   0.51   0.52   0.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70450  Ct head/brain w/o dye                             A   0.85   4.91     4.62     4.91NA   4.62 NA  0.29   6.05   5.76   6.05   5.76  1XXX.00.00.0040000             37.8975 090 03     5.03   5.03   0.29
70450TCCt head/brain w/o dye                             A   0.00   4.64     4.38     4.64NA   4.38 NA  0.25   4.89   4.63   4.89   4.63  1XXX.00.00.0040000             37.8975 010 03     4.76   4.76   0.25
7045026Ct head/brain w/o dye                             A   0.85   0.27     0.24     0.27     0.24     0.04   1.16   1.13   1.16   1.13  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70460  Ct head/brain w/dye                               A   1.13   6.06     6.14     6.06NA   6.14 NA  0.35   7.54   7.62   7.54   7.62  1XXX.00.00.0040000             37.8975 090 03     6.65   6.65   0.38
70460TCCt head/brain w/dye                               A   0.00   5.70     5.82     5.70NA   5.82 NA  0.30   6.00   6.12   6.00   6.12  1XXX.00.00.0040000             37.8975 020 03     6.29   6.29   0.33
7046026Ct head/brain w/dye                               A   1.13   0.36     0.32     0.36     0.32     0.05   1.54   1.50   1.54   1.50  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70470  Ct head/brain w/o & w/dye                         A   1.27   7.49     7.48     7.49NA   7.48 NA  0.43   9.19   9.18   9.19   9.18  1XXX.00.00.0040000             37.8975 090 03     7.87   7.87   0.45
70470TCCt head/brain w/o & w/dye                         A   0.00   7.08     7.12     7.08NA   7.12 NA  0.37   7.45   7.49   7.45   7.49  1XXX.00.00.0040000             37.8975 020 03     7.46   7.46   0.39
7047026Ct head/brain w/o & w/dye                         A   1.27   0.41     0.36     0.41     0.36     0.06   1.74   1.69   1.74   1.69  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70480  Ct orbit/ear/fossa w/o dye                        A   1.28   5.86     7.99     5.86NA   7.99 NA  0.31   7.45   9.58   7.45   9.58  1XXX.00.00.0040000             37.8975 090 03     5.20   5.20   0.28
70480TCCt orbit/ear/fossa w/o dye                        A   0.00   5.45     7.63     5.45NA   7.63 NA  0.25   5.70   7.88   5.70   7.88  1XXX.00.00.0040000             37.8975 010 03     4.79   4.79   0.22
7048026Ct orbit/ear/fossa w/o dye                        A   1.28   0.41     0.36     0.41     0.36     0.06   1.75   1.70   1.75   1.70  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70481  Ct orbit/ear/fossa w/dye                          A   1.38   6.95     9.43     6.95NA   9.43 NA  0.36   8.69  11.17   8.69  11.17  1XXX.00.00.0040000             37.8975 090 03     6.77   6.77   0.35
70481TCCt orbit/ear/fossa w/dye                          A   0.00   6.51     9.04     6.51NA   9.04 NA  0.30   6.81   9.34   6.81   9.34  1XXX.00.00.0040000             37.8975 020 03     6.33   6.33   0.29
7048126Ct orbit/ear/fossa w/dye                          A   1.38   0.44     0.39     0.44     0.39     0.06   1.88   1.83   1.88   1.83  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70482  Ct orbit/ear/fossa w/o&w/dye                      A   1.45   8.36    10.81     8.36NA  10.81 NA  0.43  10.24  12.69  10.24  12.69  1XXX.00.00.0040000             37.8975 090 03     7.96   7.96   0.41
70482TCCt orbit/ear/fossa w/o&w/dye                      A   0.00   7.90    10.40     7.90NA  10.40 NA  0.37   8.27  10.77   8.27  10.77  1XXX.00.00.0040000             37.8975 020 03     7.50   7.50   0.35
7048226Ct orbit/ear/fossa w/o&w/dye                      A   1.45   0.46     0.41     0.46     0.41     0.06   1.97   1.92   1.97   1.92  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70486  Ct maxillofacial w/o dye                          A   1.14   5.42     6.39     5.42NA   6.39 NA  0.30   6.86   7.83   6.86   7.83  1XXX.00.00.0040000             37.8975 090 03     5.14   5.14   0.28
70486TCCt maxillofacial w/o dye                          A   0.00   5.06     6.07     5.06NA   6.07 NA  0.25   5.31   6.32   5.31   6.32  1XXX.00.00.0040000             37.8975 010 03     4.78   4.78   0.23
7048626Ct maxillofacial w/o dye                          A   1.14   0.36     0.32     0.36     0.32     0.05   1.55   1.51   1.55   1.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70487  Ct maxillofacial w/dye                            A   1.30   6.55     7.89     6.55NA   7.89 NA  0.36   8.21   9.55   8.21   9.55  1XXX.00.00.0040000             37.8975 090 03     6.73   6.73   0.37
70487TCCt maxillofacial w/dye                            A   0.00   6.13     7.52     6.13NA   7.52 NA  0.30   6.43   7.82   6.43   7.82  1XXX.00.00.0040000             37.8975 020 03     6.31   6.31   0.31
7048726Ct maxillofacial w/dye                            A   1.30   0.42     0.37     0.42     0.37     0.06   1.78   1.73   1.78   1.73  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70488  Ct maxillofacial w/o & w/dye                      A   1.42   8.11     9.81     8.11NA   9.81 NA  0.43   9.96  11.66   9.96  11.66  1XXX.00.00.0040000             37.8975 090 03     7.94   7.94   0.42
70488TCCt maxillofacial w/o & w/dye                      A   0.00   7.66     9.41     7.66NA   9.41 NA  0.37   8.03   9.78   8.03   9.78  1XXX.00.00.0040000             37.8975 020 03     7.49   7.49   0.36
7048826Ct maxillofacial w/o & w/dye                      A   1.42   0.45     0.40     0.45     0.40     0.06   1.93   1.88   1.93   1.88  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70490  Ct soft tissue neck w/o dye                       A   1.28   5.39     6.12     5.39NA   6.12 NA  0.31   6.98   7.71   6.98   7.71  1XXX.00.00.0040000             37.8975 090 03     5.18   5.18   0.30
70490TCCt soft tissue neck w/o dye                       A   0.00   4.98     5.75     4.98NA   5.75 NA  0.25   5.23   6.00   5.23   6.00  1XXX.00.00.0040000             37.8975 010 03     4.77   4.77   0.24
7049026Ct soft tissue neck w/o dye                       A   1.28   0.41     0.37     0.41     0.37     0.06   1.75   1.71   1.75   1.71  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70491  Ct soft tissue neck w/dye                         A   1.38   6.48     7.58     6.48NA   7.58 NA  0.36   8.22   9.32   8.22   9.32  1XXX.00.00.0040000             37.8975 090 03     6.75   6.75   0.37
70491TCCt soft tissue neck w/dye                         A   0.00   6.04     7.19     6.04NA   7.19 NA  0.30   6.34   7.49   6.34   7.49  1XXX.00.00.0040000             37.8975 020 03     6.31   6.31   0.31
7049126Ct soft tissue neck w/dye                         A   1.38   0.44     0.39     0.44     0.39     0.06   1.88   1.83   1.88   1.83  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70492  Ct sft tsue nck w/o & w/dye                       A   1.45   8.04     9.50     8.04NA   9.50 NA  0.43   9.92  11.38   9.92  11.38  1XXX.00.00.0040000             37.8975 090 03     7.94   7.94   0.43
70492TCCt sft tsue nck w/o & w/dye                       A   0.00   7.58     9.09     7.58NA   9.09 NA  0.37   7.95   9.46   7.95   9.46  1XXX.00.00.0040000             37.8975 020 03     7.48   7.48   0.37
7049226Ct sft tsue nck w/o & w/dye                       A   1.45   0.46     0.41     0.46     0.41     0.06   1.97   1.92   1.97   1.92  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70496  Ct angiography, head                              A   1.75  12.43    16.19    12.43NA  16.19 NA  0.66  14.84  18.60  14.84  18.60  1XXX.00.00.0040000             37.8975 090 03     8.07   8.07   0.44
70496TCCt angiography, head                              A   0.00  11.87    15.68    11.87NA  15.68 NA  0.58  12.45  16.26  12.45  16.26  1XXX.00.00.0040000             37.8975 020 03     7.51   7.51   0.36
7049626Ct angiography, head                              A   1.75   0.56     0.51     0.56     0.51     0.08   2.39   2.34   2.39   2.34  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70498  Ct angiography, neck                              A   1.75  12.45    16.29    12.45NA  16.29 NA  0.66  14.86  18.70  14.86  18.70  1XXX.00.00.0040000             37.8975 090 03     8.07   8.07   0.44
70498TCCt angiography, neck                              A   0.00  11.89    15.77    11.89NA  15.77 NA  0.58  12.47  16.35  12.47  16.35  1XXX.00.00.0040000             37.8975 020 03     7.51   7.51   0.36
7049826Ct angiography, neck                              A   1.75   0.56     0.52     0.56     0.52     0.08   2.39   2.35   2.39   2.35  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70540  Mri orbit/face/neck w/o dye                       A   1.35  12.11    13.49    12.11NA  13.49 NA  0.45  13.91  15.29  13.91  15.29  1XXX.00.00.0040000             37.8975 090 05     9.33   9.33   0.36
70540TCMri orbit/face/neck w/o dye                       A   0.00  11.68    13.11    11.68NA  13.11 NA  0.39  12.07  13.50  12.07  13.50  1XXX.00.00.0040000             37.8975 010 05     8.90   8.90   0.30
7054026Mri orbit/face/neck w/o dye                       A   1.35   0.43     0.38     0.43     0.38     0.06   1.84   1.79   1.84   1.79  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70542  Mri orbit/face/neck w/dye                         A   1.62  14.09    14.46    14.09NA  14.46 NA  0.54  16.25  16.62  16.25  16.62  1XXX.00.00.0040000             37.8975 090 05    10.11  10.11   0.40
70542TCMri orbit/face/neck w/dye                         A   0.00  13.58    14.00    13.58NA  14.00 NA  0.47  14.05  14.47  14.05  14.47  1XXX.00.00.0040000             37.8975 020 05     9.60   9.60   0.33
7054226Mri orbit/face/neck w/dye                         A   1.62   0.51     0.46     0.51     0.46     0.07   2.20   2.15   2.20   2.15  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70543  Mri orbt/fac/nck w/o & w/dye                      A   2.15  23.65    17.82    23.65NA  17.82 NA  0.94  26.74  20.91  26.74  20.91  1XXX.00.00.0040000             37.8975 090 05    13.39  13.39   0.56
70543TCMri orbt/fac/nck w/o & w/dye                      A   0.00  22.96    17.21    22.96NA  17.21 NA  0.84  23.80  18.05  23.80  18.05  1XXX.00.00.0040000             37.8975 020 05    12.70  12.70   0.46
7054326Mri orbt/fac/nck w/o & w/dye                      A   2.15   0.69     0.61     0.69     0.61     0.10   2.94   2.86   2.94   2.86  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70544  Mr angiography head w/o dye                       A   1.20  12.46    15.03    12.46NA  15.03 NA  0.64  14.30  16.87  14.30  16.87  1XXX.00.00.0040000             37.8975 090 05     9.16   9.16   0.48
70544TCMr angiography head w/o dye                       A   0.00  12.07    14.69    12.07NA  14.69 NA  0.59  12.66  15.28  12.66  15.28  1XXX.00.00.0040000             37.8975 010 05     8.77   8.77   0.43
7054426Mr angiography head w/o dye                       A   1.20   0.39     0.34     0.39     0.34     0.05   1.64   1.59   1.64   1.59  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70545  Mr angiography head w/dye                         A   1.20  12.44    14.98    12.44NA  14.98 NA  0.64  14.28  16.82  14.28  16.82  1XXX.00.00.0040000             37.8975 090 05     9.84   9.84   0.52
70545TCMr angiography head w/dye                         A   0.00  12.06    14.64    12.06NA  14.64 NA  0.59  12.65  15.23  12.65  15.23  1XXX.00.00.0040000             37.8975 020 05     9.46   9.46   0.47
7054526Mr angiography head w/dye                         A   1.20   0.38     0.34     0.38     0.34     0.05   1.63   1.59   1.63   1.59  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70546  Mr angiograph head w/o&w/dye                      A   1.80  22.97    22.88    22.97NA  22.88 NA  0.67  25.44  25.35  25.44  25.35  1XXX.00.00.0040000             37.8975 090 05    13.39  13.39   0.42
70546TCMr angiograph head w/o&w/dye                      A   0.00  22.40    22.37    22.40NA  22.37 NA  0.59  22.99  22.96  22.99  22.96  1XXX.00.00.0040000             37.8975 020 05    12.82  12.82   0.34
7054626Mr angiograph head w/o&w/dye                      A   1.80   0.57     0.51     0.57     0.51     0.08   2.45   2.39   2.45   2.39  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70547  Mr angiography neck w/o dye                       A   1.20  12.45    15.01    12.45NA  15.01 NA  0.64  14.29  16.85  14.29  16.85  1XXX.00.00.0040000             37.8975 090 05     9.15   9.15   0.48
70547TCMr angiography neck w/o dye                       A   0.00  12.07    14.67    12.07NA  14.67 NA  0.59  12.66  15.26  12.66  15.26  1XXX.00.00.0040000             37.8975 010 05     8.77   8.77   0.43
7054726Mr angiography neck w/o dye                       A   1.20   0.38     0.34     0.38     0.34     0.05   1.63   1.59   1.63   1.59  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70548  Mr angiography neck w/dye                         A   1.20  12.65    15.81    12.65NA  15.81 NA  0.64  14.49  17.65  14.49  17.65  1XXX.00.00.0040000             37.8975 090 05     9.85   9.85   0.51
70548TCMr angiography neck w/dye                         A   0.00  12.27    15.47    12.27NA  15.47 NA  0.59  12.86  16.06  12.86  16.06  1XXX.00.00.0040000             37.8975 020 05     9.47   9.47   0.46
7054826Mr angiography neck w/dye                         A   1.20   0.38     0.34     0.38     0.34     0.05   1.63   1.59   1.63   1.59  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70549  Mr angiograph neck w/o&w/dye                      A   1.80  22.96    22.85    22.96NA  22.85 NA  0.67  25.43  25.32  25.43  25.32  1XXX.00.00.0040000             37.8975 090 05    13.39  13.39   0.42
70549TCMr angiograph neck w/o&w/dye                      A   0.00  22.39    22.34    22.39NA  22.34 NA  0.59  22.98  22.93  22.98  22.93  1XXX.00.00.0040000             37.8975 020 05    12.82  12.82   0.34
7054926Mr angiograph neck w/o&w/dye                      A   1.80   0.57     0.51     0.57     0.51     0.08   2.45   2.39   2.45   2.39  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70551  Mri brain w/o dye                                 A   1.48  12.20    13.72    12.20NA  13.72 NA  0.66  14.34  15.86  14.34  15.86  1XXX.00.00.0040000             37.8975 090 05     9.23   9.23   0.51
70551TCMri brain w/o dye                                 A   0.00  11.73    13.30    11.73NA  13.30 NA  0.59  12.32  13.89  12.32  13.89  1XXX.00.00.0040000             37.8975 010 05     8.76   8.76   0.44
7055126Mri brain w/o dye                                 A   1.48   0.47     0.42     0.47     0.42     0.07   2.02   1.97   2.02   1.97  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70552  Mri brain w/dye                                   A   1.78  14.22    14.76    14.22NA  14.76 NA  0.78  16.78  17.32  16.78  17.32  1XXX.00.00.0040000             37.8975 090 05    10.01  10.01   0.57
70552TCMri brain w/dye                                   A   0.00  13.65    14.26    13.65NA  14.26 NA  0.70  14.35  14.96  14.35  14.96  1XXX.00.00.0040000             37.8975 020 05     9.44   9.44   0.49
7055226Mri brain w/dye                                   A   1.78   0.57     0.50     0.57     0.50     0.08   2.43   2.36   2.43   2.36  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70553  Mri brain w/o & w/dye                             A   2.36  23.53    17.15    23.53NA  17.15 NA  1.41  27.30  20.92  27.30  20.92  1XXX.00.00.0040000             37.8975 090 05    13.19  13.19   0.82
70553TCMri brain w/o & w/dye                             A   0.00  22.78    16.48    22.78NA  16.48 NA  1.31  24.09  17.79  24.09  17.79  1XXX.00.00.0040000             37.8975 020 05    12.44  12.44   0.72
7055326Mri brain w/o & w/dye                             A   2.36   0.75     0.67     0.75     0.67     0.10   3.21   3.13   3.21   3.13  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70554  Fmri brain by tech                                A   2.11  13.49    13.49    13.49NA  13.49 NA  0.92  16.52  16.52  16.52  16.52  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
70554TCFmri brain by tech                                A   0.00  12.89    12.89    12.89NA  12.89 NA  0.82  13.71  13.71  13.71  13.71  1XXX.00.00.0003000             37.8975 020 99     0.00   0.00   0.00
7055426Fmri brain by tech                                A   2.11   0.60     0.60     0.60     0.60     0.10   2.81   2.81   2.81   2.81  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
70555  Fmri brain by phys/psych                          C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
70555TCFmri brain by phys/psych                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0003000             37.8975 020 99     0.00   0.00   0.00
7055526Fmri brain by phys/psych                          A   2.54   0.72     0.72     0.72     0.72     0.11   3.37   3.37   3.37   3.37  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
70557  Mri brain w/o dye                                 C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     9.58   9.58   0.76
70557TCMri brain w/o dye                                 C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99     8.52   8.52   0.68
7055726Mri brain w/o dye                                 A   2.90   1.06     0.84     1.06     0.84     0.08   4.04   3.82   4.04   3.82  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70558  Mri brain w/dye                                   C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    10.39  10.39   0.83
70558TCMri brain w/dye                                   C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 020 99     9.20   9.20   0.73
7055826Mri brain w/dye                                   A   3.20   1.19     1.02     1.19     1.02     0.10   4.49   4.32   4.49   4.32  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
70559  Mri brain w/o & w/dye                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    13.36  13.36   1.09
70559TCMri brain w/o & w/dye                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 020 99    12.19  12.19   0.97
7055926Mri brain w/o & w/dye                             A   3.20   1.17     0.95     1.17     0.95     0.12   4.49   4.27   4.49   4.27  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71010  Chest x-ray                                       A   0.18   0.50     0.40     0.50NA   0.40 NA  0.03   0.71   0.61   0.71   0.61  1XXX.00.00.0000000             37.8975 090 99     1.16   1.16   0.06
71010TCChest x-ray                                       A   0.00   0.44     0.35     0.44NA   0.35 NA  0.02   0.46   0.37   0.46   0.37  1XXX.00.00.0000000             37.8975 010 99     1.10   1.10   0.05
7101026Chest x-ray                                       A   0.18   0.06     0.05     0.06     0.05     0.01   0.25   0.24   0.25   0.24  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71015  Chest x-ray                                       A   0.21   0.58     0.54     0.58NA   0.54 NA  0.03   0.82   0.78   0.82   0.78  1XXX.00.00.0000000             37.8975 090 99     1.18   1.18   0.05
71015TCChest x-ray                                       A   0.00   0.51     0.48     0.51NA   0.48 NA  0.02   0.53   0.50   0.53   0.50  1XXX.00.00.0000000             37.8975 010 99     1.11   1.11   0.04
7101526Chest x-ray                                       A   0.21   0.07     0.06     0.07     0.06     0.01   0.29   0.28   0.29   0.28  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71020  Chest x-ray                                       A   0.22   0.66     0.54     0.66NA   0.54 NA  0.05   0.93   0.81   0.93   0.81  1XXX.00.00.0000000             37.8975 090 99     1.15   1.15   0.08
71020TCChest x-ray                                       A   0.00   0.59     0.48     0.59NA   0.48 NA  0.04   0.63   0.52   0.63   0.52  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7102026Chest x-ray                                       A   0.22   0.07     0.06     0.07     0.06     0.01   0.30   0.29   0.30   0.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71021  Chest x-ray                                       A   0.27   0.79     0.67     0.79NA   0.67 NA  0.06   1.12   1.00   1.12   1.00  1XXX.00.00.0000000             37.8975 090 99     1.16   1.16   0.09
71021TCChest x-ray                                       A   0.00   0.70     0.60     0.70NA   0.60 NA  0.05   0.75   0.65   0.75   0.65  1XXX.00.00.0000000             37.8975 010 99     1.07   1.07   0.08
7102126Chest x-ray                                       A   0.27   0.09     0.07     0.09     0.07     0.01   0.37   0.35   0.37   0.35  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71022  Chest x-ray                                       A   0.31   0.84     0.84     0.84NA   0.84 NA  0.06   1.21   1.21   1.21   1.21  1XXX.00.00.0000000             37.8975 090 99     1.18   1.18   0.08
71022TCChest x-ray                                       A   0.00   0.74     0.76     0.74NA   0.76 NA  0.05   0.79   0.81   0.79   0.81  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7102226Chest x-ray                                       A   0.31   0.10     0.08     0.10     0.08     0.01   0.42   0.40   0.42   0.40  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71023  Chest x-ray and fluoroscopy                       A   0.38   1.06     1.53     1.06NA   1.53 NA  0.06   1.50   1.97   1.50   1.97  1XXX.00.00.0000000             37.8975 090 99     2.12   2.12   0.11
71023TCChest x-ray and fluoroscopy                       A   0.00   0.93     1.39     0.93NA   1.39 NA  0.05   0.98   1.44   0.98   1.44  1XXX.00.00.0000000             37.8975 030 99     1.99   1.99   0.10
7102326Chest x-ray and fluoroscopy                       A   0.38   0.13     0.14     0.13     0.14     0.01   0.52   0.53   0.52   0.53  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71030  Chest x-ray                                       A   0.31   0.88     0.87     0.88NA   0.87 NA  0.06   1.25   1.24   1.25   1.24  1XXX.00.00.0000000             37.8975 090 99     1.18   1.18   0.08
71030TCChest x-ray                                       A   0.00   0.78     0.78     0.78NA   0.78 NA  0.05   0.83   0.83   0.83   0.83  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7103026Chest x-ray                                       A   0.31   0.10     0.09     0.10     0.09     0.01   0.42   0.41   0.42   0.41  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71034  Chest x-ray and fluoroscopy                       A   0.46   1.69     1.96     1.69NA   1.96 NA  0.10   2.25   2.52   2.25   2.52  1XXX.00.00.0000000             37.8975 090 99     2.15   2.15   0.12
71034TCChest x-ray and fluoroscopy                       A   0.00   1.53     1.79     1.53NA   1.79 NA  0.08   1.61   1.87   1.61   1.87  1XXX.00.00.0000000             37.8975 030 99     1.99   1.99   0.10
7103426Chest x-ray and fluoroscopy                       A   0.46   0.16     0.17     0.16     0.17     0.02   0.64   0.65   0.64   0.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71035  Chest x-ray                                       A   0.18   0.62     0.72     0.62NA   0.72 NA  0.03   0.83   0.93   0.83   0.93  1XXX.00.00.0000000             37.8975 090 99     1.17   1.17   0.05
71035TCChest x-ray                                       A   0.00   0.56     0.67     0.56NA   0.67 NA  0.02   0.58   0.69   0.58   0.69  1XXX.00.00.0000000             37.8975 010 99     1.11   1.11   0.04
7103526Chest x-ray                                       A   0.18   0.06     0.05     0.06     0.05     0.01   0.25   0.24   0.25   0.24  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71040  Contrast x-ray of bronchi                         A   0.58   1.74     1.99     1.74NA   1.99 NA  0.11   2.43   2.68   2.43   2.68  1XXX.00.00.0000000             37.8975 090 99     2.79   2.79   0.17
71040TCContrast x-ray of bronchi                         A   0.00   1.56     1.84     1.56NA   1.84 NA  0.08   1.64   1.92   1.64   1.92  1XXX.00.00.0000000             37.8975 030 99     2.61   2.61   0.14
7104026Contrast x-ray of bronchi                         A   0.58   0.18     0.15     0.18     0.15     0.03   0.79   0.76   0.79   0.76  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71060  Contrast x-ray of bronchi                         A   0.74   2.56     2.91     2.56NA   2.91 NA  0.16   3.46   3.81   3.46   3.81  1XXX.00.00.0002000             37.8975 090 99     2.83   2.83   0.18
71060TCContrast x-ray of bronchi                         A   0.00   2.33     2.70     2.33NA   2.70 NA  0.13   2.46   2.83   2.46   2.83  1XXX.00.00.0002000             37.8975 030 99     2.60   2.60   0.15
7106026Contrast x-ray of bronchi                         A   0.74   0.23     0.21     0.23     0.21     0.03   1.00   0.98   1.00   0.98  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
71090  X-ray & pacemaker insertion                       C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     2.23   2.23   0.11
71090TCX-ray & pacemaker insertion                       C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     2.00   2.00   0.09
7109026X-ray & pacemaker insertion                       A   0.54   0.23     0.29     0.23     0.29     0.02   0.79   0.85   0.79   0.85  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71100  X-ray exam of ribs                                A   0.22   0.63     0.58     0.63NA   0.58 NA  0.05   0.90   0.85   0.90   0.85  1XXX.00.00.0000000             37.8975 090 99     1.14   1.14   0.09
71100TCX-ray exam of ribs                                A   0.00   0.56     0.52     0.56NA   0.52 NA  0.04   0.60   0.56   0.60   0.56  1XXX.00.00.0000000             37.8975 010 99     1.07   1.07   0.08
7110026X-ray exam of ribs                                A   0.22   0.07     0.06     0.07     0.06     0.01   0.30   0.29   0.30   0.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71101  X-ray exam of ribs/chest                          A   0.27   0.75     0.71     0.75NA   0.71 NA  0.05   1.07   1.03   1.07   1.03  1XXX.00.00.0000000             37.8975 090 99     1.17   1.17   0.08
71101TCX-ray exam of ribs/chest                          A   0.00   0.66     0.64     0.66NA   0.64 NA  0.04   0.70   0.68   0.70   0.68  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7110126X-ray exam of ribs/chest                          A   0.27   0.09     0.07     0.09     0.07     0.01   0.37   0.35   0.37   0.35  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71110  X-ray exam of ribs                                A   0.27   0.84     0.73     0.84NA   0.73 NA  0.06   1.17   1.06   1.17   1.06  1XXX.00.00.0002000             37.8975 090 99     1.17   1.17   0.08
71110TCX-ray exam of ribs                                A   0.00   0.75     0.66     0.75NA   0.66 NA  0.05   0.80   0.71   0.80   0.71  1XXX.00.00.0002000             37.8975 010 99     1.08   1.08   0.07
7111026X-ray exam of ribs                                A   0.27   0.09     0.07     0.09     0.07     0.01   0.37   0.35   0.37   0.35  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
71111  X-ray exam of ribs/chest                          A   0.32   1.00     1.00     1.00NA   1.00 NA  0.07   1.39   1.39   1.39   1.39  1XXX.00.00.0002000             37.8975 090 99     1.96   1.96   0.13
71111TCX-ray exam of ribs/chest                          A   0.00   0.90     0.92     0.90NA   0.92 NA  0.06   0.96   0.98   0.96   0.98  1XXX.00.00.0002000             37.8975 010 99     1.86   1.86   0.12
7111126X-ray exam of ribs/chest                          A   0.32   0.10     0.08     0.10     0.08     0.01   0.43   0.41   0.43   0.41  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
71120  X-ray exam of breastbone                          A   0.20   0.69     0.59     0.69NA   0.59 NA  0.05   0.94   0.84   0.94   0.84  1XXX.00.00.0000000             37.8975 090 99     1.15   1.15   0.08
71120TCX-ray exam of breastbone                          A   0.00   0.62     0.53     0.62NA   0.53 NA  0.04   0.66   0.57   0.66   0.57  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7112026X-ray exam of breastbone                          A   0.20   0.07     0.06     0.07     0.06     0.01   0.28   0.27   0.28   0.27  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71130  X-ray exam of breastbone                          A   0.22   0.77     0.72     0.77NA   0.72 NA  0.05   1.04   0.99   1.04   0.99  1XXX.00.00.0000000             37.8975 090 99     1.16   1.16   0.07
71130TCX-ray exam of breastbone                          A   0.00   0.70     0.65     0.70NA   0.65 NA  0.04   0.74   0.69   0.74   0.69  1XXX.00.00.0000000             37.8975 010 99     1.09   1.09   0.06
7113026X-ray exam of breastbone                          A   0.22   0.07     0.07     0.07     0.07     0.01   0.30   0.30   0.30   0.30  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71250  Ct thorax w/o dye                                 A   1.16   6.24     6.08     6.24NA   6.08 NA  0.36   7.76   7.60   7.76   7.60  1XXX.00.00.0040000             37.8975 090 02     5.13   5.13   0.30
71250TCCt thorax w/o dye                                 A   0.00   5.87     5.75     5.87NA   5.75 NA  0.31   6.18   6.06   6.18   6.06  1XXX.00.00.0040000             37.8975 010 02     4.76   4.76   0.25
7125026Ct thorax w/o dye                                 A   1.16   0.37     0.33     0.37     0.33     0.05   1.58   1.54   1.58   1.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71260  Ct thorax w/dye                                   A   1.24   7.50     7.54     7.50NA   7.54 NA  0.42   9.16   9.20   9.16   9.20  1XXX.00.00.0040000             37.8975 090 02     6.69   6.69   0.38
71260TCCt thorax w/dye                                   A   0.00   7.10     7.19     7.10NA   7.19 NA  0.37   7.47   7.56   7.47   7.56  1XXX.00.00.0040000             37.8975 020 02     6.29   6.29   0.33
7126026Ct thorax w/dye                                   A   1.24   0.40     0.35     0.40     0.35     0.05   1.69   1.64   1.69   1.64  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71270  Ct thorax w/o & w/dye                             A   1.38   9.36     9.52     9.36NA   9.52 NA  0.52  11.26  11.42  11.26  11.42  1XXX.00.00.0040000             37.8975 090 02     7.90   7.90   0.45
71270TCCt thorax w/o & w/dye                             A   0.00   8.92     9.13     8.92NA   9.13 NA  0.46   9.38   9.59   9.38   9.59  1XXX.00.00.0040000             37.8975 020 02     7.46   7.46   0.39
7127026Ct thorax w/o & w/dye                             A   1.38   0.44     0.39     0.44     0.39     0.06   1.88   1.83   1.88   1.83  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71275  Ct angiography, chest                             A   1.92  12.53    11.10    12.53NA  11.10 NA  0.48  14.93  13.50  14.93  13.50  1XXX.00.00.0040000             37.8975 090 02     8.23   8.23   0.34
71275TCCt angiography, chest                             A   0.00  11.92    10.54    11.92NA  10.54 NA  0.39  12.31  10.93  12.31  10.93  1XXX.00.00.0040000             37.8975 020 02     7.62   7.62   0.25
7127526Ct angiography, chest                             A   1.92   0.61     0.56     0.61     0.56     0.09   2.62   2.57   2.62   2.57  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71550  Mri chest w/o dye                                 A   1.46  12.65    15.58    12.65NA  15.58 NA  0.51  14.62  17.55  14.62  17.55  1XXX.00.00.0040000             37.8975 090 04     9.33   9.33   0.39
71550TCMri chest w/o dye                                 A   0.00  12.19    15.17    12.19NA  15.17 NA  0.45  12.64  15.62  12.64  15.62  1XXX.00.00.0040000             37.8975 010 04     8.87   8.87   0.33
7155026Mri chest w/o dye                                 A   1.46   0.46     0.41     0.46     0.41     0.06   1.98   1.93   1.98   1.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71551  Mri chest w/dye                                   A   1.73  14.76    17.01    14.76NA  17.01 NA  0.60  17.09  19.34  17.09  19.34  1XXX.00.00.0040000             37.8975 090 04    10.13  10.13   0.43
71551TCMri chest w/dye                                   A   0.00  14.21    16.51    14.21NA  16.51 NA  0.52  14.73  17.03  14.73  17.03  1XXX.00.00.0040000             37.8975 020 04     9.58   9.58   0.35
7155126Mri chest w/dye                                   A   1.73   0.55     0.50     0.55     0.50     0.08   2.36   2.31   2.36   2.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71552  Mri chest w/o & w/dye                             A   2.26  24.56    21.36    24.56NA  21.36 NA  0.78  27.60  24.40  27.60  24.40  1XXX.00.00.0040000             37.8975 090 04    13.52  13.52   0.46
71552TCMri chest w/o & w/dye                             A   0.00  23.84    20.71    23.84NA  20.71 NA  0.68  24.52  21.39  24.52  21.39  1XXX.00.00.0040000             37.8975 020 04    12.80  12.80   0.36
7155226Mri chest w/o & w/dye                             A   2.26   0.72     0.65     0.72     0.65     0.10   3.08   3.01   3.08   3.01  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
71555  Mri angio chest w or w/o dye                      R   1.81  12.52    14.67    12.52NA  14.67 NA  0.67  15.00  17.15  15.00  17.15  1XXX.00.00.0040000             37.8975 090 04    10.05  10.05   0.55
71555TCMri angio chest w or w/o dye                      R   0.00  11.93    14.11    11.93NA  14.11 NA  0.59  12.52  14.70  12.52  14.70  1XXX.00.00.0040000             37.8975 020 04     9.46   9.46   0.47
7155526Mri angio chest w or w/o dye                      R   1.81   0.59     0.56     0.59     0.56     0.08   2.48   2.45   2.48   2.45  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72010  X-ray exam of spine                               A   0.45   1.23     1.40     1.23NA   1.40 NA  0.08   1.76   1.93   1.76   1.93  1XXX.00.00.0000000             37.8975 090 99     1.23   1.23   0.08
72010TCX-ray exam of spine                               A   0.00   1.09     1.28     1.09NA   1.28 NA  0.06   1.15   1.34   1.15   1.34  1XXX.00.00.0000000             37.8975 010 99     1.09   1.09   0.06
7201026X-ray exam of spine                               A   0.45   0.14     0.12     0.14     0.12     0.02   0.61   0.59   0.61   0.59  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72020  X-ray exam of spine                               A   0.15   0.46     0.43     0.46NA   0.43 NA  0.03   0.64   0.61   0.64   0.61  1XXX.00.00.0000000             37.8975 090 99     1.15   1.15   0.06
72020TCX-ray exam of spine                               A   0.00   0.41     0.39     0.41NA   0.39 NA  0.02   0.43   0.41   0.43   0.41  1XXX.00.00.0000000             37.8975 010 99     1.10   1.10   0.05
7202026X-ray exam of spine                               A   0.15   0.05     0.04     0.05     0.04     0.01   0.21   0.20   0.21   0.20  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72040  X-ray exam of neck spine                          A   0.22   0.69     0.73     0.69NA   0.73 NA  0.05   0.96   1.00   0.96   1.00  1XXX.00.00.0000000             37.8975 090 99     1.15   1.15   0.08
72040TCX-ray exam of neck spine                          A   0.00   0.62     0.67     0.62NA   0.67 NA  0.04   0.66   0.71   0.66   0.71  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7204026X-ray exam of neck spine                          A   0.22   0.07     0.06     0.07     0.06     0.01   0.30   0.29   0.30   0.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72050  X-ray exam of neck spine                          A   0.31   1.00     1.01     1.00NA   1.01 NA  0.07   1.38   1.39   1.38   1.39  1XXX.00.00.0000000             37.8975 090 99     1.96   1.96   0.13
72050TCX-ray exam of neck spine                          A   0.00   0.90     0.92     0.90NA   0.92 NA  0.06   0.96   0.98   0.96   0.98  1XXX.00.00.0000000             37.8975 010 99     1.86   1.86   0.12
7205026X-ray exam of neck spine                          A   0.31   0.10     0.09     0.10     0.09     0.01   0.42   0.41   0.42   0.41  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72052  X-ray exam of neck spine                          A   0.36   1.27     1.31     1.27NA   1.31 NA  0.08   1.71   1.75   1.71   1.75  1XXX.00.00.0000000             37.8975 090 99     2.00   2.00   0.12
72052TCX-ray exam of neck spine                          A   0.00   1.15     1.21     1.15NA   1.21 NA  0.06   1.21   1.27   1.21   1.27  1XXX.00.00.0000000             37.8975 010 99     1.88   1.88   0.10
7205226X-ray exam of neck spine                          A   0.36   0.12     0.10     0.12     0.10     0.02   0.50   0.48   0.50   0.48  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72069  X-ray exam of trunk spine                         A   0.22   0.61     0.73     0.61NA   0.73 NA  0.03   0.86   0.98   0.86   0.98  1XXX.00.00.0000000             37.8975 090 99     1.19   1.19   0.05
72069TCX-ray exam of trunk spine                         A   0.00   0.53     0.66     0.53NA   0.66 NA  0.02   0.55   0.68   0.55   0.68  1XXX.00.00.0000000             37.8975 010 99     1.11   1.11   0.04
7206926X-ray exam of trunk spine                         A   0.22   0.08     0.07     0.08     0.07     0.01   0.31   0.30   0.31   0.30  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72070  X-ray exam of thoracic spine                      A   0.22   0.69     0.60     0.69NA   0.60 NA  0.05   0.96   0.87   0.96   0.87  1XXX.00.00.0000000             37.8975 090 99     1.15   1.15   0.08
72070TCX-ray exam of thoracic spine                      A   0.00   0.62     0.54     0.62NA   0.54 NA  0.04   0.66   0.58   0.66   0.58  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7207026X-ray exam of thoracic spine                      A   0.22   0.07     0.06     0.07     0.06     0.01   0.30   0.29   0.30   0.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72072  X-ray exam of thoracic spine                      A   0.22   0.78     0.72     0.78NA   0.72 NA  0.06   1.06   1.00   1.06   1.00  1XXX.00.00.0000000             37.8975 090 99     1.14   1.14   0.09
72072TCX-ray exam of thoracic spine                      A   0.00   0.71     0.66     0.71NA   0.66 NA  0.05   0.76   0.71   0.76   0.71  1XXX.00.00.0000000             37.8975 010 99     1.07   1.07   0.08
7207226X-ray exam of thoracic spine                      A   0.22   0.07     0.06     0.07     0.06     0.01   0.30   0.29   0.30   0.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72074  X-ray exam of thoracic spine                      A   0.22   0.96     0.89     0.96NA   0.89 NA  0.07   1.25   1.18   1.25   1.18  1XXX.00.00.0000000             37.8975 090 99     1.15   1.15   0.08
72074TCX-ray exam of thoracic spine                      A   0.00   0.89     0.83     0.89NA   0.83 NA  0.06   0.95   0.89   0.95   0.89  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7207426X-ray exam of thoracic spine                      A   0.22   0.07     0.06     0.07     0.06     0.01   0.30   0.29   0.30   0.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72080  X-ray exam of trunk spine                         A   0.22   0.72     0.67     0.72NA   0.67 NA  0.05   0.99   0.94   0.99   0.94  1XXX.00.00.0000000             37.8975 090 99     1.15   1.15   0.08
72080TCX-ray exam of trunk spine                         A   0.00   0.65     0.60     0.65NA   0.60 NA  0.04   0.69   0.64   0.69   0.64  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7208026X-ray exam of trunk spine                         A   0.22   0.07     0.07     0.07     0.07     0.01   0.30   0.30   0.30   0.30  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72090  X-ray exam of trunk spine                         A   0.28   0.81     0.97     0.81NA   0.97 NA  0.05   1.14   1.30   1.14   1.30  1XXX.00.00.0000000             37.8975 090 99     1.97   1.97   0.11
72090TCX-ray exam of trunk spine                         A   0.00   0.72     0.88     0.72NA   0.88 NA  0.04   0.76   0.92   0.76   0.92  1XXX.00.00.0000000             37.8975 010 99     1.88   1.88   0.10
7209026X-ray exam of trunk spine                         A   0.28   0.09     0.09     0.09     0.09     0.01   0.38   0.38   0.38   0.38  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72100  X-ray exam of lower spine                         A   0.22   0.75     0.78     0.75NA   0.78 NA  0.05   1.02   1.05   1.02   1.05  1XXX.00.00.0000000             37.8975 090 99     1.16   1.16   0.07
72100TCX-ray exam of lower spine                         A   0.00   0.68     0.71     0.68NA   0.71 NA  0.04   0.72   0.75   0.72   0.75  1XXX.00.00.0000000             37.8975 010 99     1.09   1.09   0.06
7210026X-ray exam of lower spine                         A   0.22   0.07     0.07     0.07     0.07     0.01   0.30   0.30   0.30   0.30  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72110  X-ray exam of lower spine                         A   0.31   1.03     1.08     1.03NA   1.08 NA  0.07   1.41   1.46   1.41   1.46  1XXX.00.00.0000000             37.8975 090 99     1.96   1.96   0.13
72110TCX-ray exam of lower spine                         A   0.00   0.93     0.99     0.93NA   0.99 NA  0.06   0.99   1.05   0.99   1.05  1XXX.00.00.0000000             37.8975 010 99     1.86   1.86   0.12
7211026X-ray exam of lower spine                         A   0.31   0.10     0.09     0.10     0.09     0.01   0.42   0.41   0.42   0.41  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72114  X-ray exam of lower spine                         A   0.36   1.36     1.49     1.36NA   1.49 NA  0.08   1.80   1.93   1.80   1.93  1XXX.00.00.0000000             37.8975 090 99     2.01   2.01   0.11
72114TCX-ray exam of lower spine                         A   0.00   1.24     1.38     1.24NA   1.38 NA  0.06   1.30   1.44   1.30   1.44  1XXX.00.00.0000000             37.8975 010 99     1.89   1.89   0.09
7211426X-ray exam of lower spine                         A   0.36   0.12     0.11     0.12     0.11     0.02   0.50   0.49   0.50   0.49  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72120  X-ray exam of lower spine                         A   0.22   0.98     1.03     0.98NA   1.03 NA  0.07   1.27   1.32   1.27   1.32  1XXX.00.00.0000000             37.8975 090 99     1.93   1.93   0.13
72120TCX-ray exam of lower spine                         A   0.00   0.91     0.96     0.91NA   0.96 NA  0.06   0.97   1.02   0.97   1.02  1XXX.00.00.0000000             37.8975 010 99     1.86   1.86   0.12
7212026X-ray exam of lower spine                         A   0.22   0.07     0.07     0.07     0.07     0.01   0.30   0.30   0.30   0.30  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72125  Ct neck spine w/o dye                             A   1.16   6.24     6.08     6.24NA   6.08 NA  0.36   7.76   7.60   7.76   7.60  1XXX.00.00.0040000             37.8975 090 07     5.13   5.13   0.30
72125TCCt neck spine w/o dye                             A   0.00   5.87     5.75     5.87NA   5.75 NA  0.31   6.18   6.06   6.18   6.06  1XXX.00.00.0040000             37.8975 010 07     4.76   4.76   0.25
7212526Ct neck spine w/o dye                             A   1.16   0.37     0.33     0.37     0.33     0.05   1.58   1.54   1.58   1.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72126  Ct neck spine w/dye                               A   1.22   7.49     7.54     7.49NA   7.54 NA  0.42   9.13   9.18   9.13   9.18  1XXX.00.00.0040000             37.8975 090 07     6.68   6.68   0.38
72126TCCt neck spine w/dye                               A   0.00   7.10     7.19     7.10NA   7.19 NA  0.37   7.47   7.56   7.47   7.56  1XXX.00.00.0040000             37.8975 020 07     6.29   6.29   0.33
7212626Ct neck spine w/dye                               A   1.22   0.39     0.35     0.39     0.35     0.05   1.66   1.62   1.66   1.62  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72127  Ct neck spine w/o & w/dye                         A   1.27   9.30     9.36     9.30NA   9.36 NA  0.52  11.09  11.15  11.09  11.15  1XXX.00.00.0040000             37.8975 090 07     7.87   7.87   0.45
72127TCCt neck spine w/o & w/dye                         A   0.00   8.89     9.00     8.89NA   9.00 NA  0.46   9.35   9.46   9.35   9.46  1XXX.00.00.0040000             37.8975 020 07     7.46   7.46   0.39
7212726Ct neck spine w/o & w/dye                         A   1.27   0.41     0.36     0.41     0.36     0.06   1.74   1.69   1.74   1.69  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72128  Ct chest spine w/o dye                            A   1.16   6.24     6.08     6.24NA   6.08 NA  0.36   7.76   7.60   7.76   7.60  1XXX.00.00.0040000             37.8975 090 07     5.13   5.13   0.30
72128TCCt chest spine w/o dye                            A   0.00   5.87     5.75     5.87NA   5.75 NA  0.31   6.18   6.06   6.18   6.06  1XXX.00.00.0040000             37.8975 010 07     4.76   4.76   0.25
7212826Ct chest spine w/o dye                            A   1.16   0.37     0.33     0.37     0.33     0.05   1.58   1.54   1.58   1.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72129  Ct chest spine w/dye                              A   1.22   7.49     7.54     7.49NA   7.54 NA  0.42   9.13   9.18   9.13   9.18  1XXX.00.00.0040000             37.8975 090 07     6.68   6.68   0.38
72129TCCt chest spine w/dye                              A   0.00   7.10     7.19     7.10NA   7.19 NA  0.37   7.47   7.56   7.47   7.56  1XXX.00.00.0040000             37.8975 020 07     6.29   6.29   0.33
7212926Ct chest spine w/dye                              A   1.22   0.39     0.35     0.39     0.35     0.05   1.66   1.62   1.66   1.62  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72130  Ct chest spine w/o & w/dye                        A   1.27   9.29     9.31     9.29NA   9.31 NA  0.52  11.08  11.10  11.08  11.10  1XXX.00.00.0040000             37.8975 090 07     7.87   7.87   0.45
72130TCCt chest spine w/o & w/dye                        A   0.00   8.88     8.95     8.88NA   8.95 NA  0.46   9.34   9.41   9.34   9.41  1XXX.00.00.0040000             37.8975 020 07     7.46   7.46   0.39
7213026Ct chest spine w/o & w/dye                        A   1.27   0.41     0.36     0.41     0.36     0.06   1.74   1.69   1.74   1.69  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72131  Ct lumbar spine w/o dye                           A   1.16   6.24     6.07     6.24NA   6.07 NA  0.36   7.76   7.59   7.76   7.59  1XXX.00.00.0040000             37.8975 090 07     5.13   5.13   0.30
72131TCCt lumbar spine w/o dye                           A   0.00   5.87     5.74     5.87NA   5.74 NA  0.31   6.18   6.05   6.18   6.05  1XXX.00.00.0040000             37.8975 010 07     4.76   4.76   0.25
7213126Ct lumbar spine w/o dye                           A   1.16   0.37     0.33     0.37     0.33     0.05   1.58   1.54   1.58   1.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72132  Ct lumbar spine w/dye                             A   1.22   7.49     7.52     7.49NA   7.52 NA  0.42   9.13   9.16   9.13   9.16  1XXX.00.00.0040000             37.8975 090 07     6.68   6.68   0.38
72132TCCt lumbar spine w/dye                             A   0.00   7.10     7.17     7.10NA   7.17 NA  0.37   7.47   7.54   7.47   7.54  1XXX.00.00.0040000             37.8975 020 07     6.29   6.29   0.33
7213226Ct lumbar spine w/dye                             A   1.22   0.39     0.35     0.39     0.35     0.05   1.66   1.62   1.66   1.62  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72133  Ct lumbar spine w/o & w/dye                       A   1.27   9.34     9.54     9.34NA   9.54 NA  0.52  11.13  11.33  11.13  11.33  1XXX.00.00.0040000             37.8975 090 07     7.87   7.87   0.45
72133TCCt lumbar spine w/o & w/dye                       A   0.00   8.93     9.18     8.93NA   9.18 NA  0.46   9.39   9.64   9.39   9.64  1XXX.00.00.0040000             37.8975 020 07     7.46   7.46   0.39
7213326Ct lumbar spine w/o & w/dye                       A   1.27   0.41     0.36     0.41     0.36     0.06   1.74   1.69   1.74   1.69  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72141  Mri neck spine w/o dye                            A   1.60  11.76    11.86    11.76NA  11.86 NA  0.66  14.02  14.12  14.02  14.12  1XXX.00.00.0040000             37.8975 090 06     9.25   9.25   0.53
72141TCMri neck spine w/o dye                            A   0.00  11.25    11.40    11.25NA  11.40 NA  0.59  11.84  11.99  11.84  11.99  1XXX.00.00.0040000             37.8975 010 06     8.74   8.74   0.46
7214126Mri neck spine w/o dye                            A   1.60   0.51     0.46     0.51     0.46     0.07   2.18   2.13   2.18   2.13  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72142  Mri neck spine w/dye                              A   1.92  14.26    14.80    14.26NA  14.80 NA  0.79  16.97  17.51  16.97  17.51  1XXX.00.00.0040000             37.8975 090 06    10.06  10.06   0.58
72142TCMri neck spine w/dye                              A   0.00  13.64    14.25    13.64NA  14.25 NA  0.70  14.34  14.95  14.34  14.95  1XXX.00.00.0040000             37.8975 020 06     9.44   9.44   0.49
7214226Mri neck spine w/dye                              A   1.92   0.62     0.55     0.62     0.55     0.09   2.63   2.56   2.63   2.56  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72146  Mri chest spine w/o dye                           A   1.60  12.69    11.87    12.69NA  11.87 NA  0.71  15.00  14.18  15.00  14.18  1XXX.00.00.0040000             37.8975 090 06     9.25   9.25   0.53
72146TCMri chest spine w/o dye                           A   0.00  12.18    11.41    12.18NA  11.41 NA  0.64  12.82  12.05  12.82  12.05  1XXX.00.00.0040000             37.8975 010 06     8.74   8.74   0.46
7214626Mri chest spine w/o dye                           A   1.60   0.51     0.46     0.51     0.46     0.07   2.18   2.13   2.18   2.13  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72147  Mri chest spine w/dye                             A   1.92  13.76    12.81    13.76NA  12.81 NA  0.79  16.47  15.52  16.47  15.52  1XXX.00.00.0040000             37.8975 090 06    10.04  10.04   0.59
72147TCMri chest spine w/dye                             A   0.00  13.15    12.27    13.15NA  12.27 NA  0.70  13.85  12.97  13.85  12.97  1XXX.00.00.0040000             37.8975 020 06     9.43   9.43   0.50
7214726Mri chest spine w/dye                             A   1.92   0.61     0.54     0.61     0.54     0.09   2.62   2.55   2.62   2.55  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72148  Mri lumbar spine w/o dye                          A   1.48  12.66    11.84    12.66NA  11.84 NA  0.71  14.85  14.03  14.85  14.03  1XXX.00.00.0040000             37.8975 090 06     9.22   9.22   0.53
72148TCMri lumbar spine w/o dye                          A   0.00  12.18    11.41    12.18NA  11.41 NA  0.64  12.82  12.05  12.82  12.05  1XXX.00.00.0040000             37.8975 010 06     8.74   8.74   0.46
7214826Mri lumbar spine w/o dye                          A   1.48   0.48     0.43     0.48     0.43     0.07   2.03   1.98   2.03   1.98  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72149  Mri lumbar spine w/dye                            A   1.78  14.23    14.77    14.23NA  14.77 NA  0.78  16.79  17.33  16.79  17.33  1XXX.00.00.0040000             37.8975 090 06    10.02  10.02   0.57
72149TCMri lumbar spine w/dye                            A   0.00  13.65    14.26    13.65NA  14.26 NA  0.70  14.35  14.96  14.35  14.96  1XXX.00.00.0040000             37.8975 020 06     9.44   9.44   0.49
7214926Mri lumbar spine w/dye                            A   1.78   0.58     0.51     0.58     0.51     0.08   2.44   2.37   2.44   2.37  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72156  Mri neck spine w/o & w/dye                        A   2.57  23.52    16.87    23.52NA  16.87 NA  1.42  27.51  20.86  27.51  20.86  1XXX.00.00.0040000             37.8975 090 06    13.26  13.26   0.83
72156TCMri neck spine w/o & w/dye                        A   0.00  22.70    16.14    22.70NA  16.14 NA  1.31  24.01  17.45  24.01  17.45  1XXX.00.00.0040000             37.8975 020 06    12.44  12.44   0.72
7215626Mri neck spine w/o & w/dye                        A   2.57   0.82     0.73     0.82     0.73     0.11   3.50   3.41   3.50   3.41  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72157  Mri chest spine w/o & w/dye                       A   2.57  23.12    15.34    23.12NA  15.34 NA  1.42  27.11  19.33  27.11  19.33  1XXX.00.00.0040000             37.8975 090 06    13.24  13.24   0.84
72157TCMri chest spine w/o & w/dye                       A   0.00  22.31    14.61    22.31NA  14.61 NA  1.31  23.62  15.92  23.62  15.92  1XXX.00.00.0040000             37.8975 020 06    12.43  12.43   0.73
7215726Mri chest spine w/o & w/dye                       A   2.57   0.81     0.73     0.81     0.73     0.11   3.49   3.41   3.49   3.41  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72158  Mri lumbar spine w/o & w/dye                      A   2.36  23.45    16.81    23.45NA  16.81 NA  1.41  27.22  20.58  27.22  20.58  1XXX.00.00.0040000             37.8975 090 06    13.19  13.19   0.82
72158TCMri lumbar spine w/o & w/dye                      A   0.00  22.70    16.14    22.70NA  16.14 NA  1.31  24.01  17.45  24.01  17.45  1XXX.00.00.0040000             37.8975 020 06    12.44  12.44   0.72
7215826Mri lumbar spine w/o & w/dye                      A   2.36   0.75     0.67     0.75     0.67     0.10   3.21   3.13   3.21   3.13  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72159  Mr angio spine w/o&w/dye                          N+  1.80  13.31    14.49    13.31NA  14.49 NA  0.74  15.85  17.03  15.85  17.03  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
72159TCMr angio spine w/o&w/dye                          N+  0.00  12.69    14.07    12.69NA  14.07 NA  0.64  13.33  14.71  13.33  14.71  1XXX.00.00.0099999             37.8975 020 99     0.00   0.00   0.00
7215926Mr angio spine w/o&w/dye                          N+  1.80   0.62     0.42     0.62     0.42     0.10   2.52   2.32   2.52   2.32  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
72170  X-ray exam of pelvis                              A   0.17   0.56     0.47     0.56NA   0.47 NA  0.03   0.76   0.67   0.76   0.67  1XXX.00.00.0000000             37.8975 090 99     1.17   1.17   0.05
72170TCX-ray exam of pelvis                              A   0.00   0.50     0.42     0.50NA   0.42 NA  0.02   0.52   0.44   0.52   0.44  1XXX.00.00.0000000             37.8975 010 99     1.11   1.11   0.04
7217026X-ray exam of pelvis                              A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72190  X-ray exam of pelvis                              A   0.21   0.76     0.81     0.76NA   0.81 NA  0.05   1.02   1.07   1.02   1.07  1XXX.00.00.0000000             37.8975 090 99     1.16   1.16   0.07
72190TCX-ray exam of pelvis                              A   0.00   0.69     0.74     0.69NA   0.74 NA  0.04   0.73   0.78   0.73   0.78  1XXX.00.00.0000000             37.8975 010 99     1.09   1.09   0.06
7219026X-ray exam of pelvis                              A   0.21   0.07     0.07     0.07     0.07     0.01   0.29   0.29   0.29   0.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72191  Ct angiograph pelv w/o&w/dye                      A   1.81  12.15    10.72    12.15NA  10.72 NA  0.47  14.43  13.00  14.43  13.00  1XXX.00.00.0040000             37.8975 090 02     8.20   8.20   0.33
72191TCCt angiograph pelv w/o&w/dye                      A   0.00  11.57    10.19    11.57NA  10.19 NA  0.39  11.96  10.58  11.96  10.58  1XXX.00.00.0040000             37.8975 020 02     7.62   7.62   0.25
7219126Ct angiograph pelv w/o&w/dye                      A   1.81   0.58     0.53     0.58     0.53     0.08   2.47   2.42   2.47   2.42  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72192  Ct pelvis w/o dye                                 A   1.09   6.12     5.67     6.12NA   5.67 NA  0.36   7.57   7.12   7.57   7.12  1XXX.00.00.0040000             37.8975 090 02     5.11   5.11   0.30
72192TCCt pelvis w/o dye                                 A   0.00   5.77     5.36     5.77NA   5.36 NA  0.31   6.08   5.67   6.08   5.67  1XXX.00.00.0040000             37.8975 010 02     4.76   4.76   0.25
7219226Ct pelvis w/o dye                                 A   1.09   0.35     0.31     0.35     0.31     0.05   1.49   1.45   1.49   1.45  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72193  Ct pelvis w/dye                                   A   1.16   7.20     7.11     7.20NA   7.11 NA  0.41   8.77   8.68   8.77   8.68  1XXX.00.00.0040000             37.8975 090 02     6.66   6.66   0.38
72193TCCt pelvis w/dye                                   A   0.00   6.83     6.78     6.83NA   6.78 NA  0.36   7.19   7.14   7.19   7.14  1XXX.00.00.0040000             37.8975 020 02     6.29   6.29   0.33
7219326Ct pelvis w/dye                                   A   1.16   0.37     0.33     0.37     0.33     0.05   1.58   1.54   1.58   1.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72194  Ct pelvis w/o & w/dye                             A   1.22   9.06     9.56     9.06NA   9.56 NA  0.48  10.76  11.26  10.76  11.26  1XXX.00.00.0040000             37.8975 090 02     7.87   7.87   0.42
72194TCCt pelvis w/o & w/dye                             A   0.00   8.67     9.21     8.67NA   9.21 NA  0.43   9.10   9.64   9.10   9.64  1XXX.00.00.0040000             37.8975 020 02     7.48   7.48   0.37
7219426Ct pelvis w/o & w/dye                             A   1.22   0.39     0.35     0.39     0.35     0.05   1.66   1.62   1.66   1.62  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72195  Mri pelvis w/o dye                                A   1.46  12.19    13.71    12.19NA  13.71 NA  0.51  14.16  15.68  14.16  15.68  1XXX.00.00.0040000             37.8975 090 04     9.33   9.33   0.40
72195TCMri pelvis w/o dye                                A   0.00  11.72    13.29    11.72NA  13.29 NA  0.45  12.17  13.74  12.17  13.74  1XXX.00.00.0040000             37.8975 010 04     8.86   8.86   0.34
7219526Mri pelvis w/o dye                                A   1.46   0.47     0.42     0.47     0.42     0.06   1.99   1.94   1.99   1.94  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72196  Mri pelvis w/dye                                  A   1.73  14.18    14.67    14.18NA  14.67 NA  0.60  16.51  17.00  16.51  17.00  1XXX.00.00.0040000             37.8975 090 04    10.11  10.11   0.45
72196TCMri pelvis w/dye                                  A   0.00  13.63    14.18    13.63NA  14.18 NA  0.52  14.15  14.70  14.15  14.70  1XXX.00.00.0040000             37.8975 020 04     9.56   9.56   0.37
7219626Mri pelvis w/dye                                  A   1.73   0.55     0.49     0.55     0.49     0.08   2.36   2.30   2.36   2.30  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72197  Mri pelvis w/o & w/dye                            A   2.26  23.71    17.96    23.71NA  17.96 NA  1.02  26.99  21.24  26.99  21.24  1XXX.00.00.0040000             37.8975 090 04    13.37  13.37   0.61
72197TCMri pelvis w/o & w/dye                            A   0.00  22.99    17.32    22.99NA  17.32 NA  0.92  23.91  18.24  23.91  18.24  1XXX.00.00.0040000             37.8975 020 04    12.65  12.65   0.51
7219726Mri pelvis w/o & w/dye                            A   2.26   0.72     0.64     0.72     0.64     0.10   3.08   3.00   3.08   3.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72198  Mr angio pelvis w/o & w/dye                       A   1.80  12.41    14.29    12.41NA  14.29 NA  0.67  14.88  16.76  14.88  16.76  1XXX.00.00.0040000             37.8975 090 04     0.00   0.00   0.00
72198TCMr angio pelvis w/o & w/dye                       A   0.00  11.84    13.77    11.84NA  13.77 NA  0.59  12.43  14.36  12.43  14.36  1XXX.00.00.0040000             37.8975 020 04     0.00   0.00   0.00
7219826Mr angio pelvis w/o & w/dye                       A   1.80   0.57     0.52     0.57     0.52     0.08   2.45   2.40   2.45   2.40  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72200  X-ray exam sacroiliac joints                      A   0.17   0.58     0.57     0.58NA   0.57 NA  0.03   0.78   0.77   0.78   0.77  1XXX.00.00.0000000             37.8975 090 99     1.17   1.17   0.05
72200TCX-ray exam sacroiliac joints                      A   0.00   0.52     0.52     0.52NA   0.52 NA  0.02   0.54   0.54   0.54   0.54  1XXX.00.00.0000000             37.8975 010 99     1.11   1.11   0.04
7220026X-ray exam sacroiliac joints                      A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72202  X-ray exam sacroiliac joints                      A   0.19   0.69     0.69     0.69NA   0.69 NA  0.05   0.93   0.93   0.93   0.93  1XXX.00.00.0000000             37.8975 090 99     1.14   1.14   0.08
72202TCX-ray exam sacroiliac joints                      A   0.00   0.63     0.64     0.63NA   0.64 NA  0.04   0.67   0.68   0.67   0.68  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7220226X-ray exam sacroiliac joints                      A   0.19   0.06     0.05     0.06     0.05     0.01   0.26   0.25   0.26   0.25  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72220  X-ray exam of tailbone                            A   0.17   0.61     0.54     0.61NA   0.54 NA  0.05   0.83   0.76   0.83   0.76  1XXX.00.00.0000000             37.8975 090 99     1.13   1.13   0.09
72220TCX-ray exam of tailbone                            A   0.00   0.55     0.50     0.55NA   0.50 NA  0.04   0.59   0.54   0.59   0.54  1XXX.00.00.0000000             37.8975 010 99     1.07   1.07   0.08
7222026X-ray exam of tailbone                            A   0.17   0.06     0.04     0.06     0.04     0.01   0.24   0.22   0.24   0.22  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72240  Contrast x-ray of neck spine                      A   0.91   4.37     2.37     4.37NA   2.37 NA  0.29   5.57   3.57   5.57   3.57  1XXX.00.00.0000000             37.8975 090 99     4.18   4.18   0.28
72240TCContrast x-ray of neck spine                      A   0.00   4.09     2.12     4.09NA   2.12 NA  0.25   4.34   2.37   4.34   2.37  1XXX.00.00.0000000             37.8975 030 99     3.90   3.90   0.24
7224026Contrast x-ray of neck spine                      A   0.91   0.28     0.25     0.28     0.25     0.04   1.23   1.20   1.23   1.20  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72255  Contrast x-ray, thorax spine                      A   0.91   3.98     2.13     3.98NA   2.13 NA  0.26   5.15   3.30   5.15   3.30  1XXX.00.00.0000000             37.8975 090 99     4.17   4.17   0.27
72255TCContrast x-ray, thorax spine                      A   0.00   3.72     1.89     3.72NA   1.89 NA  0.22   3.94   2.11   3.94   2.11  1XXX.00.00.0000000             37.8975 030 99     3.91   3.91   0.23
7225526Contrast x-ray, thorax spine                      A   0.91   0.26     0.24     0.26     0.24     0.04   1.21   1.19   1.21   1.19  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72265  Contrast x-ray, lower spine                       A   0.83   3.83     2.34     3.83NA   2.34 NA  0.26   4.92   3.43   4.92   3.43  1XXX.00.00.0000000             37.8975 090 99     4.15   4.15   0.28
72265TCContrast x-ray, lower spine                       A   0.00   3.58     2.11     3.58NA   2.11 NA  0.22   3.80   2.33   3.80   2.33  1XXX.00.00.0000000             37.8975 030 99     3.90   3.90   0.24
7226526Contrast x-ray, lower spine                       A   0.83   0.25     0.23     0.25     0.23     0.04   1.12   1.10   1.12   1.10  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72270  Contrast x-ray, spine                             A   1.33   5.81     3.69     5.81NA   3.69 NA  0.39   7.53   5.41   7.53   5.41  1XXX.00.00.0000000             37.8975 090 99     4.31   4.31   0.30
72270TCContrast x-ray, spine                             A   0.00   5.40     3.31     5.40NA   3.31 NA  0.33   5.73   3.64   5.73   3.64  1XXX.00.00.0000000             37.8975 030 99     3.90   3.90   0.24
7227026Contrast x-ray, spine                             A   1.33   0.41     0.38     0.41     0.38     0.06   1.80   1.77   1.80   1.77  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72275  Epidurography                                     A   0.76   2.15     1.67     2.15NA   1.67 NA  0.26   3.17   2.69   3.17   2.69  1XXX.00.00.0099999             37.8975 090 99     3.92   3.92   0.46
72275TCEpidurography                                     A   0.00   1.95     1.48     1.95NA   1.48 NA  0.22   2.17   1.70   2.17   1.70  1XXX.00.00.0099999             37.8975 030 99     3.72   3.72   0.42
7227526Epidurography                                     A   0.76   0.20     0.19     0.20     0.19     0.04   1.00   0.99   1.00   0.99  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
72285  X-ray c/t spine disk                              A   1.16   6.90     1.36     6.90NA   1.36 NA  0.50   8.56   3.02   8.56   3.02  1XXX.00.00.0000000             37.8975 090 99    24.66  24.66   1.66
72285TCX-ray c/t spine disk                              A   0.00   6.56     1.09     6.56NA   1.09 NA  0.43   6.99   1.52   6.99   1.52  1XXX.00.00.0000000             37.8975 030 99    24.32  24.32   1.59
7228526X-ray c/t spine disk                              A   1.16   0.34     0.27     0.34     0.27     0.07   1.57   1.50   1.57   1.50  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72291  Perq vertebroplasty, fluor                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     4.41   4.41   0.29
72291TCPerq vertebroplasty, fluor                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     3.95   3.95   0.19
7229126Perq vertebroplasty, fluor                        A   1.31   0.46     0.41     0.46     0.41     0.10   1.87   1.82   1.87   1.82  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72292  Perq vertebroplasty, ct                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72292TCPerq vertebroplasty, ct                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7229226Perq vertebroplasty, ct                           A   1.38   0.46     0.41     0.46     0.41     0.07   1.91   1.86   1.91   1.86  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
72295  X-ray of lower spine disk                         A   0.83   6.44     1.36     6.44NA   1.36 NA  0.46   7.73   2.65   7.73   2.65  1XXX.00.00.0000000             37.8975 090 99    24.59  24.59   1.64
72295TCX-ray of lower spine disk                         A   0.00   6.18     1.14     6.18NA   1.14 NA  0.40   6.58   1.54   6.58   1.54  1XXX.00.00.0000000             37.8975 030 99    24.33  24.33   1.58
7229526X-ray of lower spine disk                         A   0.83   0.26     0.22     0.26     0.22     0.06   1.15   1.11   1.15   1.11  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
73000  X-ray exam of collar bone                         A   0.16   0.56     0.53     0.56NA   0.53 NA  0.03   0.75   0.72   0.75   0.72  1XXX.00.00.0003000             37.8975 090 99     1.16   1.16   0.05
73000TCX-ray exam of collar bone                         A   0.00   0.51     0.48     0.51NA   0.48 NA  0.02   0.53   0.50   0.53   0.50  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7300026X-ray exam of collar bone                         A   0.16   0.05     0.05     0.05     0.05     0.01   0.22   0.22   0.22   0.22  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73010  X-ray exam of shoulder blade                      A   0.17   0.58     0.56     0.58NA   0.56 NA  0.03   0.78   0.76   0.78   0.76  1XXX.00.00.0003000             37.8975 090 99     1.17   1.17   0.05
73010TCX-ray exam of shoulder blade                      A   0.00   0.52     0.51     0.52NA   0.51 NA  0.02   0.54   0.53   0.54   0.53  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7301026X-ray exam of shoulder blade                      A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73020  X-ray exam of shoulder                            A   0.15   0.50     0.43     0.50NA   0.43 NA  0.03   0.68   0.61   0.68   0.61  1XXX.00.00.0003000             37.8975 090 99     1.15   1.15   0.06
73020TCX-ray exam of shoulder                            A   0.00   0.45     0.38     0.45NA   0.38 NA  0.02   0.47   0.40   0.47   0.40  1XXX.00.00.0003000             37.8975 010 99     1.10   1.10   0.05
7302026X-ray exam of shoulder                            A   0.15   0.05     0.05     0.05     0.05     0.01   0.21   0.21   0.21   0.21  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73030  X-ray exam of shoulder                            A   0.18   0.61     0.55     0.61NA   0.55 NA  0.05   0.84   0.78   0.84   0.78  1XXX.00.00.0003000             37.8975 090 99     1.13   1.13   0.09
73030TCX-ray exam of shoulder                            A   0.00   0.55     0.49     0.55NA   0.49 NA  0.04   0.59   0.53   0.59   0.53  1XXX.00.00.0003000             37.8975 010 99     1.07   1.07   0.08
7303026X-ray exam of shoulder                            A   0.18   0.06     0.06     0.06     0.06     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73040  Contrast x-ray of shoulder                        A   0.54   2.24     2.11     2.24NA   2.11 NA  0.14   2.92   2.79   2.92   2.79  1XXX.00.00.0003000             37.8975 090 99     5.84   5.84   0.35
73040TCContrast x-ray of shoulder                        A   0.00   2.06     1.95     2.06NA   1.95 NA  0.12   2.18   2.07   2.18   2.07  1XXX.00.00.0003000             37.8975 030 99     5.66   5.66   0.33
7304026Contrast x-ray of shoulder                        A   0.54   0.18     0.16     0.18     0.16     0.02   0.74   0.72   0.74   0.72  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73050  X-ray exam of shoulders                           A   0.20   0.73     0.71     0.73NA   0.71 NA  0.05   0.98   0.96   0.98   0.96  1XXX.00.00.0002000             37.8975 090 99     1.15   1.15   0.08
73050TCX-ray exam of shoulders                           A   0.00   0.66     0.64     0.66NA   0.64 NA  0.04   0.70   0.68   0.70   0.68  1XXX.00.00.0002000             37.8975 010 99     1.08   1.08   0.07
7305026X-ray exam of shoulders                           A   0.20   0.07     0.07     0.07     0.07     0.01   0.28   0.28   0.28   0.28  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
73060  X-ray exam of humerus                             A   0.17   0.61     0.55     0.61NA   0.55 NA  0.05   0.83   0.77   0.83   0.77  1XXX.00.00.0003000             37.8975 090 99     1.13   1.13   0.09
73060TCX-ray exam of humerus                             A   0.00   0.55     0.50     0.55NA   0.50 NA  0.04   0.59   0.54   0.59   0.54  1XXX.00.00.0003000             37.8975 010 99     1.07   1.07   0.08
7306026X-ray exam of humerus                             A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73070  X-ray exam of elbow                               A   0.15   0.56     0.54     0.56NA   0.54 NA  0.03   0.74   0.72   0.74   0.72  1XXX.00.00.0003000             37.8975 090 99     1.16   1.16   0.05
73070TCX-ray exam of elbow                               A   0.00   0.51     0.49     0.51NA   0.49 NA  0.02   0.53   0.51   0.53   0.51  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7307026X-ray exam of elbow                               A   0.15   0.05     0.05     0.05     0.05     0.01   0.21   0.21   0.21   0.21  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73080  X-ray exam of elbow                               A   0.17   0.66     0.72     0.66NA   0.72 NA  0.05   0.88   0.94   0.88   0.94  1XXX.00.00.0003000             37.8975 090 99     1.14   1.14   0.08
73080TCX-ray exam of elbow                               A   0.00   0.60     0.67     0.60NA   0.67 NA  0.04   0.64   0.71   0.64   0.71  1XXX.00.00.0003000             37.8975 010 99     1.08   1.08   0.07
7308026X-ray exam of elbow                               A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73085  Contrast x-ray of elbow                           A   0.54   2.15     1.74     2.15NA   1.74 NA  0.14   2.83   2.42   2.83   2.42  1XXX.00.00.0003000             37.8975 090 99     5.82   5.82   0.37
73085TCContrast x-ray of elbow                           A   0.00   1.97     1.58     1.97NA   1.58 NA  0.12   2.09   1.70   2.09   1.70  1XXX.00.00.0003000             37.8975 030 99     5.64   5.64   0.35
7308526Contrast x-ray of elbow                           A   0.54   0.18     0.16     0.18     0.16     0.02   0.74   0.72   0.74   0.72  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73090  X-ray exam of forearm                             A   0.16   0.56     0.52     0.56NA   0.52 NA  0.03   0.75   0.71   0.75   0.71  1XXX.00.00.0003000             37.8975 090 99     1.16   1.16   0.05
73090TCX-ray exam of forearm                             A   0.00   0.51     0.48     0.51NA   0.48 NA  0.02   0.53   0.50   0.53   0.50  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7309026X-ray exam of forearm                             A   0.16   0.05     0.04     0.05     0.04     0.01   0.22   0.21   0.22   0.21  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73092  X-ray exam of arm, infant                         A   0.16   0.55     0.55     0.55NA   0.55 NA  0.03   0.74   0.74   0.74   0.74  1XXX.00.00.0003000             37.8975 090 99     1.16   1.16   0.05
73092TCX-ray exam of arm, infant                         A   0.00   0.50     0.51     0.50NA   0.51 NA  0.02   0.52   0.53   0.52   0.53  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7309226X-ray exam of arm, infant                         A   0.16   0.05     0.04     0.05     0.04     0.01   0.22   0.21   0.22   0.21  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73100  X-ray exam of wrist                               A   0.16   0.55     0.59     0.55NA   0.59 NA  0.03   0.74   0.78   0.74   0.78  1XXX.00.00.0003000             37.8975 090 99     1.16   1.16   0.05
73100TCX-ray exam of wrist                               A   0.00   0.50     0.54     0.50NA   0.54 NA  0.02   0.52   0.56   0.52   0.56  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7310026X-ray exam of wrist                               A   0.16   0.05     0.05     0.05     0.05     0.01   0.22   0.22   0.22   0.22  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73110  X-ray exam of wrist                               A   0.17   0.63     0.74     0.63NA   0.74 NA  0.03   0.83   0.94   0.83   0.94  1XXX.00.00.0003000             37.8975 090 99     1.17   1.17   0.05
73110TCX-ray exam of wrist                               A   0.00   0.57     0.69     0.57NA   0.69 NA  0.02   0.59   0.71   0.59   0.71  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7311026X-ray exam of wrist                               A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73115  Contrast x-ray of wrist                           A   0.54   1.89     2.28     1.89NA   2.28 NA  0.12   2.55   2.94   2.55   2.94  1XXX.00.00.0003000             37.8975 090 99     5.83   5.83   0.36
73115TCContrast x-ray of wrist                           A   0.00   1.71     2.11     1.71NA   2.11 NA  0.10   1.81   2.21   1.81   2.21  1XXX.00.00.0003000             37.8975 030 99     5.65   5.65   0.34
7311526Contrast x-ray of wrist                           A   0.54   0.18     0.17     0.18     0.17     0.02   0.74   0.73   0.74   0.73  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73120  X-ray exam of hand                                A   0.16   0.54     0.54     0.54NA   0.54 NA  0.03   0.73   0.73   0.73   0.73  1XXX.00.00.0003000             37.8975 090 99     1.16   1.16   0.05
73120TCX-ray exam of hand                                A   0.00   0.49     0.49     0.49NA   0.49 NA  0.02   0.51   0.51   0.51   0.51  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7312026X-ray exam of hand                                A   0.16   0.05     0.05     0.05     0.05     0.01   0.22   0.22   0.22   0.22  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73130  X-ray exam of hand                                A   0.17   0.60     0.63     0.60NA   0.63 NA  0.03   0.80   0.83   0.80   0.83  1XXX.00.00.0003000             37.8975 090 99     1.17   1.17   0.05
73130TCX-ray exam of hand                                A   0.00   0.54     0.58     0.54NA   0.58 NA  0.02   0.56   0.60   0.56   0.60  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7313026X-ray exam of hand                                A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73140  X-ray exam of finger(s)                           A   0.13   0.51     0.65     0.51NA   0.65 NA  0.03   0.67   0.81   0.67   0.81  1XXX.00.00.0003000             37.8975 090 99     1.14   1.14   0.06
73140TCX-ray exam of finger(s)                           A   0.00   0.47     0.61     0.47NA   0.61 NA  0.02   0.49   0.63   0.49   0.63  1XXX.00.00.0003000             37.8975 010 99     1.10   1.10   0.05
7314026X-ray exam of finger(s)                           A   0.13   0.04     0.04     0.04     0.04     0.01   0.18   0.18   0.18   0.18  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73200  Ct upper extremity w/o dye                        A   1.09   5.50     6.03     5.50NA   6.03 NA  0.30   6.89   7.42   6.89   7.42  1XXX.00.00.0043000             37.8975 090 11     5.13   5.13   0.28
73200TCCt upper extremity w/o dye                        A   0.00   5.15     5.72     5.15NA   5.72 NA  0.25   5.40   5.97   5.40   5.97  1XXX.00.00.0043000             37.8975 010 11     4.78   4.78   0.23
7320026Ct upper extremity w/o dye                        A   1.09   0.35     0.31     0.35     0.31     0.05   1.49   1.45   1.49   1.45  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73201  Ct upper extremity w/dye                          A   1.16   6.58     7.45     6.58NA   7.45 NA  0.36   8.10   8.97   8.10   8.97  1XXX.00.00.0043000             37.8975 090 11     6.67   6.67   0.37
73201TCCt upper extremity w/dye                          A   0.00   6.21     7.12     6.21NA   7.12 NA  0.31   6.52   7.43   6.52   7.43  1XXX.00.00.0043000             37.8975 020 11     6.30   6.30   0.32
7320126Ct upper extremity w/dye                          A   1.16   0.37     0.33     0.37     0.33     0.05   1.58   1.54   1.58   1.54  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73202  Ct uppr extremity w/o&w/dye                       A   1.22   8.38    10.06     8.38NA  10.06 NA  0.44  10.04  11.72  10.04  11.72  1XXX.00.00.0043000             37.8975 090 11     7.87   7.87   0.42
73202TCCt uppr extremity w/o&w/dye                       A   0.00   7.99     9.71     7.99NA   9.71 NA  0.39   8.38  10.10   8.38  10.10  1XXX.00.00.0043000             37.8975 020 11     7.48   7.48   0.37
7320226Ct uppr extremity w/o&w/dye                       A   1.22   0.39     0.35     0.39     0.35     0.05   1.66   1.62   1.66   1.62  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73206  Ct angio upr extrm w/o&w/dye                      A   1.81  11.22    10.21    11.22NA  10.21 NA  0.47  13.50  12.49  13.50  12.49  1XXX.00.00.0040000             37.8975 090 11     8.17   8.17   0.36
73206TCCt angio upr extrm w/o&w/dye                      A   0.00  10.64     9.67    10.64NA   9.67 NA  0.39  11.03  10.06  11.03  10.06  1XXX.00.00.0040000             37.8975 020 11     7.59   7.59   0.28
7320626Ct angio upr extrm w/o&w/dye                      A   1.81   0.58     0.54     0.58     0.54     0.08   2.47   2.43   2.47   2.43  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
73218  Mri upper extremity w/o dye                       A   1.35  12.24    14.04    12.24NA  14.04 NA  0.45  14.04  15.84  14.04  15.84  1XXX.00.00.0043000             37.8975 090 10     9.34   9.34   0.35
73218TCMri upper extremity w/o dye                       A   0.00  11.81    13.65    11.81NA  13.65 NA  0.39  12.20  14.04  12.20  14.04  1XXX.00.00.0043000             37.8975 010 10     8.91   8.91   0.29
7321826Mri upper extremity w/o dye                       A   1.35   0.43     0.39     0.43     0.39     0.06   1.84   1.80   1.84   1.80  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73219  Mri upper extremity w/dye                         A   1.62  14.15    14.65    14.15NA  14.65 NA  0.54  16.31  16.81  16.31  16.81  1XXX.00.00.0043000             37.8975 090 10    10.12  10.12   0.40
73219TCMri upper extremity w/dye                         A   0.00  13.63    14.18    13.63NA  14.18 NA  0.47  14.10  14.65  14.10  14.65  1XXX.00.00.0043000             37.8975 020 10     9.60   9.60   0.33
7321926Mri upper extremity w/dye                         A   1.62   0.52     0.47     0.52     0.47     0.07   2.21   2.16   2.21   2.16  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73220  Mri uppr extremity w/o&w/dye                      A   2.15  23.72    18.09    23.72NA  18.09 NA  0.94  26.81  21.18  26.81  21.18  1XXX.00.00.0043000             37.8975 090 10    13.39  13.39   0.56
73220TCMri uppr extremity w/o&w/dye                      A   0.00  23.03    17.48    23.03NA  17.48 NA  0.84  23.87  18.32  23.87  18.32  1XXX.00.00.0043000             37.8975 020 10    12.70  12.70   0.46
7322026Mri uppr extremity w/o&w/dye                      A   2.15   0.69     0.61     0.69     0.61     0.10   2.94   2.86   2.94   2.86  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73221  Mri joint upr extrem w/o dye                      A   1.35  11.98    12.98    11.98NA  12.98 NA  0.45  13.78  14.78  13.78  14.78  1XXX.00.00.0043000             37.8975 090 10     9.33   9.33   0.36
73221TCMri joint upr extrem w/o dye                      A   0.00  11.55    12.58    11.55NA  12.58 NA  0.39  11.94  12.97  11.94  12.97  1XXX.00.00.0043000             37.8975 010 10     8.90   8.90   0.30
7322126Mri joint upr extrem w/o dye                      A   1.35   0.43     0.40     0.43     0.40     0.06   1.84   1.81   1.84   1.81  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73222  Mri joint upr extrem w/dye                        A   1.62  13.89    13.63    13.89NA  13.63 NA  0.54  16.05  15.79  16.05  15.79  1XXX.00.00.0043000             37.8975 090 10    10.11  10.11   0.41
73222TCMri joint upr extrem w/dye                        A   0.00  13.37    13.16    13.37NA  13.16 NA  0.47  13.84  13.63  13.84  13.63  1XXX.00.00.0043000             37.8975 020 10     9.59   9.59   0.34
7322226Mri joint upr extrem w/dye                        A   1.62   0.52     0.47     0.52     0.47     0.07   2.21   2.16   2.21   2.16  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73223  Mri joint upr extr w/o&w/dye                      A   2.15  23.38    16.74    23.38NA  16.74 NA  0.94  26.47  19.83  26.47  19.83  1XXX.00.00.0043000             37.8975 090 10    13.40  13.40   0.57
73223TCMri joint upr extr w/o&w/dye                      A   0.00  22.69    16.13    22.69NA  16.13 NA  0.84  23.53  16.97  23.53  16.97  1XXX.00.00.0043000             37.8975 020 10    12.69  12.69   0.47
7322326Mri joint upr extr w/o&w/dye                      A   2.15   0.69     0.61     0.69     0.61     0.10   2.94   2.86   2.94   2.86  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73225  Mr angio upr extr w/o&w/dye                       N+  1.73  12.38    14.47    12.38NA  14.47 NA  0.69  14.80  16.89  14.80  16.89  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
73225TCMr angio upr extr w/o&w/dye                       N+  0.00  11.78    14.07    11.78NA  14.07 NA  0.59  12.37  14.66  12.37  14.66  1XXX.00.00.0099999             37.8975 020 99     0.00   0.00   0.00
7322526Mr angio upr extr w/o&w/dye                       N+  1.73   0.60     0.40     0.60     0.40     0.10   2.43   2.23   2.43   2.23  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
73500  X-ray exam of hip                                 A   0.17   0.52     0.46     0.52NA   0.46 NA  0.03   0.72   0.66   0.72   0.66  1XXX.00.00.0000000             37.8975 090 99     1.16   1.16   0.06
73500TCX-ray exam of hip                                 A   0.00   0.46     0.41     0.46NA   0.41 NA  0.02   0.48   0.43   0.48   0.43  1XXX.00.00.0000000             37.8975 010 99     1.10   1.10   0.05
7350026X-ray exam of hip                                 A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
73510  X-ray exam of hip                                 A   0.21   0.67     0.74     0.67NA   0.74 NA  0.05   0.93   1.00   0.93   1.00  1XXX.00.00.0000000             37.8975 090 99     1.15   1.15   0.08
73510TCX-ray exam of hip                                 A   0.00   0.60     0.68     0.60NA   0.68 NA  0.04   0.64   0.72   0.64   0.72  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7351026X-ray exam of hip                                 A   0.21   0.07     0.06     0.07     0.06     0.01   0.29   0.28   0.29   0.28  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
73520  X-ray exam of hips                                A   0.26   0.76     0.75     0.76NA   0.75 NA  0.05   1.07   1.06   1.07   1.06  1XXX.00.00.0002000             37.8975 090 99     1.96   1.96   0.12
73520TCX-ray exam of hips                                A   0.00   0.67     0.67     0.67NA   0.67 NA  0.04   0.71   0.71   0.71   0.71  1XXX.00.00.0002000             37.8975 010 99     1.87   1.87   0.11
7352026X-ray exam of hips                                A   0.26   0.09     0.08     0.09     0.08     0.01   0.36   0.35   0.36   0.35  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
73525  Contrast x-ray of hip                             A   0.54   2.15     1.72     2.15NA   1.72 NA  0.15   2.84   2.41   2.84   2.41  1XXX.00.00.0003000             37.8975 090 99     5.82   5.82   0.38
73525TCContrast x-ray of hip                             A   0.00   1.97     1.56     1.97NA   1.56 NA  0.12   2.09   1.68   2.09   1.68  1XXX.00.00.0003000             37.8975 030 99     5.64   5.64   0.35
7352526Contrast x-ray of hip                             A   0.54   0.18     0.16     0.18     0.16     0.03   0.75   0.73   0.75   0.73  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73530  X-ray exam of hip                                 C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0003000             37.8975 090 99     1.97   1.97   0.12
73530TCX-ray exam of hip                                 C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0003000             37.8975 030 99     1.87   1.87   0.11
7353026X-ray exam of hip                                 A   0.29   0.10     0.08     0.10     0.08     0.01   0.40   0.38   0.40   0.38  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73540  X-ray exam of pelvis & hips                       A   0.20   0.68     0.78     0.68NA   0.78 NA  0.05   0.93   1.03   0.93   1.03  1XXX.00.00.0000000             37.8975 090 99     1.15   1.15   0.08
73540TCX-ray exam of pelvis & hips                       A   0.00   0.61     0.71     0.61NA   0.71 NA  0.04   0.65   0.75   0.65   0.75  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7354026X-ray exam of pelvis & hips                       A   0.20   0.07     0.07     0.07     0.07     0.01   0.28   0.28   0.28   0.28  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
73542  X-ray exam, sacroiliac joint                      A   0.59   1.98     1.10     1.98NA   1.10 NA  0.15   2.72   1.84   2.72   1.84  1XXX.00.00.0099999             37.8975 090 99     5.78   5.78   0.40
73542TCX-ray exam, sacroiliac joint                      A   0.00   1.82     0.96     1.82NA   0.96 NA  0.12   1.94   1.08   1.94   1.08  1XXX.00.00.0099999             37.8975 030 99     5.62   5.62   0.37
7354226X-ray exam, sacroiliac joint                      A   0.59   0.16     0.14     0.16     0.14     0.03   0.78   0.76   0.78   0.76  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
73550  X-ray exam of thigh                               A   0.17   0.61     0.52     0.61NA   0.52 NA  0.05   0.83   0.74   0.83   0.74  1XXX.00.00.0003000             37.8975 090 99     1.13   1.13   0.09
73550TCX-ray exam of thigh                               A   0.00   0.55     0.47     0.55NA   0.47 NA  0.04   0.59   0.51   0.59   0.51  1XXX.00.00.0003000             37.8975 010 99     1.07   1.07   0.08
7355026X-ray exam of thigh                               A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73560  X-ray exam of knee, 1 or 2                        A   0.17   0.58     0.56     0.58NA   0.56 NA  0.03   0.78   0.76   0.78   0.76  1XXX.00.00.0003000             37.8975 090 99     1.17   1.17   0.05
73560TCX-ray exam of knee, 1 or 2                        A   0.00   0.52     0.51     0.52NA   0.51 NA  0.02   0.54   0.53   0.54   0.53  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7356026X-ray exam of knee, 1 or 2                        A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73562  X-ray exam of knee, 3                             A   0.18   0.65     0.71     0.65NA   0.71 NA  0.05   0.88   0.94   0.88   0.94  1XXX.00.00.0003000             37.8975 090 99     1.14   1.14   0.08
73562TCX-ray exam of knee, 3                             A   0.00   0.59     0.65     0.59NA   0.65 NA  0.04   0.63   0.69   0.63   0.69  1XXX.00.00.0003000             37.8975 010 99     1.08   1.08   0.07
7356226X-ray exam of knee, 3                             A   0.18   0.06     0.06     0.06     0.06     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73564  X-ray exam, knee, 4 or more                       A   0.22   0.73     0.83     0.73NA   0.83 NA  0.05   1.00   1.10   1.00   1.10  1XXX.00.00.0003000             37.8975 090 99     1.15   1.15   0.08
73564TCX-ray exam, knee, 4 or more                       A   0.00   0.66     0.76     0.66NA   0.76 NA  0.04   0.70   0.80   0.70   0.80  1XXX.00.00.0003000             37.8975 010 99     1.08   1.08   0.07
7356426X-ray exam, knee, 4 or more                       A   0.22   0.07     0.07     0.07     0.07     0.01   0.30   0.30   0.30   0.30  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73565  X-ray exam of knees                               A   0.17   0.57     0.64     0.57NA   0.64 NA  0.03   0.77   0.84   0.77   0.84  1XXX.00.00.0002000             37.8975 090 99     1.17   1.17   0.05
73565TCX-ray exam of knees                               A   0.00   0.51     0.58     0.51NA   0.58 NA  0.02   0.53   0.60   0.53   0.60  1XXX.00.00.0002000             37.8975 010 99     1.11   1.11   0.04
7356526X-ray exam of knees                               A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
73580  Contrast x-ray of knee joint                      A   0.54   2.67     2.32     2.67NA   2.32 NA  0.17   3.38   3.03   3.38   3.03  1XXX.00.00.0003000             37.8975 090 99     5.84   5.84   0.35
73580TCContrast x-ray of knee joint                      A   0.00   2.50     2.15     2.50NA   2.15 NA  0.14   2.64   2.29   2.64   2.29  1XXX.00.00.0003000             37.8975 030 99     5.67   5.67   0.32
7358026Contrast x-ray of knee joint                      A   0.54   0.17     0.17     0.17     0.17     0.03   0.74   0.74   0.74   0.74  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73590  X-ray exam of lower leg                           A   0.17   0.57     0.51     0.57NA   0.51 NA  0.03   0.77   0.71   0.77   0.71  1XXX.00.00.0003000             37.8975 090 99     1.17   1.17   0.05
73590TCX-ray exam of lower leg                           A   0.00   0.51     0.46     0.51NA   0.46 NA  0.02   0.53   0.48   0.53   0.48  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7359026X-ray exam of lower leg                           A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73592  X-ray exam of leg, infant                         A   0.16   0.55     0.57     0.55NA   0.57 NA  0.03   0.74   0.76   0.74   0.76  1XXX.00.00.0003000             37.8975 090 99     1.16   1.16   0.05
73592TCX-ray exam of leg, infant                         A   0.00   0.50     0.53     0.50NA   0.53 NA  0.02   0.52   0.55   0.52   0.55  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7359226X-ray exam of leg, infant                         A   0.16   0.05     0.04     0.05     0.04     0.01   0.22   0.21   0.22   0.21  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73600  X-ray exam of ankle                               A   0.16   0.54     0.55     0.54NA   0.55 NA  0.03   0.73   0.74   0.73   0.74  1XXX.00.00.0003000             37.8975 090 99     1.16   1.16   0.05
73600TCX-ray exam of ankle                               A   0.00   0.49     0.50     0.49NA   0.50 NA  0.02   0.51   0.52   0.51   0.52  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7360026X-ray exam of ankle                               A   0.16   0.05     0.05     0.05     0.05     0.01   0.22   0.22   0.22   0.22  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73610  X-ray exam of ankle                               A   0.17   0.61     0.64     0.61NA   0.64 NA  0.03   0.81   0.84   0.81   0.84  1XXX.00.00.0003000             37.8975 090 99     1.17   1.17   0.05
73610TCX-ray exam of ankle                               A   0.00   0.55     0.59     0.55NA   0.59 NA  0.02   0.57   0.61   0.57   0.61  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7361026X-ray exam of ankle                               A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73615  Contrast x-ray of ankle                           A   0.54   2.17     1.83     2.17NA   1.83 NA  0.15   2.86   2.52   2.86   2.52  1XXX.00.00.0003000             37.8975 090 99     5.83   5.83   0.37
73615TCContrast x-ray of ankle                           A   0.00   1.99     1.67     1.99NA   1.67 NA  0.12   2.11   1.79   2.11   1.79  1XXX.00.00.0003000             37.8975 030 99     5.65   5.65   0.34
7361526Contrast x-ray of ankle                           A   0.54   0.18     0.16     0.18     0.16     0.03   0.75   0.73   0.75   0.73  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73620  X-ray exam of foot                                A   0.16   0.54     0.52     0.54NA   0.52 NA  0.03   0.73   0.71   0.73   0.71  1XXX.00.00.0003000             37.8975 090 99     1.16   1.16   0.05
73620TCX-ray exam of foot                                A   0.00   0.49     0.48     0.49NA   0.48 NA  0.02   0.51   0.50   0.51   0.50  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7362026X-ray exam of foot                                A   0.16   0.05     0.04     0.05     0.04     0.01   0.22   0.21   0.22   0.21  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73630  X-ray exam of foot                                A   0.17   0.60     0.63     0.60NA   0.63 NA  0.03   0.80   0.83   0.80   0.83  1XXX.00.00.0003000             37.8975 090 99     1.17   1.17   0.05
73630TCX-ray exam of foot                                A   0.00   0.54     0.58     0.54NA   0.58 NA  0.02   0.56   0.60   0.56   0.60  1XXX.00.00.0003000             37.8975 010 99     1.11   1.11   0.04
7363026X-ray exam of foot                                A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73650  X-ray exam of heel                                A   0.16   0.53     0.54     0.53NA   0.54 NA  0.03   0.72   0.73   0.72   0.73  1XXX.00.00.0003000             37.8975 090 99     1.15   1.15   0.06
73650TCX-ray exam of heel                                A   0.00   0.48     0.49     0.48NA   0.49 NA  0.02   0.50   0.51   0.50   0.51  1XXX.00.00.0003000             37.8975 010 99     1.10   1.10   0.05
7365026X-ray exam of heel                                A   0.16   0.05     0.05     0.05     0.05     0.01   0.22   0.22   0.22   0.22  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73660  X-ray exam of toe(s)                              A   0.13   0.50     0.62     0.50NA   0.62 NA  0.03   0.66   0.78   0.66   0.78  1XXX.00.00.0003000             37.8975 090 99     1.14   1.14   0.06
73660TCX-ray exam of toe(s)                              A   0.00   0.46     0.58     0.46NA   0.58 NA  0.02   0.48   0.60   0.48   0.60  1XXX.00.00.0003000             37.8975 010 99     1.10   1.10   0.05
7366026X-ray exam of toe(s)                              A   0.13   0.04     0.04     0.04     0.04     0.01   0.18   0.18   0.18   0.18  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73700  Ct lower extremity w/o dye                        A   1.09   5.50     6.04     5.50NA   6.04 NA  0.30   6.89   7.43   6.89   7.43  1XXX.00.00.0043000             37.8975 090 09     5.13   5.13   0.28
73700TCCt lower extremity w/o dye                        A   0.00   5.15     5.73     5.15NA   5.73 NA  0.25   5.40   5.98   5.40   5.98  1XXX.00.00.0043000             37.8975 010 09     4.78   4.78   0.23
7370026Ct lower extremity w/o dye                        A   1.09   0.35     0.31     0.35     0.31     0.05   1.49   1.45   1.49   1.45  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73701  Ct lower extremity w/dye                          A   1.16   6.60     7.50     6.60NA   7.50 NA  0.36   8.12   9.02   8.12   9.02  1XXX.00.00.0043000             37.8975 090 09     6.68   6.68   0.36
73701TCCt lower extremity w/dye                          A   0.00   6.23     7.17     6.23NA   7.17 NA  0.31   6.54   7.48   6.54   7.48  1XXX.00.00.0043000             37.8975 020 09     6.31   6.31   0.31
7370126Ct lower extremity w/dye                          A   1.16   0.37     0.33     0.37     0.33     0.05   1.58   1.54   1.58   1.54  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73702  Ct lwr extremity w/o&w/dye                        A   1.22   8.40    10.14     8.40NA  10.14 NA  0.44  10.06  11.80  10.06  11.80  1XXX.00.00.0043000             37.8975 090 09     7.87   7.87   0.42
73702TCCt lwr extremity w/o&w/dye                        A   0.00   8.01     9.78     8.01NA   9.78 NA  0.39   8.40  10.17   8.40  10.17  1XXX.00.00.0043000             37.8975 020 09     7.48   7.48   0.37
7370226Ct lwr extremity w/o&w/dye                        A   1.22   0.39     0.36     0.39     0.36     0.05   1.66   1.63   1.66   1.63  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73706  Ct angio lwr extr w/o&w/dye                       A   1.90  11.61    11.69    11.61NA  11.69 NA  0.47  13.98  14.06  13.98  14.06  1XXX.00.00.0043000             37.8975 090 09     8.22   8.22   0.35
73706TCCt angio lwr extr w/o&w/dye                       A   0.00  10.99    11.09    10.99NA  11.09 NA  0.39  11.38  11.48  11.38  11.48  1XXX.00.00.0043000             37.8975 020 09     7.60   7.60   0.27
7370626Ct angio lwr extr w/o&w/dye                       A   1.90   0.62     0.60     0.62     0.60     0.08   2.60   2.58   2.60   2.58  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73718  Mri lower extremity w/o dye                       A   1.35  12.14    13.64    12.14NA  13.64 NA  0.45  13.94  15.44  13.94  15.44  1XXX.00.00.0043000             37.8975 090 08     9.34   9.34   0.35
73718TCMri lower extremity w/o dye                       A   0.00  11.71    13.25    11.71NA  13.25 NA  0.39  12.10  13.64  12.10  13.64  1XXX.00.00.0043000             37.8975 010 08     8.91   8.91   0.29
7371826Mri lower extremity w/o dye                       A   1.35   0.43     0.39     0.43     0.39     0.06   1.84   1.80   1.84   1.80  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73719  Mri lower extremity w/dye                         A   1.62  14.12    14.58    14.12NA  14.58 NA  0.54  16.28  16.74  16.28  16.74  1XXX.00.00.0043000             37.8975 090 08    10.11  10.11   0.40
73719TCMri lower extremity w/dye                         A   0.00  13.61    14.12    13.61NA  14.12 NA  0.47  14.08  14.59  14.08  14.59  1XXX.00.00.0043000             37.8975 020 08     9.60   9.60   0.33
7371926Mri lower extremity w/dye                         A   1.62   0.51     0.46     0.51     0.46     0.07   2.20   2.15   2.20   2.15  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73720  Mri lwr extremity w/o&w/dye                       A   2.15  23.70    18.05    23.70NA  18.05 NA  0.94  26.79  21.14  26.79  21.14  1XXX.00.00.0043000             37.8975 090 08    13.38  13.38   0.56
73720TCMri lwr extremity w/o&w/dye                       A   0.00  23.02    17.44    23.02NA  17.44 NA  0.84  23.86  18.28  23.86  18.28  1XXX.00.00.0043000             37.8975 020 08    12.70  12.70   0.46
7372026Mri lwr extremity w/o&w/dye                       A   2.15   0.68     0.61     0.68     0.61     0.10   2.93   2.86   2.93   2.86  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73721  Mri jnt of lwr extre w/o dye                      A   1.35  12.05    13.26    12.05NA  13.26 NA  0.45  13.85  15.06  13.85  15.06  1XXX.00.00.0043000             37.8975 090 08     9.33   9.33   0.36
73721TCMri jnt of lwr extre w/o dye                      A   0.00  11.62    12.86    11.62NA  12.86 NA  0.39  12.01  13.25  12.01  13.25  1XXX.00.00.0043000             37.8975 010 08     8.90   8.90   0.30
7372126Mri jnt of lwr extre w/o dye                      A   1.35   0.43     0.40     0.43     0.40     0.06   1.84   1.81   1.84   1.81  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73722  Mri joint of lwr extr w/dye                       A   1.62  13.95    13.88    13.95NA  13.88 NA  0.54  16.11  16.04  16.11  16.04  1XXX.00.00.0043000             37.8975 090 08    10.11  10.11   0.41
73722TCMri joint of lwr extr w/dye                       A   0.00  13.43    13.40    13.43NA  13.40 NA  0.47  13.90  13.87  13.90  13.87  1XXX.00.00.0043000             37.8975 020 08     9.59   9.59   0.34
7372226Mri joint of lwr extr w/dye                       A   1.62   0.52     0.48     0.52     0.48     0.07   2.21   2.17   2.21   2.17  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73723  Mri joint lwr extr w/o&w/dye                      A   2.15  23.37    16.70    23.37NA  16.70 NA  0.94  26.46  19.79  26.46  19.79  1XXX.00.00.0043000             37.8975 090 08    13.38  13.38   0.57
73723TCMri joint lwr extr w/o&w/dye                      A   0.00  22.68    16.09    22.68NA  16.09 NA  0.84  23.52  16.93  23.52  16.93  1XXX.00.00.0043000             37.8975 020 08    12.69  12.69   0.47
7372326Mri joint lwr extr w/o&w/dye                      A   2.15   0.69     0.61     0.69     0.61     0.10   2.94   2.86   2.94   2.86  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
73725  Mr ang lwr ext w or w/o dye                       R   1.82  12.44    14.34    12.44NA  14.34 NA  0.67  14.93  16.83  14.93  16.83  1XXX.00.00.0043000             37.8975 090 08    10.04  10.04   0.55
73725TCMr ang lwr ext w or w/o dye                       R   0.00  11.86    13.82    11.86NA  13.82 NA  0.59  12.45  14.41  12.45  14.41  1XXX.00.00.0043000             37.8975 020 08     9.46   9.46   0.47
7372526Mr ang lwr ext w or w/o dye                       R   1.82   0.58     0.52     0.58     0.52     0.08   2.48   2.42   2.48   2.42  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
74000  X-ray exam of abdomen                             A   0.18   0.55     0.43     0.55NA   0.43 NA  0.03   0.76   0.64   0.76   0.64  1XXX.00.00.0000000             37.8975 090 99     1.16   1.16   0.06
74000TCX-ray exam of abdomen                             A   0.00   0.49     0.38     0.49NA   0.38 NA  0.02   0.51   0.40   0.51   0.40  1XXX.00.00.0000000             37.8975 010 99     1.10   1.10   0.05
7400026X-ray exam of abdomen                             A   0.18   0.06     0.05     0.06     0.05     0.01   0.25   0.24   0.25   0.24  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74010  X-ray exam of abdomen                             A   0.23   0.68     0.74     0.68NA   0.74 NA  0.05   0.96   1.02   0.96   1.02  1XXX.00.00.0000000             37.8975 090 99     1.16   1.16   0.08
74010TCX-ray exam of abdomen                             A   0.00   0.60     0.68     0.60NA   0.68 NA  0.04   0.64   0.72   0.64   0.72  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7401026X-ray exam of abdomen                             A   0.23   0.08     0.06     0.08     0.06     0.01   0.32   0.30   0.32   0.30  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74020  X-ray exam of abdomen                             A   0.27   0.72     0.74     0.72NA   0.74 NA  0.05   1.04   1.06   1.04   1.06  1XXX.00.00.0000000             37.8975 090 99     1.17   1.17   0.08
74020TCX-ray exam of abdomen                             A   0.00   0.63     0.67     0.63NA   0.67 NA  0.04   0.67   0.71   0.67   0.71  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7402026X-ray exam of abdomen                             A   0.27   0.09     0.07     0.09     0.07     0.01   0.37   0.35   0.37   0.35  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74022  X-ray exam series, abdomen                        A   0.32   0.85     0.91     0.85NA   0.91 NA  0.06   1.23   1.29   1.23   1.29  1XXX.00.00.0000000             37.8975 090 99     1.96   1.96   0.13
74022TCX-ray exam series, abdomen                        A   0.00   0.75     0.82     0.75NA   0.82 NA  0.05   0.80   0.87   0.80   0.87  1XXX.00.00.0000000             37.8975 010 99     1.86   1.86   0.12
7402226X-ray exam series, abdomen                        A   0.32   0.10     0.09     0.10     0.09     0.01   0.43   0.42   0.43   0.42  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74150  Ct abdomen w/o dye                                A   1.19   5.97     5.70     5.97NA   5.70 NA  0.35   7.51   7.24   7.51   7.24  1XXX.00.00.0040000             37.8975 090 02     5.14   5.14   0.30
74150TCCt abdomen w/o dye                                A   0.00   5.59     5.36     5.59NA   5.36 NA  0.30   5.89   5.66   5.89   5.66  1XXX.00.00.0040000             37.8975 010 02     4.76   4.76   0.25
7415026Ct abdomen w/o dye                                A   1.19   0.38     0.34     0.38     0.34     0.05   1.62   1.58   1.62   1.58  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74160  Ct abdomen w/dye                                  A   1.27   7.53     8.32     7.53NA   8.32 NA  0.42   9.22  10.01   9.22  10.01  1XXX.00.00.0040000             37.8975 090 02     6.71   6.71   0.38
74160TCCt abdomen w/dye                                  A   0.00   7.12     7.96     7.12NA   7.96 NA  0.36   7.48   8.32   7.48   8.32  1XXX.00.00.0040000             37.8975 020 02     6.30   6.30   0.32
7416026Ct abdomen w/dye                                  A   1.27   0.41     0.36     0.41     0.36     0.06   1.74   1.69   1.74   1.69  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74170  Ct abdomen w/o & w/dye                            A   1.40   9.60    11.54     9.60NA  11.54 NA  0.49  11.49  13.43  11.49  13.43  1XXX.00.00.0040000             37.8975 090 02     7.95   7.95   0.41
74170TCCt abdomen w/o & w/dye                            A   0.00   9.15    11.14     9.15NA  11.14 NA  0.43   9.58  11.57   9.58  11.57  1XXX.00.00.0040000             37.8975 020 02     7.50   7.50   0.35
7417026Ct abdomen w/o & w/dye                            A   1.40   0.45     0.40     0.45     0.40     0.06   1.91   1.86   1.91   1.86  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74175  Ct angio abdom w/o & w/dye                        A   1.90  12.39    11.60    12.39NA  11.60 NA  0.47  14.76  13.97  14.76  13.97  1XXX.00.00.0040000             37.8975 090 02     8.23   8.23   0.33
74175TCCt angio abdom w/o & w/dye                        A   0.00  11.78    11.04    11.78NA  11.04 NA  0.39  12.17  11.43  12.17  11.43  1XXX.00.00.0040000             37.8975 020 02     7.62   7.62   0.25
7417526Ct angio abdom w/o & w/dye                        A   1.90   0.61     0.56     0.61     0.56     0.08   2.59   2.54   2.59   2.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74181  Mri abdomen w/o dye                               A   1.46  11.71    11.79    11.71NA  11.79 NA  0.51  13.68  13.76  13.68  13.76  1XXX.00.00.0040000             37.8975 090 04     9.31   9.31   0.41
74181TCMri abdomen w/o dye                               A   0.00  11.25    11.38    11.25NA  11.38 NA  0.45  11.70  11.83  11.70  11.83  1XXX.00.00.0040000             37.8975 010 04     8.85   8.85   0.35
7418126Mri abdomen w/o dye                               A   1.46   0.46     0.41     0.46     0.41     0.06   1.98   1.93   1.98   1.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74182  Mri abdomen w/dye                                 A   1.73  14.63    16.49    14.63NA  16.49 NA  0.60  16.96  18.82  16.96  18.82  1XXX.00.00.0040000             37.8975 090 04    10.13  10.13   0.43
74182TCMri abdomen w/dye                                 A   0.00  14.08    16.00    14.08NA  16.00 NA  0.52  14.60  16.52  14.60  16.52  1XXX.00.00.0040000             37.8975 020 04     9.58   9.58   0.35
7418226Mri abdomen w/dye                                 A   1.73   0.55     0.49     0.55     0.49     0.08   2.36   2.30   2.36   2.30  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74183  Mri abdomen w/o & w/dye                           A   2.26  23.72    18.00    23.72NA  18.00 NA  1.02  27.00  21.28  27.00  21.28  1XXX.00.00.0040000             37.8975 090 04    13.37  13.37   0.61
74183TCMri abdomen w/o & w/dye                           A   0.00  23.00    17.36    23.00NA  17.36 NA  0.92  23.92  18.28  23.92  18.28  1XXX.00.00.0040000             37.8975 020 04    12.65  12.65   0.51
7418326Mri abdomen w/o & w/dye                           A   2.26   0.72     0.64     0.72     0.64     0.10   3.08   3.00   3.08   3.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74185  Mri angio, abdom w orw/o dye                      R   1.80  12.42    14.30    12.42NA  14.30 NA  0.67  14.89  16.77  14.89  16.77  1XXX.00.00.0040000             37.8975 090 04    10.03  10.03   0.55
74185TCMri angio, abdom w orw/o dye                      R   0.00  11.85    13.78    11.85NA  13.78 NA  0.59  12.44  14.37  12.44  14.37  1XXX.00.00.0040000             37.8975 020 04     9.46   9.46   0.47
7418526Mri angio, abdom w orw/o dye                      R   1.80   0.57     0.52     0.57     0.52     0.08   2.45   2.40   2.45   2.40  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74190  X-ray exam of peritoneum                          C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     4.77   4.77   0.21
74190TCX-ray exam of peritoneum                          C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     4.61   4.61   0.19
7419026X-ray exam of peritoneum                          A   0.48   0.16     0.14     0.16     0.14     0.02   0.66   0.64   0.66   0.64  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74210  Contrst x-ray exam of throat                      A   0.36   1.40     1.65     1.40NA   1.65 NA  0.08   1.84   2.09   1.84   2.09  1XXX.00.00.0000000             37.8975 090 99     2.33   2.33   0.13
74210TCContrst x-ray exam of throat                      A   0.00   1.28     1.55     1.28NA   1.55 NA  0.06   1.34   1.61   1.34   1.61  1XXX.00.00.0000000             37.8975 030 99     2.21   2.21   0.11
7421026Contrst x-ray exam of throat                      A   0.36   0.12     0.10     0.12     0.10     0.02   0.50   0.48   0.50   0.48  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74220  Contrast x-ray, esophagus                         A   0.46   1.48     1.89     1.48NA   1.89 NA  0.08   2.02   2.43   2.02   2.43  1XXX.00.00.0000000             37.8975 090 99     2.37   2.37   0.12
74220TCContrast x-ray, esophagus                         A   0.00   1.33     1.76     1.33NA   1.76 NA  0.06   1.39   1.82   1.39   1.82  1XXX.00.00.0000000             37.8975 030 99     2.22   2.22   0.10
7422026Contrast x-ray, esophagus                         A   0.46   0.15     0.13     0.15     0.13     0.02   0.63   0.61   0.63   0.61  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74230  Cine/vid x-ray, throat/esoph                      A   0.53   1.57     1.81     1.57NA   1.81 NA  0.09   2.19   2.43   2.19   2.43  1XXX.00.00.0000000             37.8975 090 99     2.38   2.38   0.13
74230TCCine/vid x-ray, throat/esoph                      A   0.00   1.40     1.66     1.40NA   1.66 NA  0.07   1.47   1.73   1.47   1.73  1XXX.00.00.0000000             37.8975 030 99     2.21   2.21   0.11
7423026Cine/vid x-ray, throat/esoph                      A   0.53   0.17     0.15     0.17     0.15     0.02   0.72   0.70   0.72   0.70  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74235  Remove esophagus obstruction                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     2.10   2.10   0.12
74235TCRemove esophagus obstruction                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     1.71   1.71   0.07
7423526Remove esophagus obstruction                      A   1.19   0.39     0.38     0.39     0.38     0.05   1.63   1.62   1.63   1.62  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74240  X-ray exam, upper gi tract                        A   0.69   1.80     2.14     1.80NA   2.14 NA  0.11   2.60   2.94   2.60   2.94  1XXX.00.00.0000000             37.8975 090 99     2.43   2.43   0.14
74240TCX-ray exam, upper gi tract                        A   0.00   1.58     1.95     1.58NA   1.95 NA  0.08   1.66   2.03   1.66   2.03  1XXX.00.00.0000000             37.8975 030 99     2.21   2.21   0.11
7424026X-ray exam, upper gi tract                        A   0.69   0.22     0.19     0.22     0.19     0.03   0.94   0.91   0.94   0.91  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74241  X-ray exam, upper gi tract                        A   0.69   1.89     2.40     1.89NA   2.40 NA  0.11   2.69   3.20   2.69   3.20  1XXX.00.00.0000000             37.8975 090 99     2.43   2.43   0.14
74241TCX-ray exam, upper gi tract                        A   0.00   1.67     2.21     1.67NA   2.21 NA  0.08   1.75   2.29   1.75   2.29  1XXX.00.00.0000000             37.8975 030 99     2.21   2.21   0.11
7424126X-ray exam, upper gi tract                        A   0.69   0.22     0.19     0.22     0.19     0.03   0.94   0.91   0.94   0.91  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74245  X-ray exam, upper gi tract                        A   0.91   2.94     3.70     2.94NA   3.70 NA  0.17   4.02   4.78   4.02   4.78  1XXX.00.00.0000000             37.8975 090 99     3.72   3.72   0.21
74245TCX-ray exam, upper gi tract                        A   0.00   2.65     3.44     2.65NA   3.44 NA  0.13   2.78   3.57   2.78   3.57  1XXX.00.00.0000000             37.8975 030 99     3.43   3.43   0.17
7424526X-ray exam, upper gi tract                        A   0.91   0.29     0.26     0.29     0.26     0.04   1.24   1.21   1.24   1.21  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74246  Contrst x-ray uppr gi tract                       A   0.69   2.06     2.62     2.06NA   2.62 NA  0.13   2.88   3.44   2.88   3.44  1XXX.00.00.0000000             37.8975 090 99     2.42   2.42   0.15
74246TCContrst x-ray uppr gi tract                       A   0.00   1.84     2.42     1.84NA   2.42 NA  0.10   1.94   2.52   1.94   2.52  1XXX.00.00.0000000             37.8975 030 99     2.20   2.20   0.12
7424626Contrst x-ray uppr gi tract                       A   0.69   0.22     0.20     0.22     0.20     0.03   0.94   0.92   0.94   0.92  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74247  Contrst x-ray uppr gi tract                       A   0.69   2.18     3.00     2.18NA   3.00 NA  0.14   3.01   3.83   3.01   3.83  1XXX.00.00.0000000             37.8975 090 99     2.41   2.41   0.16
74247TCContrst x-ray uppr gi tract                       A   0.00   1.96     2.81     1.96NA   2.81 NA  0.11   2.07   2.92   2.07   2.92  1XXX.00.00.0000000             37.8975 030 99     2.19   2.19   0.13
7424726Contrst x-ray uppr gi tract                       A   0.69   0.22     0.19     0.22     0.19     0.03   0.94   0.91   0.94   0.91  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74249  Contrst x-ray uppr gi tract                       A   0.91   3.17     4.07     3.17NA   4.07 NA  0.18   4.26   5.16   4.26   5.16  1XXX.00.00.0000000             37.8975 090 99     3.72   3.72   0.21
74249TCContrst x-ray uppr gi tract                       A   0.00   2.88     3.81     2.88NA   3.81 NA  0.14   3.02   3.95   3.02   3.95  1XXX.00.00.0000000             37.8975 030 99     3.43   3.43   0.17
7424926Contrst x-ray uppr gi tract                       A   0.91   0.29     0.26     0.29     0.26     0.04   1.24   1.21   1.24   1.21  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74250  X-ray exam of small bowel                         A   0.47   1.68     2.33     1.68NA   2.33 NA  0.09   2.24   2.89   2.24   2.89  1XXX.00.00.0000000             37.8975 090 99     2.37   2.37   0.12
74250TCX-ray exam of small bowel                         A   0.00   1.53     2.20     1.53NA   2.20 NA  0.07   1.60   2.27   1.60   2.27  1XXX.00.00.0000000             37.8975 020 99     2.22   2.22   0.10
7425026X-ray exam of small bowel                         A   0.47   0.15     0.13     0.15     0.13     0.02   0.64   0.62   0.64   0.62  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74251  X-ray exam of small bowel                         A   0.69   3.52     9.46     3.52NA   9.46 NA  0.10   4.31  10.25   4.31  10.25  1XXX.00.00.0000000             37.8975 090 99     3.74   3.74   0.11
74251TCX-ray exam of small bowel                         A   0.00   3.30     9.27     3.30NA   9.27 NA  0.07   3.37   9.34   3.37   9.34  1XXX.00.00.0000000             37.8975 030 99     3.52   3.52   0.08
7425126X-ray exam of small bowel                         A   0.69   0.22     0.19     0.22     0.19     0.03   0.94   0.91   0.94   0.91  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74260  X-ray exam of small bowel                         A   0.50   3.21     7.87     3.21NA   7.87 NA  0.10   3.81   8.47   3.81   8.47  1XXX.00.00.0000000             37.8975 090 99     2.42   2.42   0.08
74260TCX-ray exam of small bowel                         A   0.00   3.05     7.73     3.05NA   7.73 NA  0.08   3.13   7.81   3.13   7.81  1XXX.00.00.0000000             37.8975 030 99     2.26   2.26   0.06
7426026X-ray exam of small bowel                         A   0.50   0.16     0.14     0.16     0.14     0.02   0.68   0.66   0.68   0.66  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74270  Contrast x-ray exam of colon                      A   0.69   2.29     3.35     2.29NA   3.35 NA  0.14   3.12   4.18   3.12   4.18  1XXX.00.00.0000000             37.8975 090 99     2.42   2.42   0.15
74270TCContrast x-ray exam of colon                      A   0.00   2.07     3.16     2.07NA   3.16 NA  0.11   2.18   3.27   2.18   3.27  1XXX.00.00.0000000             37.8975 030 99     2.20   2.20   0.12
7427026Contrast x-ray exam of colon                      A   0.69   0.22     0.19     0.22     0.19     0.03   0.94   0.91   0.94   0.91  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74280  Contrast x-ray exam of colon                      A   0.99   3.07     4.64     3.07NA   4.64 NA  0.17   4.23   5.80   4.23   5.80  1XXX.00.00.0000000             37.8975 090 99     3.74   3.74   0.21
74280TCContrast x-ray exam of colon                      A   0.00   2.76     4.36     2.76NA   4.36 NA  0.13   2.89   4.49   2.89   4.49  1XXX.00.00.0000000             37.8975 030 99     3.43   3.43   0.17
7428026Contrast x-ray exam of colon                      A   0.99   0.31     0.28     0.31     0.28     0.04   1.34   1.31   1.34   1.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74283  Contrast x-ray exam of colon                      A   2.02   3.23     3.22     3.23NA   3.22 NA  0.23   5.48   5.47   5.48   5.47  1XXX.00.00.0000000             37.8975 090 99     2.84   2.84   0.21
74283TCContrast x-ray exam of colon                      A   0.00   2.59     2.66     2.59NA   2.66 NA  0.14   2.73   2.80   2.73   2.80  1XXX.00.00.0000000             37.8975 030 99     2.20   2.20   0.12
7428326Contrast x-ray exam of colon                      A   2.02   0.64     0.56     0.64     0.56     0.09   2.75   2.67   2.75   2.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74290  Contrast x-ray, gallbladder                       A   0.32   0.99     1.47     0.99NA   1.47 NA  0.06   1.37   1.85   1.37   1.85  1XXX.00.00.0000000             37.8975 090 99     2.30   2.30   0.13
74290TCContrast x-ray, gallbladder                       A   0.00   0.89     1.38     0.89NA   1.38 NA  0.05   0.94   1.43   0.94   1.43  1XXX.00.00.0000000             37.8975 010 99     2.20   2.20   0.12
7429026Contrast x-ray, gallbladder                       A   0.32   0.10     0.09     0.10     0.09     0.01   0.43   0.42   0.43   0.42  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74291  Contrast x-rays, gallbladder                      A   0.20   0.76     1.55     0.76NA   1.55 NA  0.03   0.99   1.78   0.99   1.78  1XXX.00.00.0000000             37.8975 090 99     2.32   2.32   0.08
74291TCContrast x-rays, gallbladder                      A   0.00   0.69     1.49     0.69NA   1.49 NA  0.02   0.71   1.51   0.71   1.51  1XXX.00.00.0000000             37.8975 010 99     2.25   2.25   0.07
7429126Contrast x-rays, gallbladder                      A   0.20   0.07     0.06     0.07     0.06     0.01   0.28   0.27   0.28   0.27  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74300  X-ray bile ducts/pancreas                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     2.83   2.83   0.06
74300TCX-ray bile ducts/pancreas                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     2.71   2.71   0.04
7430026X-ray bile ducts/pancreas                         A   0.36   0.12     0.10     0.12     0.10     0.02   0.50   0.48   0.50   0.48  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74301  X-rays at surgery add-on                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     2.78   2.78   0.05
74301TCX-rays at surgery add-on                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 030 99     2.71   2.71   0.04
7430126X-rays at surgery add-on                          A   0.21   0.07     0.06     0.07     0.06     0.01   0.29   0.28   0.29   0.28  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74305  X-ray bile ducts/pancreas                         C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     2.66   2.66   0.25
74305TCX-ray bile ducts/pancreas                         C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     2.52   2.52   0.23
7430526X-ray bile ducts/pancreas                         A   0.42   0.14     0.12     0.14     0.12     0.02   0.58   0.56   0.58   0.56  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74320  Contrast x-ray of bile ducts                      A   0.54   3.00     2.00     3.00NA   2.00 NA  0.19   3.73   2.73   3.73   2.73  1XXX.00.00.0000000             37.8975 090 99     4.70   4.70   0.30
74320TCContrast x-ray of bile ducts                      A   0.00   2.82     1.84     2.82NA   1.84 NA  0.17   2.99   2.01   2.99   2.01  1XXX.00.00.0000000             37.8975 030 99     4.52   4.52   0.28
7432026Contrast x-ray of bile ducts                      A   0.54   0.18     0.16     0.18     0.16     0.02   0.74   0.72   0.74   0.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74327  X-ray bile stone removal                          A   0.70   2.19     2.78     2.19NA   2.78 NA  0.14   3.03   3.62   3.03   3.62  1XXX.00.00.0000000             37.8975 090 99     4.34   4.34   0.26
74327TCX-ray bile stone removal                          A   0.00   1.97     2.58     1.97NA   2.58 NA  0.11   2.08   2.69   2.08   2.69  1XXX.00.00.0000000             37.8975 030 99     4.12   4.12   0.23
7432726X-ray bile stone removal                          A   0.70   0.22     0.20     0.22     0.20     0.03   0.95   0.93   0.95   0.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74328  X-ray bile duct endoscopy                         C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74328TCX-ray bile duct endoscopy                         C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7432826X-ray bile duct endoscopy                         A   0.70   0.23     0.22     0.23     0.22     0.03   0.96   0.95   0.96   0.95  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74329  X-ray for pancreas endoscopy                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74329TCX-ray for pancreas endoscopy                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7432926X-ray for pancreas endoscopy                      A   0.70   0.23     0.22     0.23     0.22     0.03   0.96   0.95   0.96   0.95  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74330  X-ray bile/panc endoscopy                         C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74330TCX-ray bile/panc endoscopy                         C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7433026X-ray bile/panc endoscopy                         A   0.90   0.29     0.27     0.29     0.27     0.04   1.23   1.21   1.23   1.21  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74340  X-ray guide for GI tube                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     2.10   2.10   0.19
74340TCX-ray guide for GI tube                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     1.92   1.92   0.17
7434026X-ray guide for GI tube                           A   0.54   0.18     0.16     0.18     0.16     0.02   0.74   0.72   0.74   0.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74350  X-ray guide, stomach tube                         A   0.76   3.07     2.07     3.07NA   2.07 NA  0.20   4.03   3.03   4.03   3.03  1XXX.00.00.0000000             37.8975 090 99     2.83   2.83   0.19
74350TCX-ray guide, stomach tube                         A   0.00   2.83     1.85     2.83NA   1.85 NA  0.17   3.00   2.02   3.00   2.02  1XXX.00.00.0000000             37.8975 030 99     2.59   2.59   0.16
7435026X-ray guide, stomach tube                         A   0.76   0.24     0.22     0.24     0.22     0.03   1.03   1.01   1.03   1.01  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74355  X-ray guide, intestinal tube                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     2.76   2.76   0.26
74355TCX-ray guide, intestinal tube                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     2.52   2.52   0.23
7435526X-ray guide, intestinal tube                      A   0.76   0.24     0.22     0.24     0.22     0.03   1.03   1.01   1.03   1.01  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74360  X-ray guide, GI dilation                          C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     1.83   1.83   0.17
74360TCX-ray guide, GI dilation                          C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     1.63   1.63   0.15
7436026X-ray guide, GI dilation                          A   0.54   0.20     0.24     0.20     0.24     0.02   0.76   0.80   0.76   0.80  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74363  X-ray, bile duct dilation                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     5.68   5.68   0.54
74363TCX-ray, bile duct dilation                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     5.40   5.40   0.50
7436326X-ray, bile duct dilation                         A   0.88   0.28     0.26     0.28     0.26     0.04   1.20   1.18   1.20   1.18  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74400  Contrst x-ray, urinary tract                      A   0.49   2.00     2.45     2.00NA   2.45 NA  0.13   2.62   3.07   2.62   3.07  1XXX.00.00.0000000             37.8975 090 99     3.86   3.86   0.24
74400TCContrst x-ray, urinary tract                      A   0.00   1.84     2.31     1.84NA   2.31 NA  0.11   1.95   2.42   1.95   2.42  1XXX.00.00.0000000             37.8975 020 99     3.70   3.70   0.22
7440026Contrst x-ray, urinary tract                      A   0.49   0.16     0.14     0.16     0.14     0.02   0.67   0.65   0.67   0.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74410  Contrst x-ray, urinary tract                      A   0.49   2.23     2.59     2.23NA   2.59 NA  0.13   2.85   3.21   2.85   3.21  1XXX.00.00.0000000             37.8975 090 99     3.88   3.88   0.22
74410TCContrst x-ray, urinary tract                      A   0.00   2.07     2.43     2.07NA   2.43 NA  0.11   2.18   2.54   2.18   2.54  1XXX.00.00.0000000             37.8975 020 99     3.72   3.72   0.20
7441026Contrst x-ray, urinary tract                      A   0.49   0.16     0.16     0.16     0.16     0.02   0.67   0.67   0.67   0.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74415  Contrst x-ray, urinary tract                      A   0.49   2.49     3.09     2.49NA   3.09 NA  0.14   3.12   3.72   3.12   3.72  1XXX.00.00.0000000             37.8975 090 99     3.88   3.88   0.22
74415TCContrst x-ray, urinary tract                      A   0.00   2.33     2.95     2.33NA   2.95 NA  0.12   2.45   3.07   2.45   3.07  1XXX.00.00.0000000             37.8975 020 99     3.72   3.72   0.20
7441526Contrst x-ray, urinary tract                      A   0.49   0.16     0.14     0.16     0.14     0.02   0.67   0.65   0.67   0.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74420  Contrst x-ray, urinary tract                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     3.88   3.88   0.18
74420TCContrst x-ray, urinary tract                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     3.76   3.76   0.16
7442026Contrst x-ray, urinary tract                      A   0.36   0.12     0.12     0.12     0.12     0.02   0.50   0.50   0.50   0.50  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74425  Contrst x-ray, urinary tract                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     3.88   3.88   0.18
74425TCContrst x-ray, urinary tract                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     3.76   3.76   0.16
7442526Contrst x-ray, urinary tract                      A   0.36   0.12     0.10     0.12     0.10     0.02   0.50   0.48   0.50   0.48  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74430  Contrast x-ray, bladder                           A   0.32   1.33     1.87     1.33NA   1.87 NA  0.08   1.73   2.27   1.73   2.27  1XXX.00.00.0000000             37.8975 090 99     3.83   3.83   0.21
74430TCContrast x-ray, bladder                           A   0.00   1.23     1.77     1.23NA   1.77 NA  0.06   1.29   1.83   1.29   1.83  1XXX.00.00.0000000             37.8975 030 99     3.73   3.73   0.19
7443026Contrast x-ray, bladder                           A   0.32   0.10     0.10     0.10     0.10     0.02   0.44   0.44   0.44   0.44  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74440  X-ray, male genital tract                         A   0.38   1.48     2.17     1.48NA   2.17 NA  0.08   1.94   2.63   1.94   2.63  1XXX.00.00.0000000             37.8975 090 99     3.88   3.88   0.19
74440TCX-ray, male genital tract                         A   0.00   1.35     2.02     1.35NA   2.02 NA  0.06   1.41   2.08   1.41   2.08  1XXX.00.00.0000000             37.8975 030 99     3.75   3.75   0.17
7444026X-ray, male genital tract                         A   0.38   0.13     0.15     0.13     0.15     0.02   0.53   0.55   0.53   0.55  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74445  X-ray exam of penis                               C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     4.19   4.19   0.19
74445TCX-ray exam of penis                               C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     3.80   3.80   0.12
7444526X-ray exam of penis                               A   1.14   0.39     0.43     0.39     0.43     0.07   1.60   1.64   1.60   1.64  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74450  X-ray, urethra/bladder                            C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     3.83   3.83   0.22
74450TCX-ray, urethra/bladder                            C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     3.72   3.72   0.20
7445026X-ray, urethra/bladder                            A   0.33   0.11     0.11     0.11     0.11     0.02   0.46   0.46   0.46   0.46  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74455  X-ray, urethra/bladder                            A   0.33   1.79     2.11     1.79NA   2.11 NA  0.12   2.24   2.56   2.24   2.56  1XXX.00.00.0000000             37.8975 090 99     3.81   3.81   0.24
74455TCX-ray, urethra/bladder                            A   0.00   1.68     1.99     1.68NA   1.99 NA  0.10   1.78   2.09   1.78   2.09  1XXX.00.00.0000000             37.8975 030 99     3.70   3.70   0.22
7445526X-ray, urethra/bladder                            A   0.33   0.11     0.12     0.11     0.12     0.02   0.46   0.47   0.46   0.47  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74470  X-ray exam of kidney lesion                       C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     2.78   2.78   0.16
74470TCX-ray exam of kidney lesion                       C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     2.61   2.61   0.14
7447026X-ray exam of kidney lesion                       A   0.54   0.17     0.15     0.17     0.15     0.02   0.73   0.71   0.73   0.71  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74475  X-ray control, cath insert                        A   0.54   3.69     1.99     3.69NA   1.99 NA  0.24   4.47   2.77   4.47   2.77  1XXX.00.00.0000000             37.8975 090 99     5.73   5.73   0.37
74475TCX-ray control, cath insert                        A   0.00   3.51     1.83     3.51NA   1.83 NA  0.22   3.73   2.05   3.73   2.05  1XXX.00.00.0000000             37.8975 030 99     5.55   5.55   0.35
7447526X-ray control, cath insert                        A   0.54   0.18     0.16     0.18     0.16     0.02   0.74   0.72   0.74   0.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74480  X-ray control, cath insert                        A   0.54   3.69     2.00     3.69NA   2.00 NA  0.24   4.47   2.78   4.47   2.78  1XXX.00.00.0000000             37.8975 090 99     4.27   4.27   0.28
74480TCX-ray control, cath insert                        A   0.00   3.51     1.84     3.51NA   1.84 NA  0.22   3.73   2.06   3.73   2.06  1XXX.00.00.0000000             37.8975 030 99     4.09   4.09   0.26
7448026X-ray control, cath insert                        A   0.54   0.18     0.16     0.18     0.16     0.02   0.74   0.72   0.74   0.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74485  X-ray guide, GU dilation                          A   0.54   3.03     2.18     3.03NA   2.18 NA  0.20   3.77   2.92   3.77   2.92  1XXX.00.00.0000000             37.8975 090 99     4.27   4.27   0.28
74485TCX-ray guide, GU dilation                          A   0.00   2.86     2.00     2.86NA   2.00 NA  0.17   3.03   2.17   3.03   2.17  1XXX.00.00.0000000             37.8975 030 99     4.10   4.10   0.25
7448526X-ray guide, GU dilation                          A   0.54   0.17     0.18     0.17     0.18     0.03   0.74   0.75   0.74   0.75  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74710  X-ray measurement of pelvis                       A   0.34   1.03     0.61     1.03NA   0.61 NA  0.08   1.45   1.03   1.45   1.03  1XXX.00.00.0000000             37.8975 090 99     1.97   1.97   0.14
74710TCX-ray measurement of pelvis                       A   0.00   0.92     0.51     0.92NA   0.51 NA  0.06   0.98   0.57   0.98   0.57  1XXX.00.00.0000000             37.8975 010 99     1.86   1.86   0.12
7471026X-ray measurement of pelvis                       A   0.34   0.11     0.10     0.11     0.10     0.02   0.47   0.46   0.47   0.46  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74740  X-ray, female genital tract                       A   0.38   1.50     1.67     1.50NA   1.67 NA  0.09   1.97   2.14   1.97   2.14  1XXX.00.00.0000000             37.8975 090 99     4.69   4.69   0.26
74740TCX-ray, female genital tract                       A   0.00   1.37     1.56     1.37NA   1.56 NA  0.07   1.44   1.63   1.44   1.63  1XXX.00.00.0000000             37.8975 030 99     4.56   4.56   0.24
7474026X-ray, female genital tract                       A   0.38   0.13     0.11     0.13     0.11     0.02   0.53   0.51   0.53   0.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74742  X-ray, fallopian tube                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     4.80   4.80   0.22
74742TCX-ray, fallopian tube                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     4.61   4.61   0.19
7474226X-ray, fallopian tube                             A   0.61   0.19     0.15     0.19     0.15     0.03   0.83   0.79   0.83   0.79  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
74775  X-ray exam of perineum                            C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     3.96   3.96   0.19
74775TCX-ray exam of perineum                            C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     3.76   3.76   0.16
7477526X-ray exam of perineum                            A   0.62   0.20     0.17     0.20     0.17     0.03   0.85   0.82   0.85   0.82  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75552  Heart mri for morph w/o dye                       A   1.60  13.38    18.32    13.38NA  18.32 NA  0.66  15.64  20.58  15.64  20.58  1XXX.00.00.0000000             37.8975 090 99     9.33   9.33   0.47
75552TCHeart mri for morph w/o dye                       A   0.00  12.85    17.80    12.85NA  17.80 NA  0.59  13.44  18.39  13.44  18.39  1XXX.00.00.0000000             37.8975 010 99     8.80   8.80   0.40
7555226Heart mri for morph w/o dye                       A   1.60   0.53     0.52     0.53     0.52     0.07   2.20   2.19   2.20   2.19  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75553  Heart mri for morph w/dye                         A   2.00  14.80    23.65    14.80NA  23.65 NA  0.66  17.46  26.31  17.46  26.31  1XXX.00.00.0000000             37.8975 090 99    10.25  10.25   0.47
75553TCHeart mri for morph w/dye                         A   0.00  14.08    22.72    14.08NA  22.72 NA  0.59  14.67  23.31  14.67  23.31  1XXX.00.00.0000000             37.8975 020 99     9.53   9.53   0.40
7555326Heart mri for morph w/dye                         A   2.00   0.72     0.93     0.72     0.93     0.07   2.79   3.00   2.79   3.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75554  Cardiac MRI/function                              A   1.83  15.50    26.45    15.50NA  26.45 NA  0.66  17.99  28.94  17.99  28.94  1XXX.00.00.0000000             37.8975 090 99     9.53   9.53   0.42
75554TCCardiac MRI/function                              A   0.00  14.82    25.67    14.82NA  25.67 NA  0.59  15.41  26.26  15.41  26.26  1XXX.00.00.0000000             37.8975 010 99     8.85   8.85   0.35
7555426Cardiac MRI/function                              A   1.83   0.68     0.78     0.68     0.78     0.07   2.58   2.68   2.58   2.68  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75555  Cardiac MRI/limited study                         A   1.74  15.64    27.01    15.64NA  27.01 NA  0.66  18.04  29.41  18.04  29.41  1XXX.00.00.0000000             37.8975 090 99     9.54   9.54   0.42
75555TCCardiac MRI/limited study                         A   0.00  14.95    26.18    14.95NA  26.18 NA  0.59  15.54  26.77  15.54  26.77  1XXX.00.00.0000000             37.8975 010 99     8.85   8.85   0.35
7555526Cardiac MRI/limited study                         A   1.74   0.69     0.83     0.69     0.83     0.07   2.50   2.64   2.50   2.64  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75556  Cardiac MRI/flow mapping                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
75600  Contrast x-ray exam of aorta                      A   0.49  11.20     6.39    11.20NA   6.39 NA  0.67  12.36   7.55  12.36   7.55  1XXX.00.00.0000000             37.8975 090 99    32.09  32.09   1.91
75600TCContrast x-ray exam of aorta                      A   0.00  10.99     6.14    10.99NA   6.14 NA  0.65  11.64   6.79  11.64   6.79  1XXX.00.00.0000000             37.8975 030 99    31.88  31.88   1.89
7560026Contrast x-ray exam of aorta                      A   0.49   0.21     0.25     0.21     0.25     0.02   0.72   0.76   0.72   0.76  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75605  Contrast x-ray exam of aorta                      A   1.14  10.63     3.52    10.63NA   3.52 NA  0.70  12.47   5.36  12.47   5.36  1XXX.00.00.0000000             37.8975 090 99    32.17  32.17   2.07
75605TCContrast x-ray exam of aorta                      A   0.00  10.21     3.03    10.21NA   3.03 NA  0.65  10.86   3.68  10.86   3.68  1XXX.00.00.0000000             37.8975 030 99    31.75  31.75   2.02
7560526Contrast x-ray exam of aorta                      A   1.14   0.42     0.49     0.42     0.49     0.05   1.61   1.68   1.61   1.68  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75625  Contrast x-ray exam of aorta                      A   1.14  10.55     3.25    10.55NA   3.25 NA  0.71  12.40   5.10  12.40   5.10  1XXX.00.00.0000000             37.8975 090 99    32.13  32.13   2.09
75625TCContrast x-ray exam of aorta                      A   0.00  10.16     2.85    10.16NA   2.85 NA  0.65  10.81   3.50  10.81   3.50  1XXX.00.00.0000000             37.8975 030 99    31.74  31.74   2.03
7562526Contrast x-ray exam of aorta                      A   1.14   0.39     0.40     0.39     0.40     0.06   1.59   1.60   1.59   1.60  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75630  X-ray aorta, leg arteries                         A   1.79  11.24     3.72    11.24NA   3.72 NA  0.80  13.83   6.31  13.83   6.31  1XXX.00.00.0000000             37.8975 090 99    32.35  32.35   2.17
75630TCX-ray aorta, leg arteries                         A   0.00  10.60     3.01    10.60NA   3.01 NA  0.69  11.29   3.70  11.29   3.70  1XXX.00.00.0000000             37.8975 030 99    31.71  31.71   2.06
7563026X-ray aorta, leg arteries                         A   1.79   0.64     0.71     0.64     0.71     0.11   2.54   2.61   2.54   2.61  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75635  Ct angio abdominal arteries                       A   2.40  15.56    12.15    15.56NA  12.15 NA  0.50  18.46  15.05  18.46  15.05  1XXX.00.00.0040000             37.8975 090 02     8.45   8.45   0.31
75635TCCt angio abdominal arteries                       A   0.00  14.78    11.40    14.78NA  11.40 NA  0.39  15.17  11.79  15.17  11.79  1XXX.00.00.0040000             37.8975 020 02     7.67   7.67   0.20
7563526Ct angio abdominal arteries                       A   2.40   0.78     0.75     0.78     0.75     0.11   3.29   3.26   3.29   3.26  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75650  Artery x-rays, head & neck                        A   1.49  10.66     3.37    10.66NA   3.37 NA  0.72  12.87   5.58  12.87   5.58  1XXX.00.00.0000000             37.8975 090 99    32.24  32.24   2.10
75650TCArtery x-rays, head & neck                        A   0.00  10.16     2.85    10.16NA   2.85 NA  0.65  10.81   3.50  10.81   3.50  1XXX.00.00.0000000             37.8975 030 99    31.74  31.74   2.03
7565026Artery x-rays, head & neck                        A   1.49   0.50     0.52     0.50     0.52     0.07   2.06   2.08   2.06   2.08  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75658  Artery x-rays, arm                                A   1.31  10.74     3.73    10.74NA   3.73 NA  0.72  12.77   5.76  12.77   5.76  1XXX.00.00.0000000             37.8975 090 99    14.97  14.97   0.99
75658TCArtery x-rays, arm                                A   0.00  10.27     3.26    10.27NA   3.26 NA  0.65  10.92   3.91  10.92   3.91  1XXX.00.00.0000000             37.8975 030 99    14.50  14.50   0.92
7565826Artery x-rays, arm                                A   1.31   0.47     0.47     0.47     0.47     0.07   1.85   1.85   1.85   1.85  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75660  Artery x-rays, head & neck                        A   1.31  10.73     3.78    10.73NA   3.78 NA  0.71  12.75   5.80  12.75   5.80  1XXX.00.00.0000000             37.8975 090 99     9.98   9.98   0.66
75660TCArtery x-rays, head & neck                        A   0.00  10.28     3.31    10.28NA   3.31 NA  0.65  10.93   3.96  10.93   3.96  1XXX.00.00.0000000             37.8975 030 99     9.53   9.53   0.60
7566026Artery x-rays, head & neck                        A   1.31   0.45     0.47     0.45     0.47     0.06   1.82   1.84   1.82   1.84  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75662  Artery x-rays, head & neck                        A   1.66  11.14     4.96    11.14NA   4.96 NA  0.71  13.51   7.33  13.51   7.33  1XXX.00.00.0002000             37.8975 090 99    32.42  32.42   2.03
75662TCArtery x-rays, head & neck                        A   0.00  10.52     4.26    10.52NA   4.26 NA  0.65  11.17   4.91  11.17   4.91  1XXX.00.00.0002000             37.8975 030 99    31.80  31.80   1.97
7566226Artery x-rays, head & neck                        A   1.66   0.62     0.70     0.62     0.70     0.06   2.34   2.42   2.34   2.42  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
75665  Artery x-rays, head & neck                        A   1.31  10.76     3.92    10.76NA   3.92 NA  0.74  12.81   5.97  12.81   5.97  1XXX.00.00.0000000             37.8975 090 99    32.21  32.21   2.09
75665TCArtery x-rays, head & neck                        A   0.00  10.32     3.48    10.32NA   3.48 NA  0.65  10.97   4.13  10.97   4.13  1XXX.00.00.0000000             37.8975 030 99    31.77  31.77   2.00
7566526Artery x-rays, head & neck                        A   1.31   0.44     0.44     0.44     0.44     0.09   1.84   1.84   1.84   1.84  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75671  Artery x-rays, head & neck                        A   1.66  11.08     4.84    11.08NA   4.84 NA  0.72  13.46   7.22  13.46   7.22  1XXX.00.00.0002000             37.8975 090 99    32.36  32.36   2.04
75671TCArtery x-rays, head & neck                        A   0.00  10.52     4.27    10.52NA   4.27 NA  0.65  11.17   4.92  11.17   4.92  1XXX.00.00.0002000             37.8975 030 99    31.80  31.80   1.97
7567126Artery x-rays, head & neck                        A   1.66   0.56     0.57     0.56     0.57     0.07   2.29   2.30   2.29   2.30  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
75676  Artery x-rays, neck                               A   1.31  10.71     3.71    10.71NA   3.71 NA  0.72  12.74   5.74  12.74   5.74  1XXX.00.00.0000000             37.8975 090 99    32.20  32.20   2.08
75676TCArtery x-rays, neck                               A   0.00  10.27     3.26    10.27NA   3.26 NA  0.65  10.92   3.91  10.92   3.91  1XXX.00.00.0000000             37.8975 030 99    31.76  31.76   2.01
7567626Artery x-rays, neck                               A   1.31   0.44     0.45     0.44     0.45     0.07   1.82   1.83   1.82   1.83  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75680  Artery x-rays, neck                               A   1.66  10.96     4.41    10.96NA   4.41 NA  0.72  13.34   6.79  13.34   6.79  1XXX.00.00.0002000             37.8975 090 99    32.34  32.34   2.06
75680TCArtery x-rays, neck                               A   0.00  10.40     3.81    10.40NA   3.81 NA  0.65  11.05   4.46  11.05   4.46  1XXX.00.00.0002000             37.8975 030 99    31.78  31.78   1.99
7568026Artery x-rays, neck                               A   1.66   0.56     0.60     0.56     0.60     0.07   2.29   2.33   2.29   2.33  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
75685  Artery x-rays, spine                              A   1.31  10.70     3.71    10.70NA   3.71 NA  0.71  12.72   5.73  12.72   5.73  1XXX.00.00.0003000             37.8975 090 99    32.20  32.20   2.07
75685TCArtery x-rays, spine                              A   0.00  10.26     3.25    10.26NA   3.25 NA  0.65  10.91   3.90  10.91   3.90  1XXX.00.00.0003000             37.8975 030 99    31.76  31.76   2.01
7568526Artery x-rays, spine                              A   1.31   0.44     0.46     0.44     0.46     0.06   1.81   1.83   1.81   1.83  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
75705  Artery x-rays, spine                              A   2.18  10.95     3.81    10.95NA   3.81 NA  0.78  13.91   6.77  13.91   6.77  1XXX.00.00.0000000             37.8975 090 99    10.24  10.24   0.73
75705TCArtery x-rays, spine                              A   0.00  10.24     3.15    10.24NA   3.15 NA  0.65  10.89   3.80  10.89   3.80  1XXX.00.00.0000000             37.8975 030 99     9.53   9.53   0.60
7570526Artery x-rays, spine                              A   2.18   0.71     0.66     0.71     0.66     0.13   3.02   2.97   3.02   2.97  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75710  Artery x-rays, arm/leg                            A   1.14  10.72     3.87    10.72NA   3.87 NA  0.72  12.58   5.73  12.58   5.73  1XXX.00.00.0000000             37.8975 090 99    32.17  32.17   2.07
75710TCArtery x-rays, arm/leg                            A   0.00  10.32     3.46    10.32NA   3.46 NA  0.65  10.97   4.11  10.97   4.11  1XXX.00.00.0000000             37.8975 030 99    31.77  31.77   2.00
7571026Artery x-rays, arm/leg                            A   1.14   0.40     0.41     0.40     0.41     0.07   1.61   1.62   1.61   1.62  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75716  Artery x-rays, arms/legs                          A   1.31  10.96     4.75    10.96NA   4.75 NA  0.72  12.99   6.78  12.99   6.78  1XXX.00.00.0002000             37.8975 090 99    32.24  32.24   2.04
75716TCArtery x-rays, arms/legs                          A   0.00  10.52     4.28    10.52NA   4.28 NA  0.65  11.17   4.93  11.17   4.93  1XXX.00.00.0002000             37.8975 030 99    31.80  31.80   1.97
7571626Artery x-rays, arms/legs                          A   1.31   0.44     0.47     0.44     0.47     0.07   1.82   1.85   1.82   1.85  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
75722  Artery x-rays, kidney                             A   1.14  10.70     3.78    10.70NA   3.78 NA  0.70  12.54   5.62  12.54   5.62  1XXX.00.00.0000000             37.8975 090 99    32.18  32.18   2.06
75722TCArtery x-rays, kidney                             A   0.00  10.28     3.32    10.28NA   3.32 NA  0.65  10.93   3.97  10.93   3.97  1XXX.00.00.0000000             37.8975 030 99    31.76  31.76   2.01
7572226Artery x-rays, kidney                             A   1.14   0.42     0.46     0.42     0.46     0.05   1.61   1.65   1.61   1.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75724  Artery x-rays, kidneys                            A   1.49  11.15     5.13    11.15NA   5.13 NA  0.70  13.34   7.32  13.34   7.32  1XXX.00.00.0002000             37.8975 090 99    32.42  32.42   2.01
75724TCArtery x-rays, kidneys                            A   0.00  10.54     4.37    10.54NA   4.37 NA  0.65  11.19   5.02  11.19   5.02  1XXX.00.00.0002000             37.8975 030 99    31.81  31.81   1.96
7572426Artery x-rays, kidneys                            A   1.49   0.61     0.76     0.61     0.76     0.05   2.15   2.30   2.15   2.30  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
75726  Artery x-rays, abdomen                            A   1.14  10.61     3.51    10.61NA   3.51 NA  0.70  12.45   5.35  12.45   5.35  1XXX.00.00.0000000             37.8975 090 99    32.12  32.12   2.07
75726TCArtery x-rays, abdomen                            A   0.00  10.24     3.16    10.24NA   3.16 NA  0.65  10.89   3.81  10.89   3.81  1XXX.00.00.0000000             37.8975 030 99    31.75  31.75   2.02
7572626Artery x-rays, abdomen                            A   1.14   0.37     0.35     0.37     0.35     0.05   1.56   1.54   1.56   1.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75731  Artery x-rays, adrenal gland                      A   1.14  10.66     3.72    10.66NA   3.72 NA  0.71  12.51   5.57  12.51   5.57  1XXX.00.00.0000000             37.8975 090 99    32.14  32.14   2.07
75731TCArtery x-rays, adrenal gland                      A   0.00  10.28     3.32    10.28NA   3.32 NA  0.65  10.93   3.97  10.93   3.97  1XXX.00.00.0000000             37.8975 030 99    31.76  31.76   2.01
7573126Artery x-rays, adrenal gland                      A   1.14   0.38     0.40     0.38     0.40     0.06   1.58   1.60   1.58   1.60  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75733  Artery x-rays, adrenals                           A   1.31  11.06     5.11    11.06NA   5.11 NA  0.71  13.08   7.13  13.08   7.13  1XXX.00.00.0002000             37.8975 090 99    10.02  10.02   0.65
75733TCArtery x-rays, adrenals                           A   0.00  10.58     4.53    10.58NA   4.53 NA  0.65  11.23   5.18  11.23   5.18  1XXX.00.00.0002000             37.8975 030 99     9.54   9.54   0.59
7573326Artery x-rays, adrenals                           A   1.31   0.48     0.58     0.48     0.58     0.06   1.85   1.95   1.85   1.95  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
75736  Artery x-rays, pelvis                             A   1.14  10.66     3.69    10.66NA   3.69 NA  0.71  12.51   5.54  12.51   5.54  1XXX.00.00.0000000             37.8975 090 99    32.14  32.14   2.07
75736TCArtery x-rays, pelvis                             A   0.00  10.28     3.30    10.28NA   3.30 NA  0.65  10.93   3.95  10.93   3.95  1XXX.00.00.0000000             37.8975 030 99    31.76  31.76   2.01
7573626Artery x-rays, pelvis                             A   1.14   0.38     0.39     0.38     0.39     0.06   1.58   1.59   1.58   1.59  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75741  Artery x-rays, lung                               A   1.31  10.52     2.96    10.52NA   2.96 NA  0.71  12.54   4.98  12.54   4.98  1XXX.00.00.0000000             37.8975 090 99    14.91  14.91   1.00
75741TCArtery x-rays, lung                               A   0.00  10.09     2.55    10.09NA   2.55 NA  0.65  10.74   3.20  10.74   3.20  1XXX.00.00.0000000             37.8975 030 99    14.48  14.48   0.94
7574126Artery x-rays, lung                               A   1.31   0.43     0.41     0.43     0.41     0.06   1.80   1.78   1.80   1.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75743  Artery x-rays, lungs                              A   1.66  10.68     3.30    10.68NA   3.30 NA  0.72  13.06   5.68  13.06   5.68  1XXX.00.00.0002000             37.8975 090 99    32.27  32.27   2.10
75743TCArtery x-rays, lungs                              A   0.00  10.15     2.79    10.15NA   2.79 NA  0.65  10.80   3.44  10.80   3.44  1XXX.00.00.0002000             37.8975 030 99    31.74  31.74   2.03
7574326Artery x-rays, lungs                              A   1.66   0.53     0.51     0.53     0.51     0.07   2.26   2.24   2.26   2.24  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
75746  Artery x-rays, lung                               A   1.14  10.56     3.30    10.56NA   3.30 NA  0.70  12.40   5.14  12.40   5.14  1XXX.00.00.0000000             37.8975 090 99    14.86  14.86   0.98
75746TCArtery x-rays, lung                               A   0.00  10.19     2.96    10.19NA   2.96 NA  0.65  10.84   3.61  10.84   3.61  1XXX.00.00.0000000             37.8975 030 99    14.49  14.49   0.93
7574626Artery x-rays, lung                               A   1.14   0.37     0.34     0.37     0.34     0.05   1.56   1.53   1.56   1.53  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75756  Artery x-rays, chest                              A   1.14  10.88     4.38    10.88NA   4.38 NA  0.69  12.71   6.21  12.71   6.21  1XXX.00.00.0000000             37.8975 090 99    15.00  15.00   0.95
75756TCArtery x-rays, chest                              A   0.00  10.39     3.77    10.39NA   3.77 NA  0.65  11.04   4.42  11.04   4.42  1XXX.00.00.0000000             37.8975 030 99    14.51  14.51   0.91
7575626Artery x-rays, chest                              A   1.14   0.49     0.61     0.49     0.61     0.04   1.67   1.79   1.67   1.79  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75774  Artery x-ray, each vessel                         A   0.36  10.15     2.43    10.15     2.43     0.67  11.18   3.46  11.18   3.46  1ZZZ.00.00.0000000             37.8975 090 99    14.60  14.60   0.96
75774TCArtery x-ray, each vessel                         A   0.00  10.03     2.31    10.03     2.31     0.65  10.68   2.96  10.68   2.96  1ZZZ.00.00.0000000             37.8975 030 99    14.48  14.48   0.94
7577426Artery x-ray, each vessel                         A   0.36   0.12     0.12     0.12     0.12     0.02   0.50   0.50   0.50   0.50  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75790  Visualize A-V shunt                               A   1.84   2.20     2.94     2.20NA   2.94 NA  0.17   4.21   4.95   4.21   4.95  1XXX.00.00.0000000             37.8975 090 99    15.26  15.26   0.83
75790TCVisualize A-V shunt                               A   0.00   1.62     2.42     1.62NA   2.42 NA  0.08   1.70   2.50   1.70   2.50  1XXX.00.00.0000000             37.8975 030 99    14.68  14.68   0.74
7579026Visualize A-V shunt                               A   1.84   0.58     0.52     0.58     0.52     0.09   2.51   2.45   2.51   2.45  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75801  Lymph vessel x-ray, arm/leg                       C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     4.93   4.93   0.21
75801TCLymph vessel x-ray, arm/leg                       C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     4.67   4.67   0.13
7580126Lymph vessel x-ray, arm/leg                       A   0.81   0.26     0.22     0.26     0.22     0.08   1.15   1.11   1.15   1.11  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75803  Lymph vessel x-ray,arms/legs                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0002000             37.8975 090 99     5.03   5.03   0.18
75803TCLymph vessel x-ray,arms/legs                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0002000             37.8975 030 99     4.67   4.67   0.13
7580326Lymph vessel x-ray,arms/legs                      A   1.17   0.36     0.31     0.36     0.31     0.05   1.58   1.53   1.58   1.53  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
75805  Lymph vessel x-ray, trunk                         C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     4.93   4.93   0.18
75805TCLymph vessel x-ray, trunk                         C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     4.67   4.67   0.13
7580526Lymph vessel x-ray, trunk                         A   0.81   0.26     0.22     0.26     0.22     0.05   1.12   1.08   1.12   1.08  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75807  Lymph vessel x-ray, trunk                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0002000             37.8975 090 99     5.04   5.04   0.18
75807TCLymph vessel x-ray, trunk                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0002000             37.8975 030 99     4.67   4.67   0.13
7580726Lymph vessel x-ray, trunk                         A   1.17   0.37     0.34     0.37     0.34     0.05   1.59   1.56   1.59   1.56  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
75809  Nonvascular shunt, x-ray                          A   0.47   1.22     2.05     1.22NA   2.05 NA  0.07   1.76   2.59   1.76   2.59  1XXX.00.00.0000000             37.8975 090 99     2.78   2.78   0.14
75809TCNonvascular shunt, x-ray                          A   0.00   1.07     1.92     1.07NA   1.92 NA  0.05   1.12   1.97   1.12   1.97  1XXX.00.00.0000000             37.8975 030 99     2.63   2.63   0.12
7580926Nonvascular shunt, x-ray                          A   0.47   0.15     0.13     0.15     0.13     0.02   0.64   0.62   0.64   0.62  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75810  Vein x-ray, spleen/liver                          C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    15.38  15.38   0.45
75810TCVein x-ray, spleen/liver                          C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99    15.02  15.02   0.40
7581026Vein x-ray, spleen/liver                          A   1.14   0.36     0.34     0.36     0.34     0.05   1.55   1.53   1.55   1.53  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75820  Vein x-ray, arm/leg                               A   0.70   1.62     2.92     1.62NA   2.92 NA  0.09   2.41   3.71   2.41   3.71  1XXX.00.00.0000000             37.8975 090 99     9.94   9.94   0.46
75820TCVein x-ray, arm/leg                               A   0.00   1.38     2.65     1.38NA   2.65 NA  0.06   1.44   2.71   1.44   2.71  1XXX.00.00.0000000             37.8975 030 99     9.70   9.70   0.43
7582026Vein x-ray, arm/leg                               A   0.70   0.24     0.27     0.24     0.27     0.03   0.97   1.00   0.97   1.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75822  Vein x-ray, arms/legs                             A   1.06   2.12     3.00     2.12NA   3.00 NA  0.13   3.31   4.19   3.31   4.19  1XXX.00.00.0002000             37.8975 090 99    10.03  10.03   0.49
75822TCVein x-ray, arms/legs                             A   0.00   1.78     2.68     1.78NA   2.68 NA  0.08   1.86   2.76   1.86   2.76  1XXX.00.00.0002000             37.8975 030 99     9.69   9.69   0.44
7582226Vein x-ray, arms/legs                             A   1.06   0.34     0.32     0.34     0.32     0.05   1.45   1.43   1.45   1.43  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
75825  Vein x-ray, trunk                                 A   1.14  10.42     2.77    10.42NA   2.77 NA  0.72  12.28   4.63  12.28   4.63  1XXX.00.00.0000000             37.8975 090 99    14.84  14.84   1.01
75825TCVein x-ray, trunk                                 A   0.00  10.06     2.44    10.06NA   2.44 NA  0.65  10.71   3.09  10.71   3.09  1XXX.00.00.0000000             37.8975 030 99    14.48  14.48   0.94
7582526Vein x-ray, trunk                                 A   1.14   0.36     0.33     0.36     0.33     0.07   1.57   1.54   1.57   1.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75827  Vein x-ray, chest                                 A   1.14  10.43     2.81    10.43NA   2.81 NA  0.70  12.27   4.65  12.27   4.65  1XXX.00.00.0000000             37.8975 090 99    14.84  14.84   0.99
75827TCVein x-ray, chest                                 A   0.00  10.07     2.48    10.07NA   2.48 NA  0.65  10.72   3.13  10.72   3.13  1XXX.00.00.0000000             37.8975 030 99    14.48  14.48   0.94
7582726Vein x-ray, chest                                 A   1.14   0.36     0.33     0.36     0.33     0.05   1.55   1.52   1.55   1.52  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75831  Vein x-ray, kidney                                A   1.14  10.45     2.88    10.45NA   2.88 NA  0.71  12.30   4.73  12.30   4.73  1XXX.00.00.0000000             37.8975 090 99    14.84  14.84   1.00
75831TCVein x-ray, kidney                                A   0.00  10.09     2.55    10.09NA   2.55 NA  0.65  10.74   3.20  10.74   3.20  1XXX.00.00.0000000             37.8975 030 99    14.48  14.48   0.94
7583126Vein x-ray, kidney                                A   1.14   0.36     0.33     0.36     0.33     0.06   1.56   1.53   1.56   1.53  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75833  Vein x-ray, kidneys                               A   1.49  10.70     3.50    10.70NA   3.50 NA  0.74  12.93   5.73  12.93   5.73  1XXX.00.00.0002000             37.8975 090 99    14.97  14.97   1.02
75833TCVein x-ray, kidneys                               A   0.00  10.22     3.06    10.22NA   3.06 NA  0.65  10.87   3.71  10.87   3.71  1XXX.00.00.0002000             37.8975 030 99    14.49  14.49   0.93
7583326Vein x-ray, kidneys                               A   1.49   0.48     0.44     0.48     0.44     0.09   2.06   2.02   2.06   2.02  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
75840  Vein x-ray, adrenal gland                         A   1.14  10.53     3.17    10.53NA   3.17 NA  0.72  12.39   5.03  12.39   5.03  1XXX.00.00.0000000             37.8975 090 99    32.12  32.12   2.11
75840TCVein x-ray, adrenal gland                         A   0.00  10.14     2.74    10.14NA   2.74 NA  0.65  10.79   3.39  10.79   3.39  1XXX.00.00.0000000             37.8975 030 99    31.73  31.73   2.04
7584026Vein x-ray, adrenal gland                         A   1.14   0.39     0.43     0.39     0.43     0.07   1.60   1.64   1.60   1.64  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75842  Vein x-ray, adrenal glands                        A   1.49  10.67     3.44    10.67NA   3.44 NA  0.72  12.88   5.65  12.88   5.65  1XXX.00.00.0002000             37.8975 090 99    32.22  32.22   2.09
75842TCVein x-ray, adrenal glands                        A   0.00  10.20     3.00    10.20NA   3.00 NA  0.65  10.85   3.65  10.85   3.65  1XXX.00.00.0002000             37.8975 030 99    31.75  31.75   2.02
7584226Vein x-ray, adrenal glands                        A   1.49   0.47     0.44     0.47     0.44     0.07   2.03   2.00   2.03   2.00  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
75860  Vein x-ray, neck                                  A   1.14  10.59     3.37    10.59NA   3.37 NA  0.69  12.42   5.20  12.42   5.20  1XXX.00.00.0000000             37.8975 090 99     9.94   9.94   0.65
75860TCVein x-ray, neck                                  A   0.00  10.17     2.88    10.17NA   2.88 NA  0.65  10.82   3.53  10.82   3.53  1XXX.00.00.0000000             37.8975 030 99     9.52   9.52   0.61
7586026Vein x-ray, neck                                  A   1.14   0.42     0.49     0.42     0.49     0.04   1.60   1.67   1.60   1.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75870  Vein x-ray, skull                                 A   1.14  10.52     3.11    10.52NA   3.11 NA  0.70  12.36   4.95  12.36   4.95  1XXX.00.00.0000000             37.8975 090 99     9.91   9.91   0.66
75870TCVein x-ray, skull                                 A   0.00  10.13     2.73    10.13NA   2.73 NA  0.65  10.78   3.38  10.78   3.38  1XXX.00.00.0000000             37.8975 030 99     9.52   9.52   0.61
7587026Vein x-ray, skull                                 A   1.14   0.39     0.38     0.39     0.38     0.05   1.58   1.57   1.58   1.57  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75872  Vein x-ray, skull                                 A   1.14  10.70     3.85    10.70NA   3.85 NA  0.79  12.63   5.78  12.63   5.78  1XXX.00.00.0000000             37.8975 090 99    14.89  14.89   1.06
75872TCVein x-ray, skull                                 A   0.00  10.31     3.42    10.31NA   3.42 NA  0.65  10.96   4.07  10.96   4.07  1XXX.00.00.0000000             37.8975 030 99    14.50  14.50   0.92
7587226Vein x-ray, skull                                 A   1.14   0.39     0.43     0.39     0.43     0.14   1.67   1.71   1.67   1.71  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75880  Vein x-ray, eye socket                            A   0.70   1.61     2.87     1.61NA   2.87 NA  0.09   2.40   3.66   2.40   3.66  1XXX.00.00.0000000             37.8975 090 99     9.93   9.93   0.46
75880TCVein x-ray, eye socket                            A   0.00   1.38     2.65     1.38NA   2.65 NA  0.06   1.44   2.71   1.44   2.71  1XXX.00.00.0000000             37.8975 030 99     9.70   9.70   0.43
7588026Vein x-ray, eye socket                            A   0.70   0.23     0.22     0.23     0.22     0.03   0.96   0.95   0.96   0.95  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75885  Vein x-ray, liver                                 A   1.44  10.54     2.95    10.54NA   2.95 NA  0.71  12.69   5.10  12.69   5.10  1XXX.00.00.0000000             37.8975 090 99    32.19  32.19   2.10
75885TCVein x-ray, liver                                 A   0.00  10.08     2.53    10.08NA   2.53 NA  0.65  10.73   3.18  10.73   3.18  1XXX.00.00.0000000             37.8975 030 99    31.73  31.73   2.04
7588526Vein x-ray, liver                                 A   1.44   0.46     0.42     0.46     0.42     0.06   1.96   1.92   1.96   1.92  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75887  Vein x-ray, liver                                 A   1.44  10.60     3.17    10.60NA   3.17 NA  0.71  12.75   5.32  12.75   5.32  1XXX.00.00.0000000             37.8975 090 99    14.96  14.96   0.99
75887TCVein x-ray, liver                                 A   0.00  10.13     2.70    10.13NA   2.70 NA  0.65  10.78   3.35  10.78   3.35  1XXX.00.00.0000000             37.8975 030 99    14.49  14.49   0.93
7588726Vein x-ray, liver                                 A   1.44   0.47     0.47     0.47     0.47     0.06   1.97   1.97   1.97   1.97  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75889  Vein x-ray, liver                                 A   1.14  10.44     2.87    10.44NA   2.87 NA  0.70  12.28   4.71  12.28   4.71  1XXX.00.00.0000000             37.8975 090 99    32.09  32.09   2.09
75889TCVein x-ray, liver                                 A   0.00  10.08     2.53    10.08NA   2.53 NA  0.65  10.73   3.18  10.73   3.18  1XXX.00.00.0000000             37.8975 030 99    31.73  31.73   2.04
7588926Vein x-ray, liver                                 A   1.14   0.36     0.34     0.36     0.34     0.05   1.55   1.53   1.55   1.53  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75891  Vein x-ray, liver                                 A   1.14  10.44     2.84    10.44NA   2.84 NA  0.70  12.28   4.68  12.28   4.68  1XXX.00.00.0000000             37.8975 090 99    14.84  14.84   0.99
75891TCVein x-ray, liver                                 A   0.00  10.08     2.51    10.08NA   2.51 NA  0.65  10.73   3.16  10.73   3.16  1XXX.00.00.0000000             37.8975 030 99    14.48  14.48   0.94
7589126Vein x-ray, liver                                 A   1.14   0.36     0.33     0.36     0.33     0.05   1.55   1.52   1.55   1.52  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75893  Venous sampling by catheter                       A   0.54  10.27     2.71    10.27NA   2.71 NA  0.67  11.48   3.92  11.48   3.92  1XXX.00.00.0000000             37.8975 090 99     9.70   9.70   0.63
75893TCVenous sampling by catheter                       A   0.00  10.09     2.55    10.09NA   2.55 NA  0.65  10.74   3.20  10.74   3.20  1XXX.00.00.0000000             37.8975 030 99     9.52   9.52   0.61
7589326Venous sampling by catheter                       A   0.54   0.18     0.16     0.18     0.16     0.02   0.74   0.72   0.74   0.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75894  X-rays, transcath therapy                         C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    11.17  11.17   2.94
75894TCX-rays, transcath therapy                         C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99    10.75  10.75   2.86
7589426X-rays, transcath therapy                         A   1.31   0.42     0.39     0.42     0.39     0.08   1.81   1.78   1.81   1.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75896  X-rays, transcath therapy                         C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    11.21  11.21   2.91
75896TCX-rays, transcath therapy                         C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99    10.75  10.75   2.86
7589626X-rays, transcath therapy                         A   1.31   0.46     0.49     0.46     0.49     0.05   1.82   1.85   1.82   1.85  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75898  Follow-up angiography                             C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     2.72   2.72   0.65
75898TCFollow-up angiography                             C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     2.17   2.17   0.58
7589826Follow-up angiography                             A   1.65   0.55     0.56     0.55     0.56     0.07   2.27   2.28   2.27   2.28  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75900  Intravascular cath exchange                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75900TCIntravascular cath exchange                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7590026Intravascular cath exchange                       A   0.49   0.16     0.15     0.16     0.15     0.03   0.68   0.67   0.68   0.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75901  Remove cva device obstruct                        A   0.49   2.09     3.94     2.09NA   3.94 NA  0.85   3.43   5.28   3.43   5.28  1XXX.00.00.0000000             37.8975 030 99     2.08   2.08   0.85
75901TCRemove cva device obstruct                        A   0.00   1.93     3.80     1.93NA   3.80 NA  0.83   2.76   4.63   2.76   4.63  1XXX.00.00.0000000             37.8975 030 99     1.92   1.92   0.83
7590126Remove cva device obstruct                        A   0.49   0.16     0.14     0.16     0.14     0.02   0.67   0.65   0.67   0.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75902  Remove cva lumen obstruct                         A   0.39   1.47     1.54     1.47NA   1.54 NA  0.85   2.71   2.78   2.71   2.78  1XXX.00.00.0000000             37.8975 030 99     1.82   1.82   1.08
75902TCRemove cva lumen obstruct                         A   0.00   1.34     1.43     1.34NA   1.43 NA  0.83   2.17   2.26   2.17   2.26  1XXX.00.00.0000000             37.8975 030 99     1.69   1.69   1.06
7590226Remove cva lumen obstruct                         A   0.39   0.13     0.11     0.13     0.11     0.02   0.54   0.52   0.54   0.52  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75940  X-ray placement, vein filter                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    11.75  11.75   2.08
75940TCX-ray placement, vein filter                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99    11.57  11.57   2.04
7594026X-ray placement, vein filter                      A   0.54   0.18     0.16     0.18     0.16     0.04   0.76   0.74   0.76   0.74  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75945  Intravascular us                                  C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     3.53   3.53   0.64
75945TCIntravascular us                                  C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     3.39   3.39   0.60
7594526Intravascular us                                  A   0.40   0.14     0.15     0.14     0.15     0.04   0.58   0.59   0.58   0.59  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75946  Intravascular us add-on                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     2.29   2.29   0.43
75946TCIntravascular us add-on                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 030 99     2.15   2.15   0.38
7594626Intravascular us add-on                           A   0.40   0.14     0.13     0.14     0.13     0.05   0.59   0.58   0.59   0.58  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75952  Endovasc repair abdom aorta                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75952TCEndovasc repair abdom aorta                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7595226Endovasc repair abdom aorta                       A   4.49   1.44     1.27     1.44     1.27     0.43   6.36   6.19   6.36   6.19  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75953  Abdom aneurysm endovas rpr                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75953TCAbdom aneurysm endovas rpr                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7595326Abdom aneurysm endovas rpr                        A   1.36   0.44     0.39     0.44     0.39     0.13   1.93   1.88   1.93   1.88  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75954  Iliac aneurysm endovas rpr                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
75954TCIliac aneurysm endovas rpr                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7595426Iliac aneurysm endovas rpr                        A   2.25   0.75     0.64     0.75     0.64     0.15   3.15   3.04   3.15   3.04  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75956  Xray, endovasc thor ao repr                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75956TCXray, endovasc thor ao repr                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7595626Xray, endovasc thor ao repr                       A   7.00   2.47     1.78     2.47     1.78     0.69  10.16   9.47  10.16   9.47  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75957  Xray, endovasc thor ao repr                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75957TCXray, endovasc thor ao repr                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7595726Xray, endovasc thor ao repr                       A   6.00   2.12     1.56     2.12     1.56     0.59   8.71   8.15   8.71   8.15  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75958  Xray, place prox ext thor ao                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75958TCXray, place prox ext thor ao                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7595826Xray, place prox ext thor ao                      A   4.00   1.41     0.98     1.41     0.98     0.39   5.80   5.37   5.80   5.37  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75959  Xray, place dist ext thor ao                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75959TCXray, place dist ext thor ao                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7595926Xray, place dist ext thor ao                      A   3.50   1.24     0.86     1.24     0.86     0.34   5.08   4.70   5.08   4.70  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75960  Transcath iv stent rs&i                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     8.90   8.90   1.57
75960TCTranscath iv stent rs&i                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     8.61   8.61   1.52
7596026Transcath iv stent rs&i                           A   0.82   0.29     0.31     0.29     0.31     0.05   1.16   1.18   1.16   1.18  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75961  Retrieval, broken catheter                        A   4.24   9.99     4.30     9.99NA   4.30 NA  0.73  14.96   9.27  14.96   9.27  1XXX.00.00.0000000             37.8975 090 99    10.88  10.88   0.79
75961TCRetrieval, broken catheter                        A   0.00   8.63     3.03     8.63NA   3.03 NA  0.55   9.18   3.58   9.18   3.58  1XXX.00.00.0000000             37.8975 030 99     9.52   9.52   0.61
7596126Retrieval, broken catheter                        A   4.24   1.36     1.27     1.36     1.27     0.18   5.78   5.69   5.78   5.69  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75962  Repair arterial blockage                          A   0.54  12.80     3.43    12.80NA   3.43 NA  0.86  14.20   4.83  14.20   4.83  1XXX.00.00.0000000             37.8975 090 99     9.68   9.68   0.66
75962TCRepair arterial blockage                          A   0.00  12.62     3.24    12.62NA   3.24 NA  0.83  13.45   4.07  13.45   4.07  1XXX.00.00.0000000             37.8975 030 99     9.50   9.50   0.63
7596226Repair arterial blockage                          A   0.54   0.18     0.19     0.18     0.19     0.03   0.75   0.76   0.75   0.76  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75964  Repair artery blockage, each                      A   0.36   6.96     2.31     6.96     2.31     0.46   7.78   3.13   7.78   3.13  1ZZZ.00.00.0000000             37.8975 090 99     9.65   9.65   0.63
75964TCRepair artery blockage, each                      A   0.00   6.84     2.19     6.84     2.19     0.43   7.27   2.62   7.27   2.62  1ZZZ.00.00.0000000             37.8975 030 99     9.53   9.53   0.60
7596426Repair artery blockage, each                      A   0.36   0.12     0.12     0.12     0.12     0.03   0.51   0.51   0.51   0.51  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75966  Repair arterial blockage                          A   1.31  13.18     4.12    13.18NA   4.12 NA  0.89  15.38   6.32  15.38   6.32  1XXX.00.00.0000000             37.8975 090 99    10.00  10.00   0.68
75966TCRepair arterial blockage                          A   0.00  12.69     3.55    12.69NA   3.55 NA  0.83  13.52   4.38  13.52   4.38  1XXX.00.00.0000000             37.8975 030 99     9.51   9.51   0.62
7596626Repair arterial blockage                          A   1.31   0.49     0.57     0.49     0.57     0.06   1.86   1.94   1.86   1.94  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75968  Repair artery blockage, each                      A   0.36   6.99     2.38     6.99     2.38     0.45   7.80   3.19   7.80   3.19  1ZZZ.00.00.0000000             37.8975 090 99     9.67   9.67   0.62
75968TCRepair artery blockage, each                      A   0.00   6.85     2.23     6.85     2.23     0.43   7.28   2.66   7.28   2.66  1ZZZ.00.00.0000000             37.8975 030 99     9.53   9.53   0.60
7596826Repair artery blockage, each                      A   0.36   0.14     0.15     0.14     0.15     0.02   0.52   0.53   0.52   0.53  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75970  Vascular biopsy                                   C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     8.18   8.18   2.27
75970TCVascular biopsy                                   C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     7.90   7.90   2.23
7597026Vascular biopsy                                   A   0.83   0.28     0.26     0.28     0.26     0.04   1.15   1.13   1.15   1.13  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75978  Repair venous blockage                            A   0.54  12.72     3.11    12.72NA   3.11 NA  0.85  14.11   4.50  14.11   4.50  1XXX.00.00.0000000             37.8975 090 99     9.68   9.68   0.65
75978TCRepair venous blockage                            A   0.00  12.54     2.95    12.54NA   2.95 NA  0.83  13.37   3.78  13.37   3.78  1XXX.00.00.0000000             37.8975 030 99     9.50   9.50   0.63
7597826Repair venous blockage                            A   0.54   0.18     0.16     0.18     0.16     0.02   0.74   0.72   0.74   0.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75980  Contrast xray exam bile duct                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     5.06   5.06   1.36
75980TCContrast xray exam bile duct                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     4.60   4.60   1.30
7598026Contrast xray exam bile duct                      A   1.44   0.46     0.42     0.46     0.42     0.06   1.96   1.92   1.96   1.92  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75982  Contrast xray exam bile duct                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     6.07   6.07   0.35
75982TCContrast xray exam bile duct                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     5.61   5.61   0.29
7598226Contrast xray exam bile duct                      A   1.44   0.46     0.42     0.46     0.42     0.06   1.96   1.92   1.96   1.92  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75984  Xray control catheter change                      A   0.72   2.18     2.16     2.18NA   2.16 NA  0.14   3.04   3.02   3.04   3.02  1XXX.00.00.0000000             37.8975 090 99     2.83   2.83   0.18
75984TCXray control catheter change                      A   0.00   1.95     1.95     1.95NA   1.95 NA  0.11   2.06   2.06   2.06   2.06  1XXX.00.00.0000000             37.8975 030 99     2.60   2.60   0.15
7598426Xray control catheter change                      A   0.72   0.23     0.21     0.23     0.21     0.03   0.98   0.96   0.98   0.96  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75989  Abscess drainage under x-ray                      A   1.19   3.18     2.07     3.18NA   2.07 NA  0.22   4.59   3.48   4.59   3.48  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75989TCAbscess drainage under x-ray                      A   0.00   2.80     1.73     2.80NA   1.73 NA  0.17   2.97   1.90   2.97   1.90  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7598926Abscess drainage under x-ray                      A   1.19   0.38     0.34     0.38     0.34     0.05   1.62   1.58   1.62   1.58  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75992  Atherectomy, x-ray exam                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     9.82   9.82   0.54
75992TCAtherectomy, x-ray exam                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     9.62   9.62   0.51
7599226Atherectomy, x-ray exam                           A   0.54   0.20     0.23     0.20     0.23     0.03   0.77   0.80   0.77   0.80  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75993  Atherectomy, x-ray exam                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75993TCAtherectomy, x-ray exam                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7599326Atherectomy, x-ray exam                           A   0.36   0.14     0.15     0.14     0.15     0.02   0.52   0.53   0.52   0.53  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75994  Atherectomy, x-ray exam                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75994TCAtherectomy, x-ray exam                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7599426Atherectomy, x-ray exam                           A   1.31   0.50     0.62     0.50     0.62     0.07   1.88   2.00   1.88   2.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75995  Atherectomy, x-ray exam                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75995TCAtherectomy, x-ray exam                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7599526Atherectomy, x-ray exam                           A   1.31   0.48     0.50     0.48     0.50     0.05   1.84   1.86   1.84   1.86  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75996  Atherectomy, x-ray exam                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
75996TCAtherectomy, x-ray exam                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7599626Atherectomy, x-ray exam                           A   0.36   0.13     0.14     0.13     0.14     0.02   0.51   0.52   0.51   0.52  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76000  Fluoroscope examination                           A   0.17   1.68     2.64     1.68NA   2.64 NA  0.08   1.93   2.89   1.93   2.89  1XXX.00.00.0000000             37.8975 090 99     2.06   2.06   0.09
76000TCFluoroscope examination                           A   0.00   1.63     2.59     1.63NA   2.59 NA  0.07   1.70   2.66   1.70   2.66  1XXX.00.00.0000000             37.8975 030 99     2.01   2.01   0.08
7600026Fluoroscope examination                           A   0.17   0.05     0.05     0.05     0.05     0.01   0.23   0.23   0.23   0.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76001  Fluoroscope exam, extensive                       C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76001TCFluoroscope exam, extensive                       C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7600126Fluoroscope exam, extensive                       A   0.67   0.22     0.21     0.22     0.21     0.05   0.94   0.93   0.94   0.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76010  X-ray, nose to rectum                             A   0.18   0.57     0.51     0.57NA   0.51 NA  0.03   0.78   0.72   0.78   0.72  1XXX.00.00.0000000             37.8975 090 99     1.17   1.17   0.05
76010TCX-ray, nose to rectum                             A   0.00   0.51     0.46     0.51NA   0.46 NA  0.02   0.53   0.48   0.53   0.48  1XXX.00.00.0000000             37.8975 010 99     1.11   1.11   0.04
7601026X-ray, nose to rectum                             A   0.18   0.06     0.05     0.06     0.05     0.01   0.25   0.24   0.25   0.24  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76080  X-ray exam of fistula                             A   0.54   1.18     1.01     1.18NA   1.01 NA  0.08   1.80   1.63   1.80   1.63  1XXX.00.00.0000000             37.8975 090 99     2.77   2.77   0.18
76080TCX-ray exam of fistula                             A   0.00   1.00     0.85     1.00NA   0.85 NA  0.06   1.06   0.91   1.06   0.91  1XXX.00.00.0000000             37.8975 030 99     2.59   2.59   0.16
7608026X-ray exam of fistula                             A   0.54   0.18     0.16     0.18     0.16     0.02   0.74   0.72   0.74   0.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76098  X-ray exam, breast specimen                       A   0.16   0.43     0.29     0.43NA   0.29 NA  0.03   0.62   0.48   0.62   0.48  1XXX.00.00.0000000             37.8975 090 99     1.14   1.14   0.07
76098TCX-ray exam, breast specimen                       A   0.00   0.38     0.25     0.38NA   0.25 NA  0.02   0.40   0.27   0.40   0.27  1XXX.00.00.0000000             37.8975 010 99     1.09   1.09   0.06
7609826X-ray exam, breast specimen                       A   0.16   0.05     0.04     0.05     0.04     0.01   0.22   0.21   0.22   0.21  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76100  X-ray exam of body section                        A   0.58   1.93     3.41     1.93NA   3.41 NA  0.10   2.61   4.09   2.61   4.09  1XXX.00.00.0000000             37.8975 090 99     2.10   2.10   0.10
76100TCX-ray exam of body section                        A   0.00   1.74     3.22     1.74NA   3.22 NA  0.07   1.81   3.29   1.81   3.29  1XXX.00.00.0000000             37.8975 010 99     1.91   1.91   0.07
7610026X-ray exam of body section                        A   0.58   0.19     0.19     0.19     0.19     0.03   0.80   0.80   0.80   0.80  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76101  Complex body section x-ray                        A   0.58   2.50     5.17     2.50NA   5.17 NA  0.11   3.19   5.86   3.19   5.86  1XXX.00.00.0000000             37.8975 090 99     2.85   2.85   0.12
76101TCComplex body section x-ray                        A   0.00   2.31     4.99     2.31NA   4.99 NA  0.08   2.39   5.07   2.39   5.07  1XXX.00.00.0000000             37.8975 020 99     2.66   2.66   0.09
7610126Complex body section x-ray                        A   0.58   0.19     0.18     0.19     0.18     0.03   0.80   0.79   0.80   0.79  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76102  Complex body section x-rays                       A   0.58   3.35     7.61     3.35NA   7.61 NA  0.14   4.07   8.33   4.07   8.33  1XXX.00.00.0002000             37.8975 090 99     4.82   4.82   0.20
76102TCComplex body section x-rays                       A   0.00   3.16     7.43     3.16NA   7.43 NA  0.11   3.27   7.54   3.27   7.54  1XXX.00.00.0002000             37.8975 020 99     4.63   4.63   0.17
7610226Complex body section x-rays                       A   0.58   0.19     0.18     0.19     0.18     0.03   0.80   0.79   0.80   0.79  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
76120  Cine/video x-rays                                 A   0.38   1.34     1.83     1.34NA   1.83 NA  0.08   1.80   2.29   1.80   2.29  1XXX.00.00.0000000             37.8975 090 99     2.12   2.12   0.12
76120TCCine/video x-rays                                 A   0.00   1.21     1.70     1.21NA   1.70 NA  0.06   1.27   1.76   1.27   1.76  1XXX.00.00.0000000             37.8975 020 99     1.99   1.99   0.10
7612026Cine/video x-rays                                 A   0.38   0.13     0.13     0.13     0.13     0.02   0.53   0.53   0.53   0.53  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76125  Cine/video x-rays add-on                          C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     1.21   1.21   0.04
76125TCCine/video x-rays add-on                          C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 020 99     1.12   1.12   0.03
7612526Cine/video x-rays add-on                          A   0.27   0.09     0.10     0.09     0.10     0.01   0.37   0.38   0.37   0.38  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76140  X-ray consultation                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
76150  X-ray exam, dry process                           A   0.00   0.48     0.67     0.48NA   0.67 NA  0.02   0.50   0.69   0.50   0.69  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
76350  Special x-ray contrast study                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  3XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
76376  3d render w/o postprocess                         A   0.20   2.95     1.32     2.95NA   1.32 NA  0.10   3.25   1.62   3.25   1.62  1XXX.00.00.0000000             37.8975 090 99     1.03   1.03   0.05
76376TC3d render w/o postprocess                         A   0.00   2.88     1.26     2.88NA   1.26 NA  0.08   2.96   1.34   2.96   1.34  1XXX.00.00.0000000             37.8975 010 99     0.96   0.96   0.03
76376263d render w/o postprocess                         A   0.20   0.07     0.06     0.07     0.06     0.02   0.29   0.28   0.29   0.28  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76377  3d rendering w/postprocess                        A   0.79   3.09     1.28     3.09NA   1.28 NA  0.39   4.27   2.46   4.27   2.46  1XXX.00.00.0000000             37.8975 090 99     2.51   2.51   0.32
76377TC3d rendering w/postprocess                        A   0.00   2.83     1.05     2.83NA   1.05 NA  0.31   3.14   1.36   3.14   1.36  1XXX.00.00.0000000             37.8975 030 99     2.25   2.25   0.24
76377263d rendering w/postprocess                        A   0.79   0.26     0.23     0.26     0.23     0.08   1.13   1.10   1.13   1.10  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76380  CAT scan follow-up study                          A   0.98   3.98     4.45     3.98NA   4.45 NA  0.22   5.18   5.65   5.18   5.65  1XXX.00.00.0000000             37.8975 090 99     2.69   2.69   0.15
76380TCCAT scan follow-up study                          A   0.00   3.67     4.17     3.67NA   4.17 NA  0.18   3.85   4.35   3.85   4.35  1XXX.00.00.0000000             37.8975 010 99     2.38   2.38   0.11
7638026CAT scan follow-up study                          A   0.98   0.31     0.28     0.31     0.28     0.04   1.33   1.30   1.33   1.30  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76390  Mr spectroscopy                                   N+  1.40  10.94     9.31    10.94NA   9.31 NA  0.66  13.00  11.37  13.00  11.37  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
76390TCMr spectroscopy                                   N+  0.00  10.51     8.99    10.51NA   8.99 NA  0.59  11.10   9.58  11.10   9.58  1XXX.00.00.0099999             37.8975 010 99     0.00   0.00   0.00
7639026Mr spectroscopy                                   N+  1.40   0.43     0.32     0.43     0.32     0.07   1.90   1.79   1.90   1.79  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
76496  Fluoroscopic procedure                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
76496TCFluoroscopic procedure                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     2.03   2.03   0.06
7649626Fluoroscopic procedure                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76497  Ct procedure                                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
76497TCCt procedure                                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 020 99     2.42   2.42   0.07
7649726Ct procedure                                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76498  Mri procedure                                     C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
76498TCMri procedure                                     C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 020 99     7.16   7.16   0.22
7649826Mri procedure                                     C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76499  Radiographic procedure                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76499TCRadiographic procedure                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7649926Radiographic procedure                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76506  Echo exam of head                                 A   0.63   1.92     2.70     1.92NA   2.70 NA  0.14   2.69   3.47   2.69   3.47  1XXX.00.00.0000000             37.8975 090 99     1.77   1.77   0.13
76506TCEcho exam of head                                 A   0.00   1.69     2.51     1.69NA   2.51 NA  0.08   1.77   2.59   1.77   2.59  1XXX.00.00.0000000             37.8975 010 99     1.54   1.54   0.07
7650626Echo exam of head                                 A   0.63   0.23     0.19     0.23     0.19     0.06   0.92   0.88   0.92   0.88  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76510  Ophth us, b & quant a                             A   1.55   2.73     2.31     2.73NA   2.31 NA  0.10   4.38   3.96   4.38   3.96  1XXX.00.00.0003000             37.8975 090 99     3.11   3.11   0.11
76510TCOphth us, b & quant a                             A   0.00   2.07     1.72     2.07NA   1.72 NA  0.07   2.14   1.79   2.14   1.79  1XXX.00.00.0003000             37.8975 020 99     2.45   2.45   0.08
7651026Ophth us, b & quant a                             A   1.55   0.66     0.59     0.66     0.59     0.03   2.24   2.17   2.24   2.17  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
76511  Ophth us, quant a only                            A   0.94   2.17     1.40     2.17NA   1.40 NA  0.10   3.21   2.44   3.21   2.44  1XXX.00.00.0003000             37.8975 090 99     2.83   2.83   0.12
76511TCOphth us, quant a only                            A   0.00   1.78     1.04     1.78NA   1.04 NA  0.07   1.85   1.11   1.85   1.11  1XXX.00.00.0003000             37.8975 020 99     2.44   2.44   0.09
7651126Ophth us, quant a only                            A   0.94   0.39     0.36     0.39     0.36     0.03   1.36   1.33   1.36   1.33  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
76512  Ophth us, b w/non-quant a                         A   0.94   1.97     1.19     1.97NA   1.19 NA  0.12   3.03   2.25   3.03   2.25  1XXX.00.00.0003000             37.8975 090 99     2.78   2.78   0.17
76512TCOphth us, b w/non-quant a                         A   0.00   1.57     0.84     1.57NA   0.84 NA  0.10   1.67   0.94   1.67   0.94  1XXX.00.00.0003000             37.8975 020 99     2.38   2.38   0.15
7651226Ophth us, b w/non-quant a                         A   0.94   0.40     0.35     0.40     0.35     0.02   1.36   1.31   1.36   1.31  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
76513  Echo exam of eye, water bath                      A   0.66   1.75     1.57     1.75NA   1.57 NA  0.12   2.53   2.35   2.53   2.35  1XXX.00.00.0003000             37.8975 090 99     2.65   2.65   0.18
76513TCEcho exam of eye, water bath                      A   0.00   1.47     1.32     1.47NA   1.32 NA  0.10   1.57   1.42   1.57   1.42  1XXX.00.00.0003000             37.8975 020 99     2.37   2.37   0.16
7651326Echo exam of eye, water bath                      A   0.66   0.28     0.25     0.28     0.25     0.02   0.96   0.93   0.96   0.93  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
76514  Echo exam of eye, thickness                       A   0.17   0.15     0.17     0.15NA   0.17 NA  0.02   0.34   0.36   0.34   0.36  1XXX.00.00.0002000             37.8975 090 99     0.93   0.93   0.15
76514TCEcho exam of eye, thickness                       A   0.00   0.07     0.11     0.07NA   0.11 NA  0.01   0.08   0.12   0.08   0.12  1XXX.00.00.0002000             37.8975 010 99     0.85   0.85   0.14
7651426Echo exam of eye, thickness                       A   0.17   0.08     0.06     0.08     0.06     0.01   0.26   0.24   0.26   0.24  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
76516  Echo exam of eye                                  A   0.54   1.39     1.19     1.39NA   1.19 NA  0.08   2.01   1.81   2.01   1.81  1XXX.00.00.0002000             37.8975 090 99     1.75   1.75   0.10
76516TCEcho exam of eye                                  A   0.00   1.16     0.99     1.16NA   0.99 NA  0.07   1.23   1.06   1.23   1.06  1XXX.00.00.0002000             37.8975 010 99     1.52   1.52   0.09
7651626Echo exam of eye                                  A   0.54   0.23     0.20     0.23     0.20     0.01   0.78   0.75   0.78   0.75  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
76519  Echo exam of eye                                  A   0.54   1.49     1.32     1.49NA   1.32 NA  0.08   2.11   1.94   2.11   1.94  1XXX.00.00.0002000             37.8975 090 99     2.63   2.63   0.14
76519TCEcho exam of eye                                  A   0.00   1.26     1.11     1.26NA   1.11 NA  0.07   1.33   1.18   1.33   1.18  1XXX.00.00.0002000             37.8975 010 99     2.40   2.40   0.13
7651926Echo exam of eye                                  A   0.54   0.23     0.21     0.23     0.21     0.01   0.78   0.76   0.78   0.76  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
76529  Echo exam of eye                                  A   0.57   1.32     1.17     1.32NA   1.17 NA  0.10   1.99   1.84   1.99   1.84  1XXX.00.00.0003000             37.8975 090 99     1.73   1.73   0.13
76529TCEcho exam of eye                                  A   0.00   1.09     0.96     1.09NA   0.96 NA  0.08   1.17   1.04   1.17   1.04  1XXX.00.00.0003000             37.8975 010 99     1.50   1.50   0.11
7652926Echo exam of eye                                  A   0.57   0.23     0.21     0.23     0.21     0.02   0.82   0.80   0.82   0.80  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
76536  Us exam of head and neck                          A   0.56   1.83     2.53     1.83NA   2.53 NA  0.10   2.49   3.19   2.49   3.19  1XXX.00.00.0000000             37.8975 090 99     2.58   2.58   0.14
76536TCUs exam of head and neck                          A   0.00   1.66     2.38     1.66NA   2.38 NA  0.08   1.74   2.46   1.74   2.46  1XXX.00.00.0000000             37.8975 010 99     2.41   2.41   0.12
7653626Us exam of head and neck                          A   0.56   0.17     0.15     0.17     0.15     0.02   0.75   0.73   0.75   0.73  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76604  Us exam, chest                                    A   0.55   1.54     1.70     1.54NA   1.70 NA  0.09   2.18   2.34   2.18   2.34  1XXX.00.00.0040000             37.8975 090 01     1.70   1.70   0.10
76604TCUs exam, chest                                    A   0.00   1.37     1.55     1.37NA   1.55 NA  0.07   1.44   1.62   1.44   1.62  1XXX.00.00.0040000             37.8975 010 01     1.53   1.53   0.08
7660426Us exam, chest                                    A   0.55   0.17     0.15     0.17     0.15     0.02   0.74   0.72   0.74   0.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76645  Us exam, breast(s)                                A   0.54   1.41     1.97     1.41NA   1.97 NA  0.08   2.03   2.59   2.03   2.59  1XXX.00.00.0002000             37.8975 090 99     1.70   1.70   0.10
76645TCUs exam, breast(s)                                A   0.00   1.24     1.82     1.24NA   1.82 NA  0.06   1.30   1.88   1.30   1.88  1XXX.00.00.0002000             37.8975 010 99     1.53   1.53   0.08
7664526Us exam, breast(s)                                A   0.54   0.17     0.15     0.17     0.15     0.02   0.73   0.71   0.73   0.71  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
76700  Us exam, abdom, complete                          A   0.81   2.39     2.84     2.39NA   2.84 NA  0.15   3.35   3.80   3.35   3.80  1XXX.00.00.0040000             37.8975 090 01     2.67   2.67   0.16
76700TCUs exam, abdom, complete                          A   0.00   2.13     2.61     2.13NA   2.61 NA  0.11   2.24   2.72   2.24   2.72  1XXX.00.00.0040000             37.8975 010 01     2.41   2.41   0.12
7670026Us exam, abdom, complete                          A   0.81   0.26     0.23     0.26     0.23     0.04   1.11   1.08   1.11   1.08  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76705  Echo exam of abdomen                              A   0.59   1.77     2.21     1.77NA   2.21 NA  0.11   2.47   2.91   2.47   2.91  1XXX.00.00.0040000             37.8975 090 01     2.60   2.60   0.15
76705TCEcho exam of abdomen                              A   0.00   1.58     2.04     1.58NA   2.04 NA  0.08   1.66   2.12   1.66   2.12  1XXX.00.00.0040000             37.8975 010 01     2.41   2.41   0.12
7670526Echo exam of abdomen                              A   0.59   0.19     0.17     0.19     0.17     0.03   0.81   0.79   0.81   0.79  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76770  Us exam abdo back wall, comp                      A   0.74   2.36     2.77     2.36NA   2.77 NA  0.14   3.24   3.65   3.24   3.65  1XXX.00.00.0040000             37.8975 090 01     2.65   2.65   0.15
76770TCUs exam abdo back wall, comp                      A   0.00   2.12     2.55     2.12NA   2.55 NA  0.11   2.23   2.66   2.23   2.66  1XXX.00.00.0040000             37.8975 010 01     2.41   2.41   0.12
7677026Us exam abdo back wall, comp                      A   0.74   0.24     0.22     0.24     0.22     0.03   1.01   0.99   1.01   0.99  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76775  Us exam abdo back wall, lim                       A   0.58   1.77     2.23     1.77NA   2.23 NA  0.11   2.46   2.92   2.46   2.92  1XXX.00.00.0040000             37.8975 090 01     2.60   2.60   0.15
76775TCUs exam abdo back wall, lim                       A   0.00   1.58     2.06     1.58NA   2.06 NA  0.08   1.66   2.14   1.66   2.14  1XXX.00.00.0040000             37.8975 010 01     2.41   2.41   0.12
7677526Us exam abdo back wall, lim                       A   0.58   0.19     0.17     0.19     0.17     0.03   0.80   0.78   0.80   0.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76776  Us exam k transpl w/doppler                       A   0.76   2.45     3.19     2.45NA   3.19 NA  0.14   3.35   4.09   3.35   4.09  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76776TCUs exam k transpl w/doppler                       A   0.00   2.22     2.98     2.22NA   2.98 NA  0.11   2.33   3.09   2.33   3.09  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7677626Us exam k transpl w/doppler                       A   0.76   0.23     0.21     0.23     0.21     0.03   1.02   1.00   1.02   1.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76800  Us exam, spinal canal                             A   1.13   1.89     2.26     1.89NA   2.26 NA  0.13   3.15   3.52   3.15   3.52  1XXX.00.00.0000000             37.8975 090 99     2.74   2.74   0.17
76800TCUs exam, spinal canal                             A   0.00   1.56     1.97     1.56NA   1.97 NA  0.08   1.64   2.05   1.64   2.05  1XXX.00.00.0000000             37.8975 010 99     2.41   2.41   0.12
7680026Us exam, spinal canal                             A   1.13   0.33     0.29     0.33     0.29     0.05   1.51   1.47   1.51   1.47  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76801  Ob us < 14 wks, single fetus                      A   0.99   2.43     2.36     2.43NA   2.36 NA  0.16   3.58   3.51   3.58   3.51  1XXX.00.00.0000000             37.8975 030 99     2.72   2.72   0.18
76801TCOb us < 14 wks, single fetus                      A   0.00   2.10     2.08     2.10NA   2.08 NA  0.12   2.22   2.20   2.22   2.20  1XXX.00.00.0000000             37.8975 030 99     2.39   2.39   0.14
7680126Ob us < 14 wks, single fetus                      A   0.99   0.33     0.28     0.33     0.28     0.04   1.36   1.31   1.36   1.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76802  Ob us < 14 wks, addl fetus                       A   0.83   1.24     0.93     1.24     0.93     0.16   2.23   1.92   2.23   1.92  1ZZZ.00.00.0000000             37.8975 030 99     1.71   1.71   0.22
76802TCOb us < 14 wks, addl fetus                       A   0.00   0.96     0.69     0.96     0.69     0.12   1.08   0.81   1.08   0.81  1ZZZ.00.00.0000000             37.8975 030 99     1.43   1.43   0.18
7680226Ob us < 14 wks, addl fetus                       A   0.83   0.28     0.24     0.28     0.24     0.04   1.15   1.11   1.15   1.11  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76805  Ob us >/= 14 wks, sngl fetus                      A   0.99   2.56     2.91     2.56NA   2.91 NA  0.16   3.71   4.06   3.71   4.06  1XXX.00.00.0000000             37.8975 090 99     2.73   2.73   0.17
76805TCOb us >/= 14 wks, sngl fetus                      A   0.00   2.23     2.63     2.23NA   2.63 NA  0.12   2.35   2.75   2.35   2.75  1XXX.00.00.0000000             37.8975 010 99     2.40   2.40   0.13
7680526Ob us >/= 14 wks, sngl fetus                      A   0.99   0.33     0.28     0.33     0.28     0.04   1.36   1.31   1.36   1.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76810  Ob us >/= 14 wks, addl fetus                      A   0.98   1.44     1.59     1.44     1.59     0.26   2.68   2.83   2.68   2.83  1ZZZ.00.00.0000000             37.8975 090 99     2.43   2.43   0.46
76810TCOb us >/= 14 wks, addl fetus                      A   0.00   1.12     1.32     1.12     1.32     0.22   1.34   1.54   1.34   1.54  1ZZZ.00.00.0000000             37.8975 010 99     2.11   2.11   0.42
7681026Ob us >/= 14 wks, addl fetus                      A   0.98   0.32     0.27     0.32     0.27     0.04   1.34   1.29   1.34   1.29  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76811  Ob us, detailed, sngl fetus                       A   1.90   3.93     2.98     3.93NA   2.98 NA  0.52   6.35   5.40   6.35   5.40  1XXX.00.00.0000000             37.8975 030 99     4.19   4.19   0.56
76811TCOb us, detailed, sngl fetus                       A   0.00   3.26     2.45     3.26NA   2.45 NA  0.43   3.69   2.88   3.69   2.88  1XXX.00.00.0000000             37.8975 030 99     3.52   3.52   0.47
7681126Ob us, detailed, sngl fetus                       A   1.90   0.67     0.53     0.67     0.53     0.09   2.66   2.52   2.66   2.52  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76812  Ob us, detailed, addl fetus                       A   1.78   2.25     3.87     2.25     3.87     0.49   4.52   6.14   4.52   6.14  1ZZZ.00.00.0000000             37.8975 030 99     1.90   1.90   0.41
76812TCOb us, detailed, addl fetus                       A   0.00   1.63     3.37     1.63     3.37     0.41   2.04   3.78   2.04   3.78  1ZZZ.00.00.0000000             37.8975 030 99     1.28   1.28   0.33
7681226Ob us, detailed, addl fetus                       A   1.78   0.62     0.50     0.62     0.50     0.08   2.48   2.36   2.48   2.36  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76813  Ob us nuchal meas, 1 gest                         A   1.18   2.06     2.06     2.06NA   2.06 NA  0.19   3.43   3.43   3.43   3.43  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
76813TCOb us nuchal meas, 1 gest                         A   0.00   1.73     1.73     1.73NA   1.73 NA  0.14   1.87   1.87   1.87   1.87  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7681326Ob us nuchal meas, 1 gest                         A   1.18   0.33     0.33     0.33     0.33     0.05   1.56   1.56   1.56   1.56  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76814  Ob us nuchal meas, add-on                         A   0.99   1.11     1.11     1.11NA   1.11 NA  0.19   2.29   2.29   2.29   2.29  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
76814TCOb us nuchal meas, add-on                         A   0.00   0.84     0.84     0.84NA   0.84 NA  0.14   0.98   0.98   0.98   0.98  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7681426Ob us nuchal meas, add-on                         A   0.99   0.27     0.27     0.27     0.27     0.05   1.31   1.31   1.31   1.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76815  Ob us, limited, fetus(s)                          A   0.65   1.67     1.73     1.67NA   1.73 NA  0.11   2.43   2.49   2.43   2.49  1XXX.00.00.0000000             37.8975 090 99     1.74   1.74   0.12
76815TCOb us, limited, fetus(s)                          A   0.00   1.45     1.55     1.45NA   1.55 NA  0.08   1.53   1.63   1.53   1.63  1XXX.00.00.0000000             37.8975 010 99     1.52   1.52   0.09
7681526Ob us, limited, fetus(s)                          A   0.65   0.22     0.18     0.22     0.18     0.03   0.90   0.86   0.90   0.86  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76816  Ob us, follow-up, per fetus                       A   0.85   1.66     2.33     1.66NA   2.33 NA  0.10   2.61   3.28   2.61   3.28  1XXX.00.00.0000000             37.8975 090 99     1.84   1.84   0.11
76816TCOb us, follow-up, per fetus                       A   0.00   1.36     2.09     1.36NA   2.09 NA  0.06   1.42   2.15   1.42   2.15  1XXX.00.00.0000000             37.8975 010 99     1.54   1.54   0.07
7681626Ob us, follow-up, per fetus                       A   0.85   0.30     0.24     0.30     0.24     0.04   1.19   1.13   1.19   1.13  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76817  Transvaginal us, obstetric                        A   0.75   1.82     1.94     1.82NA   1.94 NA  0.09   2.66   2.78   2.66   2.78  1XXX.00.00.0000000             37.8975 030 99     1.80   1.80   0.09
76817TCTransvaginal us, obstetric                        A   0.00   1.57     1.73     1.57NA   1.73 NA  0.06   1.63   1.79   1.63   1.79  1XXX.00.00.0000000             37.8975 030 99     1.55   1.55   0.06
7681726Transvaginal us, obstetric                        A   0.75   0.25     0.21     0.25     0.21     0.03   1.03   0.99   1.03   0.99  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76818  Fetal biophys profile w/nst                       A   1.05   2.04     2.15     2.04NA   2.15 NA  0.15   3.24   3.35   3.24   3.35  1XXX.00.00.0000000             37.8975 090 99     2.76   2.76   0.19
76818TCFetal biophys profile w/nst                       A   0.00   1.67     1.86     1.67NA   1.86 NA  0.10   1.77   1.96   1.77   1.96  1XXX.00.00.0000000             37.8975 010 99     2.39   2.39   0.14
7681826Fetal biophys profile w/nst                       A   1.05   0.37     0.29     0.37     0.29     0.05   1.47   1.39   1.47   1.39  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76819  Fetal biophys profil w/o nst                      A   0.77   1.81     1.57     1.81NA   1.57 NA  0.13   2.71   2.47   2.71   2.47  1XXX.00.00.0000000             37.8975 090 99     2.64   2.64   0.18
76819TCFetal biophys profil w/o nst                      A   0.00   1.55     1.36     1.55NA   1.36 NA  0.10   1.65   1.46   1.65   1.46  1XXX.00.00.0000000             37.8975 010 99     2.38   2.38   0.15
7681926Fetal biophys profil w/o nst                      A   0.77   0.26     0.21     0.26     0.21     0.03   1.06   1.01   1.06   1.01  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76820  Umbilical artery echo                             A   0.50   1.49     0.55     1.49NA   0.55 NA  0.15   2.14   1.20   2.14   1.20  1XXX.00.00.0000000             37.8975 090 99     2.45   2.45   0.24
76820TCUmbilical artery echo                             A   0.00   1.31     0.41     1.31NA   0.41 NA  0.12   1.43   0.53   1.43   0.53  1XXX.00.00.0000000             37.8975 010 99     2.27   2.27   0.21
7682026Umbilical artery echo                             A   0.50   0.18     0.14     0.18     0.14     0.03   0.71   0.67   0.71   0.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76821  Middle cerebral artery echo                       A   0.70   1.87     1.83     1.87NA   1.83 NA  0.15   2.72   2.68   2.72   2.68  1XXX.00.00.0000000             37.8975 090 99     2.56   2.56   0.20
76821TCMiddle cerebral artery echo                       A   0.00   1.62     1.63     1.62NA   1.63 NA  0.12   1.74   1.75   1.74   1.75  1XXX.00.00.0000000             37.8975 010 99     2.31   2.31   0.17
7682126Middle cerebral artery echo                       A   0.70   0.25     0.20     0.25     0.20     0.03   0.98   0.93   0.98   0.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76825  Echo exam of fetal heart                          A   1.67   3.00     4.29     3.00NA   4.29 NA  0.18   4.85   6.14   4.85   6.14  1XXX.00.00.0000000             37.8975 090 99     3.05   3.05   0.18
76825TCEcho exam of fetal heart                          A   0.00   2.43     3.80     2.43NA   3.80 NA  0.11   2.54   3.91   2.54   3.91  1XXX.00.00.0000000             37.8975 010 99     2.48   2.48   0.11
7682526Echo exam of fetal heart                          A   1.67   0.57     0.49     0.57     0.49     0.07   2.31   2.23   2.31   2.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76826  Echo exam of fetal heart                          A   0.83   1.43     2.71     1.43NA   2.71 NA  0.08   2.34   3.62   2.34   3.62  1XXX.00.00.0000000             37.8975 090 99     2.76   2.76   0.14
76826TCEcho exam of fetal heart                          A   0.00   1.15     2.47     1.15NA   2.47 NA  0.05   1.20   2.52   1.20   2.52  1XXX.00.00.0000000             37.8975 010 99     2.48   2.48   0.11
7682626Echo exam of fetal heart                          A   0.83   0.28     0.24     0.28     0.24     0.03   1.14   1.10   1.14   1.10  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76827  Echo exam of fetal heart                          A   0.58   1.71     1.04     1.71NA   1.04 NA  0.14   2.43   1.76   2.43   1.76  1XXX.00.00.0000000             37.8975 090 99     2.60   2.60   0.21
76827TCEcho exam of fetal heart                          A   0.00   1.51     0.87     1.51NA   0.87 NA  0.12   1.63   0.99   1.63   0.99  1XXX.00.00.0000000             37.8975 010 99     2.40   2.40   0.19
7682726Echo exam of fetal heart                          A   0.58   0.20     0.17     0.20     0.17     0.02   0.80   0.77   0.80   0.77  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76828  Echo exam of fetal heart                          A   0.56   1.16     0.63     1.16NA   0.63 NA  0.11   1.83   1.30   1.83   1.30  1XXX.00.00.0000000             37.8975 090 99     2.60   2.60   0.23
76828TCEcho exam of fetal heart                          A   0.00   0.95     0.47     0.95NA   0.47 NA  0.08   1.03   0.55   1.03   0.55  1XXX.00.00.0000000             37.8975 010 99     2.39   2.39   0.20
7682826Echo exam of fetal heart                          A   0.56   0.21     0.16     0.21     0.16     0.03   0.80   0.75   0.80   0.75  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76830  Transvaginal us, non-ob                           A   0.69   1.97     2.62     1.97NA   2.62 NA  0.13   2.79   3.44   2.79   3.44  1XXX.00.00.0000000             37.8975 090 99     2.61   2.61   0.17
76830TCTransvaginal us, non-ob                           A   0.00   1.75     2.43     1.75NA   2.43 NA  0.10   1.85   2.53   1.85   2.53  1XXX.00.00.0000000             37.8975 010 99     2.39   2.39   0.14
7683026Transvaginal us, non-ob                           A   0.69   0.22     0.19     0.22     0.19     0.03   0.94   0.91   0.94   0.91  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76831  Echo exam, uterus                                 A   0.72   2.00     2.67     2.00NA   2.67 NA  0.13   2.85   3.52   2.85   3.52  1XXX.00.00.0040000             37.8975 090 01     4.01   4.01   0.25
76831TCEcho exam, uterus                                 A   0.00   1.76     2.47     1.76NA   2.47 NA  0.10   1.86   2.57   1.86   2.57  1XXX.00.00.0040000             37.8975 030 01     3.77   3.77   0.22
7683126Echo exam, uterus                                 A   0.72   0.24     0.20     0.24     0.20     0.03   0.99   0.95   0.99   0.95  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76856  Us exam, pelvic, complete                         A   0.69   1.99     2.67     1.99NA   2.67 NA  0.13   2.81   3.49   2.81   3.49  1XXX.00.00.0040000             37.8975 090 01     2.62   2.62   0.17
76856TCUs exam, pelvic, complete                         A   0.00   1.76     2.46     1.76NA   2.46 NA  0.10   1.86   2.56   1.86   2.56  1XXX.00.00.0040000             37.8975 010 01     2.39   2.39   0.14
7685626Us exam, pelvic, complete                         A   0.69   0.23     0.21     0.23     0.21     0.03   0.95   0.93   0.95   0.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76857  Us exam, pelvic, limited                          A   0.38   1.99     2.46     1.99NA   2.46 NA  0.08   2.45   2.92   2.45   2.92  1XXX.00.00.0040000             37.8975 090 01     1.69   1.69   0.07
76857TCUs exam, pelvic, limited                          A   0.00   1.86     2.32     1.86NA   2.32 NA  0.06   1.92   2.38   1.92   2.38  1XXX.00.00.0040000             37.8975 010 01     1.56   1.56   0.05
7685726Us exam, pelvic, limited                          A   0.38   0.13     0.14     0.13     0.14     0.02   0.53   0.54   0.53   0.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76870  Us exam, scrotum                                  A   0.64   1.97     2.67     1.97NA   2.67 NA  0.13   2.74   3.44   2.74   3.44  1XXX.00.00.0000000             37.8975 090 99     2.60   2.60   0.17
76870TCUs exam, scrotum                                  A   0.00   1.76     2.48     1.76NA   2.48 NA  0.10   1.86   2.58   1.86   2.58  1XXX.00.00.0000000             37.8975 010 99     2.39   2.39   0.14
7687026Us exam, scrotum                                  A   0.64   0.21     0.19     0.21     0.19     0.03   0.88   0.86   0.88   0.86  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76872  Us, transrectal                                   A   0.69   2.52     3.37     2.52NA   3.37 NA  0.14   3.35   4.20   3.35   4.20  1XXX.00.00.0000000             37.8975 090 99     2.65   2.65   0.15
76872TCUs, transrectal                                   A   0.00   2.29     3.10     2.29NA   3.10 NA  0.10   2.39   3.20   2.39   3.20  1XXX.00.00.0000000             37.8975 010 99     2.42   2.42   0.11
7687226Us, transrectal                                   A   0.69   0.23     0.27     0.23     0.27     0.04   0.96   1.00   0.96   1.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76873  Echograp trans r, pros study                      A   1.55   2.81     3.43     2.81NA   3.43 NA  0.25   4.61   5.23   4.61   5.23  1XXX.00.00.0099999             37.8975 090 99     2.88   2.88   0.26
76873TCEchograp trans r, pros study                      A   0.00   2.29     2.87     2.29NA   2.87 NA  0.16   2.45   3.03   2.45   3.03  1XXX.00.00.0099999             37.8975 020 99     2.36   2.36   0.17
7687326Echograp trans r, pros study                      A   1.55   0.52     0.56     0.52     0.56     0.09   2.16   2.20   2.16   2.20  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
76880  Us exam, extremity                                A   0.59   1.97     3.05     1.97NA   3.05 NA  0.11   2.67   3.75   2.67   3.75  1XXX.00.00.0000000             37.8975 090 99     2.60   2.60   0.14
76880TCUs exam, extremity                                A   0.00   1.79     2.89     1.79NA   2.89 NA  0.08   1.87   2.97   1.87   2.97  1XXX.00.00.0000000             37.8975 010 99     2.42   2.42   0.11
7688026Us exam, extremity                                A   0.59   0.18     0.16     0.18     0.16     0.03   0.80   0.78   0.80   0.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76885  Us exam infant hips, dynamic                      A   0.74   2.08     3.03     2.08NA   3.03 NA  0.13   2.95   3.90   2.95   3.90  1XXX.00.00.0000000             37.8975 090 99     1.76   1.76   0.11
76885TCUs exam infant hips, dynamic                      A   0.00   1.85     2.83     1.85NA   2.83 NA  0.10   1.95   2.93   1.95   2.93  1XXX.00.00.0000000             37.8975 010 99     1.53   1.53   0.08
7688526Us exam infant hips, dynamic                      A   0.74   0.23     0.20     0.23     0.20     0.03   1.00   0.97   1.00   0.97  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76886  Us exam infant hips, static                       A   0.62   1.76     2.20     1.76NA   2.20 NA  0.11   2.49   2.93   2.49   2.93  1XXX.00.00.0000000             37.8975 090 99     1.72   1.72   0.11
76886TCUs exam infant hips, static                       A   0.00   1.57     2.03     1.57NA   2.03 NA  0.08   1.65   2.11   1.65   2.11  1XXX.00.00.0000000             37.8975 010 99     1.53   1.53   0.08
7688626Us exam infant hips, static                       A   0.62   0.19     0.17     0.19     0.17     0.03   0.84   0.82   0.84   0.82  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76930  Echo guide, cardiocentesis                        A   0.67   1.85     2.08     1.85NA   2.08 NA  0.12   2.64   2.87   2.64   2.87  1XXX.00.00.0000000             37.8975 090 99     2.08   2.08   0.14
76930TCEcho guide, cardiocentesis                        A   0.00   1.58     1.74     1.58NA   1.74 NA  0.10   1.68   1.84   1.68   1.84  1XXX.00.00.0000000             37.8975 030 99     1.81   1.81   0.12
7693026Echo guide, cardiocentesis                        A   0.67   0.27     0.34     0.27     0.34     0.02   0.96   1.03   0.96   1.03  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76932  Echo guide for heart biopsy                       C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     3.48   3.48   0.23
76932TCEcho guide for heart biopsy                       C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     3.20   3.20   0.21
7693226Echo guide for heart biopsy                       A   0.67   0.28     0.35     0.28     0.35     0.02   0.97   1.04   0.97   1.04  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76936  Echo guide for artery repair                      A   1.99   6.67     5.81     6.67NA   5.81 NA  0.47   9.13   8.27   9.13   8.27  1XXX.00.00.0000000             37.8975 090 99     3.88   3.88   0.32
76936TCEcho guide for artery repair                      A   0.00   6.01     5.17     6.01NA   5.17 NA  0.34   6.35   5.51   6.35   5.51  1XXX.00.00.0000000             37.8975 030 99     3.22   3.22   0.19
7693626Echo guide for artery repair                      A   1.99   0.66     0.64     0.66     0.64     0.13   2.78   2.76   2.78   2.76  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76937  Us guide, vascular access                         A   0.30   0.51     0.58     0.51     0.58     0.13   0.94   1.01   0.94   1.01  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76937TCUs guide, vascular access                         A   0.00   0.41     0.49     0.41     0.49     0.10   0.51   0.59   0.51   0.59  1ZZZ.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7693726Us guide, vascular access                         A   0.30   0.10     0.09     0.10     0.09     0.03   0.43   0.42   0.43   0.42  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76940  Us guide, tissue ablation                         C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     2.44   2.44   0.43
76940TCUs guide, tissue ablation                         C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     1.81   1.81   0.12
7694026Us guide, tissue ablation                         A   2.00   0.63     0.58     0.63     0.58     0.31   2.94   2.89   2.94   2.89  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76941  Echo guide for transfusion                        C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     2.27   2.27   0.19
76941TCEcho guide for transfusion                        C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     1.81   1.81   0.12
7694126Echo guide for transfusion                        A   1.34   0.46     0.43     0.46     0.43     0.07   1.87   1.84   1.87   1.84  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76942  Echo guide for biopsy                             A   0.67   3.43     4.64     3.43NA   4.64 NA  0.13   4.23   5.44   4.23   5.44  1XXX.00.00.0000000             37.8975 090 99     2.09   2.09   0.09
76942TCEcho guide for biopsy                             A   0.00   3.21     4.42     3.21NA   4.42 NA  0.10   3.31   4.52   3.31   4.52  1XXX.00.00.0000000             37.8975 030 99     1.87   1.87   0.06
7694226Echo guide for biopsy                             A   0.67   0.22     0.22     0.22     0.22     0.03   0.92   0.92   0.92   0.92  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76945  Echo guide, villus sampling                       C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     1.68   1.68   0.50
76945TCEcho guide, villus sampling                       C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     1.46   1.46   0.47
7694526Echo guide, villus sampling                       A   0.67   0.22     0.20     0.22     0.20     0.03   0.92   0.90   0.92   0.90  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76946  Echo guide for amniocentesis                      A   0.38   1.35     0.44     1.35NA   0.44 NA  0.12   1.85   0.94   1.85   0.94  1XXX.00.00.0000000             37.8975 090 99     1.91   1.91   0.17
76946TCEcho guide for amniocentesis                      A   0.00   1.22     0.33     1.22NA   0.33 NA  0.10   1.32   0.43   1.32   0.43  1XXX.00.00.0000000             37.8975 030 99     1.78   1.78   0.15
7694626Echo guide for amniocentesis                      A   0.38   0.13     0.11     0.13     0.11     0.02   0.53   0.51   0.53   0.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76948  Echo guide, ova aspiration                        A   0.38   1.34     0.43     1.34NA   0.43 NA  0.12   1.84   0.93   1.84   0.93  1XXX.00.00.0000000             37.8975 090 99     3.27   3.27   0.28
76948TCEcho guide, ova aspiration                        A   0.00   1.22     0.33     1.22NA   0.33 NA  0.10   1.32   0.43   1.32   0.43  1XXX.00.00.0000000             37.8975 030 99     3.15   3.15   0.26
7694826Echo guide, ova aspiration                        A   0.38   0.12     0.10     0.12     0.10     0.02   0.52   0.50   0.52   0.50  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76950  Echo guidance radiotherapy                        A   0.58   1.43     1.22     1.43NA   1.22 NA  0.10   2.11   1.90   2.11   1.90  1XXX.00.00.0000000             37.8975 090 99     2.01   2.01   0.14
76950TCEcho guidance radiotherapy                        A   0.00   1.24     1.02     1.24NA   1.02 NA  0.07   1.31   1.09   1.31   1.09  1XXX.00.00.0000000             37.8975 010 99     1.82   1.82   0.11
7695026Echo guidance radiotherapy                        A   0.58   0.19     0.20     0.19     0.20     0.03   0.80   0.81   0.80   0.81  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76965  Echo guidance radiotherapy                        A   1.34   4.80     1.22     4.80NA   1.22 NA  0.37   6.51   2.93   6.51   2.93  1XXX.00.00.0000000             37.8975 090 99     3.65   3.65   0.29
76965TCEcho guidance radiotherapy                        A   0.00   4.35     0.70     4.35NA   0.70 NA  0.29   4.64   0.99   4.64   0.99  1XXX.00.00.0000000             37.8975 030 99     3.20   3.20   0.21
7696526Echo guidance radiotherapy                        A   1.34   0.45     0.52     0.45     0.52     0.08   1.87   1.94   1.87   1.94  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76970  Ultrasound exam follow-up                         A   0.40   1.41     2.07     1.41NA   2.07 NA  0.08   1.89   2.55   1.89   2.55  1XXX.00.00.0000000             37.8975 090 99     1.67   1.67   0.09
76970TCUltrasound exam follow-up                         A   0.00   1.28     1.96     1.28NA   1.96 NA  0.06   1.34   2.02   1.34   2.02  1XXX.00.00.0000000             37.8975 010 99     1.54   1.54   0.07
7697026Ultrasound exam follow-up                         A   0.40   0.13     0.11     0.13     0.11     0.02   0.55   0.53   0.55   0.53  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76975  GI endoscopic ultrasound                          C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     2.74   2.74   0.11
76975TCGI endoscopic ultrasound                          C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     2.46   2.46   0.07
7697526GI endoscopic ultrasound                          A   0.81   0.28     0.29     0.28     0.29     0.04   1.13   1.14   1.13   1.14  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76977  Us bone density measure                           A   0.05   0.66     0.10     0.66NA   0.10 NA  0.06   0.77   0.21   0.77   0.21  1XXX.00.00.0000000             37.8975 090 99     0.94   0.94   0.08
76977TCUs bone density measure                           A   0.00   0.64     0.09     0.64NA   0.09 NA  0.05   0.69   0.14   0.69   0.14  1XXX.00.00.0000000             37.8975 010 99     0.92   0.92   0.07
7697726Us bone density measure                           A   0.05   0.02     0.01     0.02     0.01     0.01   0.08   0.07   0.08   0.07  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76998  Us guide, intraop                                 C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76998TCUs guide, intraop                                 C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     1.97   1.97   0.56
7699826Us guide, intraop                                 A   1.20   0.39     0.34     0.39     0.34     0.13   1.72   1.67   1.72   1.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76999  Echo examination procedure                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
76999TCEcho examination procedure                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7699926Echo examination procedure                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77001  Fluoroguide for vein device                       A   0.38   1.73     2.58     1.73NA   2.58 NA  0.11   2.22   3.07   2.22   3.07  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77001TCFluoroguide for vein device                       A   0.00   1.60     2.47     1.60NA   2.47 NA  0.10   1.70   2.57   1.70   2.57  1ZZZ.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7700126Fluoroguide for vein device                       A   0.38   0.13     0.11     0.13     0.11     0.01   0.52   0.50   0.52   0.50  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77002  Needle localization by xray                       A   0.54   1.40     1.15     1.40NA   1.15 NA  0.09   2.03   1.78   2.03   1.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77002TCNeedle localization by xray                       A   0.00   1.24     1.01     1.24NA   1.01 NA  0.07   1.31   1.08   1.31   1.08  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
7700226Needle localization by xray                       A   0.54   0.16     0.14     0.16     0.14     0.02   0.72   0.70   0.72   0.70  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77003  Fluoroguide for spine inject                      A   0.60   1.28     0.74     1.28NA   0.74 NA  0.10   1.98   1.44   1.98   1.44  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
77003TCFluoroguide for spine inject                      A   0.00   1.13     0.60     1.13NA   0.60 NA  0.07   1.20   0.67   1.20   0.67  1XXX.00.00.0099999             37.8975 030 99     0.00   0.00   0.00
7700326Fluoroguide for spine inject                      A   0.60   0.15     0.14     0.15     0.14     0.03   0.78   0.77   0.78   0.77  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
77011  Ct scan for localization                          A   1.21  11.38    19.50    11.38NA  19.50 NA  0.47  13.06  21.18  13.06  21.18  1XXX.00.00.0000000             37.8975 090 99     6.76   6.76   0.30
77011TCCt scan for localization                          A   0.00  10.99    19.16    10.99NA  19.16 NA  0.42  11.41  19.58  11.41  19.58  1XXX.00.00.0000000             37.8975 030 99     6.37   6.37   0.25
7701126Ct scan for localization                          A   1.21   0.39     0.34     0.39     0.34     0.05   1.65   1.60   1.65   1.60  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77012  Ct scan for needle biopsy                         A   1.16   7.02     2.14     7.02NA   2.14 NA  0.47   8.65   3.77   8.65   3.77  1XXX.00.00.0000000             37.8975 090 99     6.60   6.60   0.44
77012TCCt scan for needle biopsy                         A   0.00   6.65     1.81     6.65NA   1.81 NA  0.42   7.07   2.23   7.07   2.23  1XXX.00.00.0000000             37.8975 030 99     6.23   6.23   0.39
7701226Ct scan for needle biopsy                         A   1.16   0.37     0.33     0.37     0.33     0.05   1.58   1.54   1.58   1.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77013  Ct guide for tissue ablation                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77013TCCt guide for tissue ablation                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     7.46   7.46   0.39
7701326Ct guide for tissue ablation                      A   3.99   1.27     1.19     1.27     1.19     0.18   5.44   5.36   5.44   5.36  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77014  Ct scan for therapy guide                         A   0.85   3.53     4.43     3.53NA   4.43 NA  0.20   4.58   5.48   4.58   5.48  1XXX.00.00.0000000             37.8975 090 99     2.66   2.66   0.15
77014TCCt scan for therapy guide                         A   0.00   3.25     4.16     3.25NA   4.16 NA  0.16   3.41   4.32   3.41   4.32  1XXX.00.00.0000000             37.8975 020 99     2.38   2.38   0.11
7701426Ct scan for therapy guide                         A   0.85   0.28     0.27     0.28     0.27     0.04   1.17   1.16   1.17   1.16  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77021  Mr guidance for needle place                      A   1.50  11.08     9.20    11.08NA   9.20 NA  0.64  13.22  11.34  13.22  11.34  1XXX.00.00.0000000             37.8975 090 99     7.51   7.51   0.45
77021TCMr guidance for needle place                      A   0.00  10.59     8.76    10.59NA   8.76 NA  0.55  11.14   9.31  11.14   9.31  1XXX.00.00.0000000             37.8975 030 99     7.02   7.02   0.36
7702126Mr guidance for needle place                      A   1.50   0.49     0.44     0.49     0.44     0.09   2.08   2.03   2.08   2.03  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77022  Mri for tissue ablation                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77022TCMri for tissue ablation                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     7.16   7.16   0.22
7702226Mri for tissue ablation                           A   4.24   1.34     1.22     1.34     1.22     0.24   5.82   5.70   5.82   5.70  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77031  Stereotact guide for brst bx                      A   1.59   6.19     1.71     6.19NA   1.71 NA  0.46   8.24   3.76   8.24   3.76  1XXX.00.00.0000000             37.8975 090 99     5.01   5.01   0.38
77031TCStereotact guide for brst bx                      A   0.00   5.69     1.27     5.69NA   1.27 NA  0.37   6.06   1.64   6.06   1.64  1XXX.00.00.0000000             37.8975 030 99     4.51   4.51   0.29
7703126Stereotact guide for brst bx                      A   1.59   0.50     0.44     0.50     0.44     0.09   2.18   2.12   2.18   2.12  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77032  Guidance for needle, breast                       A   0.56   1.26     0.56     1.26NA   0.56 NA  0.09   1.91   1.21   1.91   1.21  1XXX.00.00.0000000             37.8975 090 99     2.76   2.76   0.19
77032TCGuidance for needle, breast                       A   0.00   1.08     0.40     1.08NA   0.40 NA  0.07   1.15   0.47   1.15   0.47  1XXX.00.00.0000000             37.8975 030 99     2.58   2.58   0.17
7703226Guidance for needle, breast                       A   0.56   0.18     0.16     0.18     0.16     0.02   0.76   0.74   0.76   0.74  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77051  Computer dx mammogram add-on                      A   0.06   0.38     0.19     0.38     0.19     0.02   0.46   0.27   0.46   0.27  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77051TCComputer dx mammogram add-on                      A   0.00   0.36     0.17     0.36     0.17     0.01   0.37   0.18   0.37   0.18  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7705126Computer dx mammogram add-on                      A   0.06   0.02     0.02     0.02     0.02     0.01   0.09   0.09   0.09   0.09  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77052  Comp screen mammogram add-on                      A   0.06   0.38     0.19     0.38     0.19     0.02   0.46   0.27   0.46   0.27  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77052TCComp screen mammogram add-on                      A   0.00   0.36     0.17     0.36     0.17     0.01   0.37   0.18   0.37   0.18  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7705226Comp screen mammogram add-on                      A   0.06   0.02     0.02     0.02     0.02     0.01   0.09   0.09   0.09   0.09  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77053  X-ray of mammary duct                             A   0.36   2.21     0.59     2.21NA   0.59 NA  0.16   2.73   1.11   2.73   1.11  1XXX.00.00.0000000             37.8975 090 99     2.70   2.70   0.19
77053TCX-ray of mammary duct                             A   0.00   2.09     0.49     2.09NA   0.49 NA  0.14   2.23   0.63   2.23   0.63  1XXX.00.00.0000000             37.8975 030 99     2.58   2.58   0.17
7705326X-ray of mammary duct                             A   0.36   0.12     0.10     0.12     0.10     0.02   0.50   0.48   0.50   0.48  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77054  X-ray of mammary ducts                            A   0.45   3.25     1.56     3.25NA   1.56 NA  0.21   3.91   2.22   3.91   2.22  1XXX.00.00.0000000             37.8975 090 99     2.74   2.74   0.18
77054TCX-ray of mammary ducts                            A   0.00   3.10     1.43     3.10NA   1.43 NA  0.19   3.29   1.62   3.29   1.62  1XXX.00.00.0000000             37.8975 030 99     2.59   2.59   0.16
7705426X-ray of mammary ducts                            A   0.45   0.15     0.13     0.15     0.13     0.02   0.62   0.60   0.62   0.60  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77055  Mammogram, one breast                             A   0.70   1.34     1.51     1.34NA   1.51 NA  0.09   2.13   2.30   2.13   2.30  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77055TCMammogram, one breast                             A   0.00   1.12     1.31     1.12NA   1.31 NA  0.06   1.18   1.37   1.18   1.37  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7705526Mammogram, one breast                             A   0.70   0.22     0.20     0.22     0.20     0.03   0.95   0.93   0.95   0.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77056  Mammogram, both breasts                           A   0.87   1.68     1.96     1.68NA   1.96 NA  0.11   2.66   2.94   2.66   2.94  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77056TCMammogram, both breasts                           A   0.00   1.41     1.72     1.41NA   1.72 NA  0.07   1.48   1.79   1.48   1.79  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7705626Mammogram, both breasts                           A   0.87   0.27     0.24     0.27     0.24     0.04   1.18   1.15   1.18   1.15  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77057  Mammogram, screening                              A   0.70   1.43     1.33     1.43NA   1.33 NA  0.10   2.23   2.13   2.23   2.13  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
77057TCMammogram, screening                              A   0.00   1.21     1.13     1.21NA   1.13 NA  0.07   1.28   1.20   1.28   1.20  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
7705726Mammogram, screening                              A   0.70   0.22     0.20     0.22     0.20     0.03   0.95   0.93   0.95   0.93  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
77058  Mri, one breast                                   A   1.63  18.76    20.61    18.76NA  20.61 NA  0.99  21.38  23.23  21.38  23.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77058TCMri, one breast                                   A   0.00  18.25    20.15    18.25NA  20.15 NA  0.92  19.17  21.07  19.17  21.07  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
7705826Mri, one breast                                   A   1.63   0.51     0.46     0.51     0.46     0.07   2.21   2.16   2.21   2.16  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77059  Mri, both breasts                                 A   1.63  23.46    20.51    23.46NA  20.51 NA  1.31  26.40  23.45  26.40  23.45  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
77059TCMri, both breasts                                 A   0.00  22.95    20.05    22.95NA  20.05 NA  1.24  24.19  21.29  24.19  21.29  1XXX.00.00.0002000             37.8975 020 99     0.00   0.00   0.00
7705926Mri, both breasts                                 A   1.63   0.51     0.46     0.51     0.46     0.07   2.21   2.16   2.21   2.16  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
77071  X-ray stress view                                 A   0.41   0.33     0.76     0.33     0.76     0.06   0.80   1.23   0.80   1.23  2XXX.00.00.0003000             37.8975 030 99     0.00   0.00   0.00
77072  X-rays for bone age                               A   0.19   0.39     0.39     0.39NA   0.39 NA  0.03   0.61   0.61   0.61   0.61  1XXX.00.00.0000000             37.8975 090 99     1.13   1.13   0.08
77072TCX-rays for bone age                               A   0.00   0.34     0.34     0.34NA   0.34 NA  0.02   0.36   0.36   0.36   0.36  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7707226X-rays for bone age                               A   0.19   0.05     0.05     0.05     0.05     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77073  X-rays, bone length studies                       A   0.27   0.81     0.64     0.81NA   0.64 NA  0.06   1.14   0.97   1.14   0.97  1XXX.00.00.0000000             37.8975 090 99     1.17   1.17   0.08
77073TCX-rays, bone length studies                       A   0.00   0.72     0.55     0.72NA   0.55 NA  0.05   0.77   0.60   0.77   0.60  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7707326X-rays, bone length studies                       A   0.27   0.09     0.09     0.09     0.09     0.01   0.37   0.37   0.37   0.37  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77074  X-rays, bone survey, limited                      A   0.45   1.20     1.34     1.20NA   1.34 NA  0.08   1.73   1.87   1.73   1.87  1XXX.00.00.0000000             37.8975 090 99     2.03   2.03   0.12
77074TCX-rays, bone survey, limited                      A   0.00   1.05     1.21     1.05NA   1.21 NA  0.06   1.11   1.27   1.11   1.27  1XXX.00.00.0000000             37.8975 010 99     1.88   1.88   0.10
7707426X-rays, bone survey, limited                      A   0.45   0.15     0.13     0.15     0.13     0.02   0.62   0.60   0.62   0.60  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77075  X-rays, bone survey complete                      A   0.54   1.76     2.14     1.76NA   2.14 NA  0.10   2.40   2.78   2.40   2.78  1XXX.00.00.0000000             37.8975 090 99     2.07   2.07   0.11
77075TCX-rays, bone survey complete                      A   0.00   1.58     1.98     1.58NA   1.98 NA  0.08   1.66   2.06   1.66   2.06  1XXX.00.00.0000000             37.8975 010 99     1.89   1.89   0.09
7707526X-rays, bone survey complete                      A   0.54   0.18     0.16     0.18     0.16     0.02   0.74   0.72   0.74   0.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77076  X-rays, bone survey, infant                       A   0.70   1.20     1.91     1.20NA   1.91 NA  0.08   1.98   2.69   1.98   2.69  1XXX.00.00.0000000             37.8975 090 99     1.31   1.31   0.09
77076TCX-rays, bone survey, infant                       A   0.00   0.98     1.73     0.98NA   1.73 NA  0.05   1.03   1.78   1.03   1.78  1XXX.00.00.0000000             37.8975 010 99     1.09   1.09   0.06
7707626X-rays, bone survey, infant                       A   0.70   0.22     0.18     0.22     0.18     0.03   0.95   0.91   0.95   0.91  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77077  Joint survey, single view                         A   0.31   1.07     0.64     1.07NA   0.64 NA  0.08   1.46   1.03   1.46   1.03  1XXX.00.00.0000000             37.8975 090 99     1.18   1.18   0.09
77077TCJoint survey, single view                         A   0.00   0.97     0.53     0.97NA   0.53 NA  0.06   1.03   0.59   1.03   0.59  1XXX.00.00.0000000             37.8975 010 99     1.08   1.08   0.07
7707726Joint survey, single view                         A   0.31   0.10     0.11     0.10     0.11     0.02   0.43   0.44   0.43   0.44  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77078  Ct bone density, axial                            A   0.25   3.41     4.52     3.41NA   4.52 NA  0.17   3.83   4.94   3.83   4.94  1XXX.00.00.0000000             37.8975 090 99     1.90   1.90   0.10
77078TCCt bone density, axial                            A   0.00   3.33     4.45     3.33NA   4.45 NA  0.16   3.49   4.61   3.49   4.61  1XXX.00.00.0000000             37.8975 010 99     1.82   1.82   0.09
7707826Ct bone density, axial                            A   0.25   0.08     0.07     0.08     0.07     0.01   0.34   0.33   0.34   0.33  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77079  Ct bone density, peripheral                       A   0.22   2.45     0.72     2.45NA   0.72 NA  0.06   2.73   1.00   2.73   1.00  1XXX.00.00.0000000             37.8975 010 99     2.51   2.51   0.06
77079TCCt bone density, peripheral                       A   0.00   2.38     0.66     2.38NA   0.66 NA  0.05   2.43   0.71   2.43   0.71  1XXX.00.00.0000000             37.8975 010 99     2.44   2.44   0.05
7707926Ct bone density, peripheral                       A   0.22   0.07     0.06     0.07     0.06     0.01   0.30   0.29   0.30   0.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77080  Dxa bone density, axial                           A   0.20   2.59     0.79     2.59NA   0.79 NA  0.18   2.97   1.17   2.97   1.17  1XXX.00.00.0000000             37.8975 090 99     1.88   1.88   0.13
77080TCDxa bone density, axial                           A   0.00   2.50     0.73     2.50NA   0.73 NA  0.17   2.67   0.90   2.67   0.90  1XXX.00.00.0000000             37.8975 010 99     1.79   1.79   0.12
7708026Dxa bone density, axial                           A   0.20   0.09     0.06     0.09     0.06     0.01   0.30   0.27   0.30   0.27  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77081  Dxa bone density/peripheral                       A   0.22   0.80     0.69     0.80NA   0.69 NA  0.06   1.08   0.97   1.08   0.97  1XXX.00.00.0000000             37.8975 090 99     0.91   0.91   0.07
77081TCDxa bone density/peripheral                       A   0.00   0.72     0.63     0.72NA   0.63 NA  0.05   0.77   0.68   0.77   0.68  1XXX.00.00.0000000             37.8975 010 99     0.83   0.83   0.06
7708126Dxa bone density/peripheral                       A   0.22   0.08     0.06     0.08     0.06     0.01   0.31   0.29   0.31   0.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77082  Dxa bone density, vert fx                         A   0.17   0.71     0.41     0.71NA   0.41 NA  0.06   0.94   0.64   0.94   0.64  1XXX.00.00.0000000             37.8975 090 99     1.13   1.13   0.09
77082TCDxa bone density, vert fx                         A   0.00   0.65     0.36     0.65NA   0.36 NA  0.05   0.70   0.41   0.70   0.41  1XXX.00.00.0000000             37.8975 010 99     1.07   1.07   0.08
7708226Dxa bone density, vert fx                         A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77083  Radiographic absorptiometry                       A   0.20   0.71     0.37     0.71NA   0.37 NA  0.06   0.97   0.63   0.97   0.63  1XXX.00.00.0000000             37.8975 090 99     1.91   1.91   0.15
77083TCRadiographic absorptiometry                       A   0.00   0.64     0.32     0.64NA   0.32 NA  0.05   0.69   0.37   0.69   0.37  1XXX.00.00.0000000             37.8975 010 99     1.84   1.84   0.14
7708326Radiographic absorptiometry                       A   0.20   0.07     0.05     0.07     0.05     0.01   0.28   0.26   0.28   0.26  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77084  Magnetic image, bone marrow                       A   1.60  12.24    13.81    12.24NA  13.81 NA  0.66  14.50  16.07  14.50  16.07  1XXX.00.00.0000000             37.8975 090 99     7.54   7.54   0.42
77084TCMagnetic image, bone marrow                       A   0.00  11.73    13.33    11.73NA  13.33 NA  0.59  12.32  13.92  12.32  13.92  1XXX.00.00.0000000             37.8975 010 99     7.03   7.03   0.35
7708426Magnetic image, bone marrow                       A   1.60   0.51     0.48     0.51     0.48     0.07   2.18   2.15   2.18   2.15  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77261  Radiation therapy planning                        A   1.39   0.51     0.49     0.51     0.49     0.07   1.97   1.95   1.97   1.95  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77262  Radiation therapy planning                        A   2.11   0.74     0.71     0.74     0.71     0.11   2.96   2.93   2.96   2.93  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77263  Radiation therapy planning                        A   3.14   1.10     1.06     1.10     1.06     0.16   4.40   4.36   4.40   4.36  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77280  Set radiation therapy field                       A   0.70   3.89     4.45     3.89NA   4.45 NA  0.22   4.81   5.37   4.81   5.37  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77280TCSet radiation therapy field                       A   0.00   3.66     4.21     3.66NA   4.21 NA  0.18   3.84   4.39   3.84   4.39  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7728026Set radiation therapy field                       A   0.70   0.23     0.24     0.23     0.24     0.04   0.97   0.98   0.97   0.98  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77285  Set radiation therapy field                       A   1.05   6.45     8.06     6.45NA   8.06 NA  0.35   7.85   9.46   7.85   9.46  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77285TCSet radiation therapy field                       A   0.00   6.11     7.71     6.11NA   7.71 NA  0.30   6.41   8.01   6.41   8.01  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7728526Set radiation therapy field                       A   1.05   0.34     0.35     0.34     0.35     0.05   1.44   1.45   1.44   1.45  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77290  Set radiation therapy field                       A   1.56   8.63    13.47     8.63NA  13.47 NA  0.43  10.62  15.46  10.62  15.46  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77290TCSet radiation therapy field                       A   0.00   8.12    12.94     8.12NA  12.94 NA  0.35   8.47  13.29   8.47  13.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7729026Set radiation therapy field                       A   1.56   0.51     0.53     0.51     0.53     0.08   2.15   2.17   2.15   2.17  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77295  Set radiation therapy field                       A   4.56  23.92     7.51    23.92NA   7.51 NA  1.71  30.19  13.78  30.19  13.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77295TCSet radiation therapy field                       A   0.00  22.44     5.96    22.44NA   5.96 NA  1.48  23.92   7.44  23.92   7.44  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7729526Set radiation therapy field                       A   4.56   1.48     1.55     1.48     1.55     0.23   6.27   6.34   6.27   6.34  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77299  Radiation therapy planning                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77299TCRadiation therapy planning                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7729926Radiation therapy planning                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77300  Radiation therapy dose plan                       A   0.62   1.45     1.19     1.45NA   1.19 NA  0.10   2.17   1.91   2.17   1.91  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77300TCRadiation therapy dose plan                       A   0.00   1.25     0.98     1.25NA   0.98 NA  0.07   1.32   1.05   1.32   1.05  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7730026Radiation therapy dose plan                       A   0.62   0.20     0.21     0.20     0.21     0.03   0.85   0.86   0.85   0.86  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77301  Radiotherapy dose plan, imrt                      A   7.99  37.25    57.55    37.25NA  57.55 NA  1.88  47.12  67.42  47.12  67.42  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77301TCRadiotherapy dose plan, imrt                      A   0.00  34.66    54.86    34.66NA  54.86 NA  1.48  36.14  56.34  36.14  56.34  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7730126Radiotherapy dose plan, imrt                      A   7.99   2.59     2.69     2.59     2.69     0.40  10.98  11.08  10.98  11.08  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77305  Teletx isodose plan simple                        A   0.70   1.79     0.91     1.79NA   0.91 NA  0.15   2.64   1.76   2.64   1.76  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77305TCTeletx isodose plan simple                        A   0.00   1.56     0.67     1.56NA   0.67 NA  0.11   1.67   0.78   1.67   0.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7730526Teletx isodose plan simple                        A   0.70   0.23     0.24     0.23     0.24     0.04   0.97   0.98   0.97   0.98  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77310  Teletx isodose plan intermed                      A   1.05   2.32     1.26     2.32NA   1.26 NA  0.18   3.55   2.49   3.55   2.49  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77310TCTeletx isodose plan intermed                      A   0.00   1.98     0.91     1.98NA   0.91 NA  0.13   2.11   1.04   2.11   1.04  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7731026Teletx isodose plan intermed                      A   1.05   0.34     0.35     0.34     0.35     0.05   1.44   1.45   1.44   1.45  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77315  Teletx isodose plan complex                       A   1.56   2.90     2.11     2.90NA   2.11 NA  0.22   4.68   3.89   4.68   3.89  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77315TCTeletx isodose plan complex                       A   0.00   2.39     1.58     2.39NA   1.58 NA  0.14   2.53   1.72   2.53   1.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7731526Teletx isodose plan complex                       A   1.56   0.51     0.53     0.51     0.53     0.08   2.15   2.17   2.15   2.17  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77321  Special teletx port plan                          A   0.95   3.64     1.52     3.64NA   1.52 NA  0.26   4.85   2.73   4.85   2.73  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77321TCSpecial teletx port plan                          A   0.00   3.33     1.20     3.33NA   1.20 NA  0.21   3.54   1.41   3.54   1.41  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7732126Special teletx port plan                          A   0.95   0.31     0.32     0.31     0.32     0.05   1.31   1.32   1.31   1.32  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77326  Brachytx isodose calc simp                        A   0.93   2.75     3.01     2.75NA   3.01 NA  0.18   3.86   4.12   3.86   4.12  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77326TCBrachytx isodose calc simp                        A   0.00   2.44     2.69     2.44NA   2.69 NA  0.13   2.57   2.82   2.57   2.82  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7732626Brachytx isodose calc simp                        A   0.93   0.31     0.32     0.31     0.32     0.05   1.29   1.30   1.29   1.30  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77327  Brachytx isodose calc interm                      A   1.39   3.97     4.12     3.97NA   4.12 NA  0.25   5.61   5.76   5.61   5.76  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77327TCBrachytx isodose calc interm                      A   0.00   3.52     3.65     3.52NA   3.65 NA  0.18   3.70   3.83   3.70   3.83  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7732726Brachytx isodose calc interm                      A   1.39   0.45     0.47     0.45     0.47     0.07   1.91   1.93   1.91   1.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77328  Brachytx isodose plan compl                       A   2.09   5.54     5.28     5.54NA   5.28 NA  0.36   7.99   7.73   7.99   7.73  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77328TCBrachytx isodose plan compl                       A   0.00   4.86     4.57     4.86NA   4.57 NA  0.25   5.11   4.82   5.11   4.82  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7732826Brachytx isodose plan compl                       A   2.09   0.68     0.71     0.68     0.71     0.11   2.88   2.91   2.88   2.91  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77331  Special radiation dosimetry                       A   0.87   0.79     0.81     0.79NA   0.81 NA  0.06   1.72   1.74   1.72   1.74  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77331TCSpecial radiation dosimetry                       A   0.00   0.51     0.52     0.51NA   0.52 NA  0.02   0.53   0.54   0.53   0.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7733126Special radiation dosimetry                       A   0.87   0.28     0.29     0.28     0.29     0.04   1.19   1.20   1.19   1.20  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77332  Radiation treatment aid(s)                        A   0.54   1.53     1.57     1.53NA   1.57 NA  0.10   2.17   2.21   2.17   2.21  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77332TCRadiation treatment aid(s)                        A   0.00   1.35     1.38     1.35NA   1.38 NA  0.07   1.42   1.45   1.42   1.45  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7733226Radiation treatment aid(s)                        A   0.54   0.18     0.19     0.18     0.19     0.03   0.75   0.76   0.75   0.76  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77333  Radiation treatment aid(s)                        A   0.84   1.75     0.52     1.75NA   0.52 NA  0.15   2.74   1.51   2.74   1.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77333TCRadiation treatment aid(s)                        A   0.00   1.48     0.24     1.48NA   0.24 NA  0.11   1.59   0.35   1.59   0.35  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7733326Radiation treatment aid(s)                        A   0.84   0.27     0.28     0.27     0.28     0.04   1.15   1.16   1.15   1.16  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77334  Radiation treatment aid(s)                        A   1.24   3.43     2.74     3.43NA   2.74 NA  0.23   4.90   4.21   4.90   4.21  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77334TCRadiation treatment aid(s)                        A   0.00   3.02     2.32     3.02NA   2.32 NA  0.17   3.19   2.49   3.19   2.49  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7733426Radiation treatment aid(s)                        A   1.24   0.41     0.42     0.41     0.42     0.06   1.71   1.72   1.71   1.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77336  Radiation physics consult                         A   0.00   2.52     1.14     2.52NA   1.14 NA  0.16   2.68   1.30   2.68   1.30  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77370  Radiation physics consult                         A   0.00   3.38     3.05     3.38NA   3.05 NA  0.18   3.56   3.23   3.56   3.23  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77371  Srs, multisource                                  A   0.00  30.25    30.25    30.25NA  30.25 NA  0.13  30.38  30.38  30.38  30.38  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77372  Srs, linear based                                 A   0.00  22.93    22.93    22.93NA  22.93 NA  0.13  23.06  23.06  23.06  23.06  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77373  Sbrt delivery                                     A   0.00  42.87    42.87    42.87NA  42.87 NA  0.13  43.00  43.00  43.00  43.00  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77399  External radiation dosimetry                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77399TCExternal radiation dosimetry                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7739926External radiation dosimetry                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77401  Radiation treatment delivery                      A   0.00   1.45     0.50     1.45NA   0.50 NA  0.11   1.56   0.61   1.56   0.61  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77402  Radiation treatment delivery                      A   0.00   2.37     4.18     2.37NA   4.18 NA  0.11   2.48   4.29   2.48   4.29  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77403  Radiation treatment delivery                      A   0.00   2.27     3.76     2.27NA   3.76 NA  0.11   2.38   3.87   2.38   3.87  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77404  Radiation treatment delivery                      A   0.00   2.38     4.22     2.38NA   4.22 NA  0.11   2.49   4.33   2.49   4.33  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77406  Radiation treatment delivery                      A   0.00   2.38     4.21     2.38NA   4.21 NA  0.11   2.49   4.32   2.49   4.32  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77407  Radiation treatment delivery                      A   0.00   2.93     5.43     2.93NA   5.43 NA  0.12   3.05   5.55   3.05   5.55  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77408  Radiation treatment delivery                      A   0.00   2.87     5.21     2.87NA   5.21 NA  0.12   2.99   5.33   2.99   5.33  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77409  Radiation treatment delivery                      A   0.00   3.02     5.82     3.02NA   5.82 NA  0.12   3.14   5.94   3.14   5.94  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77411  Radiation treatment delivery                      A   0.00   3.01     5.76     3.01NA   5.76 NA  0.12   3.13   5.88   3.13   5.88  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77412  Radiation treatment delivery                      A   0.00   3.46     6.84     3.46NA   6.84 NA  0.13   3.59   6.97   3.59   6.97  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77413  Radiation treatment delivery                      A   0.00   3.46     6.86     3.46NA   6.86 NA  0.13   3.59   6.99   3.59   6.99  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77414  Radiation treatment delivery                      A   0.00   3.68     7.72     3.68NA   7.72 NA  0.13   3.81   7.85   3.81   7.85  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77416  Radiation treatment delivery                      A   0.00   3.68     7.71     3.68NA   7.71 NA  0.13   3.81   7.84   3.81   7.84  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77417  Radiology port film(s)                            A   0.00   0.53     0.36     0.53NA   0.36 NA  0.04   0.57   0.40   0.57   0.40  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
77418  Radiation tx delivery, imrt                       A   0.00  16.80    13.15    16.80NA  13.15 NA  0.13  16.93  13.28  16.93  13.28  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77421  Stereoscopic x-ray guidance                       A   0.39   3.11     2.00     3.11NA   2.00 NA  0.12   3.62   2.51   3.62   2.51  1XXX.00.00.0000000             37.8975 090 99     1.85   1.85   0.08
77421TCStereoscopic x-ray guidance                       A   0.00   2.98     1.87     2.98NA   1.87 NA  0.10   3.08   1.97   3.08   1.97  1XXX.00.00.0000000             37.8975 030 99     1.72   1.72   0.06
7742126Stereoscopic x-ray guidance                       A   0.39   0.13     0.13     0.13     0.13     0.02   0.54   0.54   0.54   0.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77422  Neutron beam tx, simple                           A   0.00   2.61     5.31     2.61NA   5.31 NA  0.13   2.74   5.44   2.74   5.44  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77423  Neutron beam tx, complex                          A   0.00   3.57     7.51     3.57NA   7.51 NA  0.13   3.70   7.64   3.70   7.64  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77427  Radiation tx management, x5                       A   3.70   1.15     1.43     1.15     1.43     0.17   5.02   5.30   5.02   5.30  2XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
77431  Radiation therapy management                      A   1.81   0.71     0.80     0.71     0.80     0.09   2.61   2.70   2.61   2.70  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77432  Stereotactic radiation trmt                       A   7.92   2.85     2.71     2.85     2.71     0.41  11.18  11.04  11.18  11.04  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77435  Sbrt management                                   A  13.00   4.63     4.63     4.63NA   4.63 NA  0.67  18.30  18.30  18.30  18.30  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77470  Special radiation treatment                       A   2.09   9.35     1.95     9.35NA   1.95 NA  0.70  12.14   4.74  12.14   4.74  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77470TCSpecial radiation treatment                       A   0.00   8.67     1.24     8.67NA   1.24 NA  0.59   9.26   1.83   9.26   1.83  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7747026Special radiation treatment                       A   2.09   0.68     0.71     0.68     0.71     0.11   2.88   2.91   2.88   2.91  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77499  Radiation therapy management                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77499TCRadiation therapy management                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7749926Radiation therapy management                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77520  Proton trmt, simple w/o comp                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77522  Proton trmt, simple w/comp                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77523  Proton trmt, intermediate                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77525  Proton treatment, complex                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77600  Hyperthermia treatment                            R   1.56   5.09     9.71     5.09NA   9.71 NA  0.24   6.89  11.51   6.89  11.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77600TCHyperthermia treatment                            R   0.00   4.61     9.28     4.61NA   9.28 NA  0.16   4.77   9.44   4.77   9.44  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7760026Hyperthermia treatment                            R   1.56   0.48     0.43     0.48     0.43     0.08   2.12   2.07   2.12   2.07  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77605  Hyperthermia treatment                            R   2.09   7.87    17.34     7.87NA  17.34 NA  0.38  10.34  19.81  10.34  19.81  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77605TCHyperthermia treatment                            R   0.00   7.22    16.71     7.22NA  16.71 NA  0.22   7.44  16.93   7.44  16.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7760526Hyperthermia treatment                            R   2.09   0.65     0.63     0.65     0.63     0.16   2.90   2.88   2.90   2.88  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77610  Hyperthermia treatment                            R   1.56   6.93    17.04     6.93NA  17.04 NA  0.24   8.73  18.84   8.73  18.84  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77610TCHyperthermia treatment                            R   0.00   6.42    16.52     6.42NA  16.52 NA  0.16   6.58  16.68   6.58  16.68  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7761026Hyperthermia treatment                            R   1.56   0.51     0.52     0.51     0.52     0.08   2.15   2.16   2.15   2.16  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77615  Hyperthermia treatment                            R   2.09  10.02    25.91    10.02NA  25.91 NA  0.33  12.44  28.33  12.44  28.33  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77615TCHyperthermia treatment                            R   0.00   9.35    25.21     9.35NA  25.21 NA  0.22   9.57  25.43   9.57  25.43  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7761526Hyperthermia treatment                            R   2.09   0.67     0.70     0.67     0.70     0.11   2.87   2.90   2.87   2.90  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77620  Hyperthermia treatment                            R   1.56   5.05     9.46     5.05NA   9.46 NA  0.36   6.97  11.38   6.97  11.38  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77620TCHyperthermia treatment                            R   0.00   4.56     9.07     4.56NA   9.07 NA  0.16   4.72   9.23   4.72   9.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7762026Hyperthermia treatment                            R   1.56   0.49     0.39     0.49     0.39     0.20   2.25   2.15   2.25   2.15  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77750  Infuse radioactive materials                      A   4.94   3.33     4.61     3.33     4.61     0.32   8.59   9.87   8.59   9.87  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77750TCInfuse radioactive materials                      A   0.00   1.73     2.94     1.73     2.94     0.07   1.80   3.01   1.80   3.01  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7775026Infuse radioactive materials                      A   4.94   1.60     1.67     1.60     1.67     0.25   6.79   6.86   6.79   6.86  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77761  Apply intrcav radiat simple                       A   3.82   4.27     6.32     4.27     6.32     0.33   8.42  10.47   8.42  10.47  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77761TCApply intrcav radiat simple                       A   0.00   3.14     5.06     3.14     5.06     0.14   3.28   5.20   3.28   5.20  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7776126Apply intrcav radiat simple                       A   3.82   1.13     1.26     1.13     1.26     0.19   5.14   5.27   5.14   5.27  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77762  Apply intrcav radiat interm                       A   5.73   6.01     7.70     6.01     7.70     0.48  12.22  13.91  12.22  13.91  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77762TCApply intrcav radiat interm                       A   0.00   4.15     5.76     4.15     5.76     0.19   4.34   5.95   4.34   5.95  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7776226Apply intrcav radiat interm                       A   5.73   1.86     1.94     1.86     1.94     0.29   7.88   7.96   7.88   7.96  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77763  Apply intrcav radiat compl                        A   8.60   8.03    10.39     8.03    10.39     0.66  17.29  19.65  17.29  19.65  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77763TCApply intrcav radiat compl                        A   0.00   5.25     7.51     5.25     7.51     0.23   5.48   7.74   5.48   7.74  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7776326Apply intrcav radiat compl                        A   8.60   2.78     2.88     2.78     2.88     0.43  11.81  11.91  11.81  11.91  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77776  Apply interstit radiat simpl                      A   4.67   4.23     7.51     4.23     7.51     0.57   9.47  12.75   9.47  12.75  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77776TCApply interstit radiat simpl                      A   0.00   3.09     5.80     3.09     5.80     0.13   3.22   5.93   3.22   5.93  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7777626Apply interstit radiat simpl                      A   4.67   1.14     1.71     1.14     1.71     0.44   6.25   6.82   6.25   6.82  1090.00.00.0000020             37.8975 090 99     0.00   0.00   0.00
77777  Apply interstit radiat inter                      A   7.49   6.92     7.90     6.92     7.90     0.61  15.02  16.00  15.02  16.00  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77777TCApply interstit radiat inter                      A   0.00   4.52     5.40     4.52     5.40     0.22   4.74   5.62   4.74   5.62  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7777726Apply interstit radiat inter                      A   7.49   2.40     2.50     2.40     2.50     0.39  10.28  10.38  10.28  10.38  1090.00.00.0000020             37.8975 090 99     0.00   0.00   0.00
77778  Apply interstit radiat compl                      A  11.23   9.38    11.43     9.38    11.43     0.84  21.45  23.50  21.45  23.50  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77778TCApply interstit radiat compl                      A   0.00   5.75     7.62     5.75     7.62     0.27   6.02   7.89   6.02   7.89  1090.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7777826Apply interstit radiat compl                      A  11.23   3.63     3.81     3.63     3.81     0.57  15.43  15.61  15.43  15.61  1090.00.00.0000020             37.8975 090 99     0.00   0.00   0.00
77781  High intensity brachytherapy                      A   1.21  16.73     4.43    16.73NA   4.43 NA  1.14  19.08   6.78  19.08   6.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77781TCHigh intensity brachytherapy                      A   0.00  16.23     4.02    16.23NA   4.02 NA  1.06  17.29   5.08  17.29   5.08  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7778126High intensity brachytherapy                      A   1.21   0.50     0.41     0.50     0.41     0.08   1.79   1.70   1.79   1.70  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77782  High intensity brachytherapy                      A   2.04  18.94    12.47    18.94NA  12.47 NA  1.19  22.17  15.70  22.17  15.70  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77782TCHigh intensity brachytherapy                      A   0.00  18.17    11.78    18.17NA  11.78 NA  1.06  19.23  12.84  19.23  12.84  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7778226High intensity brachytherapy                      A   2.04   0.77     0.69     0.77     0.69     0.13   2.94   2.86   2.94   2.86  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77783  High intensity brachytherapy                      A   3.27  22.20    24.34    22.20NA  24.34 NA  1.25  26.72  28.86  26.72  28.86  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77783TCHigh intensity brachytherapy                      A   0.00  21.03    23.23    21.03NA  23.23 NA  1.06  22.09  24.29  22.09  24.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7778326High intensity brachytherapy                      A   3.27   1.17     1.11     1.17     1.11     0.19   4.63   4.57   4.63   4.57  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77784  High intensity brachytherapy                      A   5.15  28.04    45.87    28.04NA  45.87 NA  1.35  34.54  52.37  34.54  52.37  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77784TCHigh intensity brachytherapy                      A   0.00  26.26    44.12    26.26NA  44.12 NA  1.06  27.32  45.18  27.32  45.18  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7778426High intensity brachytherapy                      A   5.15   1.78     1.75     1.78     1.75     0.29   7.22   7.19   7.22   7.19  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77789  Apply surface radiation                           A   1.14   1.14     2.07     1.14     2.07     0.08   2.36   3.29   2.36   3.29  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77789TCApply surface radiation                           A   0.00   0.76     1.67     0.76     1.67     0.02   0.78   1.69   0.78   1.69  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7778926Apply surface radiation                           A   1.14   0.38     0.40     0.38     0.40     0.06   1.58   1.60   1.58   1.60  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77790  Radiation handling                                A   1.05   1.00     1.47     1.00NA   1.47 NA  0.07   2.12   2.59   2.12   2.59  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77790TCRadiation handling                                A   0.00   0.66     1.12     0.66NA   1.12 NA  0.02   0.68   1.14   0.68   1.14  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7779026Radiation handling                                A   1.05   0.34     0.35     0.34     0.35     0.05   1.44   1.45   1.44   1.45  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77799  Radium/radioisotope therapy                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
77799TCRadium/radioisotope therapy                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7779926Radium/radioisotope therapy                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78000  Thyroid, single uptake                            A   0.19   1.21     1.72     1.21NA   1.72 NA  0.07   1.47   1.98   1.47   1.98  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78000TCThyroid, single uptake                            A   0.00   1.15     1.67     1.15NA   1.67 NA  0.06   1.21   1.73   1.21   1.73  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7800026Thyroid, single uptake                            A   0.19   0.06     0.05     0.06     0.05     0.01   0.26   0.25   0.26   0.25  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78001  Thyroid, multiple uptakes                         A   0.26   1.59     2.12     1.59NA   2.12 NA  0.08   1.93   2.46   1.93   2.46  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78001TCThyroid, multiple uptakes                         A   0.00   1.50     2.05     1.50NA   2.05 NA  0.07   1.57   2.12   1.57   2.12  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7800126Thyroid, multiple uptakes                         A   0.26   0.09     0.07     0.09     0.07     0.01   0.36   0.34   0.36   0.34  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78003  Thyroid suppress/stimul                           A   0.33   1.26     1.76     1.26NA   1.76 NA  0.07   1.66   2.16   1.66   2.16  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78003TCThyroid suppress/stimul                           A   0.00   1.15     1.67     1.15NA   1.67 NA  0.06   1.21   1.73   1.21   1.73  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7800326Thyroid suppress/stimul                           A   0.33   0.11     0.09     0.11     0.09     0.01   0.45   0.43   0.45   0.43  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78006  Thyroid imaging with uptake                       A   0.49   3.38     5.86     3.38NA   5.86 NA  0.15   4.02   6.50   4.02   6.50  1XXX.00.00.0000000             37.8975 090 99     3.81   3.81   0.17
78006TCThyroid imaging with uptake                       A   0.00   3.22     5.72     3.22NA   5.72 NA  0.13   3.35   5.85   3.35   5.85  1XXX.00.00.0000000             37.8975 010 99     3.65   3.65   0.15
7800626Thyroid imaging with uptake                       A   0.49   0.16     0.14     0.16     0.14     0.02   0.67   0.65   0.67   0.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78007  Thyroid image, mult uptakes                       A   0.50   2.76     2.81     2.76NA   2.81 NA  0.16   3.42   3.47   3.42   3.47  1XXX.00.00.0000000             37.8975 090 99     4.34   4.34   0.24
78007TCThyroid image, mult uptakes                       A   0.00   2.60     2.67     2.60NA   2.67 NA  0.14   2.74   2.81   2.74   2.81  1XXX.00.00.0000000             37.8975 010 99     4.18   4.18   0.22
7800726Thyroid image, mult uptakes                       A   0.50   0.16     0.14     0.16     0.14     0.02   0.68   0.66   0.68   0.66  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78010  Thyroid imaging                                   A   0.39   2.45     3.94     2.45NA   3.94 NA  0.13   2.97   4.46   2.97   4.46  1XXX.00.00.0000000             37.8975 090 99     3.76   3.76   0.19
78010TCThyroid imaging                                   A   0.00   2.32     3.83     2.32NA   3.83 NA  0.11   2.43   3.94   2.43   3.94  1XXX.00.00.0000000             37.8975 010 99     3.63   3.63   0.17
7801026Thyroid imaging                                   A   0.39   0.13     0.11     0.13     0.11     0.02   0.54   0.52   0.54   0.52  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78011  Thyroid imaging with flow                         A   0.45   2.99     4.27     2.99NA   4.27 NA  0.15   3.59   4.87   3.59   4.87  1XXX.00.00.0000000             37.8975 090 99     3.78   3.78   0.19
78011TCThyroid imaging with flow                         A   0.00   2.84     4.14     2.84NA   4.14 NA  0.13   2.97   4.27   2.97   4.27  1XXX.00.00.0000000             37.8975 010 99     3.63   3.63   0.17
7801126Thyroid imaging with flow                         A   0.45   0.15     0.13     0.15     0.13     0.02   0.62   0.60   0.62   0.60  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78015  Thyroid met imaging                               A   0.67   3.38     5.10     3.38NA   5.10 NA  0.17   4.22   5.94   4.22   5.94  1XXX.00.00.0000000             37.8975 090 99     6.42   6.42   0.31
78015TCThyroid met imaging                               A   0.00   3.16     4.91     3.16NA   4.91 NA  0.14   3.30   5.05   3.30   5.05  1XXX.00.00.0000000             37.8975 010 99     6.20   6.20   0.28
7801526Thyroid met imaging                               A   0.67   0.22     0.19     0.22     0.19     0.03   0.92   0.89   0.92   0.89  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78016  Thyroid met imaging/studies                       A   0.82   4.85     8.12     4.85NA   8.12 NA  0.21   5.88   9.15   5.88   9.15  1XXX.00.00.0000000             37.8975 090 99     6.50   6.50   0.28
78016TCThyroid met imaging/studies                       A   0.00   4.58     7.89     4.58NA   7.89 NA  0.18   4.76   8.07   4.76   8.07  1XXX.00.00.0000000             37.8975 010 99     6.23   6.23   0.25
7801626Thyroid met imaging/studies                       A   0.82   0.27     0.23     0.27     0.23     0.03   1.12   1.08   1.12   1.08  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78018  Thyroid met imaging, body                         A   0.86   6.16     7.47     6.16NA   7.47 NA  0.33   7.35   8.66   7.35   8.66  1XXX.00.00.0000000             37.8975 090 99     6.46   6.46   0.35
78018TCThyroid met imaging, body                         A   0.00   5.87     7.23     5.87NA   7.23 NA  0.29   6.16   7.52   6.16   7.52  1XXX.00.00.0000000             37.8975 010 99     6.17   6.17   0.31
7801826Thyroid met imaging, body                         A   0.86   0.29     0.24     0.29     0.24     0.04   1.19   1.14   1.19   1.14  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78020  Thyroid met uptake                                A   0.60   1.56     1.68     1.56     1.68     0.16   2.32   2.44   2.32   2.44  1ZZZ.00.00.0000000             37.8975 090 99     2.41   2.41   0.25
78020TCThyroid met uptake                                A   0.00   1.36     1.51     1.36     1.51     0.14   1.50   1.65   1.50   1.65  1ZZZ.00.00.0000000             37.8975 090 99     2.21   2.21   0.23
7802026Thyroid met uptake                                A   0.60   0.20     0.17     0.20     0.17     0.02   0.82   0.79   0.82   0.79  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78070  Parathyroid nuclear imaging                       A   0.82   4.21     3.19     4.21NA   3.19 NA  0.15   5.18   4.16   5.18   4.16  1XXX.00.00.0000000             37.8975 090 99     4.55   4.55   0.16
78070TCParathyroid nuclear imaging                       A   0.00   3.94     2.96     3.94NA   2.96 NA  0.11   4.05   3.07   4.05   3.07  1XXX.00.00.0000000             37.8975 010 99     4.28   4.28   0.12
7807026Parathyroid nuclear imaging                       A   0.82   0.27     0.23     0.27     0.23     0.04   1.13   1.09   1.13   1.09  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78075  Adrenal nuclear imaging                           A   0.74   7.02    11.04     7.02NA  11.04 NA  0.32   8.08  12.10   8.08  12.10  1XXX.00.00.0000000             37.8975 090 99     4.47   4.47   0.21
78075TCAdrenal nuclear imaging                           A   0.00   6.77    10.83     6.77NA  10.83 NA  0.29   7.06  11.12   7.06  11.12  1XXX.00.00.0000000             37.8975 010 99     4.22   4.22   0.18
7807526Adrenal nuclear imaging                           A   0.74   0.25     0.21     0.25     0.21     0.03   1.02   0.98   1.02   0.98  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78099  Endocrine nuclear procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78099TCEndocrine nuclear procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7809926Endocrine nuclear procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78102  Bone marrow imaging, ltd                          A   0.55   2.65     3.91     2.65NA   3.91 NA  0.14   3.34   4.60   3.34   4.60  1XXX.00.00.0000000             37.8975 090 99     6.22   6.22   0.32
78102TCBone marrow imaging, ltd                          A   0.00   2.47     3.76     2.47NA   3.76 NA  0.12   2.59   3.88   2.59   3.88  1XXX.00.00.0000000             37.8975 010 99     6.04   6.04   0.30
7810226Bone marrow imaging, ltd                          A   0.55   0.18     0.15     0.18     0.15     0.02   0.75   0.72   0.75   0.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78103  Bone marrow imaging, mult                         A   0.75   3.85     5.09     3.85NA   5.09 NA  0.20   4.80   6.04   4.80   6.04  1XXX.00.00.0000000             37.8975 090 99     6.30   6.30   0.32
78103TCBone marrow imaging, mult                         A   0.00   3.60     4.88     3.60NA   4.88 NA  0.17   3.77   5.05   3.77   5.05  1XXX.00.00.0000000             37.8975 010 99     6.05   6.05   0.29
7810326Bone marrow imaging, mult                         A   0.75   0.25     0.21     0.25     0.21     0.03   1.03   0.99   1.03   0.99  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78104  Bone marrow imaging, body                         A   0.80   4.75     5.96     4.75NA   5.96 NA  0.25   5.80   7.01   5.80   7.01  1XXX.00.00.0000000             37.8975 090 99     6.31   6.31   0.33
78104TCBone marrow imaging, body                         A   0.00   4.48     5.71     4.48NA   5.71 NA  0.22   4.70   5.93   4.70   5.93  1XXX.00.00.0000000             37.8975 010 99     6.04   6.04   0.30
7810426Bone marrow imaging, body                         A   0.80   0.27     0.25     0.27     0.25     0.03   1.10   1.08   1.10   1.08  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78110  Plasma volume, single                             A   0.19   1.28     2.03     1.28NA   2.03 NA  0.07   1.54   2.29   1.54   2.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78110TCPlasma volume, single                             A   0.00   1.21     1.98     1.21NA   1.98 NA  0.06   1.27   2.04   1.27   2.04  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7811026Plasma volume, single                             A   0.19   0.07     0.05     0.07     0.05     0.01   0.27   0.25   0.27   0.25  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78111  Plasma volume, multiple                           A   0.22   2.50     2.02     2.50NA   2.02 NA  0.15   2.87   2.39   2.87   2.39  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78111TCPlasma volume, multiple                           A   0.00   2.42     1.96     2.42NA   1.96 NA  0.14   2.56   2.10   2.56   2.10  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7811126Plasma volume, multiple                           A   0.22   0.08     0.06     0.08     0.06     0.01   0.31   0.29   0.31   0.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78120  Red cell mass, single                             A   0.23   1.85     1.96     1.85NA   1.96 NA  0.12   2.20   2.31   2.20   2.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78120TCRed cell mass, single                             A   0.00   1.77     1.89     1.77NA   1.89 NA  0.11   1.88   2.00   1.88   2.00  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7812026Red cell mass, single                             A   0.23   0.08     0.07     0.08     0.07     0.01   0.32   0.31   0.32   0.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78121  Red cell mass, multiple                           A   0.32   2.79     2.06     2.79NA   2.06 NA  0.15   3.26   2.53   3.26   2.53  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78121TCRed cell mass, multiple                           A   0.00   2.68     1.97     2.68NA   1.97 NA  0.14   2.82   2.11   2.82   2.11  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7812126Red cell mass, multiple                           A   0.32   0.11     0.09     0.11     0.09     0.01   0.44   0.42   0.44   0.42  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78122  Blood volume                                      A   0.45   4.09     2.09     4.09NA   2.09 NA  0.26   4.80   2.80   4.80   2.80  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78122TCBlood volume                                      A   0.00   3.94     1.97     3.94NA   1.97 NA  0.24   4.18   2.21   4.18   2.21  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7812226Blood volume                                      A   0.45   0.15     0.12     0.15     0.12     0.02   0.62   0.59   0.62   0.59  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78130  Red cell survival study                           A   0.61   3.12     3.32     3.12NA   3.32 NA  0.17   3.90   4.10   3.90   4.10  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78130TCRed cell survival study                           A   0.00   2.92     3.14     2.92NA   3.14 NA  0.14   3.06   3.28   3.06   3.28  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7813026Red cell survival study                           A   0.61   0.20     0.18     0.20     0.18     0.03   0.84   0.82   0.84   0.82  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78135  Red cell survival kinetics                        A   0.64   5.84     8.09     5.84NA   8.09 NA  0.28   6.76   9.01   6.76   9.01  1XXX.00.00.0000000             37.8975 090 99     6.04   6.04   0.29
78135TCRed cell survival kinetics                        A   0.00   5.63     7.91     5.63NA   7.91 NA  0.25   5.88   8.16   5.88   8.16  1XXX.00.00.0000000             37.8975 010 99     5.83   5.83   0.26
7813526Red cell survival kinetics                        A   0.64   0.21     0.18     0.21     0.18     0.03   0.88   0.85   0.88   0.85  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78140  Red cell sequestration                            A   0.61   3.77     2.68     3.77NA   2.68 NA  0.24   4.62   3.53   4.62   3.53  1XXX.00.00.0000000             37.8975 090 99     5.94   5.94   0.37
78140TCRed cell sequestration                            A   0.00   3.58     2.51     3.58NA   2.51 NA  0.21   3.79   2.72   3.79   2.72  1XXX.00.00.0000000             37.8975 010 99     5.75   5.75   0.34
7814026Red cell sequestration                            A   0.61   0.19     0.17     0.19     0.17     0.03   0.83   0.81   0.83   0.81  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78185  Spleen imaging                                    A   0.40   3.10     4.90     3.10NA   4.90 NA  0.15   3.65   5.45   3.65   5.45  1XXX.00.00.0000000             37.8975 090 99     6.20   6.20   0.29
78185TCSpleen imaging                                    A   0.00   2.97     4.79     2.97NA   4.79 NA  0.13   3.10   4.92   3.10   4.92  1XXX.00.00.0000000             37.8975 010 99     6.07   6.07   0.27
7818526Spleen imaging                                    A   0.40   0.13     0.11     0.13     0.11     0.02   0.55   0.53   0.55   0.53  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78190  Platelet survival, kinetics                       A   1.09   6.77     8.77     6.77NA   8.77 NA  0.38   8.24  10.24   8.24  10.24  1XXX.00.00.0000000             37.8975 090 99     3.49   3.49   0.22
78190TCPlatelet survival, kinetics                       A   0.00   6.39     8.44     6.39NA   8.44 NA  0.30   6.69   8.74   6.69   8.74  1XXX.00.00.0000000             37.8975 010 99     3.11   3.11   0.14
7819026Platelet survival, kinetics                       A   1.09   0.38     0.33     0.38     0.33     0.08   1.55   1.50   1.55   1.50  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78191  Platelet survival                                 A   0.61   6.46     3.21     6.46NA   3.21 NA  0.40   7.47   4.22   7.47   4.22  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78191TCPlatelet survival                                 A   0.00   6.27     3.04     6.27NA   3.04 NA  0.37   6.64   3.41   6.64   3.41  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7819126Platelet survival                                 A   0.61   0.19     0.17     0.19     0.17     0.03   0.83   0.81   0.83   0.81  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78195  Lymph system imaging                              A   1.20   5.40     8.15     5.40NA   8.15 NA  0.28   6.88   9.63   6.88   9.63  1XXX.00.00.0000000             37.8975 090 99     6.46   6.46   0.33
78195TCLymph system imaging                              A   0.00   5.01     7.82     5.01NA   7.82 NA  0.22   5.23   8.04   5.23   8.04  1XXX.00.00.0000000             37.8975 010 99     6.07   6.07   0.27
7819526Lymph system imaging                              A   1.20   0.39     0.33     0.39     0.33     0.06   1.65   1.59   1.65   1.59  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78199  Blood/lymph nuclear exam                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78199TCBlood/lymph nuclear exam                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7819926Blood/lymph nuclear exam                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78201  Liver imaging                                     A   0.44   3.00     4.48     3.00NA   4.48 NA  0.15   3.59   5.07   3.59   5.07  1XXX.00.00.0000000             37.8975 090 99     6.93   6.93   0.33
78201TCLiver imaging                                     A   0.00   2.86     4.36     2.86NA   4.36 NA  0.13   2.99   4.49   2.99   4.49  1XXX.00.00.0000000             37.8975 010 99     6.79   6.79   0.31
7820126Liver imaging                                     A   0.44   0.14     0.12     0.14     0.12     0.02   0.60   0.58   0.60   0.58  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78202  Liver imaging with flow                           A   0.51   3.55     5.06     3.55NA   5.06 NA  0.16   4.22   5.73   4.22   5.73  1XXX.00.00.0000000             37.8975 090 99     6.98   6.98   0.30
78202TCLiver imaging with flow                           A   0.00   3.39     4.92     3.39NA   4.92 NA  0.14   3.53   5.06   3.53   5.06  1XXX.00.00.0000000             37.8975 010 99     6.82   6.82   0.28
7820226Liver imaging with flow                           A   0.51   0.16     0.14     0.16     0.14     0.02   0.69   0.67   0.69   0.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78205  Liver imaging (3D)                                A   0.71   5.85     4.93     5.85NA   4.93 NA  0.34   6.90   5.98   6.90   5.98  1XXX.00.00.0000000             37.8975 090 99     6.96   6.96   0.40
78205TCLiver imaging (3D)                                A   0.00   5.62     4.73     5.62NA   4.73 NA  0.31   5.93   5.04   5.93   5.04  1XXX.00.00.0000000             37.8975 010 99     6.73   6.73   0.37
7820526Liver imaging (3D)                                A   0.71   0.23     0.20     0.23     0.20     0.03   0.97   0.94   0.97   0.94  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78206  Liver image (3d) with flow                        A   0.96   8.12    13.75     8.12NA  13.75 NA  0.15   9.23  14.86   9.23  14.86  1XXX.00.00.0000000             37.8975 090 99     7.32   7.32   0.14
78206TCLiver image (3d) with flow                        A   0.00   7.80    13.48     7.80NA  13.48 NA  0.11   7.91  13.59   7.91  13.59  1XXX.00.00.0000000             37.8975 010 99     7.00   7.00   0.10
7820626Liver image (3d) with flow                        A   0.96   0.32     0.27     0.32     0.27     0.04   1.32   1.27   1.32   1.27  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78215  Liver and spleen imaging                          A   0.49   3.46     4.52     3.46NA   4.52 NA  0.16   4.11   5.17   4.11   5.17  1XXX.00.00.0000000             37.8975 090 99     6.97   6.97   0.31
78215TCLiver and spleen imaging                          A   0.00   3.30     4.38     3.30NA   4.38 NA  0.14   3.44   4.52   3.44   4.52  1XXX.00.00.0000000             37.8975 010 99     6.81   6.81   0.29
7821526Liver and spleen imaging                          A   0.49   0.16     0.14     0.16     0.14     0.02   0.67   0.65   0.67   0.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78216  Liver & spleen image/flow                         A   0.57   3.41     2.63     3.41NA   2.63 NA  0.20   4.18   3.40   4.18   3.40  1XXX.00.00.0000000             37.8975 090 99     6.90   6.90   0.40
78216TCLiver & spleen image/flow                         A   0.00   3.23     2.47     3.23NA   2.47 NA  0.18   3.41   2.65   3.41   2.65  1XXX.00.00.0000000             37.8975 010 99     6.72   6.72   0.38
7821626Liver & spleen image/flow                         A   0.57   0.18     0.16     0.18     0.16     0.02   0.77   0.75   0.77   0.75  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78220  Liver function study                              A   0.49   3.63     2.84     3.63NA   2.84 NA  0.21   4.33   3.54   4.33   3.54  1XXX.00.00.0000000             37.8975 090 99     6.89   6.89   0.39
78220TCLiver function study                              A   0.00   3.47     2.70     3.47NA   2.70 NA  0.19   3.66   2.89   3.66   2.89  1XXX.00.00.0000000             37.8975 010 99     6.73   6.73   0.37
7822026Liver function study                              A   0.49   0.16     0.14     0.16     0.14     0.02   0.67   0.65   0.67   0.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78223  Hepatobiliary imaging                             A   0.84   4.95     7.99     4.95NA   7.99 NA  0.23   6.02   9.06   6.02   9.06  1XXX.00.00.0000000             37.8975 090 99     7.09   7.09   0.32
78223TCHepatobiliary imaging                             A   0.00   4.68     7.75     4.68NA   7.75 NA  0.19   4.87   7.94   4.87   7.94  1XXX.00.00.0000000             37.8975 010 99     6.82   6.82   0.28
7822326Hepatobiliary imaging                             A   0.84   0.27     0.24     0.27     0.24     0.04   1.15   1.12   1.15   1.12  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78230  Salivary gland imaging                            A   0.45   2.72     3.91     2.72NA   3.91 NA  0.15   3.32   4.51   3.32   4.51  1XXX.00.00.0000000             37.8975 090 99     5.78   5.78   0.30
78230TCSalivary gland imaging                            A   0.00   2.58     3.79     2.58NA   3.79 NA  0.13   2.71   3.92   2.71   3.92  1XXX.00.00.0000000             37.8975 010 99     5.64   5.64   0.28
7823026Salivary gland imaging                            A   0.45   0.14     0.12     0.14     0.12     0.02   0.61   0.59   0.61   0.59  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78231  Serial salivary imaging                           A   0.52   3.17     2.63     3.17NA   2.63 NA  0.19   3.88   3.34   3.88   3.34  1XXX.00.00.0000000             37.8975 090 99     5.77   5.77   0.34
78231TCSerial salivary imaging                           A   0.00   3.00     2.48     3.00NA   2.48 NA  0.17   3.17   2.65   3.17   2.65  1XXX.00.00.0000000             37.8975 010 99     5.60   5.60   0.32
7823126Serial salivary imaging                           A   0.52   0.17     0.15     0.17     0.15     0.02   0.71   0.69   0.71   0.69  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78232  Salivary gland function exam                      A   0.47   3.42     2.60     3.42NA   2.60 NA  0.20   4.09   3.27   4.09   3.27  1XXX.00.00.0000000             37.8975 090 99     5.76   5.76   0.33
78232TCSalivary gland function exam                      A   0.00   3.27     2.47     3.27NA   2.47 NA  0.18   3.45   2.65   3.45   2.65  1XXX.00.00.0000000             37.8975 010 99     5.61   5.61   0.31
7823226Salivary gland function exam                      A   0.47   0.15     0.13     0.15     0.13     0.02   0.64   0.62   0.64   0.62  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78258  Esophageal motility study                         A   0.74   3.74     5.57     3.74NA   5.57 NA  0.17   4.65   6.48   4.65   6.48  1XXX.00.00.0000000             37.8975 090 99     5.94   5.94   0.26
78258TCEsophageal motility study                         A   0.00   3.49     5.32     3.49NA   5.32 NA  0.14   3.63   5.46   3.63   5.46  1XXX.00.00.0000000             37.8975 010 99     5.69   5.69   0.23
7825826Esophageal motility study                         A   0.74   0.25     0.25     0.25     0.25     0.03   1.02   1.02   1.02   1.02  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78261  Gastric mucosa imaging                            A   0.69   4.68     5.69     4.68NA   5.69 NA  0.25   5.62   6.63   5.62   6.63  1XXX.00.00.0000000             37.8975 090 99     5.87   5.87   0.31
78261TCGastric mucosa imaging                            A   0.00   4.45     5.50     4.45NA   5.50 NA  0.22   4.67   5.72   4.67   5.72  1XXX.00.00.0000000             37.8975 010 99     5.64   5.64   0.28
7826126Gastric mucosa imaging                            A   0.69   0.23     0.19     0.23     0.19     0.03   0.95   0.91   0.95   0.91  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78262  Gastroesophageal reflux exam                      A   0.68   4.77     5.65     4.77NA   5.65 NA  0.25   5.70   6.58   5.70   6.58  1XXX.00.00.0000000             37.8975 090 99     5.87   5.87   0.30
78262TCGastroesophageal reflux exam                      A   0.00   4.55     5.46     4.55NA   5.46 NA  0.22   4.77   5.68   4.77   5.68  1XXX.00.00.0000000             37.8975 010 99     5.65   5.65   0.27
7826226Gastroesophageal reflux exam                      A   0.68   0.22     0.19     0.22     0.19     0.03   0.93   0.90   0.93   0.90  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78264  Gastric emptying study                            A   0.78   4.98     6.73     4.98NA   6.73 NA  0.25   6.01   7.76   6.01   7.76  1XXX.00.00.0000000             37.8975 090 99     5.91   5.91   0.29
78264TCGastric emptying study                            A   0.00   4.73     6.51     4.73NA   6.51 NA  0.22   4.95   6.73   4.95   6.73  1XXX.00.00.0000000             37.8975 010 99     5.66   5.66   0.26
7826426Gastric emptying study                            A   0.78   0.25     0.22     0.25     0.22     0.03   1.06   1.03   1.06   1.03  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78267  Breath tst attain/anal c-14                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
78268  Breath test analysis, c-14                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
78270  Vit B-12 absorption exam                          A   0.20   1.67     1.81     1.67NA   1.81 NA  0.11   1.98   2.12   1.98   2.12  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78270TCVit B-12 absorption exam                          A   0.00   1.60     1.76     1.60NA   1.76 NA  0.10   1.70   1.86   1.70   1.86  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7827026Vit B-12 absorption exam                          A   0.20   0.07     0.05     0.07     0.05     0.01   0.28   0.26   0.28   0.26  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78271  Vit b-12 absrp exam, int fac                      A   0.20   1.75     1.83     1.75NA   1.83 NA  0.11   2.06   2.14   2.06   2.14  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78271TCVit b-12 absrp exam, int fac                      A   0.00   1.68     1.78     1.68NA   1.78 NA  0.10   1.78   1.88   1.78   1.88  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7827126Vit b-12 absrp exam, int fac                      A   0.20   0.07     0.05     0.07     0.05     0.01   0.28   0.26   0.28   0.26  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78272  Vit B-12 absorp, combined                         A   0.27   2.30     1.95     2.30NA   1.95 NA  0.14   2.71   2.36   2.71   2.36  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78272TCVit B-12 absorp, combined                         A   0.00   2.21     1.88     2.21NA   1.88 NA  0.13   2.34   2.01   2.34   2.01  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7827226Vit B-12 absorp, combined                         A   0.27   0.09     0.07     0.09     0.07     0.01   0.37   0.35   0.37   0.35  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78278  Acute GI blood loss imaging                       A   0.99   5.92     8.06     5.92NA   8.06 NA  0.29   7.20   9.34   7.20   9.34  1XXX.00.00.0000000             37.8975 090 99     5.99   5.99   0.29
78278TCAcute GI blood loss imaging                       A   0.00   5.60     7.78     5.60NA   7.78 NA  0.25   5.85   8.03   5.85   8.03  1XXX.00.00.0000000             37.8975 010 99     5.67   5.67   0.25
7827826Acute GI blood loss imaging                       A   0.99   0.32     0.28     0.32     0.28     0.04   1.35   1.31   1.35   1.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78282  GI protein loss exam                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     5.87   5.87   0.19
78282TCGI protein loss exam                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99     5.75   5.75   0.17
7828226GI protein loss exam                              A   0.38   0.12     0.10     0.12     0.10     0.02   0.52   0.50   0.52   0.50  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78290  Meckels divert exam                              A   0.68   4.45     7.97     4.45NA   7.97 NA  0.19   5.32   8.84   5.32   8.84  1XXX.00.00.0000000             37.8975 090 99     5.93   5.93   0.24
78290TCMeckels divert exam                              A   0.00   4.23     7.78     4.23NA   7.78 NA  0.16   4.39   7.94   4.39   7.94  1XXX.00.00.0000000             37.8975 010 99     5.71   5.71   0.21
7829026Meckels divert exam                              A   0.68   0.22     0.19     0.22     0.19     0.03   0.93   0.90   0.93   0.90  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78291  Leveen/shunt patency exam                         A   0.88   3.98     5.82     3.98NA   5.82 NA  0.20   5.06   6.90   5.06   6.90  1XXX.00.00.0000000             37.8975 090 99     5.97   5.97   0.28
78291TCLeveen/shunt patency exam                         A   0.00   3.69     5.57     3.69NA   5.57 NA  0.16   3.85   5.73   3.85   5.73  1XXX.00.00.0000000             37.8975 010 99     5.68   5.68   0.24
7829126Leveen/shunt patency exam                         A   0.88   0.29     0.25     0.29     0.25     0.04   1.21   1.17   1.21   1.17  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78299  GI nuclear procedure                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78299TCGI nuclear procedure                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7829926GI nuclear procedure                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78300  Bone imaging, limited area                        A   0.62   3.00     3.94     3.00NA   3.94 NA  0.17   3.79   4.73   3.79   4.73  1XXX.00.00.0000000             37.8975 090 99     6.25   6.25   0.33
78300TCBone imaging, limited area                        A   0.00   2.80     3.76     2.80NA   3.76 NA  0.14   2.94   3.90   2.94   3.90  1XXX.00.00.0000000             37.8975 010 99     6.05   6.05   0.30
7830026Bone imaging, limited area                        A   0.62   0.20     0.18     0.20     0.18     0.03   0.85   0.83   0.85   0.83  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78305  Bone imaging, multiple areas                      A   0.83   4.24     5.13     4.24NA   5.13 NA  0.23   5.30   6.19   5.30   6.19  1XXX.00.00.0000000             37.8975 090 99     6.33   6.33   0.33
78305TCBone imaging, multiple areas                      A   0.00   3.97     4.90     3.97NA   4.90 NA  0.19   4.16   5.09   4.16   5.09  1XXX.00.00.0000000             37.8975 010 99     6.06   6.06   0.29
7830526Bone imaging, multiple areas                      A   0.83   0.27     0.23     0.27     0.23     0.04   1.14   1.10   1.14   1.10  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78306  Bone imaging, whole body                          A   0.86   4.84     5.68     4.84NA   5.68 NA  0.26   5.96   6.80   5.96   6.80  1XXX.00.00.0000000             37.8975 090 99     6.34   6.34   0.33
78306TCBone imaging, whole body                          A   0.00   4.56     5.44     4.56NA   5.44 NA  0.22   4.78   5.66   4.78   5.66  1XXX.00.00.0000000             37.8975 010 99     6.06   6.06   0.29
7830626Bone imaging, whole body                          A   0.86   0.28     0.24     0.28     0.24     0.04   1.18   1.14   1.18   1.14  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78315  Bone imaging, 3 phase                             A   1.02   5.86     8.07     5.86NA   8.07 NA  0.29   7.17   9.38   7.17   9.38  1XXX.00.00.0000000             37.8975 090 99     6.41   6.41   0.31
78315TCBone imaging, 3 phase                             A   0.00   5.53     7.78     5.53NA   7.78 NA  0.25   5.78   8.03   5.78   8.03  1XXX.00.00.0000000             37.8975 010 99     6.08   6.08   0.27
7831526Bone imaging, 3 phase                             A   1.02   0.33     0.29     0.33     0.29     0.04   1.39   1.35   1.39   1.35  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78320  Bone imaging (3D)                                 A   1.04   5.95     5.00     5.95NA   5.00 NA  0.35   7.34   6.39   7.34   6.39  1XXX.00.00.0000000             37.8975 090 99     6.36   6.36   0.37
78320TCBone imaging (3D)                                 A   0.00   5.61     4.71     5.61NA   4.71 NA  0.31   5.92   5.02   5.92   5.02  1XXX.00.00.0000000             37.8975 010 99     6.02   6.02   0.33
7832026Bone imaging (3D)                                 A   1.04   0.34     0.29     0.34     0.29     0.04   1.42   1.37   1.42   1.37  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78350  Bone mineral, single photon                       N+  0.22   0.82     0.00     0.82NA   0.00 NA  0.06   1.10   0.28   1.10   0.28  1XXX.00.00.0099999             37.8975 090 99     1.15   1.15   0.08
78350TCBone mineral, single photon                       N+  0.00   0.75     0.00     0.75NA   0.00 NA  0.05   0.80   0.05   0.80   0.05  1XXX.00.00.0099999             37.8975 010 99     1.08   1.08   0.07
7835026Bone mineral, single photon                       N+  0.22   0.07     0.00     0.07     0.00     0.01   0.30   0.23   0.30   0.23  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
78351  Bone mineral, dual photon                         N+  0.30   1.41     0.47     0.11     0.07     0.01   1.72   0.78   0.42   0.38  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
78399  Musculoskeletal nuclear exam                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78399TCMusculoskeletal nuclear exam                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7839926Musculoskeletal nuclear exam                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78414  Non-imaging heart function                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78414TCNon-imaging heart function                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7841426Non-imaging heart function                        A   0.45   0.16     0.14     0.16     0.14     0.02   0.63   0.61   0.63   0.61  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78428  Cardiac shunt imaging                             A   0.78   3.22     5.26     3.22NA   5.26 NA  0.16   4.16   6.20   4.16   6.20  1XXX.00.00.0000000             37.8975 090 99     6.71   6.71   0.32
78428TCCardiac shunt imaging                             A   0.00   2.91     4.88     2.91NA   4.88 NA  0.13   3.04   5.01   3.04   5.01  1XXX.00.00.0000000             37.8975 010 99     6.40   6.40   0.29
7842826Cardiac shunt imaging                             A   0.78   0.31     0.38     0.31     0.38     0.03   1.12   1.19   1.12   1.19  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78445  Vascular flow imaging                             A   0.49   2.61     4.34     2.61NA   4.34 NA  0.13   3.23   4.96   3.23   4.96  1XXX.00.00.0000000             37.8975 090 99     3.92   3.92   0.20
78445TCVascular flow imaging                             A   0.00   2.44     4.18     2.44NA   4.18 NA  0.11   2.55   4.29   2.55   4.29  1XXX.00.00.0000000             37.8975 010 99     3.75   3.75   0.18
7844526Vascular flow imaging                             A   0.49   0.17     0.16     0.17     0.16     0.02   0.68   0.67   0.68   0.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78456  Acute venous thrombus image                       A   1.00   5.71     9.86     5.71NA   9.86 NA  0.33   7.04  11.19   7.04  11.19  1XXX.00.00.0099999             37.8975 090 99     4.10   4.10   0.25
78456TCAcute venous thrombus image                       A   0.00   5.33     9.36     5.33NA   9.36 NA  0.29   5.62   9.65   5.62   9.65  1XXX.00.00.0099999             37.8975 090 99     3.72   3.72   0.21
7845626Acute venous thrombus image                       A   1.00   0.38     0.50     0.38     0.50     0.04   1.42   1.54   1.42   1.54  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
78457  Venous thrombosis imaging                         A   0.77   3.32     4.53     3.32NA   4.53 NA  0.17   4.26   5.47   4.26   5.47  1XXX.00.00.0000000             37.8975 090 99     4.00   4.00   0.21
78457TCVenous thrombosis imaging                         A   0.00   3.07     4.31     3.07NA   4.31 NA  0.14   3.21   4.45   3.21   4.45  1XXX.00.00.0000000             37.8975 010 99     3.75   3.75   0.18
7845726Venous thrombosis imaging                         A   0.77   0.25     0.22     0.25     0.22     0.03   1.05   1.02   1.05   1.02  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78458  Ven thrombosis images, bilat                      A   0.90   4.33     4.30     4.33NA   4.30 NA  0.25   5.48   5.45   5.48   5.45  1XXX.00.00.0002000             37.8975 090 99     4.03   4.03   0.24
78458TCVen thrombosis images, bilat                      A   0.00   4.03     4.05     4.03NA   4.05 NA  0.21   4.24   4.26   4.24   4.26  1XXX.00.00.0002000             37.8975 010 99     3.73   3.73   0.20
7845826Ven thrombosis images, bilat                      A   0.90   0.30     0.25     0.30     0.25     0.04   1.24   1.19   1.24   1.19  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
78459  Heart muscle imaging (PET)                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    18.50  18.50   1.41
78459TCHeart muscle imaging (PET)                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    17.94  17.94   1.36
7845926Heart muscle imaging (PET)                        A   1.50   0.56     0.54     0.56     0.54     0.05   2.11   2.09   2.11   2.09  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78460  Heart muscle blood, single                        A   0.86   3.10     4.44     3.10NA   4.44 NA  0.17   4.13   5.47   4.13   5.47  1XXX.00.00.0000000             37.8975 090 99     6.68   6.68   0.34
78460TCHeart muscle blood, single                        A   0.00   2.81     4.17     2.81NA   4.17 NA  0.13   2.94   4.30   2.94   4.30  1XXX.00.00.0000000             37.8975 010 99     6.39   6.39   0.30
7846026Heart muscle blood, single                        A   0.86   0.29     0.27     0.29     0.27     0.04   1.19   1.17   1.19   1.17  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78461  Heart muscle blood, multiple                      A   1.23   4.81     3.79     4.81NA   3.79 NA  0.30   6.34   5.32   6.34   5.32  1XXX.00.00.0000000             37.8975 090 99    10.39  10.39   0.62
78461TCHeart muscle blood, multiple                      A   0.00   4.39     3.40     4.39NA   3.40 NA  0.25   4.64   3.65   4.64   3.65  1XXX.00.00.0000000             37.8975 010 99     9.97   9.97   0.57
7846126Heart muscle blood, multiple                      A   1.23   0.42     0.39     0.42     0.39     0.05   1.70   1.67   1.70   1.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78464  Heart image (3d), single                          A   1.09   7.03     5.75     7.03NA   5.75 NA  0.41   8.53   7.25   8.53   7.25  1XXX.00.00.0000000             37.8975 090 99     6.75   6.75   0.39
78464TCHeart image (3d), single                          A   0.00   6.62     5.27     6.62NA   5.27 NA  0.37   6.99   5.64   6.99   5.64  1XXX.00.00.0000000             37.8975 010 99     6.34   6.34   0.35
7846426Heart image (3d), single                          A   1.09   0.41     0.48     0.41     0.48     0.04   1.54   1.61   1.54   1.61  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78465  Heart image (3d), multiple                        A   1.46  12.08    11.36    12.08NA  11.36 NA  0.67  14.21  13.49  14.21  13.49  1XXX.00.00.0000000             37.8975 090 99    10.57  10.57   0.59
78465TCHeart image (3d), multiple                        A   0.00  11.51    10.66    11.51NA  10.66 NA  0.62  12.13  11.28  12.13  11.28  1XXX.00.00.0000000             37.8975 010 99    10.00  10.00   0.54
7846526Heart image (3d), multiple                        A   1.46   0.57     0.70     0.57     0.70     0.05   2.08   2.21   2.08   2.21  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78466  Heart infarct image                               A   0.69   3.23     4.34     3.23NA   4.34 NA  0.17   4.09   5.20   4.09   5.20  1XXX.00.00.0000000             37.8975 090 99     6.63   6.63   0.33
78466TCHeart infarct image                               A   0.00   2.99     4.10     2.99NA   4.10 NA  0.14   3.13   4.24   3.13   4.24  1XXX.00.00.0000000             37.8975 010 99     6.39   6.39   0.30
7846626Heart infarct image                               A   0.69   0.24     0.24     0.24     0.24     0.03   0.96   0.96   0.96   0.96  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78468  Heart infarct image (ef)                          A   0.80   4.45     5.98     4.45NA   5.98 NA  0.22   5.47   7.00   5.47   7.00  1XXX.00.00.0000000             37.8975 090 99     6.71   6.71   0.32
78468TCHeart infarct image (ef)                          A   0.00   4.14     5.56     4.14NA   5.56 NA  0.19   4.33   5.75   4.33   5.75  1XXX.00.00.0000000             37.8975 010 99     6.40   6.40   0.29
7846826Heart infarct image (ef)                          A   0.80   0.31     0.42     0.31     0.42     0.03   1.14   1.25   1.14   1.25  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78469  Heart infarct image (3D)                          A   0.92   5.70     6.21     5.70NA   6.21 NA  0.31   6.93   7.44   6.93   7.44  1XXX.00.00.0000000             37.8975 090 99     6.70   6.70   0.36
78469TCHeart infarct image (3D)                          A   0.00   5.36     5.77     5.36NA   5.77 NA  0.28   5.64   6.05   5.64   6.05  1XXX.00.00.0000000             37.8975 010 99     6.36   6.36   0.33
7846926Heart infarct image (3D)                          A   0.92   0.34     0.44     0.34     0.44     0.03   1.29   1.39   1.29   1.39  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78472  Gated heart, planar, single                       A   0.98   5.87     5.95     5.87NA   5.95 NA  0.34   7.19   7.27   7.19   7.27  1XXX.00.00.0000000             37.8975 090 99     6.70   6.70   0.38
78472TCGated heart, planar, single                       A   0.00   5.52     5.56     5.52NA   5.56 NA  0.30   5.82   5.86   5.82   5.86  1XXX.00.00.0000000             37.8975 010 99     6.35   6.35   0.34
7847226Gated heart, planar, single                       A   0.98   0.35     0.39     0.35     0.39     0.04   1.37   1.41   1.37   1.41  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78473  Gated heart, multiple                             A   1.47   8.46     7.54     8.46NA   7.54 NA  0.48  10.41   9.49  10.41   9.49  1XXX.00.00.0000000             37.8975 090 99     8.20   8.20   0.47
78473TCGated heart, multiple                             A   0.00   7.93     6.94     7.93NA   6.94 NA  0.42   8.35   7.36   8.35   7.36  1XXX.00.00.0000000             37.8975 010 99     7.67   7.67   0.41
7847326Gated heart, multiple                             A   1.47   0.53     0.60     0.53     0.60     0.06   2.06   2.13   2.06   2.13  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78478  Heart wall motion add-on                          A   0.50   1.54     0.80     1.54NA   0.80 NA  0.12   2.16   1.42   2.16   1.42  1XXX.00.00.0000000             37.8975 090 99     2.50   2.50   0.19
78478TCHeart wall motion add-on                          A   0.00   1.31     0.56     1.31NA   0.56 NA  0.10   1.41   0.66   1.41   0.66  1XXX.00.00.0000000             37.8975 010 99     2.27   2.27   0.17
7847826Heart wall motion add-on                          A   0.50   0.23     0.24     0.23     0.24     0.02   0.75   0.76   0.75   0.76  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78480  Heart function add-on                             A   0.30   1.51     0.70     1.51NA   0.70 NA  0.12   1.93   1.12   1.93   1.12  1XXX.00.00.0000000             37.8975 090 99     2.47   2.47   0.19
78480TCHeart function add-on                             A   0.00   1.31     0.55     1.31NA   0.55 NA  0.10   1.41   0.65   1.41   0.65  1XXX.00.00.0000000             37.8975 010 99     2.27   2.27   0.17
7848026Heart function add-on                             A   0.30   0.20     0.15     0.20     0.15     0.02   0.52   0.47   0.52   0.47  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78481  Heart first pass, single                          A   0.98   5.46     5.07     5.46NA   5.07 NA  0.31   6.75   6.36   6.75   6.36  1XXX.00.00.0000000             37.8975 090 99     6.74   6.74   0.38
78481TCHeart first pass, single                          A   0.00   5.06     4.57     5.06NA   4.57 NA  0.28   5.34   4.85   5.34   4.85  1XXX.00.00.0000000             37.8975 010 99     6.34   6.34   0.35
7848126Heart first pass, single                          A   0.98   0.40     0.50     0.40     0.50     0.03   1.41   1.51   1.41   1.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78483  Heart first pass, multiple                        A   1.47   8.02     6.86     8.02NA   6.86 NA  0.46   9.95   8.79   9.95   8.79  1XXX.00.00.0000000             37.8975 090 99     8.26   8.26   0.47
78483TCHeart first pass, multiple                        A   0.00   7.42     6.07     7.42NA   6.07 NA  0.41   7.83   6.48   7.83   6.48  1XXX.00.00.0000000             37.8975 010 99     7.66   7.66   0.42
7848326Heart first pass, multiple                        A   1.47   0.60     0.79     0.60     0.79     0.05   2.12   2.31   2.12   2.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78491  Heart image (pet), single                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    18.53  18.53   1.42
78491TCHeart image (pet), single                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99    17.94  17.94   1.36
7849126Heart image (pet), single                         A   1.50   0.59     0.60     0.59     0.60     0.06   2.15   2.16   2.15   2.16  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78492  Heart image (pet), multiple                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    18.72  18.72   1.43
78492TCHeart image (pet), multiple                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99    17.94  17.94   1.36
7849226Heart image (pet), multiple                       A   1.87   0.78     0.91     0.78     0.91     0.07   2.72   2.85   2.72   2.85  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78494  Heart image, spect                                A   1.19   7.17     6.19     7.17NA   6.19 NA  0.35   8.71   7.73   8.71   7.73  1XXX.00.00.0000000             37.8975 090 99     6.85   6.85   0.34
78494TCHeart image, spect                                A   0.00   6.72     5.65     6.72NA   5.65 NA  0.30   7.02   5.95   7.02   5.95  1XXX.00.00.0000000             37.8975 010 99     6.40   6.40   0.29
7849426Heart image, spect                                A   1.19   0.45     0.54     0.45     0.54     0.05   1.69   1.78   1.69   1.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78496  Heart first pass add-on                           A   0.50   5.67     0.92     5.67     0.92     0.32   6.49   1.74   6.49   1.74  1ZZZ.00.00.0000000             37.8975 090 99     2.51   2.51   0.15
78496TCHeart first pass add-on                           A   0.00   5.47     0.67     5.47     0.67     0.30   5.77   0.97   5.77   0.97  1ZZZ.00.00.0000000             37.8975 010 99     2.31   2.31   0.13
7849626Heart first pass add-on                           A   0.50   0.20     0.25     0.20     0.25     0.02   0.72   0.77   0.72   0.77  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78499  Cardiovascular nuclear exam                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78499TCCardiovascular nuclear exam                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7849926Cardiovascular nuclear exam                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78580  Lung perfusion imaging                            A   0.74   3.97     4.83     3.97NA   4.83 NA  0.21   4.92   5.78   4.92   5.78  1XXX.00.00.0000000             37.8975 090 99     5.16   5.16   0.27
78580TCLung perfusion imaging                            A   0.00   3.73     4.61     3.73NA   4.61 NA  0.18   3.91   4.79   3.91   4.79  1XXX.00.00.0000000             37.8975 010 99     4.92   4.92   0.24
7858026Lung perfusion imaging                            A   0.74   0.24     0.22     0.24     0.22     0.03   1.01   0.99   1.01   0.99  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78584  Lung V/Q image single breath                      A   0.99   3.34     2.74     3.34NA   2.74 NA  0.21   4.54   3.94   4.54   3.94  1XXX.00.00.0000000             37.8975 090 99     8.14   8.14   0.49
78584TCLung V/Q image single breath                      A   0.00   3.02     2.46     3.02NA   2.46 NA  0.17   3.19   2.63   3.19   2.63  1XXX.00.00.0000000             37.8975 010 99     7.82   7.82   0.45
7858426Lung V/Q image single breath                      A   0.99   0.32     0.28     0.32     0.28     0.04   1.35   1.31   1.35   1.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78585  Lung V/Q imaging                                  A   1.09   6.53     8.09     6.53NA   8.09 NA  0.35   7.97   9.53   7.97   9.53  1XXX.00.00.0000000             37.8975 090 99     8.23   8.23   0.44
78585TCLung V/Q imaging                                  A   0.00   6.18     7.78     6.18NA   7.78 NA  0.30   6.48   8.08   6.48   8.08  1XXX.00.00.0000000             37.8975 010 99     7.88   7.88   0.39
7858526Lung V/Q imaging                                  A   1.09   0.35     0.31     0.35     0.31     0.05   1.49   1.45   1.49   1.45  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78586  Aerosol lung image, single                        A   0.40   3.02     3.89     3.02NA   3.89 NA  0.16   3.58   4.45   3.58   4.45  1XXX.00.00.0000000             37.8975 090 99     5.05   5.05   0.26
78586TCAerosol lung image, single                        A   0.00   2.89     3.78     2.89NA   3.78 NA  0.14   3.03   3.92   3.03   3.92  1XXX.00.00.0000000             37.8975 010 99     4.92   4.92   0.24
7858626Aerosol lung image, single                        A   0.40   0.13     0.11     0.13     0.11     0.02   0.55   0.53   0.55   0.53  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78587  Aerosol lung image, multiple                      A   0.49   3.51     5.12     3.51NA   5.12 NA  0.16   4.16   5.77   4.16   5.77  1XXX.00.00.0000000             37.8975 090 99     5.11   5.11   0.23
78587TCAerosol lung image, multiple                      A   0.00   3.35     4.98     3.35NA   4.98 NA  0.14   3.49   5.12   3.49   5.12  1XXX.00.00.0000000             37.8975 010 99     4.95   4.95   0.21
7858726Aerosol lung image, multiple                      A   0.49   0.16     0.14     0.16     0.14     0.02   0.67   0.65   0.67   0.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78588  Perfusion lung image                              A   1.09   4.70     8.11     4.70NA   8.11 NA  0.23   6.02   9.43   6.02   9.43  1XXX.00.00.0000000             37.8975 090 99     8.29   8.29   0.38
78588TCPerfusion lung image                              A   0.00   4.35     7.81     4.35NA   7.81 NA  0.18   4.53   7.99   4.53   7.99  1XXX.00.00.0000000             37.8975 010 99     7.94   7.94   0.33
7858826Perfusion lung image                              A   1.09   0.35     0.30     0.35     0.30     0.05   1.49   1.44   1.49   1.44  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78591  Vent image, 1 breath, 1 proj                      A   0.40   3.21     3.87     3.21NA   3.87 NA  0.16   3.77   4.43   3.77   4.43  1XXX.00.00.0000000             37.8975 090 99     5.06   5.06   0.25
78591TCVent image, 1 breath, 1 proj                      A   0.00   3.08     3.76     3.08NA   3.76 NA  0.14   3.22   3.90   3.22   3.90  1XXX.00.00.0000000             37.8975 010 99     4.93   4.93   0.23
7859126Vent image, 1 breath, 1 proj                      A   0.40   0.13     0.11     0.13     0.11     0.02   0.55   0.53   0.55   0.53  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78593  Vent image, 1 proj, gas                           A   0.49   3.84     4.51     3.84NA   4.51 NA  0.20   4.53   5.20   4.53   5.20  1XXX.00.00.0000000             37.8975 090 99     5.08   5.08   0.26
78593TCVent image, 1 proj, gas                           A   0.00   3.68     4.37     3.68NA   4.37 NA  0.18   3.86   4.55   3.86   4.55  1XXX.00.00.0000000             37.8975 010 99     4.92   4.92   0.24
7859326Vent image, 1 proj, gas                           A   0.49   0.16     0.14     0.16     0.14     0.02   0.67   0.65   0.67   0.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78594  Vent image, mult proj, gas                        A   0.53   5.12     4.99     5.12NA   4.99 NA  0.27   5.92   5.79   5.92   5.79  1XXX.00.00.0000000             37.8975 090 99     5.08   5.08   0.27
78594TCVent image, mult proj, gas                        A   0.00   4.95     4.84     4.95NA   4.84 NA  0.25   5.20   5.09   5.20   5.09  1XXX.00.00.0000000             37.8975 010 99     4.91   4.91   0.25
7859426Vent image, mult proj, gas                        A   0.53   0.17     0.15     0.17     0.15     0.02   0.72   0.70   0.72   0.70  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78596  Lung differential function                        A   1.27   7.70     8.33     7.70NA   8.33 NA  0.42   9.39  10.02   9.39  10.02  1XXX.00.00.0000000             37.8975 090 99     8.27   8.27   0.45
78596TCLung differential function                        A   0.00   7.30     7.98     7.30NA   7.98 NA  0.37   7.67   8.35   7.67   8.35  1XXX.00.00.0000000             37.8975 010 99     7.87   7.87   0.40
7859626Lung differential function                        A   1.27   0.40     0.35     0.40     0.35     0.05   1.72   1.67   1.72   1.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78599  Respiratory nuclear exam                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78599TCRespiratory nuclear exam                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7859926Respiratory nuclear exam                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78600  Brain imaging, ltd static                         A   0.44   3.98     6.83     3.98NA   6.83 NA  0.16   4.58   7.43   4.58   7.43  1XXX.00.00.0000000             37.8975 090 99     7.40   7.40   0.29
78600TCBrain imaging, ltd static                         A   0.00   3.84     6.71     3.84NA   6.71 NA  0.14   3.98   6.85   3.98   6.85  1XXX.00.00.0000000             37.8975 010 99     7.26   7.26   0.27
7860026Brain imaging, ltd static                         A   0.44   0.14     0.12     0.14     0.12     0.02   0.60   0.58   0.60   0.58  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78601  Brain imaging, ltd w/flow                         A   0.51   3.93     5.02     3.93NA   5.02 NA  0.20   4.64   5.73   4.64   5.73  1XXX.00.00.0000000             37.8975 090 99     7.34   7.34   0.37
78601TCBrain imaging, ltd w/flow                         A   0.00   3.77     4.88     3.77NA   4.88 NA  0.18   3.95   5.06   3.95   5.06  1XXX.00.00.0000000             37.8975 010 99     7.18   7.18   0.35
7860126Brain imaging, ltd w/flow                         A   0.51   0.16     0.14     0.16     0.14     0.02   0.69   0.67   0.69   0.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78605  Brain imaging, complete                           A   0.53   3.80     4.46     3.80NA   4.46 NA  0.20   4.53   5.19   4.53   5.19  1XXX.00.00.0000000             37.8975 090 99     7.34   7.34   0.38
78605TCBrain imaging, complete                           A   0.00   3.63     4.31     3.63NA   4.31 NA  0.18   3.81   4.49   3.81   4.49  1XXX.00.00.0000000             37.8975 010 99     7.17   7.17   0.36
7860526Brain imaging, complete                           A   0.53   0.17     0.15     0.17     0.15     0.02   0.72   0.70   0.72   0.70  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78606  Brain imaging, compl w/flow                       A   0.64   5.08     8.07     5.08NA   8.07 NA  0.24   5.96   8.95   5.96   8.95  1XXX.00.00.0000000             37.8975 090 99     7.41   7.41   0.35
78606TCBrain imaging, compl w/flow                       A   0.00   4.88     7.89     4.88NA   7.89 NA  0.21   5.09   8.10   5.09   8.10  1XXX.00.00.0000000             37.8975 010 99     7.21   7.21   0.32
7860626Brain imaging, compl w/flow                       A   0.64   0.20     0.18     0.20     0.18     0.03   0.87   0.85   0.87   0.85  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78607  Brain imaging (3D)                                A   1.23   8.83    14.39     8.83NA  14.39 NA  0.40  10.46  16.02  10.46  16.02  1XXX.00.00.0000000             37.8975 090 99     7.64   7.64   0.35
78607TCBrain imaging (3D)                                A   0.00   8.42    14.04     8.42NA  14.04 NA  0.35   8.77  14.39   8.77  14.39  1XXX.00.00.0000000             37.8975 010 99     7.23   7.23   0.30
7860726Brain imaging (3D)                                A   1.23   0.41     0.35     0.41     0.35     0.05   1.69   1.63   1.69   1.63  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78608  Brain imaging (PET)                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    21.48  21.48   1.64
78608TCBrain imaging (PET)                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99    20.99  20.99   1.58
7860826Brain imaging (PET)                               A   1.50   0.49     0.43     0.49     0.43     0.06   2.05   1.99   2.05   1.99  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78609  Brain imaging (PET)                               N+  1.50   0.49     0.43     0.49     0.43     0.06   2.05   1.99   2.05   1.99  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78609TCBrain imaging (PET)                               N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7860926Brain imaging (PET)                               N+  1.50   0.49     0.43     0.49     0.43     0.06   2.05   1.99   2.05   1.99  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78610  Brain flow imaging only                           A   0.30   2.32     4.19     2.32NA   4.19 NA  0.11   2.73   4.60   2.73   4.60  1XXX.00.00.0000000             37.8975 090 99     7.31   7.31   0.34
78610TCBrain flow imaging only                           A   0.00   2.21     4.10     2.21NA   4.10 NA  0.10   2.31   4.20   2.31   4.20  1XXX.00.00.0000000             37.8975 010 99     7.20   7.20   0.33
7861026Brain flow imaging only                           A   0.30   0.11     0.09     0.11     0.09     0.01   0.42   0.40   0.42   0.40  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78615  Cerebral vascular flow image                      A   0.42   4.26     5.06     4.26NA   5.06 NA  0.23   4.91   5.71   4.91   5.71  1XXX.00.00.0000000             37.8975 090 99     7.30   7.30   0.39
78615TCCerebral vascular flow image                      A   0.00   4.12     4.94     4.12NA   4.94 NA  0.21   4.33   5.15   4.33   5.15  1XXX.00.00.0000000             37.8975 010 99     7.16   7.16   0.37
7861526Cerebral vascular flow image                      A   0.42   0.14     0.12     0.14     0.12     0.02   0.58   0.56   0.58   0.56  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78630  Cerebrospinal fluid scan                          A   0.68   5.98     8.11     5.98NA   8.11 NA  0.30   6.96   9.09   6.96   9.09  1XXX.00.00.0000000             37.8975 090 99     5.63   5.63   0.28
78630TCCerebrospinal fluid scan                          A   0.00   5.76     7.92     5.76NA   7.92 NA  0.27   6.03   8.19   6.03   8.19  1XXX.00.00.0000000             37.8975 010 99     5.41   5.41   0.25
7863026Cerebrospinal fluid scan                          A   0.68   0.22     0.19     0.22     0.19     0.03   0.93   0.90   0.93   0.90  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78635  CSF ventriculography                              A   0.61   4.10     8.05     4.10NA   8.05 NA  0.16   4.87   8.82   4.87   8.82  1XXX.00.00.0000000             37.8975 090 99     5.68   5.68   0.22
78635TCCSF ventriculography                              A   0.00   3.88     7.88     3.88NA   7.88 NA  0.14   4.02   8.02   4.02   8.02  1XXX.00.00.0000000             37.8975 010 99     5.46   5.46   0.20
7863526CSF ventriculography                              A   0.61   0.22     0.17     0.22     0.17     0.02   0.85   0.80   0.85   0.80  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78645  CSF shunt evaluation                              A   0.57   4.71     7.97     4.71NA   7.97 NA  0.20   5.48   8.74   5.48   8.74  1XXX.00.00.0000000             37.8975 090 99     5.62   5.62   0.24
78645TCCSF shunt evaluation                              A   0.00   4.53     7.81     4.53NA   7.81 NA  0.18   4.71   7.99   4.71   7.99  1XXX.00.00.0000000             37.8975 010 99     5.44   5.44   0.22
7864526CSF shunt evaluation                              A   0.57   0.18     0.16     0.18     0.16     0.02   0.77   0.75   0.77   0.75  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78647  Cerebrospinal fluid scan                          A   0.90   8.06    13.60     8.06NA  13.60 NA  0.35   9.31  14.85   9.31  14.85  1XXX.00.00.0000000             37.8975 090 99     5.73   5.73   0.26
78647TCCerebrospinal fluid scan                          A   0.00   7.77    13.36     7.77NA  13.36 NA  0.31   8.08  13.67   8.08  13.67  1XXX.00.00.0000000             37.8975 010 99     5.44   5.44   0.22
7864726Cerebrospinal fluid scan                          A   0.90   0.29     0.24     0.29     0.24     0.04   1.23   1.18   1.23   1.18  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78650  CSF leakage imaging                               A   0.61   5.68     8.17     5.68NA   8.17 NA  0.27   6.56   9.05   6.56   9.05  1XXX.00.00.0000000             37.8975 090 99     5.62   5.62   0.27
78650TCCSF leakage imaging                               A   0.00   5.48     7.99     5.48NA   7.99 NA  0.24   5.72   8.23   5.72   8.23  1XXX.00.00.0000000             37.8975 010 99     5.42   5.42   0.24
7865026CSF leakage imaging                               A   0.61   0.20     0.18     0.20     0.18     0.03   0.84   0.82   0.84   0.82  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78660  Nuclear exam of tear flow                         A   0.53   2.74     4.03     2.74NA   4.03 NA  0.14   3.41   4.70   3.41   4.70  1XXX.00.00.0000000             37.8975 090 99     5.59   5.59   0.27
78660TCNuclear exam of tear flow                         A   0.00   2.56     3.87     2.56NA   3.87 NA  0.12   2.68   3.99   2.68   3.99  1XXX.00.00.0000000             37.8975 010 99     5.41   5.41   0.25
7866026Nuclear exam of tear flow                         A   0.53   0.18     0.16     0.18     0.16     0.02   0.73   0.71   0.73   0.71  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78699  Nervous system nuclear exam                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78699TCNervous system nuclear exam                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7869926Nervous system nuclear exam                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78700  Kidney imaging, morphol                           A   0.45   3.47     4.26     3.47NA   4.26 NA  0.18   4.10   4.89   4.10   4.89  1XXX.00.00.0000000             37.8975 090 99     5.44   5.44   0.28
78700TCKidney imaging, morphol                           A   0.00   3.32     4.12     3.32NA   4.12 NA  0.16   3.48   4.28   3.48   4.28  1XXX.00.00.0000000             37.8975 010 99     5.29   5.29   0.26
7870026Kidney imaging, morphol                           A   0.45   0.15     0.14     0.15     0.14     0.02   0.62   0.61   0.62   0.61  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78701  Kidney imaging with flow                          A   0.49   4.06     5.04     4.06NA   5.04 NA  0.20   4.75   5.73   4.75   5.73  1XXX.00.00.0000000             37.8975 090 99     5.46   5.46   0.27
78701TCKidney imaging with flow                          A   0.00   3.90     4.90     3.90NA   4.90 NA  0.18   4.08   5.08   4.08   5.08  1XXX.00.00.0000000             37.8975 010 99     5.30   5.30   0.25
7870126Kidney imaging with flow                          A   0.49   0.16     0.14     0.16     0.14     0.02   0.67   0.65   0.67   0.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78707  K flow/funct image w/o drug                       A   0.96   4.88     5.15     4.88NA   5.15 NA  0.27   6.11   6.38   6.11   6.38  1XXX.00.00.0000000             37.8975 090 99     5.59   5.59   0.31
78707TCK flow/funct image w/o drug                       A   0.00   4.57     4.88     4.57NA   4.88 NA  0.23   4.80   5.11   4.80   5.11  1XXX.00.00.0000000             37.8975 010 99     5.28   5.28   0.27
7870726K flow/funct image w/o drug                       A   0.96   0.31     0.27     0.31     0.27     0.04   1.31   1.27   1.31   1.27  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78708  K flow/funct image w/drug                         A   1.21   4.45     3.17     4.45NA   3.17 NA  0.28   5.94   4.66   5.94   4.66  1XXX.00.00.0000000             37.8975 090 99     6.59   6.59   0.40
78708TCK flow/funct image w/drug                         A   0.00   4.06     2.83     4.06NA   2.83 NA  0.23   4.29   3.06   4.29   3.06  1XXX.00.00.0000000             37.8975 010 99     6.20   6.20   0.35
7870826K flow/funct image w/drug                         A   1.21   0.39     0.34     0.39     0.34     0.05   1.65   1.60   1.65   1.60  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78709  K flow/funct image, multiple                      A   1.41   5.79     8.35     5.79NA   8.35 NA  0.29   7.49  10.05   7.49  10.05  1XXX.00.00.0000000             37.8975 090 99     6.73   6.73   0.33
78709TCK flow/funct image, multiple                      A   0.00   5.34     7.95     5.34NA   7.95 NA  0.23   5.57   8.18   5.57   8.18  1XXX.00.00.0000000             37.8975 010 99     6.28   6.28   0.27
7870926K flow/funct image, multiple                      A   1.41   0.45     0.40     0.45     0.40     0.06   1.92   1.87   1.92   1.87  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78710  Kidney imaging (3D)                               A   0.66   5.85     5.02     5.85NA   5.02 NA  0.34   6.85   6.02   6.85   6.02  1XXX.00.00.0000000             37.8975 090 99     5.47   5.47   0.32
78710TCKidney imaging (3D)                               A   0.00   5.64     4.83     5.64NA   4.83 NA  0.31   5.95   5.14   5.95   5.14  1XXX.00.00.0000000             37.8975 010 99     5.26   5.26   0.29
7871026Kidney imaging (3D)                               A   0.66   0.21     0.19     0.21     0.19     0.03   0.90   0.88   0.90   0.88  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78725  Kidney function study                             A   0.38   2.00     2.26     2.00NA   2.26 NA  0.13   2.51   2.77   2.51   2.77  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78725TCKidney function study                             A   0.00   1.87     2.15     1.87NA   2.15 NA  0.11   1.98   2.26   1.98   2.26  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
7872526Kidney function study                             A   0.38   0.13     0.11     0.13     0.11     0.02   0.53   0.51   0.53   0.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78730  Urinary bladder retention                         A   0.15   1.68     1.97     1.68NA   1.97 NA  0.10   1.93   2.22   1.93   2.22  1ZZZ.00.00.0000000             37.8975 090 99     1.05   1.05   0.07
78730TCUrinary bladder retention                         A   0.00   1.57     1.91     1.57NA   1.91 NA  0.08   1.65   1.99   1.65   1.99  1ZZZ.00.00.0000000             37.8975 010 99     0.94   0.94   0.05
7873026Urinary bladder retention                         A   0.15   0.11     0.06     0.11     0.06     0.02   0.28   0.23   0.28   0.23  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78740  Ureteral reflux study                             A   0.57   3.02     5.17     3.02NA   5.17 NA  0.15   3.74   5.89   3.74   5.89  1XXX.00.00.0000000             37.8975 090 99     5.50   5.50   0.26
78740TCUreteral reflux study                             A   0.00   2.84     5.01     2.84NA   5.01 NA  0.12   2.96   5.13   2.96   5.13  1XXX.00.00.0000000             37.8975 010 99     5.32   5.32   0.23
7874026Ureteral reflux study                             A   0.57   0.18     0.16     0.18     0.16     0.03   0.78   0.76   0.78   0.76  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78761  Testicular imaging w/flow                         A   0.71   3.73     4.58     3.73NA   4.58 NA  0.20   4.64   5.49   4.64   5.49  1XXX.00.00.0000000             37.8975 090 99     5.52   5.52   0.29
78761TCTesticular imaging w/flow                         A   0.00   3.50     4.38     3.50NA   4.38 NA  0.17   3.67   4.55   3.67   4.55  1XXX.00.00.0000000             37.8975 010 99     5.29   5.29   0.26
7876126Testicular imaging w/flow                         A   0.71   0.23     0.20     0.23     0.20     0.03   0.97   0.94   0.97   0.94  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78799  Genitourinary nuclear exam                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78799TCGenitourinary nuclear exam                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7879926Genitourinary nuclear exam                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78800  Tumor imaging, limited area                       A   0.66   3.73     4.06     3.73NA   4.06 NA  0.22   4.61   4.94   4.61   4.94  1XXX.00.00.0000000             37.8975 090 99     6.37   6.37   0.36
78800TCTumor imaging, limited area                       A   0.00   3.52     3.88     3.52NA   3.88 NA  0.18   3.70   4.06   3.70   4.06  1XXX.00.00.0000000             37.8975 010 99     6.16   6.16   0.32
7880026Tumor imaging, limited area                       A   0.66   0.21     0.18     0.21     0.18     0.04   0.91   0.88   0.91   0.88  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78801  Tumor imaging, mult areas                         A   0.79   4.81     5.75     4.81NA   5.75 NA  0.27   5.87   6.81   5.87   6.81  1XXX.00.00.0000000             37.8975 090 99     6.44   6.44   0.35
78801TCTumor imaging, mult areas                         A   0.00   4.55     5.53     4.55NA   5.53 NA  0.22   4.77   5.75   4.77   5.75  1XXX.00.00.0000000             37.8975 010 99     6.18   6.18   0.30
7880126Tumor imaging, mult areas                         A   0.79   0.26     0.22     0.26     0.22     0.05   1.10   1.06   1.10   1.06  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78802  Tumor imaging, whole body                         A   0.86   6.29     7.68     6.29NA   7.68 NA  0.34   7.49   8.88   7.49   8.88  1XXX.00.00.0020000             37.8975 090 99     6.45   6.45   0.35
78802TCTumor imaging, whole body                         A   0.00   6.01     7.44     6.01NA   7.44 NA  0.30   6.31   7.74   6.31   7.74  1XXX.00.00.0020000             37.8975 010 99     6.17   6.17   0.31
7880226Tumor imaging, whole body                         A   0.86   0.28     0.24     0.28     0.24     0.04   1.18   1.14   1.18   1.14  1XXX.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
78803  Tumor imaging (3D)                                A   1.09   8.73    14.15     8.73NA  14.15 NA  0.40  10.22  15.64  10.22  15.64  1XXX.00.00.0020000             37.8975 090 99     6.57   6.57   0.32
78803TCTumor imaging (3D)                                A   0.00   8.37    13.84     8.37NA  13.84 NA  0.35   8.72  14.19   8.72  14.19  1XXX.00.00.0020000             37.8975 010 99     6.21   6.21   0.27
7880326Tumor imaging (3D)                                A   1.09   0.36     0.31     0.36     0.31     0.05   1.50   1.45   1.50   1.45  1XXX.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
78804  Tumor imaging, whole body                         A   1.07  12.08    14.02    12.08NA  14.02 NA  0.34  13.49  15.43  13.49  15.43  1XXX.00.00.0000000             37.8975 090 99     9.72   9.72   0.28
78804TCTumor imaging, whole body                         A   0.00  11.73    13.72    11.73NA  13.72 NA  0.30  12.03  14.02  12.03  14.02  1XXX.00.00.0000000             37.8975 010 99     9.37   9.37   0.24
7880426Tumor imaging, whole body                         A   1.07   0.35     0.30     0.35     0.30     0.04   1.46   1.41   1.46   1.41  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78805  Abscess imaging, ltd area                         A   0.73   3.73     3.94     3.73NA   3.94 NA  0.21   4.67   4.88   4.67   4.88  1XXX.00.00.0000000             37.8975 090 99     6.40   6.40   0.35
78805TCAbscess imaging, ltd area                         A   0.00   3.49     3.74     3.49NA   3.74 NA  0.18   3.67   3.92   3.67   3.92  1XXX.00.00.0000000             37.8975 010 99     6.16   6.16   0.32
7880526Abscess imaging, ltd area                         A   0.73   0.24     0.20     0.24     0.20     0.03   1.00   0.96   1.00   0.96  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78806  Abscess imaging, whole body                       A   0.86   7.01     7.85     7.01NA   7.85 NA  0.39   8.26   9.10   8.26   9.10  1XXX.00.00.0020000             37.8975 090 99     6.43   6.43   0.37
78806TCAbscess imaging, whole body                       A   0.00   6.73     7.61     6.73NA   7.61 NA  0.35   7.08   7.96   7.08   7.96  1XXX.00.00.0020000             37.8975 010 99     6.15   6.15   0.33
7880626Abscess imaging, whole body                       A   0.86   0.28     0.24     0.28     0.24     0.04   1.18   1.14   1.18   1.14  1XXX.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
78807  Nuclear localization/abscess                      A   1.09   8.56    13.41     8.56NA  13.41 NA  0.39  10.04  14.89  10.04  14.89  1XXX.00.00.0020000             37.8975 090 99     6.58   6.58   0.31
78807TCNuclear localization/abscess                      A   0.00   8.19    13.11     8.19NA  13.11 NA  0.35   8.54  13.46   8.54  13.46  1XXX.00.00.0020000             37.8975 010 99     6.21   6.21   0.27
7880726Nuclear localization/abscess                      A   1.09   0.37     0.30     0.37     0.30     0.04   1.50   1.43   1.50   1.43  1XXX.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
78811  Tumor imaging (pet), limited                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    21.50  21.50   1.69
78811TCTumor imaging (pet), limited                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99    20.99  20.99   1.58
7881126Tumor imaging (pet), limited                      A   1.54   0.51     0.44     0.51     0.44     0.11   2.16   2.09   2.16   2.09  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78812  Tumor image (pet)/skul-thigh                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    21.63  21.63   1.69
78812TCTumor image (pet)/skul-thigh                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99    20.99  20.99   1.58
7881226Tumor image (pet)/skul-thigh                      A   1.93   0.64     0.56     0.64     0.56     0.11   2.68   2.60   2.68   2.60  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78813  Tumor image (pet) full body                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    21.65  21.65   1.69
78813TCTumor image (pet) full body                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99    20.99  20.99   1.58
7881326Tumor image (pet) full body                       A   2.00   0.66     0.58     0.66     0.58     0.11   2.77   2.69   2.77   2.69  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78814  Tumor image pet/ct, limited                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    24.04  24.04   1.87
78814TCTumor image pet/ct, limited                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99    23.31  23.31   1.76
7881426Tumor image pet/ct, limited                       A   2.20   0.73     0.62     0.73     0.62     0.11   3.04   2.93   3.04   2.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78815  Tumorimage pet/ct skul-thigh                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    24.12  24.12   1.87
78815TCTumorimage pet/ct skul-thigh                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99    23.31  23.31   1.76
7881526Tumorimage pet/ct skul-thigh                      A   2.44   0.81     0.70     0.81     0.70     0.11   3.36   3.25   3.36   3.25  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78816  Tumor image pet/ct full body                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    24.14  24.14   1.87
78816TCTumor image pet/ct full body                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99    23.31  23.31   1.76
7881626Tumor image pet/ct full body                      A   2.50   0.83     0.72     0.83     0.72     0.11   3.44   3.33   3.44   3.33  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78890  Nuclear medicine data proc                        B+  0.05   1.10     0.38     1.10NA   0.38 NA  0.07   1.22   0.50   1.22   0.50  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
78890TCNuclear medicine data proc                        B+  0.00   1.08     0.37     1.08NA   0.37 NA  0.06   1.14   0.43   1.14   0.43  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
7889026Nuclear medicine data proc                        B+  0.05   0.02     0.01     0.02     0.01     0.01   0.08   0.07   0.08   0.07  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
78891  Nuclear med data proc                             B+  0.10   2.22     0.86     2.22NA   0.86 NA  0.14   2.46   1.10   2.46   1.10  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
78891TCNuclear med data proc                             B+  0.00   2.18     0.84     2.18NA   0.84 NA  0.13   2.31   0.97   2.31   0.97  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
7889126Nuclear med data proc                             B+  0.10   0.04     0.02     0.04     0.02     0.01   0.15   0.13   0.15   0.13  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
78999  Nuclear diagnostic exam                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
78999TCNuclear diagnostic exam                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7899926Nuclear diagnostic exam                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79005  Nuclear rx, oral admin                            A   1.80   2.85     1.70     2.85NA   1.70 NA  0.22   4.87   3.72   4.87   3.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79005TCNuclear rx, oral admin                            A   0.00   2.27     1.20     2.27NA   1.20 NA  0.14   2.41   1.34   2.41   1.34  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7900526Nuclear rx, oral admin                            A   1.80   0.58     0.50     0.58     0.50     0.08   2.46   2.38   2.46   2.38  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79101  Nuclear rx, iv admin                              A   1.96   2.98     2.04     2.98NA   2.04 NA  0.22   5.16   4.22   5.16   4.22  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79101TCNuclear rx, iv admin                              A   0.00   2.31     1.37     2.31NA   1.37 NA  0.14   2.45   1.51   2.45   1.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7910126Nuclear rx, iv admin                              A   1.96   0.67     0.67     0.67     0.67     0.08   2.71   2.71   2.71   2.71  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79200  Nuclear rx, intracav admin                        A   1.99   3.01     2.13     3.01NA   2.13 NA  0.23   5.23   4.35   5.23   4.35  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79200TCNuclear rx, intracav admin                        A   0.00   2.35     1.55     2.35NA   1.55 NA  0.14   2.49   1.69   2.49   1.69  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7920026Nuclear rx, intracav admin                        A   1.99   0.66     0.58     0.66     0.58     0.09   2.74   2.66   2.74   2.66  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79300  Nuclr rx, interstit colloid                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79300TCNuclr rx, interstit colloid                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7930026Nuclr rx, interstit colloid                       A   1.60   0.56     0.55     0.56     0.55     0.13   2.29   2.28   2.29   2.28  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79403  Hematopoietic nuclear tx                          A   2.25   4.57     2.77     4.57NA   2.77 NA  0.24   7.06   5.26   7.06   5.26  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79403TCHematopoietic nuclear tx                          A   0.00   3.73     2.09     3.73NA   2.09 NA  0.14   3.87   2.23   3.87   2.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7940326Hematopoietic nuclear tx                          A   2.25   0.84     0.68     0.84     0.68     0.10   3.19   3.03   3.19   3.03  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79440  Nuclear rx, intra-articular                       A   1.99   2.92     1.65     2.92NA   1.65 NA  0.22   5.13   3.86   5.13   3.86  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79440TCNuclear rx, intra-articular                       A   0.00   2.24     1.09     2.24NA   1.09 NA  0.14   2.38   1.23   2.38   1.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7944026Nuclear rx, intra-articular                       A   1.99   0.68     0.56     0.68     0.56     0.08   2.75   2.63   2.75   2.63  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79445  Nuclear rx, intra-arterial                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79445TCNuclear rx, intra-arterial                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7944526Nuclear rx, intra-arterial                        A   2.40   0.79     0.70     0.79     0.70     0.12   3.31   3.22   3.31   3.22  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79999  Nuclear medicine therapy                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
79999TCNuclear medicine therapy                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
7999926Nuclear medicine therapy                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
80048  Basic metabolic panel                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80050  General health panel                              N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80051  Electrolyte panel                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80053  Comprehen metabolic panel                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80055  Obstetric panel                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80061  Lipid panel                                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80069  Renal function panel                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80074  Acute hepatitis panel                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80076  Hepatic function panel                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80100  Drug screen, qualitate/multi                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80101  Drug screen, single                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80102  Drug confirmation                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80103  Drug analysis, tissue prep                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80150  Assay of amikacin                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80152  Assay of amitriptyline                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80154  Assay of benzodiazepines                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80156  Assay, carbamazepine, total                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80157  Assay, carbamazepine, free                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80158  Assay of cyclosporine                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80160  Assay of desipramine                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80162  Assay of digoxin                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80164  Assay, dipropylacetic acid                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80166  Assay of doxepin                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80168  Assay of ethosuximide                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80170  Assay of gentamicin                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80172  Assay of gold                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80173  Assay of haloperidol                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80174  Assay of imipramine                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80176  Assay of lidocaine                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80178  Assay of lithium                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80182  Assay of nortriptyline                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80184  Assay of phenobarbital                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80185  Assay of phenytoin, total                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80186  Assay of phenytoin, free                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80188  Assay of primidone                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80190  Assay of procainamide                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80192  Assay of procainamide                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80194  Assay of quinidine                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80195  Assay of sirolimus                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80196  Assay of salicylate                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80197  Assay of tacrolimus                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80198  Assay of theophylline                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80200  Assay of tobramycin                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80201  Assay of topiramate                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80202  Assay of vancomycin                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80299  Quantitative assay, drug                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80400  Acth stimulation panel                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80402  Acth stimulation panel                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80406  Acth stimulation panel                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80408  Aldosterone suppression eval                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80410  Calcitonin stimul panel                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80412  CRH stimulation panel                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80414  Testosterone response                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80415  Estradiol response panel                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80416  Renin stimulation panel                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80417  Renin stimulation panel                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80418  Pituitary evaluation panel                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80420  Dexamethasone panel                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80422  Glucagon tolerance panel                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80424  Glucagon tolerance panel                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80426  Gonadotropin hormone panel                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80428  Growth hormone panel                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80430  Growth hormone panel                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80432  Insulin suppression panel                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80434  Insulin tolerance panel                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80435  Insulin tolerance panel                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80436  Metyrapone panel                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80438  TRH stimulation panel                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80439  TRH stimulation panel                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80440  TRH stimulation panel                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
80500  Lab pathology consultation                        A   0.37   0.21     0.19     0.15     0.11     0.01   0.59   0.57   0.53   0.49  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
80502  Lab pathology consultation                        A   1.33   0.48     0.30     0.47     0.24     0.04   1.85   1.67   1.84   1.61  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
81000  Urinalysis, nonauto w/scope                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
81001  Urinalysis, auto w/scope                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
81002  Urinalysis nonauto w/o scope                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
81003  Urinalysis, auto, w/o scope                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
81005  Urinalysis                                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
81007  Urine screen for bacteria                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
81015  Microscopic exam of urine                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
81020  Urinalysis, glass test                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
81025  Urine pregnancy test                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
81050  Urinalysis, volume measure                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
81099  Urinalysis test procedure                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82000  Assay of blood acetaldehyde                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82003  Assay of acetaminophen                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82009  Test for acetone/ketones                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82010  Acetone assay                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82013  Acetylcholinesterase assay                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82016  Acylcarnitines, qual                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82017  Acylcarnitines, quant                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82024  Assay of acth                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82030  Assay of adp & amp                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82040  Assay of serum albumin                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82042  Assay of urine albumin                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82043  Microalbumin, quantitative                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82044  Microalbumin, semiquant                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82045  Albumin, ischemia modified                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82055  Assay of ethanol                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82075  Assay of breath ethanol                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82085  Assay of aldolase                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82088  Assay of aldosterone                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82101  Assay of urine alkaloids                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82103  Alpha-1-antitrypsin, total                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82104  Alpha-1-antitrypsin, pheno                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82105  Alpha-fetoprotein, serum                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82106  Alpha-fetoprotein, amniotic                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82107  Alpha-fetoprotein l3                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82108  Assay of aluminum                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82120  Amines, vaginal fluid qual                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82127  Amino acid, single qual                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82128  Amino acids, mult qual                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82131  Amino acids, single quant                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82135  Assay, aminolevulinic acid                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82136  Amino acids, quant, 2-5                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82139  Amino acids, quan, 6 or more                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82140  Assay of ammonia                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82143  Amniotic fluid scan                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82145  Assay of amphetamines                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82150  Assay of amylase                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82154  Androstanediol glucuronide                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82157  Assay of androstenedione                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82160  Assay of androsterone                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82163  Assay of angiotensin II                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82164  Angiotensin I enzyme test                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82172  Assay of apolipoprotein                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82175  Assay of arsenic                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82180  Assay of ascorbic acid                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82190  Atomic absorption                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82205  Assay of barbiturates                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82232  Assay of beta-2 protein                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82239  Bile acids, total                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82240  Bile acids, cholylglycine                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82247  Bilirubin, total                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82248  Bilirubin, direct                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82252  Fecal bilirubin test                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82261  Assay of biotinidase                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82270  Occult blood, feces                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82271  Occult blood, other sources                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82272  Occult blood, feces, single                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82274  Assay test for blood, fecal                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82286  Assay of bradykinin                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82300  Assay of cadmium                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82306  Assay of vitamin D                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82307  Assay of vitamin D                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82308  Assay of calcitonin                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82310  Assay of calcium                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82330  Assay of calcium                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82331  Calcium infusion test                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82340  Assay of calcium in urine                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82355  Calculus analysis, qual                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82360  Calculus assay, quant                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82365  Calculus spectroscopy                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82370  X-ray assay, calculus                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82373  Assay, c-d transfer measure                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82374  Assay, blood carbon dioxide                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82375  Assay, blood carbon monoxide                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82376  Test for carbon monoxide                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82378  Carcinoembryonic antigen                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82379  Assay of carnitine                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82380  Assay of carotene                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82382  Assay, urine catecholamines                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82383  Assay, blood catecholamines                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82384  Assay, three catecholamines                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82387  Assay of cathepsin-d                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82390  Assay of ceruloplasmin                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82397  Chemiluminescent assay                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82415  Assay of chloramphenicol                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82435  Assay of blood chloride                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82436  Assay of urine chloride                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82438  Assay, other fluid chlorides                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82441  Test for chlorohydrocarbons                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82465  Assay, bld/serum cholesterol                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82480  Assay, serum cholinesterase                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82482  Assay, rbc cholinesterase                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82485  Assay, chondroitin sulfate                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82486  Gas/liquid chromatography                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82487  Paper chromatography                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82488  Paper chromatography                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82489  Thin layer chromatography                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82491  Chromotography, quant, sing                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82492  Chromotography, quant, mult                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82495  Assay of chromium                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82507  Assay of citrate                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82520  Assay of cocaine                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82523  Collagen crosslinks                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82525  Assay of copper                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82528  Assay of corticosterone                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82530  Cortisol, free                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82533  Total cortisol                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82540  Assay of creatine                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82541  Column chromotography, qual                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82542  Column chromotography, quant                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82543  Column chromotograph/isotope                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82544  Column chromotograph/isotope                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82550  Assay of ck (cpk)                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82552  Assay of cpk in blood                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82553  Creatine, MB fraction                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82554  Creatine, isoforms                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82565  Assay of creatinine                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82570  Assay of urine creatinine                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82575  Creatinine clearance test                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82585  Assay of cryofibrinogen                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82595  Assay of cryoglobulin                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82600  Assay of cyanide                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82607  Vitamin B-12                                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82608  B-12 binding capacity                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82615  Test for urine cystines                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82626  Dehydroepiandrosterone                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82627  Dehydroepiandrosterone                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82633  Desoxycorticosterone                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82634  Deoxycortisol                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82638  Assay of dibucaine number                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82646  Assay of dihydrocodeinone                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82649  Assay of dihydromorphinone                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82651  Assay of dihydrotestosterone                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82652  Assay of dihydroxyvitamin d                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82654  Assay of dimethadione                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82656  Pancreatic elastase, fecal                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82657  Enzyme cell activity                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82658  Enzyme cell activity, ra                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82664  Electrophoretic test                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82666  Assay of epiandrosterone                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82668  Assay of erythropoietin                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82670  Assay of estradiol                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82671  Assay of estrogens                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82672  Assay of estrogen                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82677  Assay of estriol                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82679  Assay of estrone                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82690  Assay of ethchlorvynol                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82693  Assay of ethylene glycol                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82696  Assay of etiocholanolone                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82705  Fats/lipids, feces, qual                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82710  Fats/lipids, feces, quant                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82715  Assay of fecal fat                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82725  Assay of blood fatty acids                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82726  Long chain fatty acids                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82728  Assay of ferritin                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82731  Assay of fetal fibronectin                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82735  Assay of fluoride                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82742  Assay of flurazepam                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82746  Blood folic acid serum                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82747  Assay of folic acid, rbc                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82757  Assay of semen fructose                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82759  Assay of rbc galactokinase                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82760  Assay of galactose                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82775  Assay galactose transferase                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82776  Galactose transferase test                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82784  Assay of gammaglobulin igm                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82785  Assay of gammaglobulin ige                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82787  Igg 1, 2, 3 or 4, each                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82800  Blood pH                                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82803  Blood gases: pH, pO2 & pCO2                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82805  Blood gases W/02 saturation                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82810  Blood gases, O2 sat only                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82820  Hemoglobin-oxygen affinity                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82926  Assay of gastric acid                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82928  Assay of gastric acid                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82938  Gastrin test                                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82941  Assay of gastrin                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82943  Assay of glucagon                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82945  Glucose other fluid                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82946  Glucagon tolerance test                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82947  Assay, glucose, blood quant                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82948  Reagent strip/blood glucose                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82950  Glucose test                                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82951  Glucose tolerance test (GTT)                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82952  GTT-added samples                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82953  Glucose-tolbutamide test                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82955  Assay of g6pd enzyme                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82960  Test for G6PD enzyme                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82962  Glucose blood test                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82963  Assay of glucosidase                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82965  Assay of gdh enzyme                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82975  Assay of glutamine                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82977  Assay of GGT                                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82978  Assay of glutathione                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82979  Assay, rbc glutathione                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82980  Assay of glutethimide                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
82985  Glycated protein                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83001  Gonadotropin (FSH)                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83002  Gonadotropin (LH)                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83003  Assay, growth hormone (hgh)                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83008  Assay of guanosine                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83009  H pylori (c-13), blood                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83010  Assay of haptoglobin, quant                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83012  Assay of haptoglobins                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83013  H pylori (c-13), breath                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83014  H pylori drug admin                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83015  Heavy metal screen                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83018  Quantitative screen, metals                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83020  Hemoglobin electrophoresis                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8302026Hemoglobin electrophoresis                        A   0.37   0.14     0.12     0.14     0.12     0.01   0.52   0.50   0.52   0.50  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
83021  Hemoglobin chromotography                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83026  Hemoglobin, copper sulfate                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83030  Fetal hemoglobin, chemical                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83033  Fetal hemoglobin assay, qual                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83036  Glycosylated hemoglobin test                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83037  Glycosylated hb, home device                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83045  Blood methemoglobin test                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83050  Blood methemoglobin assay                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83051  Assay of plasma hemoglobin                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83055  Blood sulfhemoglobin test                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83060  Blood sulfhemoglobin assay                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83065  Assay of hemoglobin heat                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83068  Hemoglobin stability screen                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83069  Assay of urine hemoglobin                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83070  Assay of hemosiderin, qual                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83071  Assay of hemosiderin, quant                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83080  Assay of b hexosaminidase                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83088  Assay of histamine                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83090  Assay of homocystine                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83150  Assay of for hva                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83491  Assay of corticosteroids                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83497  Assay of 5-hiaa                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83498  Assay of progesterone                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83499  Assay of progesterone                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83500  Assay, free hydroxyproline                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83505  Assay, total hydroxyproline                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83516  Immunoassay, nonantibody                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83518  Immunoassay, dipstick                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83519  Immunoassay, nonantibody                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83520  Immunoassay, RIA                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83525  Assay of insulin                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83527  Assay of insulin                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83528  Assay of intrinsic factor                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83540  Assay of iron                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83550  Iron binding test                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83570  Assay of idh enzyme                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83582  Assay of ketogenic steroids                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83586  Assay 17- ketosteroids                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83593  Fractionation, ketosteroids                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83605  Assay of lactic acid                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83615  Lactate (LD) (LDH) enzyme                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83625  Assay of ldh enzymes                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83630  Lactoferrin, fecal (qual)                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83631  Lactoferrin, fecal (quant)                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83632  Placental lactogen                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83633  Test urine for lactose                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83634  Assay of urine for lactose                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83655  Assay of lead                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83661  L/s ratio, fetal lung                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83662  Foam stability, fetal lung                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83663  Fluoro polarize, fetal lung                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83664  Lamellar bdy, fetal lung                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83670  Assay of lap enzyme                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83690  Assay of lipase                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83695  Assay of lipoprotein(a)                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83698  Assay lipoprotein pla2                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83700  Lipopro bld, electrophoretic                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83701  Lipoprotein bld, hr fraction                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83704  Lipoprotein, bld, by nmr                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83718  Assay of lipoprotein                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83719  Assay of blood lipoprotein                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83721  Assay of blood lipoprotein                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83727  Assay of lrh hormone                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83735  Assay of magnesium                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83775  Assay of md enzyme                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83785  Assay of manganese                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83788  Mass spectrometry qual                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83789  Mass spectrometry quant                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83805  Assay of meprobamate                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83825  Assay of mercury                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83835  Assay of metanephrines                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83840  Assay of methadone                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83857  Assay of methemalbumin                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83858  Assay of methsuximide                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83864  Mucopolysaccharides                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83866  Mucopolysaccharides screen                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83872  Assay synovial fluid mucin                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83873  Assay of csf protein                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83874  Assay of myoglobin                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83880  Natriuretic peptide                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83883  Assay, nephelometry not spec                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83885  Assay of nickel                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83887  Assay of nicotine                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83890  Molecule isolate                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83891  Molecule isolate nucleic                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83892  Molecular diagnostics                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83893  Molecule dot/slot/blot                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83894  Molecule gel electrophor                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83896  Molecular diagnostics                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83897  Molecule nucleic transfer                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83898  Molecule nucleic ampli, each                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83900  Molecule nucleic ampli 2 seq                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83901  Molecule nucleic ampli addon                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83902  Molecular diagnostics                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83903  Molecule mutation scan                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83904  Molecule mutation identify                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83905  Molecule mutation identify                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83906  Molecule mutation identify                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83907  Lyse cells for nucleic ext                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83908  Nucleic acid, signal ampli                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83909  Nucleic acid, high resolute                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83912  Genetic examination                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8391226Genetic examination                               A   0.37   0.12     0.11     0.12     0.11     0.01   0.50   0.49   0.50   0.49  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
83913  Molecular, rna stabilization                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83914  Mutation ident ola/sbce/aspe                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83915  Assay of nucleotidase                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83916  Oligoclonal bands                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83918  Organic acids, total, quant                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83919  Organic acids, qual, each                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83921  Organic acid,  single, quant                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83925  Assay of opiates                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83930  Assay of blood osmolality                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83935  Assay of urine osmolality                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83937  Assay of osteocalcin                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83945  Assay of oxalate                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83950  Oncoprotein, her-2/neu                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83970  Assay of parathormone                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83986  Assay of body fluid acidity                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
83992  Assay for phencyclidine                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84022  Assay of phenothiazine                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84030  Assay of blood pku                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84035  Assay of phenylketones                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84060  Assay acid phosphatase                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84061  Phosphatase, forensic exam                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84066  Assay prostate phosphatase                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84075  Assay alkaline phosphatase                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84078  Assay alkaline phosphatase                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84080  Assay alkaline phosphatases                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84081  Amniotic fluid enzyme test                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84085  Assay of rbc pg6d enzyme                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84087  Assay phosphohexose enzymes                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84100  Assay of phosphorus                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84105  Assay of urine phosphorus                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84106  Test for porphobilinogen                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84110  Assay of porphobilinogen                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84119  Test urine for porphyrins                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84120  Assay of urine porphyrins                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84126  Assay of feces porphyrins                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84127  Assay of feces porphyrins                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84132  Assay of serum potassium                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84133  Assay of urine potassium                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84134  Assay of prealbumin                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84135  Assay of pregnanediol                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84138  Assay of pregnanetriol                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84140  Assay of pregnenolone                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84143  Assay of 17-hydroxypregneno                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84144  Assay of progesterone                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84146  Assay of prolactin                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84150  Assay of prostaglandin                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84152  Assay of psa, complexed                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84153  Assay of psa, total                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84154  Assay of psa, free                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84155  Assay of protein, serum                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84156  Assay of protein, urine                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84157  Assay of protein, other                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84160  Assay of protein, any source                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84163  Pappa, serum                                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84165  Protein e-phoresis, serum                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8416526Protein e-phoresis, serum                         A   0.37   0.13     0.11     0.13     0.11     0.01   0.51   0.49   0.51   0.49  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
84166  Protein e-phoresis/urine/csf                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8416626Protein e-phoresis/urine/csf                      A   0.37   0.13     0.11     0.13     0.11     0.01   0.51   0.49   0.51   0.49  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
84181  Western blot test                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8418126Western blot test                                 A   0.37   0.14     0.12     0.14     0.12     0.01   0.52   0.50   0.52   0.50  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
84182  Protein, western blot test                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8418226Protein, western blot test                        A   0.37   0.15     0.12     0.15     0.12     0.02   0.54   0.51   0.54   0.51  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
84202  Assay RBC protoporphyrin                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84203  Test RBC protoporphyrin                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84206  Assay of proinsulin                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84207  Assay of vitamin b-6                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84210  Assay of pyruvate                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84220  Assay of pyruvate kinase                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84228  Assay of quinine                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84233  Assay of estrogen                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84234  Assay of progesterone                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84235  Assay of endocrine hormone                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84238  Assay, nonendocrine receptor                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84244  Assay of renin                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84252  Assay of vitamin b-2                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84255  Assay of selenium                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84260  Assay of serotonin                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84270  Assay of sex hormone globul                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84275  Assay of sialic acid                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84285  Assay of silica                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84295  Assay of serum sodium                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84300  Assay of urine sodium                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84302  Assay of sweat sodium                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84305  Assay of somatomedin                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84307  Assay of somatostatin                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84311  Spectrophotometry                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84315  Body fluid specific gravity                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84375  Chromatogram assay, sugars                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84376  Sugars, single, qual                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84377  Sugars, multiple, qual                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84378  Sugars, single, quant                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84379  Sugars multiple quant                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84392  Assay of urine sulfate                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84402  Assay of testosterone                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84403  Assay of total testosterone                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84425  Assay of vitamin b-1                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84430  Assay of thiocyanate                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84432  Assay of thyroglobulin                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84436  Assay of total thyroxine                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84437  Assay of neonatal thyroxine                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84439  Assay of free thyroxine                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84442  Assay of thyroid activity                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84443  Assay thyroid stim hormone                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84445  Assay of tsi                                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84446  Assay of vitamin e                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84449  Assay of transcortin                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84450  Transferase (AST) (SGOT)                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84460  Alanine amino (ALT) (SGPT)                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84466  Assay of transferrin                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84478  Assay of triglycerides                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84479  Assay of thyroid (t3 or t4)                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84480  Assay, triiodothyronine (t3)                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84481  Free assay (FT-3)                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84482  T3 reverse                                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84484  Assay of troponin, quant                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84485  Assay duodenal fluid trypsin                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84488  Test feces for trypsin                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84490  Assay of feces for trypsin                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84510  Assay of tyrosine                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84512  Assay of troponin, qual                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84520  Assay of urea nitrogen                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84525  Urea nitrogen semi-quant                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84540  Assay of urine/urea-n                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84545  Urea-N clearance test                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84550  Assay of blood/uric acid                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84560  Assay of urine/uric acid                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84577  Assay of feces/urobilinogen                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84578  Test urine urobilinogen                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84580  Assay of urine urobilinogen                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84583  Assay of urine urobilinogen                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84585  Assay of urine vma                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84586  Assay of vip                                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84588  Assay of vasopressin                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84590  Assay of vitamin a                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84591  Assay of nos vitamin                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84597  Assay of vitamin k                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84600  Assay of volatiles                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84620  Xylose tolerance test                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84630  Assay of zinc                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84681  Assay of c-peptide                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84702  Chorionic gonadotropin test                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84703  Chorionic gonadotropin assay                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84830  Ovulation tests                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
84999  Clinical chemistry test                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85002  Bleeding time test                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85004  Automated diff wbc count                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85007  Bl smear w/diff wbc count                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85008  Bl smear w/o diff wbc count                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85009  Manual diff wbc count b-coat                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85013  Spun microhematocrit                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85014  Hematocrit                                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85018  Hemoglobin                                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85025  Complete cbc w/auto diff wbc                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85027  Complete cbc, automated                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85032  Manual cell count, each                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85041  Automated rbc count                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85044  Manual reticulocyte count                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85045  Automated reticulocyte count                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85046  Reticyte/hgb concentrate                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85048  Automated leukocyte count                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85049  Automated platelet count                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85055  Reticulated platelet assay                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85060  Blood smear interpretation                        A   0.45   0.17     0.14     0.17     0.14     0.02   0.64   0.61   0.64   0.61  8XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
85097  Bone marrow interpretation                        A   0.94   1.76     1.29     0.38     0.28     0.04   2.74   2.27   1.36   1.26  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
85130  Chromogenic substrate assay                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85170  Blood clot retraction                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85175  Blood clot lysis time                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85210  Blood clot factor II test                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85220  Blood clot factor V test                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85230  Blood clot factor VII test                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85240  Blood clot factor VIII test                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85244  Blood clot factor VIII test                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85245  Blood clot factor VIII test                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85246  Blood clot factor VIII test                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85247  Blood clot factor VIII test                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85250  Blood clot factor IX test                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85260  Blood clot factor X test                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85270  Blood clot factor XI test                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85280  Blood clot factor XII test                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85290  Blood clot factor XIII test                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85291  Blood clot factor XIII test                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85292  Blood clot factor assay                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85293  Blood clot factor assay                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85300  Antithrombin III test                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85301  Antithrombin III test                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85302  Blood clot inhibitor antigen                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85303  Blood clot inhibitor test                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85305  Blood clot inhibitor assay                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85306  Blood clot inhibitor test                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85307  Assay activated protein c                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85335  Factor inhibitor test                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85337  Thrombomodulin                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85345  Coagulation time                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85347  Coagulation time                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85348  Coagulation time                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85360  Euglobulin lysis                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85362  Fibrin degradation products                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85366  Fibrinogen test                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85370  Fibrinogen test                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85378  Fibrin degrade, semiquant                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85379  Fibrin degradation, quant                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85380  Fibrin degradation, vte                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85384  Fibrinogen                                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85385  Fibrinogen                                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85390  Fibrinolysins screen                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8539026Fibrinolysins screen                              A   0.37   0.13     0.12     0.13     0.12     0.01   0.51   0.50   0.51   0.50  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
85396  Clotting assay, whole blood                       A   0.37   0.13NA   0.05NA   0.13     0.05     0.04   0.54   0.46   0.54   0.46  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
85400  Fibrinolytic plasmin                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85410  Fibrinolytic antiplasmin                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85415  Fibrinolytic plasminogen                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85420  Fibrinolytic plasminogen                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85421  Fibrinolytic plasminogen                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85441  Heinz bodies, direct                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85445  Heinz bodies, induced                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85460  Hemoglobin, fetal                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85461  Hemoglobin, fetal                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85475  Hemolysin                                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85520  Heparin assay                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85525  Heparin neutralization                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85530  Heparin-protamine tolerance                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85536  Iron stain peripheral blood                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85540  Wbc alkaline phosphatase                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85547  RBC mechanical fragility                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85549  Muramidase                                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85555  RBC osmotic fragility                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85557  RBC osmotic fragility                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85576  Blood platelet aggregation                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8557626Blood platelet aggregation                        A   0.37   0.15     0.12     0.15     0.12     0.01   0.53   0.50   0.53   0.50  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
85597  Platelet neutralization                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85610  Prothrombin time                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85611  Prothrombin test                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85612  Viper venom prothrombin time                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85613  Russell viper venom, diluted                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85635  Reptilase test                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85651  Rbc sed rate, nonautomated                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85652  Rbc sed rate, automated                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85660  RBC sickle cell test                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85670  Thrombin time, plasma                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85675  Thrombin time, titer                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85705  Thromboplastin inhibition                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85730  Thromboplastin time, partial                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85732  Thromboplastin time, partial                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85810  Blood viscosity examination                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
85999  Hematology procedure                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86000  Agglutinins, febrile                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86001  Allergen specific igg                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86003  Allergen specific IgE                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86005  Allergen specific IgE                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86021  WBC antibody identification                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86022  Platelet antibodies                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86023  Immunoglobulin assay                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86038  Antinuclear antibodies                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86039  Antinuclear antibodies (ANA)                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86060  Antistreptolysin o, titer                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86063  Antistreptolysin o, screen                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86077  Physician blood bank service                      A   0.94   0.39     0.38     0.37     0.30     0.03   1.36   1.35   1.34   1.27  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
86078  Physician blood bank service                      A   0.94   0.44     0.38     0.38     0.30     0.03   1.41   1.35   1.35   1.27  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
86079  Physician blood bank service                      A   0.94   0.43     0.38     0.38     0.30     0.03   1.40   1.35   1.35   1.27  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
86140  C-reactive protein                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86141  C-reactive protein, hs                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86146  Glycoprotein antibody                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86147  Cardiolipin antibody                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86148  Phospholipid antibody                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86155  Chemotaxis assay                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86156  Cold agglutinin, screen                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86157  Cold agglutinin, titer                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86160  Complement, antigen                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86161  Complement/function activity                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86162  Complement, total (CH50)                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86171  Complement fixation, each                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86185  Counterimmunoelectrophoresis                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86200  Ccp antibody                                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86215  Deoxyribonuclease, antibody                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86225  DNA antibody                                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86226  DNA antibody, single strand                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86235  Nuclear antigen antibody                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86243  Fc receptor                                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86255  Fluorescent antibody, screen                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8625526Fluorescent antibody, screen                      A   0.37   0.14     0.12     0.14     0.12     0.01   0.52   0.50   0.52   0.50  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
86256  Fluorescent antibody, titer                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8625626Fluorescent antibody, titer                       A   0.37   0.14     0.12     0.14     0.12     0.01   0.52   0.50   0.52   0.50  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
86277  Growth hormone antibody                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86280  Hemagglutination inhibition                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86294  Immunoassay, tumor, qual                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86300  Immunoassay, tumor, ca 15-3                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86301  Immunoassay, tumor, ca 19-9                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86304  Immunoassay, tumor, ca 125                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86308  Heterophile antibodies                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86309  Heterophile antibodies                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86310  Heterophile antibodies                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86316  Immunoassay, tumor other                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86317  Immunoassay,infectious agent                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86318  Immunoassay,infectious agent                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86320  Serum immunoelectrophoresis                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8632026Serum immunoelectrophoresis                       A   0.37   0.14     0.12     0.14     0.12     0.01   0.52   0.50   0.52   0.50  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
86325  Other immunoelectrophoresis                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8632526Other immunoelectrophoresis                       A   0.37   0.13     0.11     0.13     0.11     0.01   0.51   0.49   0.51   0.49  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
86327  Immunoelectrophoresis assay                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8632726Immunoelectrophoresis assay                       A   0.42   0.17     0.13     0.17     0.13     0.02   0.61   0.57   0.61   0.57  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
86329  Immunodiffusion                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86331  Immunodiffusion ouchterlony                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86332  Immune complex assay                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86334  Immunofix e-phoresis, serum                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8633426Immunofix e-phoresis, serum                       A   0.37   0.14     0.12     0.14     0.12     0.01   0.52   0.50   0.52   0.50  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
86335  Immunfix e-phorsis/urine/csf                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8633526Immunfix e-phorsis/urine/csf                      A   0.37   0.14     0.12     0.14     0.12     0.01   0.52   0.50   0.52   0.50  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
86336  Inhibin A                                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86337  Insulin antibodies                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86340  Intrinsic factor antibody                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86341  Islet cell antibody                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86343  Leukocyte histamine release                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86344  Leukocyte phagocytosis                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86353  Lymphocyte transformation                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86355  B cells, total count                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86357  Nk cells, total count                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86359  T cells, total count                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86360  T cell, absolute count/ratio                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86361  T cell, absolute count                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86367  Stem cells, total count                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86376  Microsomal antibody                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86378  Migration inhibitory factor                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86382  Neutralization test, viral                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86384  Nitroblue tetrazolium dye                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86403  Particle agglutination test                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86406  Particle agglutination test                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86430  Rheumatoid factor test                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86431  Rheumatoid factor, quant                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86480  Tb test, cell immun measure                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86485  Skin test, candida                                C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
86490  Coccidioidomycosis skin test                      A   0.00   0.25     0.12     0.25NA   0.12 NA  0.02   0.27   0.14   0.27   0.14  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
86510  Histoplasmosis skin test                          A   0.00   0.28     0.14     0.28NA   0.14 NA  0.02   0.30   0.16   0.30   0.16  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
86580  TB intradermal test                               A   0.00   0.23     0.16     0.23NA   0.16 NA  0.02   0.25   0.18   0.25   0.18  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
86586  Skin test, unlisted                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86590  Streptokinase, antibody                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86592  Blood serology, qualitative                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86593  Blood serology, quantitative                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86602  Antinomyces antibody                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86603  Adenovirus antibody                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86606  Aspergillus antibody                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86609  Bacterium antibody                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86611  Bartonella antibody                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86612  Blastomyces antibody                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86615  Bordetella antibody                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86617  Lyme disease antibody                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86618  Lyme disease antibody                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86619  Borrelia antibody                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86622  Brucella antibody                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86625  Campylobacter antibody                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86628  Candida antibody                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86631  Chlamydia antibody                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86632  Chlamydia igm antibody                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86635  Coccidioides antibody                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86638  Q fever antibody                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86641  Cryptococcus antibody                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86644  CMV antibody                                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86645  CMV antibody, IgM                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86648  Diphtheria antibody                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86651  Encephalitis antibody                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86652  Encephalitis antibody                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86653  Encephalitis antibody                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86654  Encephalitis antibody                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86658  Enterovirus antibody                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86663  Epstein-barr antibody                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86664  Epstein-barr antibody                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86665  Epstein-barr antibody                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86666  Ehrlichia antibody                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86668  Francisella tularensis                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86671  Fungus antibody                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86674  Giardia lamblia antibody                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86677  Helicobacter pylori                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86682  Helminth antibody                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86684  Hemophilus influenza                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86687  Htlv-i antibody                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86688  Htlv-ii antibody                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86689  HTLV/HIV confirmatory test                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86692  Hepatitis, delta agent                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86694  Herpes simplex test                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86695  Herpes simplex test                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86696  Herpes simplex type 2                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86698  Histoplasma                                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86701  HIV-1                                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86702  HIV-2                                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86703  HIV-1/HIV-2, single assay                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86704  Hep b core antibody, total                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86705  Hep b core antibody, igm                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86706  Hep b surface antibody                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86707  Hep be antibody                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86708  Hep a antibody, total                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86709  Hep a antibody, igm                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86710  Influenza virus antibody                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86713  Legionella antibody                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86717  Leishmania antibody                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86720  Leptospira antibody                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86723  Listeria monocytogenes ab                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86727  Lymph choriomeningitis ab                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86729  Lympho venereum antibody                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86732  Mucormycosis antibody                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86735  Mumps antibody                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86738  Mycoplasma antibody                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86741  Neisseria meningitidis                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86744  Nocardia antibody                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86747  Parvovirus antibody                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86750  Malaria antibody                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86753  Protozoa antibody nos                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86756  Respiratory virus antibody                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86757  Rickettsia antibody                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86759  Rotavirus antibody                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86762  Rubella antibody                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86765  Rubeola antibody                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86768  Salmonella antibody                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86771  Shigella antibody                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86774  Tetanus antibody                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86777  Toxoplasma antibody                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86778  Toxoplasma antibody, igm                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86781  Treponema pallidum, confirm                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86784  Trichinella antibody                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86787  Varicella-zoster antibody                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86788  West nile virus ab, igm                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86789  West nile virus antibody                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86790  Virus antibody nos                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86793  Yersinia antibody                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86800  Thyroglobulin antibody                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86803  Hepatitis c ab test                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86804  Hep c ab test, confirm                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86805  Lymphocytotoxicity assay                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86806  Lymphocytotoxicity assay                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86807  Cytotoxic antibody screening                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86808  Cytotoxic antibody screening                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86812  HLA typing, A, B, or C                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86813  HLA typing, A, B, or C                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86816  HLA typing, DR/DQ                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86817  HLA typing, DR/DQ                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86821  Lymphocyte culture, mixed                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86822  Lymphocyte culture, primed                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86849  Immunology procedure                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86850  RBC antibody screen                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86860  RBC antibody elution                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86870  RBC antibody identification                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86880  Coombs test, direct                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86885  Coombs test, indirect, qual                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86886  Coombs test, indirect, titer                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86890  Autologous blood process                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86891  Autologous blood, op salvage                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86900  Blood typing, ABO                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86901  Blood typing, Rh (D)                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86903  Blood typing, antigen screen                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86904  Blood typing, patient serum                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86905  Blood typing, RBC antigens                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86906  Blood typing, Rh phenotype                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86910  Blood typing, paternity test                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86911  Blood typing, antigen system                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86920  Compatibility test, spin                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86921  Compatibility test, incubate                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86922  Compatibility test, antiglob                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86923  Compatibility test, electric                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86927  Plasma, fresh frozen                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86930  Frozen blood prep                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86931  Frozen blood thaw                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86932  Frozen blood freeze/thaw                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86940  Hemolysins/agglutinins, auto                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86941  Hemolysins/agglutinins                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86945  Blood product/irradiation                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86950  Leukacyte transfusion                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86960  Vol reduction of blood/prod                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86965  Pooling blood platelets                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86970  RBC pretreatment                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86971  RBC pretreatment                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86972  RBC pretreatment                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86975  RBC pretreatment, serum                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86976  RBC pretreatment, serum                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86977  RBC pretreatment, serum                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86978  RBC pretreatment, serum                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86985  Split blood or products                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
86999  Transfusion procedure                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87001  Small animal inoculation                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87003  Small animal inoculation                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87015  Specimen concentration                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87040  Blood culture for bacteria                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87045  Feces culture, bacteria                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87046  Stool cultr, bacteria, each                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87070  Culture, bacteria, other                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87071  Culture bacteri aerobic othr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87073  Culture bacteria anaerobic                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87075  Cultr bacteria, except blood                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87076  Culture anaerobe ident, each                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87077  Culture aerobic identify                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87081  Culture screen only                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87084  Culture of specimen by kit                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87086  Urine culture/colony count                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87088  Urine bacteria culture                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87101  Skin fungi culture                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87102  Fungus isolation culture                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87103  Blood fungus culture                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87106  Fungi identification, yeast                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87107  Fungi identification, mold                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87109  Mycoplasma                                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87110  Chlamydia culture                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87116  Mycobacteria culture                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87118  Mycobacteric identification                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87140  Culture type immunofluoresc                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87143  Culture typing, glc/hplc                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87147  Culture type, immunologic                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87149  Culture type, nucleic acid                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87152  Culture type pulse field gel                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87158  Culture typing, added method                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87164  Dark field examination                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8716426Dark field examination                            A   0.37   0.12     0.12     0.12     0.12     0.01   0.50   0.50   0.50   0.50  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
87166  Dark field examination                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87168  Macroscopic exam arthropod                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87169  Macroscopic exam parasite                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87172  Pinworm exam                                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87176  Tissue homogenization, cultr                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87177  Ova and parasites smears                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87181  Microbe susceptible, diffuse                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87184  Microbe susceptible, disk                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87185  Microbe susceptible, enzyme                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87186  Microbe susceptible, mic                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87187  Microbe susceptible, mlc                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87188  Microbe suscept, macrobroth                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87190  Microbe suscept, mycobacteri                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87197  Bactericidal level, serum                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87205  Smear, gram stain                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87206  Smear, fluorescent/acid stai                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87207  Smear, special stain                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8720726Smear, special stain                              A   0.37   0.15     0.11     0.15     0.11     0.01   0.53   0.49   0.53   0.49  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
87209  Smear, complex stain                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87210  Smear, wet mount, saline/ink                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87220  Tissue exam for fungi                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87230  Assay, toxin or antitoxin                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87250  Virus inoculate, eggs/animal                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87252  Virus inoculation, tissue                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87253  Virus inoculate tissue, addl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87254  Virus inoculation, shell via                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87255  Genet virus isolate, hsv                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87260  Adenovirus ag, if                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87265  Pertussis ag, if                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87267  Enterovirus antibody, dfa                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87269  Giardia ag, if                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87270  Chlamydia trachomatis ag, if                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87271  Cryptosporidum/gardia ag, if                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87272  Cryptosporidium ag, if                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87273  Herpes simplex 2, ag, if                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87274  Herpes simplex 1, ag, if                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87275  Influenza b, ag, if                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87276  Influenza a, ag, if                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87277  Legionella micdadei, ag, if                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87278  Legion pneumophilia ag, if                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87279  Parainfluenza, ag, if                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87280  Respiratory syncytial ag, if                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87281  Pneumocystis carinii, ag, if                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87283  Rubeola, ag, if                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87285  Treponema pallidum, ag, if                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87290  Varicella zoster, ag, if                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87299  Antibody detection, nos, if                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87300  Ag detection, polyval, if                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87301  Adenovirus ag, eia                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87305  Aspergillus ag, eia                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87320  Chylmd trach ag, eia                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87324  Clostridium ag, eia                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87327  Cryptococcus neoform ag, eia                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87328  Cryptosporidium ag, eia                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87329  Giardia ag, eia                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87332  Cytomegalovirus ag, eia                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87335  E coli 0157 ag, eia                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87336  Entamoeb hist dispr, ag, eia                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87337  Entamoeb hist group, ag, eia                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87338  Hpylori, stool, eia                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87339  H pylori ag, eia                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87340  Hepatitis b surface ag, eia                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87341  Hepatitis b surface, ag, eia                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87350  Hepatitis be ag, eia                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87380  Hepatitis delta ag, eia                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87385  Histoplasma capsul ag, eia                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87390  Hiv-1 ag, eia                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87391  Hiv-2 ag, eia                                     X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87400  Influenza a/b, ag, eia                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87420  Resp syncytial ag, eia                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87425  Rotavirus ag, eia                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87427  Shiga-like toxin ag, eia                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87430  Strep a ag, eia                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87449  Ag detect nos, eia, mult                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87450  Ag detect nos, eia, single                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87451  Ag detect polyval, eia, mult                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87470  Bartonella, dna, dir probe                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87471  Bartonella, dna, amp probe                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87472  Bartonella, dna, quant                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87475  Lyme dis, dna, dir probe                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87476  Lyme dis, dna, amp probe                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87477  Lyme dis, dna, quant                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87480  Candida, dna, dir probe                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87481  Candida, dna, amp probe                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87482  Candida, dna, quant                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87485  Chylmd pneum, dna, dir probe                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87486  Chylmd pneum, dna, amp probe                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87487  Chylmd pneum, dna, quant                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87490  Chylmd trach, dna, dir probe                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87491  Chylmd trach, dna, amp probe                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87492  Chylmd trach, dna, quant                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87495  Cytomeg, dna, dir probe                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87496  Cytomeg, dna, amp probe                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87497  Cytomeg, dna, quant                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87498  Enterovirus, dna, amp probe                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87510  Gardner vag, dna, dir probe                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87511  Gardner vag, dna, amp probe                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87512  Gardner vag, dna, quant                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87515  Hepatitis b, dna, dir probe                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87516  Hepatitis b, dna, amp probe                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87517  Hepatitis b, dna, quant                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87520  Hepatitis c, rna, dir probe                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87521  Hepatitis c, rna, amp probe                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87522  Hepatitis c, rna, quant                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87525  Hepatitis g, dna, dir probe                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87526  Hepatitis g, dna, amp probe                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87527  Hepatitis g, dna, quant                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87528  Hsv, dna, dir probe                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87529  Hsv, dna, amp probe                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87530  Hsv, dna, quant                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87531  Hhv-6, dna, dir probe                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87532  Hhv-6, dna, amp probe                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87533  Hhv-6, dna, quant                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87534  Hiv-1, dna, dir probe                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87535  Hiv-1, dna, amp probe                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87536  Hiv-1, dna, quant                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87537  Hiv-2, dna, dir probe                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87538  Hiv-2, dna, amp probe                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87539  Hiv-2, dna, quant                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87540  Legion pneumo, dna, dir prob                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87541  Legion pneumo, dna, amp prob                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87542  Legion pneumo, dna, quant                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87550  Mycobacteria, dna, dir probe                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87551  Mycobacteria, dna, amp probe                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87552  Mycobacteria, dna, quant                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87555  M.tuberculo, dna, dir probe                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87556  M.tuberculo, dna, amp probe                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87557  M.tuberculo, dna, quant                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87560  M.avium-intra, dna, dir prob                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87561  M.avium-intra, dna, amp prob                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87562  M.avium-intra, dna, quant                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87580  M.pneumon, dna, dir probe                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87581  M.pneumon, dna, amp probe                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87582  M.pneumon, dna, quant                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87590  N.gonorrhoeae, dna, dir prob                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87591  N.gonorrhoeae, dna, amp prob                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87592  N.gonorrhoeae, dna, quant                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87620  Hpv, dna, dir probe                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87621  Hpv, dna, amp probe                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87622  Hpv, dna, quant                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87640  Staph a, dna, amp probe                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87641  Mr-staph, dna, amp probe                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87650  Strep a, dna, dir probe                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87651  Strep a, dna, amp probe                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87652  Strep a, dna, quant                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87653  Strep b, dna, amp probe                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87660  Trichomonas vagin, dir probe                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87797  Detect agent nos, dna, dir                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87798  Detect agent nos, dna, amp                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87799  Detect agent nos, dna, quant                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87800  Detect agnt mult, dna, direc                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87801  Detect agnt mult, dna, ampli                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87802  Strep b assay w/optic                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87803  Clostridium toxin a w/optic                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87804  Influenza assay w/optic                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87807  Rsv assay w/optic                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87808  Trichomonas assay w/optic                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87810  Chylmd trach assay w/optic                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87850  N. gonorrhoeae assay w/optic                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87880  Strep a assay w/optic                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87899  Agent nos assay w/optic                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87900  Phenotype, infect agent drug                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87901  Genotype, dna, hiv reverse t                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87902  Genotype, dna, hepatitis C                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87903  Phenotype, dna hiv w/culture                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87904  Phenotype, dna hiv w/clt add                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
87999  Microbiology procedure                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88000  Autopsy (necropsy), gross                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88005  Autopsy (necropsy), gross                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88007  Autopsy (necropsy), gross                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88012  Autopsy (necropsy), gross                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88014  Autopsy (necropsy), gross                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88016  Autopsy (necropsy), gross                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88020  Autopsy (necropsy), complete                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88025  Autopsy (necropsy), complete                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88027  Autopsy (necropsy), complete                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88028  Autopsy (necropsy), complete                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88029  Autopsy (necropsy), complete                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88036  Limited autopsy                                   N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88037  Limited autopsy                                   N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88040  Forensic autopsy (necropsy)                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88045  Coroners autopsy (necropsy)                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88099  Necropsy (autopsy) procedure                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88104  Cytopath fl nongyn, smears                        A   0.56   0.93     1.14     0.93NA   1.14 NA  0.04   1.53   1.74   1.53   1.74  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88104TCCytopath fl nongyn, smears                        A   0.00   0.71     0.99     0.71NA   0.99 NA  0.02   0.73   1.01   0.73   1.01  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8810426Cytopath fl nongyn, smears                        A   0.56   0.22     0.15     0.22     0.15     0.02   0.80   0.73   0.80   0.73  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88106  Cytopath fl nongyn, filter                        A   0.56   1.39     1.48     1.39NA   1.48 NA  0.04   1.99   2.08   1.99   2.08  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88106TCCytopath fl nongyn, filter                        A   0.00   1.17     1.33     1.17NA   1.33 NA  0.02   1.19   1.35   1.19   1.35  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8810626Cytopath fl nongyn, filter                        A   0.56   0.22     0.15     0.22     0.15     0.02   0.80   0.73   0.80   0.73  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88107  Cytopath fl nongyn, sm/fltr                       A   0.76   1.66     1.98     1.66NA   1.98 NA  0.05   2.47   2.79   2.47   2.79  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88107TCCytopath fl nongyn, sm/fltr                       A   0.00   1.35     1.75     1.35NA   1.75 NA  0.02   1.37   1.77   1.37   1.77  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8810726Cytopath fl nongyn, sm/fltr                       A   0.76   0.31     0.23     0.31     0.23     0.03   1.10   1.02   1.10   1.02  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88108  Cytopath, concentrate tech                        A   0.56   1.27     1.45     1.27NA   1.45 NA  0.04   1.87   2.05   1.87   2.05  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88108TCCytopath, concentrate tech                        A   0.00   1.05     1.30     1.05NA   1.30 NA  0.02   1.07   1.32   1.07   1.32  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8810826Cytopath, concentrate tech                        A   0.56   0.22     0.15     0.22     0.15     0.02   0.80   0.73   0.80   0.73  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88112  Cytopath, cell enhance tech                       A   1.18   1.85     1.49     1.85NA   1.49 NA  0.04   3.07   2.71   3.07   2.71  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88112TCCytopath, cell enhance tech                       A   0.00   1.39     1.19     1.39NA   1.19 NA  0.02   1.41   1.21   1.41   1.21  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8811226Cytopath, cell enhance tech                       A   1.18   0.46     0.30     0.46     0.30     0.02   1.66   1.50   1.66   1.50  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88125  Forensic cytopathology                            A   0.26   0.27     0.25     0.27NA   0.25 NA  0.02   0.55   0.53   0.55   0.53  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88125TCForensic cytopathology                            A   0.00   0.17     0.19     0.17NA   0.19 NA  0.01   0.18   0.20   0.18   0.20  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8812526Forensic cytopathology                            A   0.26   0.10     0.06     0.10     0.06     0.01   0.37   0.33   0.37   0.33  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88130  Sex chromatin identification                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88140  Sex chromatin identification                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88141  Cytopath, c/v, interpret                          A   0.42   0.21     0.37     0.21     0.37     0.02   0.65   0.81   0.65   0.81  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88142  Cytopath, c/v, thin layer                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88143  Cytopath c/v thin layer redo                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88147  Cytopath, c/v, automated                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88148  Cytopath, c/v, auto rescreen                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88150  Cytopath, c/v, manual                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88152  Cytopath, c/v, auto redo                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88153  Cytopath, c/v, redo                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88154  Cytopath, c/v, select                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88155  Cytopath, c/v, index add-on                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88160  Cytopath smear, other source                      A   0.50   0.85     0.89     0.85NA   0.89 NA  0.04   1.39   1.43   1.39   1.43  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88160TCCytopath smear, other source                      A   0.00   0.66     0.76     0.66NA   0.76 NA  0.02   0.68   0.78   0.68   0.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8816026Cytopath smear, other source                      A   0.50   0.19     0.13     0.19     0.13     0.02   0.71   0.65   0.71   0.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88161  Cytopath smear, other source                      A   0.50   0.99     1.11     0.99NA   1.11 NA  0.04   1.53   1.65   1.53   1.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88161TCCytopath smear, other source                      A   0.00   0.79     0.96     0.79NA   0.96 NA  0.02   0.81   0.98   0.81   0.98  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8816126Cytopath smear, other source                      A   0.50   0.20     0.15     0.20     0.15     0.02   0.72   0.67   0.72   0.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88162  Cytopath smear, other source                      A   0.76   1.05     1.15     1.05NA   1.15 NA  0.05   1.86   1.96   1.86   1.96  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88162TCCytopath smear, other source                      A   0.00   0.76     0.98     0.76NA   0.98 NA  0.02   0.78   1.00   0.78   1.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8816226Cytopath smear, other source                      A   0.76   0.29     0.17     0.29     0.17     0.03   1.08   0.96   1.08   0.96  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88164  Cytopath tbs, c/v, manual                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88165  Cytopath tbs, c/v, redo                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88166  Cytopath tbs, c/v, auto redo                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88167  Cytopath tbs, c/v, select                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88172  Cytopathology eval of fna                         A   0.60   0.76     0.85     0.76NA   0.85 NA  0.04   1.40   1.49   1.40   1.49  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88172TCCytopathology eval of fna                         A   0.00   0.52     0.67     0.52NA   0.67 NA  0.02   0.54   0.69   0.54   0.69  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8817226Cytopathology eval of fna                         A   0.60   0.24     0.18     0.24     0.18     0.02   0.86   0.80   0.86   0.80  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88173  Cytopath eval, fna, report                        A   1.39   2.18     2.29     2.18NA   2.29 NA  0.07   3.64   3.75   3.64   3.75  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88173TCCytopath eval, fna, report                        A   0.00   1.64     1.89     1.64NA   1.89 NA  0.02   1.66   1.91   1.66   1.91  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8817326Cytopath eval, fna, report                        A   1.39   0.54     0.40     0.54     0.40     0.05   1.98   1.84   1.98   1.84  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88174  Cytopath, c/v auto, in fluid                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88175  Cytopath c/v auto fluid redo                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88182  Cell marker study                                 A   0.77   1.97     1.91     1.97NA   1.91 NA  0.07   2.81   2.75   2.81   2.75  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88182TCCell marker study                                 A   0.00   1.69     1.79     1.69NA   1.79 NA  0.04   1.73   1.83   1.73   1.83  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8818226Cell marker study                                 A   0.77   0.28     0.12     0.28     0.12     0.03   1.08   0.92   1.08   0.92  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88184  Flowcytometry/ tc, 1 marker                       A   0.00   1.60     2.44     1.60NA   2.44 NA  0.02   1.62   2.46   1.62   2.46  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88185  Flowcytometry/tc, add-on                          A   0.00   0.85     1.48     0.85NA   1.48 NA  0.02   0.87   1.50   0.87   1.50  3ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88187  Flowcytometry/read, 2-8                           A   1.36   0.44     0.39     0.44     0.39     0.01   1.81   1.76   1.81   1.76  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88188  Flowcytometry/read, 9-15                          A   1.69   0.54     0.44     0.54     0.44     0.01   2.24   2.14   2.24   2.14  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88189  Flowcytometry/read, 16 & >                        A   2.23   0.68     0.48     0.68     0.48     0.01   2.92   2.72   2.92   2.72  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88199  Cytopathology procedure                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88199TCCytopathology procedure                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8819926Cytopathology procedure                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88230  Tissue culture, lymphocyte                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88233  Tissue culture, skin/biopsy                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88235  Tissue culture, placenta                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88237  Tissue culture, bone marrow                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88239  Tissue culture, tumor                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88240  Cell cryopreserve/storage                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88241  Frozen cell preparation                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88245  Chromosome analysis, 20-25                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88248  Chromosome analysis, 50-100                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88249  Chromosome analysis, 100                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88261  Chromosome analysis, 5                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88262  Chromosome analysis, 15-20                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88263  Chromosome analysis, 45                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88264  Chromosome analysis, 20-25                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88267  Chromosome analys, placenta                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88269  Chromosome analys, amniotic                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88271  Cytogenetics, dna probe                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88272  Cytogenetics, 3-5                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88273  Cytogenetics, 10-30                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88274  Cytogenetics, 25-99                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88275  Cytogenetics, 100-300                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88280  Chromosome karyotype study                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88283  Chromosome banding study                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88285  Chromosome count, additional                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88289  Chromosome study, additional                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
88291  Cyto/molecular report                             A   0.52   0.20     0.27     0.20     0.27     0.02   0.74   0.81   0.74   0.81  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88299  Cytogenetic study                                 C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88300  Surgical path, gross                              A   0.08   0.49     0.58     0.49NA   0.58 NA  0.02   0.59   0.68   0.59   0.68  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88300TCSurgical path, gross                              A   0.00   0.46     0.56     0.46NA   0.56 NA  0.01   0.47   0.57   0.47   0.57  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8830026Surgical path, gross                              A   0.08   0.03     0.02     0.03     0.02     0.01   0.12   0.11   0.12   0.11  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88302  Tissue exam by pathologist                        A   0.13   1.10     1.28     1.10NA   1.28 NA  0.03   1.26   1.44   1.26   1.44  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88302TCTissue exam by pathologist                        A   0.00   1.04     1.24     1.04NA   1.24 NA  0.02   1.06   1.26   1.06   1.26  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8830226Tissue exam by pathologist                        A   0.13   0.06     0.04     0.06     0.04     0.01   0.20   0.18   0.20   0.18  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88304  Tissue exam by pathologist                        A   0.22   1.37     1.53     1.37NA   1.53 NA  0.03   1.62   1.78   1.62   1.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88304TCTissue exam by pathologist                        A   0.00   1.29     1.47     1.29NA   1.47 NA  0.02   1.31   1.49   1.31   1.49  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8830426Tissue exam by pathologist                        A   0.22   0.08     0.06     0.08     0.06     0.01   0.31   0.29   0.31   0.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88305  Tissue exam by pathologist                        A   0.75   1.97     2.16     1.97NA   2.16 NA  0.07   2.79   2.98   2.79   2.98  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88305TCTissue exam by pathologist                        A   0.00   1.67     1.95     1.67NA   1.95 NA  0.04   1.71   1.99   1.71   1.99  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8830526Tissue exam by pathologist                        A   0.75   0.30     0.21     0.30     0.21     0.03   1.08   0.99   1.08   0.99  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88307  Tissue exam by pathologist                        A   1.59   3.48     4.46     3.48NA   4.46 NA  0.12   5.19   6.17   5.19   6.17  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88307TCTissue exam by pathologist                        A   0.00   2.85     3.98     2.85NA   3.98 NA  0.06   2.91   4.04   2.91   4.04  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8830726Tissue exam by pathologist                        A   1.59   0.63     0.48     0.63     0.48     0.06   2.28   2.13   2.28   2.13  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88309  Tissue exam by pathologist                        A   2.80   4.86     6.25     4.86NA   6.25 NA  0.14   7.80   9.19   7.80   9.19  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88309TCTissue exam by pathologist                        A   0.00   3.92     5.41     3.92NA   5.41 NA  0.06   3.98   5.47   3.98   5.47  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8830926Tissue exam by pathologist                        A   2.80   0.94     0.84     0.94     0.84     0.08   3.82   3.72   3.82   3.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88311  Decalcify tissue                                  A   0.24   0.23     0.25     0.23NA   0.25 NA  0.02   0.49   0.51   0.49   0.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88311TCDecalcify tissue                                  A   0.00   0.14     0.18     0.14NA   0.18 NA  0.01   0.15   0.19   0.15   0.19  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8831126Decalcify tissue                                  A   0.24   0.09     0.07     0.09     0.07     0.01   0.34   0.32   0.34   0.32  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88312  Special stains                                    A   0.54   1.76     2.46     1.76NA   2.46 NA  0.03   2.33   3.03   2.33   3.03  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88312TCSpecial stains                                    A   0.00   1.55     2.31     1.55NA   2.31 NA  0.01   1.56   2.32   1.56   2.32  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8831226Special stains                                    A   0.54   0.21     0.15     0.21     0.15     0.02   0.77   0.71   0.77   0.71  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88313  Special stains                                    A   0.24   1.42     1.91     1.42NA   1.91 NA  0.02   1.68   2.17   1.68   2.17  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88313TCSpecial stains                                    A   0.00   1.33     1.85     1.33NA   1.85 NA  0.01   1.34   1.86   1.34   1.86  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8831326Special stains                                    A   0.24   0.09     0.06     0.09     0.06     0.01   0.34   0.31   0.34   0.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88314  Histochemical stain                               A   0.45   2.04     1.97     2.04NA   1.97 NA  0.04   2.53   2.46   2.53   2.46  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88314TCHistochemical stain                               A   0.00   1.86     1.83     1.86NA   1.83 NA  0.02   1.88   1.85   1.88   1.85  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8831426Histochemical stain                               A   0.45   0.18     0.14     0.18     0.14     0.02   0.65   0.61   0.65   0.61  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88318  Chemical histochemistry                           A   0.42   1.98     2.96     1.98NA   2.96 NA  0.03   2.43   3.41   2.43   3.41  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88318TCChemical histochemistry                           A   0.00   1.81     2.83     1.81NA   2.83 NA  0.01   1.82   2.84   1.82   2.84  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8831826Chemical histochemistry                           A   0.42   0.17     0.13     0.17     0.13     0.02   0.61   0.57   0.61   0.57  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88319  Enzyme histochemistry                             A   0.53   3.36     3.22     3.36NA   3.22 NA  0.04   3.93   3.79   3.93   3.79  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88319TCEnzyme histochemistry                             A   0.00   3.16     3.07     3.16NA   3.07 NA  0.02   3.18   3.09   3.18   3.09  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8831926Enzyme histochemistry                             A   0.53   0.20     0.15     0.20     0.15     0.02   0.75   0.70   0.75   0.70  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88321  Microslide consultation                           A   1.63   0.78     0.74     0.54     0.49     0.05   2.46   2.42   2.22   2.17  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88323  Microslide consultation                           A   1.83   1.88     2.19     1.88NA   2.19 NA  0.07   3.78   4.09   3.78   4.09  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88323TCMicroslide consultation                           A   0.00   1.34     1.73     1.34NA   1.73 NA  0.02   1.36   1.75   1.36   1.75  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8832326Microslide consultation                           A   1.83   0.54     0.46     0.54     0.46     0.05   2.42   2.34   2.42   2.34  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88325  Comprehensive review of data                      A   2.50   2.76     2.24     0.87     0.63     0.07   5.33   4.81   3.44   3.20  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88329  Path consult introp                               A   0.67   0.66     0.68     0.27     0.20     0.02   1.35   1.37   0.96   0.89  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88331  Path consult intraop, 1 bloc                      A   1.19   1.14     1.24     1.14NA   1.24 NA  0.08   2.41   2.51   2.41   2.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88331TCPath consult intraop, 1 bloc                      A   0.00   0.66     0.86     0.66NA   0.86 NA  0.04   0.70   0.90   0.70   0.90  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8833126Path consult intraop, 1 bloc                      A   1.19   0.48     0.38     0.48     0.38     0.04   1.71   1.61   1.71   1.61  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88332  Path consult intraop, addl                       A   0.59   0.46     0.47     0.46NA   0.47 NA  0.04   1.09   1.10   1.09   1.10  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88332TCPath consult intraop, addl                       A   0.00   0.23     0.29     0.23NA   0.29 NA  0.02   0.25   0.31   0.25   0.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8833226Path consult intraop, addl                       A   0.59   0.23     0.18     0.23     0.18     0.02   0.84   0.79   0.84   0.79  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88333  Intraop cyto path consult, 1                      A   1.20   1.15     1.35     1.15NA   1.35 NA  0.08   2.43   2.63   2.43   2.63  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88333TCIntraop cyto path consult, 1                      A   0.00   0.66     0.97     0.66NA   0.97 NA  0.04   0.70   1.01   0.70   1.01  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8833326Intraop cyto path consult, 1                      A   1.20   0.49     0.38     0.49     0.38     0.04   1.73   1.62   1.73   1.62  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88334  Intraop cyto path consult, 2                      A   0.73   0.65     0.78     0.65NA   0.78 NA  0.04   1.42   1.55   1.42   1.55  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88334TCIntraop cyto path consult, 2                      A   0.00   0.40     0.56     0.40NA   0.56 NA  0.02   0.42   0.58   0.42   0.58  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8833426Intraop cyto path consult, 2                      A   0.73   0.25     0.22     0.25     0.22     0.02   1.00   0.97   1.00   0.97  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88342  Immunohistochemistry                              A   0.85   1.60     2.01     1.60NA   2.01 NA  0.05   2.50   2.91   2.50   2.91  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88342TCImmunohistochemistry                              A   0.00   1.27     1.78     1.27NA   1.78 NA  0.02   1.29   1.80   1.29   1.80  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8834226Immunohistochemistry                              A   0.85   0.33     0.23     0.33     0.23     0.03   1.21   1.11   1.21   1.11  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88346  Immunofluorescent study                           A   0.86   1.67     1.94     1.67NA   1.94 NA  0.05   2.58   2.85   2.58   2.85  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88346TCImmunofluorescent study                           A   0.00   1.34     1.71     1.34NA   1.71 NA  0.02   1.36   1.73   1.36   1.73  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8834626Immunofluorescent study                           A   0.86   0.33     0.23     0.33     0.23     0.03   1.22   1.12   1.22   1.12  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88347  Immunofluorescent study                           A   0.86   1.28     1.33     1.28NA   1.33 NA  0.05   2.19   2.24   2.19   2.24  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88347TCImmunofluorescent study                           A   0.00   0.97     1.14     0.97NA   1.14 NA  0.02   0.99   1.16   0.99   1.16  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8834726Immunofluorescent study                           A   0.86   0.31     0.19     0.31     0.19     0.03   1.20   1.08   1.20   1.08  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88348  Electron microscopy                               A   1.51  11.48    17.88    11.48NA  17.88 NA  0.13  13.12  19.52  13.12  19.52  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88348TCElectron microscopy                               A   0.00  10.90    17.47    10.90NA  17.47 NA  0.07  10.97  17.54  10.97  17.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8834826Electron microscopy                               A   1.51   0.58     0.41     0.58     0.41     0.06   2.15   1.98   2.15   1.98  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88349  Scanning electron microscopy                      A   0.76   4.88     8.84     4.88NA   8.84 NA  0.09   5.73   9.69   5.73   9.69  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88349TCScanning electron microscopy                      A   0.00   4.58     8.62     4.58NA   8.62 NA  0.06   4.64   8.68   4.64   8.68  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8834926Scanning electron microscopy                      A   0.76   0.30     0.22     0.30     0.22     0.03   1.09   1.01   1.09   1.01  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88355  Analysis, skeletal muscle                         A   1.85   7.41     3.31     7.41NA   3.31 NA  0.13   9.39   5.29   9.39   5.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88355TCAnalysis, skeletal muscle                         A   0.00   6.72     2.92     6.72NA   2.92 NA  0.06   6.78   2.98   6.78   2.98  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8835526Analysis, skeletal muscle                         A   1.85   0.69     0.39     0.69     0.39     0.07   2.61   2.31   2.61   2.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88356  Analysis, nerve                                   A   3.02   4.79     6.63     4.79NA   6.63 NA  0.19   8.00   9.84   8.00   9.84  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88356TCAnalysis, nerve                                   A   0.00   3.65     5.84     3.65NA   5.84 NA  0.07   3.72   5.91   3.72   5.91  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8835626Analysis, nerve                                   A   3.02   1.14     0.79     1.14     0.79     0.12   4.28   3.93   4.28   3.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88358  Analysis, tumor                                   A   0.95   0.91     1.10     0.91NA   1.10 NA  0.17   2.03   2.22   2.03   2.22  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88358TCAnalysis, tumor                                   A   0.00   0.57     0.94     0.57NA   0.94 NA  0.07   0.64   1.01   0.64   1.01  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8835826Analysis, tumor                                   A   0.95   0.34     0.16     0.34     0.16     0.10   1.39   1.21   1.39   1.21  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88360  Tumor immunohistochem/manual                      A   1.10   1.87     2.28     1.87NA   2.28 NA  0.08   3.05   3.46   3.05   3.46  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88360TCTumor immunohistochem/manual                      A   0.00   1.45     2.00     1.45NA   2.00 NA  0.02   1.47   2.02   1.47   2.02  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8836026Tumor immunohistochem/manual                      A   1.10   0.42     0.28     0.42     0.28     0.06   1.58   1.44   1.58   1.44  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88361  Tumor immunohistochem/comput                      A   1.18   2.94     2.72     2.94NA   2.72 NA  0.17   4.29   4.07   4.29   4.07  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88361TCTumor immunohistochem/comput                      A   0.00   2.51     2.46     2.51NA   2.46 NA  0.07   2.58   2.53   2.58   2.53  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8836126Tumor immunohistochem/comput                      A   1.18   0.43     0.26     0.43     0.26     0.10   1.71   1.54   1.71   1.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88362  Nerve teasing preparations                        A   2.17   4.83     5.24     4.83NA   5.24 NA  0.15   7.15   7.56   7.15   7.56  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88362TCNerve teasing preparations                        A   0.00   3.99     4.63     3.99NA   4.63 NA  0.06   4.05   4.69   4.05   4.69  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8836226Nerve teasing preparations                        A   2.17   0.84     0.61     0.84     0.61     0.09   3.10   2.87   3.10   2.87  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88365  Insitu hybridization (fish)                       A   1.20   2.32     2.90     2.32NA   2.90 NA  0.05   3.57   4.15   3.57   4.15  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88365TCInsitu hybridization (fish)                       A   0.00   1.88     2.66     1.88NA   2.66 NA  0.02   1.90   2.68   1.90   2.68  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8836526Insitu hybridization (fish)                       A   1.20   0.44     0.24     0.44     0.24     0.03   1.67   1.47   1.67   1.47  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88367  Insitu hybridization, auto                        A   1.30   4.31     5.16     4.31NA   5.16 NA  0.12   5.73   6.58   5.73   6.58  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88367TCInsitu hybridization, auto                        A   0.00   3.85     4.94     3.85NA   4.94 NA  0.06   3.91   5.00   3.91   5.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8836726Insitu hybridization, auto                        A   1.30   0.46     0.22     0.46     0.22     0.06   1.82   1.58   1.82   1.58  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88368  Insitu hybridization, manual                      A   1.40   2.96     4.69     2.96NA   4.69 NA  0.12   4.48   6.21   4.48   6.21  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88368TCInsitu hybridization, manual                      A   0.00   2.46     4.48     2.46NA   4.48 NA  0.06   2.52   4.54   2.52   4.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8836826Insitu hybridization, manual                      A   1.40   0.50     0.21     0.50     0.21     0.06   1.96   1.67   1.96   1.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88371  Protein, western blot tissue                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8837126Protein, western blot tissue                      A   0.37   0.12     0.10     0.12     0.10     0.01   0.50   0.48   0.50   0.48  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88372  Protein analysis w/probe                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8837226Protein analysis w/probe                          A   0.37   0.15     0.11     0.15     0.11     0.01   0.53   0.49   0.53   0.49  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88380  Microdissection                                   C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88380TCMicrodissection                                   C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8838026Microdissection                                   C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88384  Eval molecular probes, 11-50                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88384TCEval molecular probes, 11-50                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8838426Eval molecular probes, 11-50                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88385  Eval  molecul probes, 51-250                      A   1.50   8.90    14.35     8.90NA  14.35 NA  0.12  10.52  15.97  10.52  15.97  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88385TCEval  molecul probes, 51-250                      A   0.00   8.36    14.13     8.36NA  14.13 NA  0.06   8.42  14.19   8.42  14.19  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8838526Eval  molecul probes, 51-250                      A   1.50   0.54     0.22     0.54     0.22     0.06   2.10   1.78   2.10   1.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88386  Eval molecul probes, 251-500                      A   1.88   8.84    14.25     8.84NA  14.25 NA  0.16  10.88  16.29  10.88  16.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88386TCEval molecul probes, 251-500                      A   0.00   8.15    13.97     8.15NA  13.97 NA  0.08   8.23  14.05   8.23  14.05  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8838626Eval molecul probes, 251-500                      A   1.88   0.69     0.28     0.69     0.28     0.08   2.65   2.24   2.65   2.24  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88399  Surgical pathology procedure                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88399TCSurgical pathology procedure                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
8839926Surgical pathology procedure                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
88400  Bilirubin total transcut                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89049  Chct for mal hyperthermia                         A   1.40   3.59     3.69     0.26     0.22     0.06   5.05   5.15   1.72   1.68  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
89050  Body fluid cell count                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89051  Body fluid cell count                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89055  Leukocyte assessment, fecal                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89060  Exam,synovial fluid crystals                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
8906026Exam,synovial fluid crystals                      A   0.37   0.15     0.12     0.15     0.12     0.01   0.53   0.50   0.53   0.50  6XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
89100  Sample intestinal contents                        A   0.60   3.58     8.84     0.31     0.60     0.03   4.21   9.47   0.94   1.23  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
89105  Sample intestinal contents                        A   0.50   3.56     7.57     0.24     0.45     0.02   4.08   8.09   0.76   0.97  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
89125  Specimen fat stain                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89130  Sample stomach contents                           A   0.45   3.02     6.86     0.20     0.39     0.02   3.49   7.33   0.67   0.86  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
89132  Sample stomach contents                           A   0.19   2.78     6.46     0.12     0.29     0.01   2.98   6.66   0.32   0.49  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
89135  Sample stomach contents                           A   0.79   3.63     8.84     0.36     0.68     0.04   4.46   9.67   1.19   1.51  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
89136  Sample stomach contents                           A   0.21   3.05     6.99     0.15     0.32     0.01   3.27   7.21   0.37   0.54  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
89140  Sample stomach contents                           A   0.94   3.25     6.75     0.33     0.49     0.04   4.23   7.73   1.31   1.47  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
89141  Sample stomach contents                           A   0.85   3.43     5.34     0.34     0.38     0.03   4.31   6.22   1.22   1.26  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
89160  Exam feces for meat fibers                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89190  Nasal smear for eosinophils                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89220  Sputum specimen collection                        A   0.00   0.41     0.36     0.41NA   0.36 NA  0.02   0.43   0.38   0.43   0.38  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
89225  Starch granules, feces                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89230  Collect sweat for test                            A   0.00   0.10     0.08     0.10NA   0.08 NA  0.02   0.12   0.10   0.12   0.10  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
89235  Water load test                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89240  Pathology lab procedure                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
89250  Cultr oocyte/embryo <4 days                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89251  Cultr oocyte/embryo <4 days                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89253  Embryo hatching                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89254  Oocyte identification                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89255  Prepare embryo for transfer                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89257  Sperm identification                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89258  Cryopreservation; embryo(s)                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89259  Cryopreservation, sperm                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89260  Sperm isolation, simple                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89261  Sperm isolation, complex                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89264  Identify sperm tissue                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89268  Insemination of oocytes                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89272  Extended culture of oocytes                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89280  Assist oocyte fertilization                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89281  Assist oocyte fertilization                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89290  Biopsy, oocyte polar body                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89291  Biopsy, oocyte polar body                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89300  Semen analysis w/huhner                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89310  Semen analysis w/count                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89320  Semen analysis, complete                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89321  Semen analysis & motility                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89325  Sperm antibody test                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89329  Sperm evaluation test                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89330  Evaluation, cervical mucus                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89335  Cryopreserve testicular tiss                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89342  Storage/year; embryo(s)                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89343  Storage/year; sperm/semen                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89344  Storage/year; reprod tissue                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89346  Storage/year; oocyte(s)                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89352  Thawing cryopresrved; embryo                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89353  Thawing cryopresrved; sperm                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89354  Thaw cryoprsvrd; reprod tiss                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
89356  Thawing cryopresrved; oocyte                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90281  Human ig, im                                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90283  Human ig, iv                                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90287  Botulinum antitoxin                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90288  Botulism ig, iv                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90291  Cmv ig, iv                                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90296  Diphtheria antitoxin                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90371  Hep b ig, im                                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90375  Rabies ig, im/sc                                  E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90376  Rabies ig, heat treated                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90378  Rsv ig, im, 50mg                                  X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90379  Rsv ig, iv                                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90384  Rh ig, full-dose, im                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90385  Rh ig, minidose, im                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90386  Rh ig, iv                                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90389  Tetanus ig, im                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90393  Vaccina ig, im                                    E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90396  Varicella-zoster ig, im                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90399  Immune globulin                                   I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90465  Immune admin 1 inj, < 8 yrs                       A   0.17   0.35     0.45     0.35NA   0.45 NA  0.01   0.53   0.63   0.53   0.63  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90466  Immune admin addl inj, < 8 y                      A   0.15   0.13     0.12     0.11     0.04     0.01   0.29   0.28   0.27   0.20  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90467  Immune admin o or n, < 8 yrs                      R   0.17   0.17     0.17     0.09     0.07     0.01   0.35   0.35   0.27   0.25  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90468  Immune admin o/n, addl < 8 y                      R   0.15   0.11     0.10     0.05     0.03     0.01   0.27   0.26   0.21   0.19  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90471  Immunization admin                                A   0.17   0.35     0.45     0.35NA   0.45 NA  0.01   0.53   0.63   0.53   0.63  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90472  Immunization admin, each add                      A   0.15   0.13     0.12     0.11     0.04     0.01   0.29   0.28   0.27   0.20  5ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90473  Immune admin oral/nasal                           R   0.17   0.18     0.16     0.06     0.04     0.01   0.36   0.34   0.24   0.22  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90474  Immune admin oral/nasal addl                      R   0.15   0.09     0.07     0.05     0.03     0.01   0.25   0.23   0.21   0.19  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90476  Adenovirus vaccine, type 4                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90477  Adenovirus vaccine, type 7                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90581  Anthrax vaccine, sc                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90585  Bcg vaccine, percut                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90586  Bcg vaccine, intravesical                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90632  Hep a vaccine, adult im                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90633  Hep a vacc, ped/adol, 2 dose                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90634  Hep a vacc, ped/adol, 3 dose                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90636  Hep a/hep b vacc, adult im                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90645  Hib vaccine, hboc, im                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90646  Hib vaccine, prp-d, im                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90647  Hib vaccine, prp-omp, im                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90648  Hib vaccine, prp-t, im                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90649  H papilloma vacc 3 dose im                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90655  Flu vaccine no preserv 6-35m                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90656  Flu vaccine no preserv 3 & >                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90657  Flu vaccine, 3 yrs, im                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90658  Flu vaccine, 3 yrs & >, im                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90660  Flu vaccine, nasal                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90665  Lyme disease vaccine, im                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90669  Pneumococcal vacc, ped <5                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90675  Rabies vaccine, im                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90676  Rabies vaccine, id                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90680  Rotovirus vacc 3 dose, oral                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90690  Typhoid vaccine, oral                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90691  Typhoid vaccine, im                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90692  Typhoid vaccine, h-p, sc/id                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90693  Typhoid vaccine, akd, sc                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90698  Dtap-hib-ip vaccine, im                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90700  Dtap vaccine, < 7 yrs, im                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90701  Dtp vaccine, im                                   E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90702  Dt vaccine < 7, im                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90703  Tetanus vaccine, im                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90704  Mumps vaccine, sc                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90705  Measles vaccine, sc                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90706  Rubella vaccine, sc                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90707  Mmr vaccine, sc                                   E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90708  Measles-rubella vaccine, sc                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90710  Mmrv vaccine, sc                                  E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90712  Oral poliovirus vaccine                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90713  Poliovirus, ipv, sc/im                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90714  Td vaccine no prsrv >/= 7 im                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90715  Tdap vaccine >7 im                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90716  Chicken pox vaccine, sc                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90717  Yellow fever vaccine, sc                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90718  Td vaccine > 7, im                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90719  Diphtheria vaccine, im                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90720  Dtp/hib vaccine, im                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90721  Dtap/hib vaccine, im                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90723  Dtap-hep b-ipv vaccine, im                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90725  Cholera vaccine, injectable                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90727  Plague vaccine, im                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90732  Pneumococcal vaccine                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90733  Meningococcal vaccine, sc                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90734  Meningococcal vaccine, im                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90735  Encephalitis vaccine, sc                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90736  Zoster vacc, sc                                   E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90740  Hepb vacc, ill pat 3 dose im                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90743  Hep b vacc, adol, 2 dose, im                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90744  Hepb vacc ped/adol 3 dose im                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90746  Hep b vaccine, adult, im                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90747  Hepb vacc, ill pat 4 dose im                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90748  Hep b/hib vaccine, im                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90749  Vaccine toxoid                                    E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90760  Hydration iv infusion, init                       A   0.17   1.40     1.30     1.40NA   1.30 NA  0.07   1.64   1.54   1.64   1.54  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90761  Hydrate iv infusion, add-on                       A   0.09   0.38     0.31     0.38NA   0.31 NA  0.04   0.51   0.44   0.51   0.44  5ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90765  Ther/proph/diag iv inf, init                      A   0.21   1.72     1.61     1.72NA   1.61 NA  0.07   2.00   1.89   2.00   1.89  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90766  Ther/proph/dg iv inf, add-on                      A   0.18   0.44     0.37     0.44NA   0.37 NA  0.04   0.66   0.59   0.66   0.59  5ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90767  Tx/proph/dg addl seq iv inf                       A   0.19   0.84     0.68     0.84NA   0.68 NA  0.04   1.07   0.91   1.07   0.91  5ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90768  Ther/diag concurrent inf                          A   0.17   0.41     0.33     0.41NA   0.33 NA  0.04   0.62   0.54   0.62   0.54  5ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90772  Ther/proph/diag inj, sc/im                        A   0.17   0.35     0.45     0.35NA   0.45 NA  0.01   0.53   0.63   0.53   0.63  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90773  Ther/proph/diag inj, ia                           A   0.17   0.31     0.30     0.31NA   0.30 NA  0.02   0.50   0.49   0.50   0.49  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90774  Ther/proph/diag inj, iv push                      A   0.18   1.31     1.33     1.31NA   1.33 NA  0.04   1.53   1.55   1.53   1.55  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90775  Ther/proph/diag inj add-on                        A   0.10   0.56     0.51     0.56NA   0.51 NA  0.04   0.70   0.65   0.70   0.65  5ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90779  Ther/prop/diag inj/inf proc                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90801  Psy dx interview                                  A   2.80   1.25     1.49     0.85     0.60     0.06   4.11   4.35   3.71   3.46  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90802  Intac psy dx interview                            A   3.01   1.28     1.51     0.90     0.66     0.07   4.36   4.59   3.98   3.74  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90804  Psytx, office, 20-30 min                          A   1.21   0.51     0.55     0.34     0.22     0.03   1.75   1.79   1.58   1.46  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90805  Psytx, off, 20-30 min w/e&m                       A   1.37   0.53     0.60     0.38     0.24     0.03   1.93   2.00   1.78   1.64  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90806  Psytx, off, 45-50 min                             A   1.86   0.66     0.52     0.53     0.33     0.04   2.56   2.42   2.43   2.23  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90807  Psytx, off, 45-50 min w/e&m                       A   2.02   0.70     0.71     0.56     0.36     0.05   2.77   2.78   2.63   2.43  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90808  Psytx, office, 75-80 min                          A   2.79   0.94     0.68     0.80     0.49     0.06   3.79   3.53   3.65   3.34  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90809  Psytx, off, 75-80, w/e&m                          A   2.95   0.97     0.87     0.82     0.53     0.07   3.99   3.89   3.84   3.55  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90810  Intac psytx, off, 20-30 min                       A   1.32   0.51     0.52     0.38     0.24     0.04   1.87   1.88   1.74   1.60  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90811  Intac psytx, 20-30, w/e&m                         A   1.48   0.61     0.72     0.41     0.26     0.04   2.13   2.24   1.93   1.78  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90812  Intac psytx, off, 45-50 min                       A   1.97   0.75     0.64     0.57     0.35     0.04   2.76   2.65   2.58   2.36  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90813  Intac psytx, 45-50 min w/e&m                      A   2.13   0.79     0.84     0.60     0.38     0.05   2.97   3.02   2.78   2.56  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90814  Intac psytx, off, 75-80 min                       A   2.90   1.02     0.79     0.87     0.52     0.06   3.98   3.75   3.83   3.48  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90815  Intac psytx, 75-80 w/e&m                          A   3.06   1.04     1.00     0.85     0.54     0.07   4.17   4.13   3.98   3.67  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90816  Psytx, hosp, 20-30 min                            A   1.25   0.43NA   0.32NA   0.43     0.32     0.03   1.71   1.60   1.71   1.60  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90817  Psytx, hosp, 20-30 min w/e&m                      A   1.41   0.44NA   0.36NA   0.44     0.36     0.03   1.88   1.80   1.88   1.80  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90818  Psytx, hosp, 45-50 min                            A   1.89   0.63NA   0.43NA   0.63     0.43     0.04   2.56   2.36   2.56   2.36  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90819  Psytx, hosp, 45-50 min w/e&m                      A   2.05   0.61NA   0.47NA   0.61     0.47     0.05   2.71   2.57   2.71   2.57  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90821  Psytx, hosp, 75-80 min                            A   2.83   0.91NA   0.60NA   0.91     0.60     0.06   3.80   3.49   3.80   3.49  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90822  Psytx, hosp, 75-80 min w/e&m                      A   2.99   0.87NA   0.64NA   0.87     0.64     0.08   3.94   3.71   3.94   3.71  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90823  Intac psytx, hosp, 20-30 min                      A   1.36   0.45NA   0.34NA   0.45     0.34     0.03   1.84   1.73   1.84   1.73  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90824  Intac psytx, hsp 20-30 w/e&m                      A   1.52   0.46NA   0.38NA   0.46     0.38     0.04   2.02   1.94   2.02   1.94  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90826  Intac psytx, hosp, 45-50 min                      A   2.01   0.66NA   0.46NA   0.66     0.46     0.05   2.72   2.52   2.72   2.52  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90827  Intac psytx, hsp 45-50 w/e&m                      A   2.16   0.63NA   0.49NA   0.63     0.49     0.05   2.84   2.70   2.84   2.70  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90828  Intac psytx, hosp, 75-80 min                      A   2.94   0.95NA   0.61NA   0.95     0.61     0.06   3.95   3.61   3.95   3.61  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90829  Intac psytx, hsp 75-80 w/e&m                      A   3.10   0.90NA   0.66NA   0.90     0.66     0.07   4.07   3.83   4.07   3.83  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90845  Psychoanalysis                                    A   1.79   0.53     0.39     0.49     0.32     0.04   2.36   2.22   2.32   2.15  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90846  Family psytx w/o patient                          R   1.83   0.62     0.51     0.60     0.43     0.04   2.49   2.38   2.47   2.30  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90847  Family psytx w/patient                            R   2.21   0.80     0.74     0.69     0.49     0.05   3.06   3.00   2.95   2.75  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90849  Multiple family group psytx                       R   0.59   0.28     0.30     0.23     0.20     0.02   0.89   0.91   0.84   0.81  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90853  Group psychotherapy                               A   0.59   0.26     0.27     0.22     0.20     0.01   0.86   0.87   0.82   0.80  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90857  Intac group psytx                                 A   0.63   0.31     0.36     0.24     0.21     0.01   0.95   1.00   0.88   0.85  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90862  Medication management                             A   0.95   0.46     0.62     0.31     0.27     0.02   1.43   1.59   1.28   1.24  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90865  Narcosynthesis                                    A   2.84   1.32     1.19     0.85     0.65     0.12   4.28   4.15   3.81   3.61  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90870  Electroconvulsive therapy                         A   1.88   1.93     1.91     0.54     0.39     0.04   3.85   3.83   2.46   2.31  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90875  Psychophysiological therapy                       N+  1.20   0.81     0.52     0.42     0.28     0.04   2.05   1.76   1.66   1.52  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90876  Psychophysiological therapy                       N+  1.90   1.04     0.67     0.66     0.44     0.05   2.99   2.62   2.61   2.39  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90880  Hypnotherapy                                      A   2.19   0.92     0.57     0.62     0.39     0.05   3.16   2.81   2.86   2.63  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90882  Environmental manipulation                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90885  Psy evaluation of records                         B+  0.97   0.33     0.22     0.33     0.22     0.02   1.32   1.21   1.32   1.21  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90887  Consultation with family                          B+  1.48   0.77     0.61     0.51     0.34     0.04   2.29   2.13   2.03   1.86  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90889  Preparation of report                             B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90899  Psychiatric service/therapy                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90901  Biofeedback train, any meth                       A   0.41   0.61     0.47     0.13     0.11     0.02   1.04   0.90   0.56   0.54  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90911  Biofeedback peri/uro/rectal                       A   0.89   1.51     1.37     0.31     0.30     0.06   2.46   2.32   1.26   1.25  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90918  ESRD related services, month                      I+ 11.16   5.75     4.68     5.52     3.74     0.36  17.27  16.20  17.04  15.26  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90919  ESRD related services, month                      I+  8.53   3.76     3.02     3.64     2.55     0.29  12.58  11.84  12.46  11.37  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90920  ESRD related services, month                      I+  7.26   3.50     2.73     3.38     2.27     0.23  10.99  10.22  10.87   9.76  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90921  ESRD related services, month                      I+  4.46   2.26     1.70     2.23     1.61     0.14   6.86   6.30   6.83   6.21  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90922  ESRD related services, day                        I+  0.37   0.20     0.16     0.19     0.12     0.01   0.58   0.54   0.57   0.50  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90923  Esrd related services, day                        I+  0.28   0.12     0.10     0.12     0.08     0.01   0.41   0.39   0.41   0.37  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90924  Esrd related services, day                        I+  0.24   0.11     0.09     0.11     0.08     0.01   0.36   0.34   0.36   0.33  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90925  Esrd related services, day                        I+  0.15   0.07     0.05     0.07     0.05     0.01   0.23   0.21   0.23   0.21  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90935  Hemodialysis, one evaluation                      A   1.22   0.64NA   0.55NA   0.64     0.55     0.04   1.90   1.81   1.90   1.81  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90937  Hemodialysis, repeated eval                       A   2.11   0.93NA   0.79NA   0.93     0.79     0.07   3.11   2.97   3.11   2.97  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90940  Hemodialysis access study                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90945  Dialysis, one evaluation                          A   1.28   0.66NA   0.56NA   0.66     0.56     0.04   1.98   1.88   1.98   1.88  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90947  Dialysis, repeated eval                           A   2.16   0.94NA   0.80NA   0.94     0.80     0.07   3.17   3.03   3.17   3.03  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90989  Dialysis training, complete                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90993  Dialysis training, incompl                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
90997  Hemoperfusion                                     A   1.84   0.62NA   0.51NA   0.62     0.51     0.06   2.52   2.41   2.52   2.41  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
90999  Dialysis procedure                                C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91000  Esophageal intubation                             A   0.73   0.80     2.19     0.80     2.19     0.04   1.57   2.96   1.57   2.96  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91000TCEsophageal intubation                             A   0.00   0.55     1.95     0.55     1.95     0.01   0.56   1.96   0.56   1.96  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9100026Esophageal intubation                             A   0.73   0.25     0.24     0.25     0.24     0.03   1.01   1.00   1.01   1.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91010  Esophagus motility study                          A   1.25   4.22     3.65     4.22     3.65     0.12   5.59   5.02   5.59   5.02  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91010TCEsophagus motility study                          A   0.00   3.75     3.09     3.75     3.09     0.06   3.81   3.15   3.81   3.15  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9101026Esophagus motility study                          A   1.25   0.47     0.56     0.47     0.56     0.06   1.78   1.87   1.78   1.87  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91011  Esophagus motility study                          A   1.50   5.25     5.30     5.25     5.30     0.13   6.88   6.93   6.88   6.93  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91011TCEsophagus motility study                          A   0.00   4.67     4.58     4.67     4.58     0.06   4.73   4.64   4.73   4.64  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9101126Esophagus motility study                          A   1.50   0.58     0.72     0.58     0.72     0.07   2.15   2.29   2.15   2.29  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91012  Esophagus motility study                          A   1.46   5.69     5.48     5.69     5.48     0.13   7.28   7.07   7.28   7.07  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91012TCEsophagus motility study                          A   0.00   5.13     4.78     5.13     4.78     0.07   5.20   4.85   5.20   4.85  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9101226Esophagus motility study                          A   1.46   0.56     0.70     0.56     0.70     0.06   2.08   2.22   2.08   2.22  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91020  Gastric motility studies                          A   1.44   4.58     4.78     4.58     4.78     0.13   6.15   6.35   6.15   6.35  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91020TCGastric motility studies                          A   0.00   4.06     4.16     4.06     4.16     0.06   4.12   4.22   4.12   4.22  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9102026Gastric motility studies                          A   1.44   0.52     0.62     0.52     0.62     0.07   2.03   2.13   2.03   2.13  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91022  Duodenal motility study                           A   1.44   4.08     3.09     4.08     3.09     0.13   5.65   4.66   5.65   4.66  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91022TCDuodenal motility study                           A   0.00   3.54     2.47     3.54     2.47     0.06   3.60   2.53   3.60   2.53  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9102226Duodenal motility study                           A   1.44   0.54     0.62     0.54     0.62     0.07   2.05   2.13   2.05   2.13  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91030  Acid perfusion of esophagus                       A   0.91   2.55     2.90     2.55     2.90     0.06   3.52   3.87   3.52   3.87  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91030TCAcid perfusion of esophagus                       A   0.00   2.20     2.47     2.20     2.47     0.02   2.22   2.49   2.22   2.49  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9103026Acid perfusion of esophagus                       A   0.91   0.35     0.43     0.35     0.43     0.04   1.30   1.38   1.30   1.38  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91034  Gastroesophageal reflux test                      A   0.97   4.96     4.10     4.96     4.10     0.12   6.05   5.19   6.05   5.19  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91034TCGastroesophageal reflux test                      A   0.00   4.60     3.68     4.60     3.68     0.06   4.66   3.74   4.66   3.74  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9103426Gastroesophageal reflux test                      A   0.97   0.36     0.42     0.36     0.42     0.06   1.39   1.45   1.39   1.45  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91035  G-esoph reflx tst w/electrod                      A   1.59  10.92    11.29    10.92    11.29     0.12  12.63  13.00  12.63  13.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91035TCG-esoph reflx tst w/electrod                      A   0.00  10.32    10.57    10.32    10.57     0.06  10.38  10.63  10.38  10.63  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9103526G-esoph reflx tst w/electrod                      A   1.59   0.60     0.72     0.60     0.72     0.06   2.25   2.37   2.25   2.37  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91037  Esoph imped function test                         A   0.97   3.04     3.38     3.04     3.38     0.12   4.13   4.47   4.13   4.47  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91037TCEsoph imped function test                         A   0.00   2.68     2.95     2.68     2.95     0.06   2.74   3.01   2.74   3.01  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9103726Esoph imped function test                         A   0.97   0.36     0.43     0.36     0.43     0.06   1.39   1.46   1.39   1.46  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91038  Esoph imped funct test > 1h                       A   1.10   2.36     2.78     2.36     2.78     0.12   3.58   4.00   3.58   4.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91038TCEsoph imped funct test > 1h                       A   0.00   1.94     2.27     1.94     2.27     0.06   2.00   2.33   2.00   2.33  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9103826Esoph imped funct test > 1h                       A   1.10   0.42     0.51     0.42     0.51     0.06   1.58   1.67   1.58   1.67  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91040  Esoph balloon distension tst                      A   0.97  10.67     9.27    10.67     9.27     0.12  11.76  10.36  11.76  10.36  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91040TCEsoph balloon distension tst                      A   0.00  10.32     8.89    10.32     8.89     0.06  10.38   8.95  10.38   8.95  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9104026Esoph balloon distension tst                      A   0.97   0.35     0.38     0.35     0.38     0.06   1.38   1.41   1.38   1.41  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91052  Gastric analysis test                             A   0.79   2.59     2.98     2.59     2.98     0.05   3.43   3.82   3.43   3.82  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91052TCGastric analysis test                             A   0.00   2.28     2.60     2.28     2.60     0.02   2.30   2.62   2.30   2.62  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9105226Gastric analysis test                             A   0.79   0.31     0.38     0.31     0.38     0.03   1.13   1.20   1.13   1.20  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91055  Gastric intubation for smear                      A   0.94   2.81     2.41     2.81     2.41     0.07   3.82   3.42   3.82   3.42  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91055TCGastric intubation for smear                      A   0.00   2.54     2.13     2.54     2.13     0.02   2.56   2.15   2.56   2.15  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9105526Gastric intubation for smear                      A   0.94   0.27     0.28     0.27     0.28     0.05   1.26   1.27   1.26   1.27  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91065  Breath hydrogen test                              A   0.20   1.42     1.29     1.42     1.29     0.03   1.65   1.52   1.65   1.52  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91065TCBreath hydrogen test                              A   0.00   1.35     1.23     1.35     1.23     0.02   1.37   1.25   1.37   1.25  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9106526Breath hydrogen test                              A   0.20   0.07     0.06     0.07     0.06     0.01   0.28   0.27   0.28   0.27  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91100  Pass intestine bleeding tube                      A   1.08   2.63     2.14     0.30     0.37     0.07   3.78   3.29   1.45   1.52  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91105  Gastric intubation treatment                      A   0.37   2.01     1.74     0.09     0.07     0.03   2.41   2.14   0.49   0.47  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91110  Gi tract capsule endoscopy                        A   3.64  21.77    20.51    21.77NA  20.51 NA  0.16  25.57  24.31  25.57  24.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91110TCGi tract capsule endoscopy                        A   0.00  20.38    18.81    20.38NA  18.81 NA  0.07  20.45  18.88  20.45  18.88  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
9111026Gi tract capsule endoscopy                        A   3.64   1.39     1.70     1.39     1.70     0.09   5.12   5.43   5.12   5.43  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91111  Esophageal capsule endoscopy                      A   1.00  18.65    18.65    18.65NA  18.65 NA  0.05  19.70  19.70  19.70  19.70  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91111TCEsophageal capsule endoscopy                      A   0.00  18.19    18.19    18.19NA  18.19 NA  0.02  18.21  18.21  18.21  18.21  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
9111126Esophageal capsule endoscopy                      A   1.00   0.46     0.46     0.46     0.46     0.03   1.49   1.49   1.49   1.49  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91120  Rectal sensation test                             A   0.97  10.49     9.04    10.49     9.04     0.11  11.57  10.12  11.57  10.12  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91120TCRectal sensation test                             A   0.00  10.16     8.73    10.16     8.73     0.04  10.20   8.77  10.20   8.77  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9112026Rectal sensation test                             A   0.97   0.33     0.31     0.33     0.31     0.07   1.37   1.35   1.37   1.35  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91122  Anal pressure record                              A   1.77   4.76     3.74     4.76     3.74     0.21   6.74   5.72   6.74   5.72  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91122TCAnal pressure record                              A   0.00   4.18     3.21     4.18     3.21     0.08   4.26   3.29   4.26   3.29  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9112226Anal pressure record                              A   1.77   0.58     0.53     0.58     0.53     0.13   2.48   2.43   2.48   2.43  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91123  Irrigate fecal impaction                          B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
91132  Electrogastrography                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91132TCElectrogastrography                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9113226Electrogastrography                               A   0.52   0.20     0.26     0.20     0.26     0.02   0.74   0.80   0.74   0.80  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91133  Electrogastrography w/test                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91133TCElectrogastrography w/test                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9113326Electrogastrography w/test                        A   0.66   0.25     0.30     0.25     0.30     0.03   0.94   0.99   0.94   0.99  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91299  Gastroenterology procedure                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
91299TCGastroenterology procedure                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
9129926Gastroenterology procedure                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92002  Eye exam, new patient                             A   0.88   0.97     0.97     0.33     0.28     0.02   1.87   1.87   1.23   1.18  0XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92004  Eye exam, new patient                             A   1.67   1.67     1.59     0.65     0.55     0.04   3.38   3.30   2.36   2.26  0XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92012  Eye exam established pat                          A   0.67   1.01     0.93     0.28     0.24     0.02   1.70   1.62   0.97   0.93  0XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92014  Eye exam & treatment                              A   1.10   1.39     1.31     0.45     0.39     0.03   2.52   2.44   1.58   1.52  0XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92015  Refraction                                        N+  0.38   1.14     0.10     0.14     0.09     0.01   1.53   0.49   0.53   0.48  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92018  New eye exam & treatment                          A   2.50   1.04NA   0.93NA   1.04     0.93     0.07   3.61   3.50   3.61   3.50  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92019  Eye exam & treatment                              A   1.31   0.53NA   0.45NA   0.53     0.45     0.03   1.87   1.79   1.87   1.79  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92020  Special eye evaluation                            A   0.37   0.32     0.26     0.15     0.13     0.01   0.70   0.64   0.53   0.51  0XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92025  Corneal topography                                A   0.35   0.44     0.44     0.44     0.44     0.02   0.81   0.81   0.81   0.81  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92025TCCorneal topography                                A   0.00   0.32     0.32     0.32     0.32     0.01   0.33   0.33   0.33   0.33  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
9202526Corneal topography                                A   0.35   0.12     0.12     0.12     0.12     0.01   0.48   0.48   0.48   0.48  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92060  Special eye evaluation                            A   0.69   0.75     0.79     0.75NA   0.79 NA  0.03   1.47   1.51   1.47   1.51  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92060TCSpecial eye evaluation                            A   0.00   0.47     0.55     0.47NA   0.55 NA  0.01   0.48   0.56   0.48   0.56  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9206026Special eye evaluation                            A   0.69   0.28     0.24     0.28     0.24     0.02   0.99   0.95   0.99   0.95  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92065  Orthoptic/pleoptic training                       A   0.37   0.62     0.88     0.62NA   0.88 NA  0.02   1.01   1.27   1.01   1.27  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92065TCOrthoptic/pleoptic training                       A   0.00   0.48     0.79     0.48NA   0.79 NA  0.01   0.49   0.80   0.49   0.80  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9206526Orthoptic/pleoptic training                       A   0.37   0.14     0.09     0.14     0.09     0.01   0.52   0.47   0.52   0.47  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92070  Fitting of contact lens                           A   0.70   1.04     0.94     0.30     0.24     0.02   1.76   1.66   1.02   0.96  0XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
92081  Visual field examination(s)                       A   0.36   0.95     0.96     0.95NA   0.96 NA  0.02   1.33   1.34   1.33   1.34  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92081TCVisual field examination(s)                       A   0.00   0.81     0.85     0.81NA   0.85 NA  0.01   0.82   0.86   0.82   0.86  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9208126Visual field examination(s)                       A   0.36   0.14     0.11     0.14     0.11     0.01   0.51   0.48   0.51   0.48  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92082  Visual field examination(s)                       A   0.44   1.26     1.36     1.26NA   1.36 NA  0.02   1.72   1.82   1.72   1.82  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92082TCVisual field examination(s)                       A   0.00   1.08     1.21     1.08NA   1.21 NA  0.01   1.09   1.22   1.09   1.22  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9208226Visual field examination(s)                       A   0.44   0.18     0.15     0.18     0.15     0.01   0.63   0.60   0.63   0.60  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92083  Visual field examination(s)                       A   0.50   1.46     1.56     1.46NA   1.56 NA  0.02   1.98   2.08   1.98   2.08  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92083TCVisual field examination(s)                       A   0.00   1.25     1.38     1.25NA   1.38 NA  0.01   1.26   1.39   1.26   1.39  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9208326Visual field examination(s)                       A   0.50   0.21     0.18     0.21     0.18     0.01   0.72   0.69   0.72   0.69  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92100  Serial tonometry exam(s)                          A   0.92   1.33     1.28     0.35     0.30     0.02   2.27   2.22   1.29   1.24  0XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92120  Tonography & eye evaluation                       A   0.81   1.05     1.00     0.31     0.27     0.02   1.88   1.83   1.14   1.10  0XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92130  Water provocation tonography                      A   0.81   1.26     1.21     0.35     0.29     0.02   2.09   2.04   1.18   1.12  0XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92135  Opthalmic dx imaging                              A   0.35   0.79     0.80     0.79NA   0.80 NA  0.02   1.16   1.17   1.16   1.17  1XXX.00.00.0003100             37.8975 090 99     0.00   0.00   0.00
92135TCOpthalmic dx imaging                              A   0.00   0.65     0.68     0.65NA   0.68 NA  0.01   0.66   0.69   0.66   0.69  1XXX.00.00.0003100             37.8975 010 99     0.00   0.00   0.00
9213526Opthalmic dx imaging                              A   0.35   0.14     0.12     0.14     0.12     0.01   0.50   0.48   0.50   0.48  1XXX.00.00.0003100             37.8975 090 99     0.00   0.00   0.00
92136  Ophthalmic biometry                               A   0.54   1.60     1.46     1.60NA   1.46 NA  0.08   2.22   2.08   2.22   2.08  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92136TCOphthalmic biometry                               A   0.00   1.37     1.25     1.37NA   1.25 NA  0.07   1.44   1.32   1.44   1.32  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
9213626Ophthalmic biometry                               A   0.54   0.23     0.21     0.23     0.21     0.01   0.78   0.76   0.78   0.76  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
92140  Glaucoma provocative tests                        A   0.50   0.97     0.92     0.20     0.16     0.01   1.48   1.43   0.71   0.67  0XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92225  Special eye exam, initial                         A   0.38   0.23     0.25     0.15     0.13     0.01   0.62   0.64   0.54   0.52  0XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
92226  Special eye exam, subsequent                      A   0.33   0.22     0.24     0.14     0.12     0.01   0.56   0.58   0.48   0.46  0XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
92230  Eye exam with photos                              A   0.60   1.33     0.73     0.20     0.21     0.02   1.95   1.35   0.82   0.83  0XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
92235  Eye exam with photos                              A   0.81   2.54     2.32     2.54NA   2.32 NA  0.08   3.43   3.21   3.43   3.21  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
92235TCEye exam with photos                              A   0.00   2.18     2.01     2.18NA   2.01 NA  0.06   2.24   2.07   2.24   2.07  1XXX.00.00.0003000             37.8975 020 99     0.00   0.00   0.00
9223526Eye exam with photos                              A   0.81   0.36     0.31     0.36     0.31     0.02   1.19   1.14   1.19   1.14  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
92240  Icg angiography                                   A   1.10   5.70     4.48     5.70NA   4.48 NA  0.09   6.89   5.67   6.89   5.67  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
92240TCIcg angiography                                   A   0.00   5.22     4.06     5.22NA   4.06 NA  0.06   5.28   4.12   5.28   4.12  1XXX.00.00.0003000             37.8975 020 99     0.00   0.00   0.00
9224026Icg angiography                                   A   1.10   0.48     0.42     0.48     0.42     0.03   1.61   1.55   1.61   1.55  1XXX.00.00.0003000             37.8975 090 99     0.00   0.00   0.00
92250  Eye exam with photos                              A   0.44   1.48     1.33     1.48NA   1.33 NA  0.02   1.94   1.79   1.94   1.79  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92250TCEye exam with photos                              A   0.00   1.30     1.18     1.30NA   1.18 NA  0.01   1.31   1.19   1.31   1.19  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9225026Eye exam with photos                              A   0.44   0.18     0.15     0.18     0.15     0.01   0.63   0.60   0.63   0.60  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92260  Ophthalmoscopy/dynamometry                        A   0.20   0.25     0.23     0.09     0.07     0.01   0.46   0.44   0.30   0.28  0XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92265  Eye muscle evaluation                             A   0.81   1.37     1.01     1.37NA   1.01 NA  0.06   2.24   1.88   2.24   1.88  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92265TCEye muscle evaluation                             A   0.00   1.10     0.76     1.10NA   0.76 NA  0.02   1.12   0.78   1.12   0.78  1XXX.00.00.0002000             37.8975 030 99     0.00   0.00   0.00
9226526Eye muscle evaluation                             A   0.81   0.27     0.25     0.27     0.25     0.04   1.12   1.10   1.12   1.10  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92270  Electro-oculography                               A   0.81   1.50     1.38     1.50NA   1.38 NA  0.05   2.36   2.24   2.36   2.24  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
92270TCElectro-oculography                               A   0.00   1.19     1.14     1.19NA   1.14 NA  0.02   1.21   1.16   1.21   1.16  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9227026Electro-oculography                               A   0.81   0.31     0.24     0.31     0.24     0.03   1.15   1.08   1.15   1.08  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92275  Electroretinography                               A   1.01   2.08     2.47     2.08NA   2.47 NA  0.05   3.14   3.53   3.14   3.53  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
92275TCElectroretinography                               A   0.00   1.66     2.10     1.66NA   2.10 NA  0.02   1.68   2.12   1.68   2.12  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9227526Electroretinography                               A   1.01   0.42     0.37     0.42     0.37     0.03   1.46   1.41   1.46   1.41  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92283  Color vision examination                          A   0.17   0.89     1.01     0.89NA   1.01 NA  0.02   1.08   1.20   1.08   1.20  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92283TCColor vision examination                          A   0.00   0.82     0.96     0.82NA   0.96 NA  0.01   0.83   0.97   0.83   0.97  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9228326Color vision examination                          A   0.17   0.07     0.05     0.07     0.05     0.01   0.25   0.23   0.25   0.23  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92284  Dark adaptation eye exam                          A   0.24   1.72     1.24     1.72NA   1.24 NA  0.02   1.98   1.50   1.98   1.50  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92284TCDark adaptation eye exam                          A   0.00   1.64     1.15     1.64NA   1.15 NA  0.01   1.65   1.16   1.65   1.16  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9228426Dark adaptation eye exam                          A   0.24   0.08     0.09     0.08     0.09     0.01   0.33   0.34   0.33   0.34  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92285  Eye photography                                   A   0.20   0.95     0.82     0.95NA   0.82 NA  0.02   1.17   1.04   1.17   1.04  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
92285TCEye photography                                   A   0.00   0.86     0.75     0.86NA   0.75 NA  0.01   0.87   0.76   0.87   0.76  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9228526Eye photography                                   A   0.20   0.09     0.07     0.09     0.07     0.01   0.30   0.28   0.30   0.28  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92286  Internal eye photography                          A   0.66   2.83     2.15     2.83NA   2.15 NA  0.04   3.53   2.85   3.53   2.85  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
92286TCInternal eye photography                          A   0.00   2.55     1.91     2.55NA   1.91 NA  0.02   2.57   1.93   2.57   1.93  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9228626Internal eye photography                          A   0.66   0.28     0.24     0.28     0.24     0.02   0.96   0.92   0.96   0.92  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92287  Internal eye photography                          A   0.81   2.28     1.97     0.31     0.31     0.02   3.11   2.80   1.14   1.14  0XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92310  Contact lens fitting                              N+  1.17   1.10     1.05     0.41     0.27     0.04   2.31   2.26   1.62   1.48  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92311  Contact lens fitting                              A   1.08   1.14     1.30     0.35     0.33     0.03   2.25   2.41   1.46   1.44  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92312  Contact lens fitting                              A   1.26   1.19     1.50     0.47     0.36     0.03   2.48   2.79   1.76   1.65  0XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92313  Contact lens fitting                              A   0.92   1.17     1.48     0.30     0.34     0.02   2.11   2.42   1.24   1.28  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92314  Prescription of contact lens                      N+  0.69   0.99     1.13     0.24     0.16     0.01   1.69   1.83   0.94   0.86  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92315  Prescription of contact lens                      A   0.45   0.97     1.33     0.16     0.14     0.01   1.43   1.79   0.62   0.60  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92316  Prescription of contact lens                      A   0.68   1.10     1.67     0.28     0.24     0.02   1.80   2.37   0.98   0.94  0XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92317  Prescription of contact lens                      A   0.45   1.07     1.44     0.15     0.14     0.01   1.53   1.90   0.61   0.60  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92325  Modification of contact lens                      A   0.00   0.51     0.85     0.51NA   0.85 NA  0.01   0.52   0.86   0.52   0.86  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92326  Replacement of contact lens                       A   0.00   1.41     0.75     1.41NA   0.75 NA  0.06   1.47   0.81   1.47   0.81  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92340  Fitting of spectacles                             N+  0.37   0.64     0.44     0.13     0.08     0.01   1.02   0.82   0.51   0.46  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92341  Fitting of spectacles                             N+  0.47   0.67     0.46     0.16     0.11     0.01   1.15   0.94   0.64   0.59  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92342  Fitting of spectacles                             N+  0.53   0.69     0.48     0.19     0.12     0.01   1.23   1.02   0.73   0.66  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92352  Special spectacles fitting                        B+  0.37   0.65     0.56     0.13     0.08     0.01   1.03   0.94   0.51   0.46  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92353  Special spectacles fitting                        B+  0.50   0.70     0.59     0.17     0.12     0.02   1.22   1.11   0.69   0.64  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92354  Special spectacles fitting                        B+  0.00   6.72     0.28     6.72NA   0.28 NA  0.10   6.82   0.38   6.82   0.38  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92355  Special spectacles fitting                        B+  0.00   3.36     0.44     3.36NA   0.44 NA  0.01   3.37   0.45   3.37   0.45  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92358  Eye prosthesis service                            B+  0.00   0.79     0.23     0.79NA   0.23 NA  0.05   0.84   0.28   0.84   0.28  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92370  Repair & adjust spectacles                        N+  0.32   0.51     0.39     0.12     0.07     0.02   0.85   0.73   0.46   0.41  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92371  Repair & adjust spectacles                        B+  0.00   0.53     0.24     0.53NA   0.24 NA  0.02   0.55   0.26   0.55   0.26  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92499  Eye service or procedure                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92499TCEye service or procedure                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
9249926Eye service or procedure                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92502  Ear and throat examination                        A   1.51   1.03NA   0.79NA   1.03     0.79     0.05   2.59   2.35   2.59   2.35  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92504  Ear microscopy examination                        A   0.18   0.51     0.55     0.08     0.05     0.01   0.70   0.74   0.27   0.24  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92506  Speech/hearing evaluation                         A   0.86   2.76     3.28     0.36     0.25     0.03   3.65   4.17   1.25   1.14  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92507  Speech/hearing therapy                            A   0.52   1.13     1.18     0.21     0.15     0.02   1.67   1.72   0.75   0.69  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92508  Speech/hearing therapy                            A   0.26   0.51     0.51     0.11     0.08     0.01   0.78   0.78   0.38   0.35  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92511  Nasopharyngoscopy                                 A   0.84   3.21     2.92     0.74     0.62     0.03   4.08   3.79   1.61   1.49  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92512  Nasal function studies                            A   0.55   1.09     0.94     0.18     0.16     0.02   1.66   1.51   0.75   0.73  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92516  Facial nerve function test                        A   0.43   1.19     1.15     0.20     0.13     0.01   1.63   1.59   0.64   0.57  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92520  Laryngeal function studies                        A   0.75   0.60     0.87     0.35     0.21     0.03   1.38   1.65   1.13   0.99  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92526  Oral function therapy                             A   0.55   1.65     1.67     0.19     0.16     0.02   2.22   2.24   0.76   0.73  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92531  Spontaneous nystagmus study                       B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92532  Positional nystagmus test                         B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92533  Caloric vestibular test                           B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92534  Optokinetic nystagmus test                        B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92541  Spontaneous nystagmus test                        A   0.40   1.05     1.10     1.05NA   1.10 NA  0.04   1.49   1.54   1.49   1.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92541TCSpontaneous nystagmus test                        A   0.00   0.88     0.99     0.88NA   0.99 NA  0.02   0.90   1.01   0.90   1.01  1XXX.00.00.0000000             37.8975 050 99     0.00   0.00   0.00
9254126Spontaneous nystagmus test                        A   0.40   0.17     0.11     0.17     0.11     0.02   0.59   0.53   0.59   0.53  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92542  Positional nystagmus test                         A   0.33   1.16     1.24     1.16NA   1.24 NA  0.03   1.52   1.60   1.52   1.60  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92542TCPositional nystagmus test                         A   0.00   1.02     1.15     1.02NA   1.15 NA  0.02   1.04   1.17   1.04   1.17  1XXX.00.00.0000000             37.8975 050 99     0.00   0.00   0.00
9254226Positional nystagmus test                         A   0.33   0.14     0.09     0.14     0.09     0.01   0.48   0.43   0.48   0.43  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92543  Caloric vestibular test                           A   0.10   0.59     0.64     0.59NA   0.64 NA  0.02   0.71   0.76   0.71   0.76  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92543TCCaloric vestibular test                           A   0.00   0.54     0.61     0.54NA   0.61 NA  0.01   0.55   0.62   0.55   0.62  1XXX.00.00.0000000             37.8975 050 99     0.00   0.00   0.00
9254326Caloric vestibular test                           A   0.10   0.05     0.03     0.05     0.03     0.01   0.16   0.14   0.16   0.14  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92544  Optokinetic nystagmus test                        A   0.26   0.93     1.00     0.93NA   1.00 NA  0.03   1.22   1.29   1.22   1.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92544TCOptokinetic nystagmus test                        A   0.00   0.82     0.93     0.82NA   0.93 NA  0.02   0.84   0.95   0.84   0.95  1XXX.00.00.0000000             37.8975 050 99     0.00   0.00   0.00
9254426Optokinetic nystagmus test                        A   0.26   0.11     0.07     0.11     0.07     0.01   0.38   0.34   0.38   0.34  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92545  Oscillating tracking test                         A   0.23   0.85     0.98     0.85NA   0.98 NA  0.03   1.11   1.24   1.11   1.24  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92545TCOscillating tracking test                         A   0.00   0.75     0.92     0.75NA   0.92 NA  0.02   0.77   0.94   0.77   0.94  1XXX.00.00.0000000             37.8975 050 99     0.00   0.00   0.00
9254526Oscillating tracking test                         A   0.23   0.10     0.06     0.10     0.06     0.01   0.34   0.30   0.34   0.30  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92546  Sinusoidal rotational test                        A   0.29   1.94     1.80     1.94NA   1.80 NA  0.03   2.26   2.12   2.26   2.12  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92546TCSinusoidal rotational test                        A   0.00   1.82     1.72     1.82NA   1.72 NA  0.02   1.84   1.74   1.84   1.74  1XXX.00.00.0000000             37.8975 050 99     0.00   0.00   0.00
9254626Sinusoidal rotational test                        A   0.29   0.12     0.08     0.12     0.08     0.01   0.42   0.38   0.42   0.38  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92547  Supplemental electrical test                      A   0.00   0.09     0.11     0.09     0.11     0.06   0.15   0.17   0.15   0.17  3ZZZ.00.00.0000000             37.8975 050 99     0.00   0.00   0.00
92548  Posturography                                     A   0.50   2.10     1.64     2.10NA   1.64 NA  0.15   2.75   2.29   2.75   2.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92548TCPosturography                                     A   0.00   1.87     1.50     1.87NA   1.50 NA  0.13   2.00   1.63   2.00   1.63  1XXX.00.00.0000000             37.8975 050 99     0.00   0.00   0.00
9254826Posturography                                     A   0.50   0.23     0.14     0.23     0.14     0.02   0.75   0.66   0.75   0.66  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92551  Pure tone hearing test, air                       N+  0.00   0.25     0.25     0.25NA   0.25 NA  0.01   0.26   0.26   0.26   0.26  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92552  Pure tone audiometry, air                         A   0.00   0.47     0.56     0.47NA   0.56 NA  0.04   0.51   0.60   0.51   0.60  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92553  Audiometry, air & bone                            A   0.00   0.67     0.71     0.67NA   0.71 NA  0.06   0.73   0.77   0.73   0.77  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92555  Speech threshold audiometry                       A   0.00   0.38     0.38     0.38NA   0.38 NA  0.04   0.42   0.42   0.42   0.42  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92556  Speech audiometry, complete                       A   0.00   0.56     0.51     0.56NA   0.51 NA  0.06   0.62   0.57   0.62   0.57  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92557  Comprehensive hearing test                        A   0.00   1.21     1.26     1.21NA   1.26 NA  0.12   1.33   1.38   1.33   1.38  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92559  Group audiometric testing                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92560  Bekesy audiometry, screen                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92561  Bekesy audiometry, diagnosis                      A   0.00   0.71     0.68     0.71NA   0.68 NA  0.06   0.77   0.74   0.77   0.74  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92562  Loudness balance test                             A   0.00   0.48     0.67     0.48NA   0.67 NA  0.04   0.52   0.71   0.52   0.71  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92563  Tone decay hearing test                           A   0.00   0.41     0.48     0.41NA   0.48 NA  0.04   0.45   0.52   0.45   0.52  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92564  Sisi hearing test                                 A   0.00   0.46     0.43     0.46NA   0.43 NA  0.05   0.51   0.48   0.51   0.48  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92565  Stenger test, pure tone                           A   0.00   0.36     0.23     0.36NA   0.23 NA  0.04   0.40   0.27   0.40   0.27  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92567  Tympanometry                                      A   0.00   0.51     0.49     0.51NA   0.49 NA  0.06   0.57   0.55   0.57   0.55  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92568  Acoustic refl threshold tst                       A   0.00   0.32     0.15     0.32NA   0.15 NA  0.04   0.36   0.19   0.36   0.19  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92569  Acoustic reflex decay test                        A   0.00   0.35     0.15     0.35NA   0.15 NA  0.04   0.39   0.19   0.39   0.19  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92571  Filtered speech hearing test                      A   0.00   0.39     0.40     0.39NA   0.40 NA  0.04   0.43   0.44   0.43   0.44  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92572  Staggered spondaic word test                      A   0.00   0.22     0.60     0.22NA   0.60 NA  0.01   0.23   0.61   0.23   0.61  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92575  Sensorineural acuity test                         A   0.00   0.50     1.09     0.50NA   1.09 NA  0.02   0.52   1.11   0.52   1.11  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92576  Synthetic sentence test                           A   0.00   0.47     0.54     0.47NA   0.54 NA  0.05   0.52   0.59   0.52   0.59  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92577  Stenger test, speech                              A   0.00   0.60     0.24     0.60NA   0.24 NA  0.07   0.67   0.31   0.67   0.31  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92579  Visual audiometry (vra)                           A   0.00   0.76     0.84     0.76NA   0.84 NA  0.06   0.82   0.90   0.82   0.90  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92582  Conditioning play audiometry                      A   0.00   0.82     1.07     0.82NA   1.07 NA  0.06   0.88   1.13   0.88   1.13  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92583  Select picture audiometry                         A   0.00   0.84     0.69     0.84NA   0.69 NA  0.08   0.92   0.77   0.92   0.77  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92584  Electrocochleography                              A   0.00   2.14     1.16     2.14NA   1.16 NA  0.21   2.35   1.37   2.35   1.37  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92585  Auditor evoke potent, compre                      A   0.50   2.02     1.91     2.02NA   1.91 NA  0.17   2.69   2.58   2.69   2.58  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92585TCAuditor evoke potent, compre                      A   0.00   1.83     1.77     1.83NA   1.77 NA  0.14   1.97   1.91   1.97   1.91  1XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
9258526Auditor evoke potent, compre                      A   0.50   0.19     0.14     0.19     0.14     0.03   0.72   0.67   0.72   0.67  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92586  Auditor evoke potent, limit                       A   0.00   1.74     1.40     1.74NA   1.40 NA  0.14   1.88   1.54   1.88   1.54  3XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92587  Evoked auditory test                              A   0.13   1.19     0.62     1.19NA   0.62 NA  0.12   1.44   0.87   1.44   0.87  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92587TCEvoked auditory test                              A   0.00   1.13     0.58     1.13NA   0.58 NA  0.11   1.24   0.69   1.24   0.69  1XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
9258726Evoked auditory test                              A   0.13   0.06     0.04     0.06     0.04     0.01   0.20   0.18   0.20   0.18  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92588  Evoked auditory test                              A   0.36   1.48     1.02     1.48NA   1.02 NA  0.14   1.98   1.52   1.98   1.52  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92588TCEvoked auditory test                              A   0.00   1.33     0.92     1.33NA   0.92 NA  0.13   1.46   1.05   1.46   1.05  1XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
9258826Evoked auditory test                              A   0.36   0.15     0.10     0.15     0.10     0.01   0.52   0.47   0.52   0.47  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
92590  Hearing aid exam, one ear                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92591  Hearing aid exam, both ears                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92592  Hearing aid check, one ear                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92593  Hearing aid check, both ears                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92594  Electro hearng aid test, one                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92595  Electro hearng aid tst, both                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92596  Ear protector evaluation                          A   0.00   0.68     0.93     0.68NA   0.93 NA  0.06   0.74   0.99   0.74   0.99  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92597  Oral speech device eval                           A   0.86   1.69     1.69     0.40     0.25     0.03   2.58   2.58   1.29   1.14  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92601  Cochlear implt f/up exam < 7                      A   0.00   3.84     4.87     3.84NA   4.87 NA  0.07   3.91   4.94   3.91   4.94  0XXX.00.00.0000000             37.8975 050 99     0.00   0.00   0.00
92602  Reprogram cochlear implt < 7                      A   0.00   2.62     3.34     2.62NA   3.34 NA  0.07   2.69   3.41   2.69   3.41  0XXX.00.00.0000000             37.8975 050 99     0.00   0.00   0.00
92603  Cochlear implt f/up exam 7 >                      A   0.00   2.40     3.17     2.40NA   3.17 NA  0.07   2.47   3.24   2.47   3.24  0XXX.00.00.0000000             37.8975 050 99     0.00   0.00   0.00
92604  Reprogram cochlear implt 7 >                      A   0.00   1.54     2.09     1.54NA   2.09 NA  0.07   1.61   2.16   1.61   2.16  0XXX.00.00.0000000             37.8975 050 99     0.00   0.00   0.00
92605  Eval for nonspeech device rx                      B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92606  Non-speech device service                         B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92607  Ex for speech device rx, 1hr                      A   0.00   3.38     4.27     3.38NA   4.27 NA  0.05   3.43   4.32   3.43   4.32  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92608  Ex for speech device rx addl                      A   0.00   0.63     0.86     0.63NA   0.86 NA  0.05   0.68   0.91   0.68   0.91  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92609  Use of speech device service                      A   0.00   1.77     2.29     1.77NA   2.29 NA  0.04   1.81   2.33   1.81   2.33  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92610  Evaluate swallowing function                      A   0.00   2.98     1.61     2.98NA   1.61 NA  0.08   3.06   1.69   3.06   1.69  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92611  Motion fluoroscopy/swallow                        A   0.00   3.04     1.85     3.04NA   1.85 NA  0.08   3.12   1.93   3.12   1.93  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92612  Endoscopy swallow tst (fees)                      A   1.27   2.74     2.74     0.59     0.37     0.04   4.05   4.05   1.90   1.68  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92613  Endoscopy swallow tst (fees)                      A   0.71   0.36     0.23     0.35     0.23     0.05   1.12   0.99   1.11   0.99  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92614  Laryngoscopic sensory test                        A   1.27   2.44     2.24     0.59     0.37     0.04   3.75   3.55   1.90   1.68  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92615  Eval laryngoscopy sense tst                       A   0.63   0.31     0.19     0.31     0.19     0.05   0.99   0.87   0.99   0.87  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92616  Fees w/laryngeal sense test                       A   1.88   3.27     2.92     0.88     0.54     0.06   5.21   4.86   2.82   2.48  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92617  Interprt fees/laryngeal test                      A   0.79   0.39     0.23     0.39     0.23     0.05   1.23   1.07   1.23   1.07  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92620  Auditory function, 60 min                         A   0.00   1.32     1.87     1.32NA   1.87 NA  0.06   1.38   1.93   1.38   1.93  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92621  Auditory function, + 15 min                       A   0.00   0.29     0.40     0.29NA   0.40 NA  0.06   0.35   0.46   0.35   0.46  3ZZZ.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92625  Tinnitus assessment                               A   0.00   1.30     1.82     1.30     1.82     0.06   1.36   1.88   1.36   1.88  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92626  Eval aud rehab status                             A   0.00   2.11     1.85     2.11NA   1.85 NA  0.06   2.17   1.91   2.17   1.91  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92627  Eval aud status rehab add-on                      A   0.00   0.52     0.42     0.52     0.42     0.02   0.54   0.44   0.54   0.44  3ZZZ.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92630  Aud rehab pre-ling hear loss                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92633  Aud rehab postling hear loss                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92640  Aud brainstem implt programg                      A   0.00   1.40     1.40     1.40     1.40     0.01   1.41   1.41   1.41   1.41  3XXX.00.00.0002000             37.8975 050 99     0.00   0.00   0.00
92700  Ent procedure/service                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92950  Heart/lung resuscitation cpr                      A   3.79   3.96     3.24     0.93     0.79     0.28   8.03   7.31   5.00   4.86  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92953  Temporary external pacing                         A   0.23   0.07NA   0.07NA   0.07     0.07     0.02   0.32   0.32   0.32   0.32  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92960  Cardioversion electric, ext                       A   2.25   5.83     4.40     1.25     1.48     0.07   8.15   6.72   3.57   3.80  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92961  Cardioversion, electric, int                      A   4.59   2.19NA   2.52NA   2.19     2.52     0.29   7.07   7.40   7.07   7.40  0000.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
92970  Cardioassist, internal                            A   3.51   1.20NA   1.63NA   1.20     1.63     0.16   4.87   5.30   4.87   5.30  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92971  Cardioassist, external                            A   1.77   0.91NA   1.09NA   0.91     1.09     0.06   2.74   2.92   2.74   2.92  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92973  Percut coronary thrombectomy                      A   3.28   1.42NA   1.82NA   1.42     1.82     0.23   4.93   5.33   4.93   5.33  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92974  Cath place, cardio brachytx                       A   3.00   1.31NA   1.70NA   1.31     1.70     0.21   4.52   4.91   4.52   4.91  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92975  Dissolve clot, heart vessel                       A   7.24   3.09NA   3.94NA   3.09     3.94     0.50  10.83  11.68  10.83  11.68  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
92977  Dissolve clot, heart vessel                       A   0.00   6.46     1.70     6.46NA   1.70 NA  0.46   6.92   2.16   6.92   2.16  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92978  Intravasc us, heart add-on                        C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92978TCIntravasc us, heart add-on                        C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9297826Intravasc us, heart add-on                        A   1.80   0.78     1.00     0.78     1.00     0.06   2.64   2.86   2.64   2.86  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92979  Intravasc us, heart add-on                        C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92979TCIntravasc us, heart add-on                        C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9297926Intravasc us, heart add-on                        A   1.44   0.62     0.80     0.62     0.80     0.06   2.12   2.30   2.12   2.30  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92980  Insert intracoronary stent                        A  14.82   6.65NA   8.43NA   6.65     8.43     1.03  22.50  24.28  22.50  24.28  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
92981  Insert intracoronary stent                        A   4.16   1.80NA   2.31NA   1.80     2.31     0.29   6.25   6.76   6.25   6.76  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92982  Coronary artery dilation                          A  10.96   4.97NA   6.30NA   4.97     6.30     0.76  16.69  18.02  16.69  18.02  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
92984  Coronary artery dilation                          A   2.97   1.28NA   1.64NA   1.28     1.64     0.21   4.46   4.82   4.46   4.82  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92986  Revision of aortic valve                          A  22.70  12.84NA  15.88NA  12.84    15.88     1.51  37.05  40.09  37.05  40.09  0090.09.84.0720000             37.8975 090 99     0.00   0.00   0.00
92987  Revision of mitral valve                          A  23.48  13.24NA  16.33NA  13.24    16.33     1.59  38.31  41.40  38.31  41.40  0090.09.84.0720000             37.8975 090 99     0.00   0.00   0.00
92990  Revision of pulmonary valve                       A  18.12  10.17NA  11.32NA  10.17    11.32     1.20  29.49  30.64  29.49  30.64  0090.09.84.0720000             37.8975 090 99     0.00   0.00   0.00
92992  Revision of heart chamber                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
92993  Revision of heart chamber                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0090.09.84.0720200             37.8975 090 99     0.00   0.00   0.00
92995  Coronary atherectomy                              A  12.07   5.45NA   6.92NA   5.45     6.92     0.84  18.36  19.83  18.36  19.83  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
92996  Coronary atherectomy add-on                       A   3.26   1.41NA   1.81NA   1.41     1.81     0.10   4.77   5.17   4.77   5.17  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
92997  Pul art balloon repr, percut                      A  11.98   4.93NA   5.27NA   4.93     5.27     0.40  17.31  17.65  17.31  17.65  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
92998  Pul art balloon repr, percut                      A   5.99   2.35NA   2.79NA   2.35     2.79     0.28   8.62   9.06   8.62   9.06  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93000  Electrocardiogram, complete                       A   0.17   0.47     0.34     0.47NA   0.34 NA  0.03   0.67   0.54   0.67   0.54  4XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93005  Electrocardiogram, tracing                        A   0.00   0.41     0.27     0.41NA   0.27 NA  0.02   0.43   0.29   0.43   0.29  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93010  Electrocardiogram report                          A   0.17   0.06     0.07     0.06     0.07     0.01   0.24   0.25   0.24   0.25  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93012  Transmission of ecg                               A   0.00   5.55     4.15     5.55NA   4.15 NA  0.18   5.73   4.33   5.73   4.33  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93014  Report on transmitted ecg                         A   0.52   0.20     0.21     0.20     0.21     0.02   0.74   0.75   0.74   0.75  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93015  Cardiovascular stress test                        A   0.75   1.95     1.91     1.95NA   1.91 NA  0.14   2.84   2.80   2.84   2.80  4XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
93016  Cardiovascular stress test                        A   0.45   0.19     0.23     0.19     0.23     0.02   0.66   0.70   0.66   0.70  2XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
93017  Cardiovascular stress test                        A   0.00   1.64     1.53     1.64NA   1.53 NA  0.11   1.75   1.64   1.75   1.64  3XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
93018  Cardiovascular stress test                        A   0.30   0.12     0.15     0.12     0.15     0.01   0.43   0.46   0.43   0.46  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93024  Cardiac drug stress test                          A   1.17   1.79     2.41     1.79NA   2.41 NA  0.12   3.08   3.70   3.08   3.70  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93024TCCardiac drug stress test                          A   0.00   1.30     1.82     1.30NA   1.82 NA  0.08   1.38   1.90   1.38   1.90  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9302426Cardiac drug stress test                          A   1.17   0.49     0.59     0.49     0.59     0.04   1.70   1.80   1.70   1.80  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93025  Microvolt t-wave assess                           A   0.75   6.67     3.90     6.67NA   3.90 NA  0.14   7.56   4.79   7.56   4.79  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
93025TCMicrovolt t-wave assess                           A   0.00   6.36     3.52     6.36NA   3.52 NA  0.11   6.47   3.63   6.47   3.63  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9302526Microvolt t-wave assess                           A   0.75   0.31     0.38     0.31     0.38     0.03   1.09   1.16   1.09   1.16  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
93040  Rhythm ECG with report                            A   0.16   0.20     0.19     0.20NA   0.19 NA  0.02   0.38   0.37   0.38   0.37  4XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93041  Rhythm ECG, tracing                               A   0.00   0.15     0.14     0.15NA   0.14 NA  0.01   0.16   0.15   0.16   0.15  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93042  Rhythm ECG, report                                A   0.16   0.05     0.05     0.05     0.05     0.01   0.22   0.22   0.22   0.22  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93224  ECG monitor/report, 24 hrs                        A   0.52   3.29     2.32     3.29NA   2.32 NA  0.24   4.05   3.08   4.05   3.08  4XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93225  ECG monitor/record, 24 hrs                        A   0.00   1.14     0.85     1.14NA   0.85 NA  0.08   1.22   0.93   1.22   0.93  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93226  ECG monitor/report, 24 hrs                        A   0.00   1.93     1.18     1.93NA   1.18 NA  0.14   2.07   1.32   2.07   1.32  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93227  ECG monitor/review, 24 hrs                        A   0.52   0.21     0.28     0.21     0.28     0.02   0.75   0.82   0.75   0.82  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93230  ECG monitor/report, 24 hrs                        A   0.52   3.49     2.28     3.49NA   2.28 NA  0.26   4.27   3.06   4.27   3.06  4XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93231  Ecg monitor/record, 24 hrs                        A   0.00   1.32     0.71     1.32NA   0.71 NA  0.11   1.43   0.82   1.43   0.82  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93232  ECG monitor/report, 24 hrs                        A   0.00   1.97     1.34     1.97NA   1.34 NA  0.13   2.10   1.47   2.10   1.47  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93233  ECG monitor/review, 24 hrs                        A   0.52   0.20     0.23     0.20     0.23     0.02   0.74   0.77   0.74   0.77  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93235  ECG monitor/report, 24 hrs                        C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  4XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93236  ECG monitor/report, 24 hrs                        C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93237  ECG monitor/review, 24 hrs                        A   0.45   0.18     0.22     0.18     0.22     0.02   0.65   0.69   0.65   0.69  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93268  ECG record/review                                 A   0.52   7.02     5.75     7.02NA   5.75 NA  0.28   7.82   6.55   7.82   6.55  4XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93270  ECG recording                                     A   0.00   1.00     0.29     1.00NA   0.29 NA  0.08   1.08   0.37   1.08   0.37  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93271  Ecg/monitoring and analysis                       A   0.00   5.82     5.24     5.82NA   5.24 NA  0.18   6.00   5.42   6.00   5.42  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93272  Ecg/review, interpret only                        A   0.52   0.20     0.22     0.20     0.22     0.02   0.74   0.76   0.74   0.76  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93278  ECG/signal-averaged                               A   0.25   1.09     0.61     1.09NA   0.61 NA  0.12   1.46   0.98   1.46   0.98  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93278TCECG/signal-averaged                               A   0.00   0.99     0.51     0.99NA   0.51 NA  0.11   1.10   0.62   1.10   0.62  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9327826ECG/signal-averaged                               A   0.25   0.10     0.10     0.10     0.10     0.01   0.36   0.36   0.36   0.36  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93303  Echo transthoracic                                A   1.30   4.41     4.60     4.41NA   4.60 NA  0.27   5.98   6.17   5.98   6.17  1XXX.00.00.0000000             37.8975 090 99     5.43   5.43   0.34
93303TCEcho transthoracic                                A   0.00   3.90     4.02     3.90NA   4.02 NA  0.23   4.13   4.25   4.13   4.25  1XXX.00.00.0000000             37.8975 010 99     4.92   4.92   0.30
9330326Echo transthoracic                                A   1.30   0.51     0.58     0.51     0.58     0.04   1.85   1.92   1.85   1.92  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93304  Echo transthoracic                                A   0.75   2.46     3.16     2.46NA   3.16 NA  0.15   3.36   4.06   3.36   4.06  1XXX.00.00.0000000             37.8975 090 99     2.73   2.73   0.17
93304TCEcho transthoracic                                A   0.00   2.17     2.84     2.17NA   2.84 NA  0.13   2.30   2.97   2.30   2.97  1XXX.00.00.0000000             37.8975 010 99     2.44   2.44   0.15
9330426Echo transthoracic                                A   0.75   0.29     0.32     0.29     0.32     0.02   1.06   1.09   1.06   1.09  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93307  Echo exam of heart                                A   0.92   4.10     3.75     4.10NA   3.75 NA  0.26   5.28   4.93   5.28   4.93  1XXX.00.00.0000000             37.8975 090 99     5.29   5.29   0.34
93307TCEcho exam of heart                                A   0.00   3.72     3.28     3.72NA   3.28 NA  0.23   3.95   3.51   3.95   3.51  1XXX.00.00.0000000             37.8975 010 99     4.91   4.91   0.31
9330726Echo exam of heart                                A   0.92   0.38     0.47     0.38     0.47     0.03   1.33   1.42   1.33   1.42  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93308  Echo exam of heart                                A   0.53   2.26     2.63     2.26NA   2.63 NA  0.15   2.94   3.31   2.94   3.31  1XXX.00.00.0000000             37.8975 090 99     2.65   2.65   0.18
93308TCEcho exam of heart                                A   0.00   2.04     2.35     2.04NA   2.35 NA  0.13   2.17   2.48   2.17   2.48  1XXX.00.00.0000000             37.8975 010 99     2.43   2.43   0.16
9330826Echo exam of heart                                A   0.53   0.22     0.28     0.22     0.28     0.02   0.77   0.83   0.77   0.83  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93312  Echo transesophageal                              A   2.20   5.31     7.51     5.31NA   7.51 NA  0.37   7.88  10.08   7.88  10.08  1XXX.00.00.0000000             37.8975 090 99    10.36  10.36   0.71
93312TCEcho transesophageal                              A   0.00   4.46     6.48     4.46NA   6.48 NA  0.29   4.75   6.77   4.75   6.77  1XXX.00.00.0000000             37.8975 030 99     9.51   9.51   0.63
9331226Echo transesophageal                              A   2.20   0.85     1.03     0.85     1.03     0.08   3.13   3.31   3.13   3.31  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93313  Echo transesophageal                              A   0.95   0.19NA   0.14NA   0.19     0.14     0.06   1.20   1.15   1.20   1.15  0XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
93314  Echo transesophageal                              A   1.25   4.99     7.21     4.99NA   7.21 NA  0.33   6.57   8.79   6.57   8.79  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93314TCEcho transesophageal                              A   0.00   4.49     6.63     4.49NA   6.63 NA  0.29   4.78   6.92   4.78   6.92  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9331426Echo transesophageal                              A   1.25   0.50     0.58     0.50     0.58     0.04   1.79   1.87   1.79   1.87  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93315  Echo transesophageal                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    10.73  10.73   0.60
93315TCEcho transesophageal                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     9.63   9.63   0.51
9331526Echo transesophageal                              A   2.78   1.10     1.35     1.10     1.35     0.09   3.97   4.22   3.97   4.22  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93316  Echo transesophageal                              A   0.95   0.25NA   0.26NA   0.25     0.26     0.05   1.25   1.26   1.25   1.26  0XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
93317  Echo transesophageal                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93317TCEcho transesophageal                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9331726Echo transesophageal                              A   1.83   0.69     0.76     0.69     0.76     0.08   2.60   2.67   2.60   2.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93318  Echo transesophageal intraop                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99    10.22  10.22   0.65
93318TCEcho transesophageal intraop                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     9.63   9.63   0.51
9331826Echo transesophageal intraop                      A   2.20   0.59     0.91     0.59     0.91     0.14   2.93   3.25   2.93   3.25  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93320  Doppler echo exam, heart                          A   0.38   1.82     1.68     1.82     1.68     0.13   2.33   2.19   2.33   2.19  1ZZZ.00.00.0000000             37.8975 090 99     2.57   2.57   0.19
93320TCDoppler echo exam, heart                          A   0.00   1.66     1.49     1.66     1.49     0.12   1.78   1.61   1.78   1.61  1ZZZ.00.00.0000000             37.8975 010 99     2.41   2.41   0.18
9332026Doppler echo exam, heart                          A   0.38   0.16     0.19     0.16     0.19     0.01   0.55   0.58   0.55   0.58  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93321  Doppler echo exam, heart                          A   0.15   1.04     0.62     1.04     0.62     0.09   1.28   0.86   1.28   0.86  1ZZZ.00.00.0000000             37.8975 090 99     2.46   2.46   0.21
93321TCDoppler echo exam, heart                          A   0.00   0.97     0.54     0.97     0.54     0.08   1.05   0.62   1.05   0.62  1ZZZ.00.00.0000000             37.8975 010 99     2.39   2.39   0.20
9332126Doppler echo exam, heart                          A   0.15   0.07     0.08     0.07     0.08     0.01   0.23   0.24   0.23   0.24  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93325  Doppler color flow add-on                         A   0.07   2.36     0.66     2.36     0.66     0.22   2.65   0.95   2.65   0.95  1ZZZ.00.00.0000000             37.8975 090 99     2.41   2.41   0.22
93325TCDoppler color flow add-on                         A   0.00   2.33     0.63     2.33     0.63     0.21   2.54   0.84   2.54   0.84  1ZZZ.00.00.0000000             37.8975 010 99     2.38   2.38   0.21
9332526Doppler color flow add-on                         A   0.07   0.03     0.03     0.03     0.03     0.01   0.11   0.11   0.11   0.11  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93350  Echo transthoracic                                A   1.48   3.03     5.12     3.03NA   5.12 NA  0.18   4.69   6.78   4.69   6.78  1XXX.00.00.0000000             37.8975 090 99     5.57   5.57   0.33
93350TCEcho transthoracic                                A   0.00   2.40     4.33     2.40NA   4.33 NA  0.13   2.53   4.46   2.53   4.46  1XXX.00.00.0000000             37.8975 020 99     4.94   4.94   0.28
9335026Echo transthoracic                                A   1.48   0.63     0.79     0.63     0.79     0.05   2.16   2.32   2.16   2.32  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93501  Right heart catheterization                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93501TCRight heart catheterization                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9350126Right heart catheterization                       A   3.02   1.27     1.64     1.27     1.64     0.21   4.50   4.87   4.50   4.87  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93503  Insert/place heart catheter                       A   2.91   0.63NA   0.47NA   0.63     0.47     0.20   3.74   3.58   3.74   3.58  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93505  Biopsy of heart lining                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93505TCBiopsy of heart lining                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9350526Biopsy of heart lining                            A   4.37   1.85     2.37     1.85     2.37     0.30   6.52   7.04   6.52   7.04  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93508  Cath placement, angiography                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93508TCCath placement, angiography                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9350826Cath placement, angiography                       A   4.09   2.13     2.27     2.13     2.27     0.28   6.50   6.64   6.50   6.64  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93510  Left heart catheterization                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93510TCLeft heart catheterization                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9351026Left heart catheterization                        A   4.32   2.22     2.38     2.22     2.38     0.30   6.84   7.00   6.84   7.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93511  Left heart catheterization                        C   0.00   0.00NA   0.00NA   0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93511TCLeft heart catheterization                        C   0.00   0.00NA   0.00NA   0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9351126Left heart catheterization                        A   5.02   2.50     2.67     2.50     2.67     0.35   7.87   8.04   7.87   8.04  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93514  Left heart catheterization                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93514TCLeft heart catheterization                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9351426Left heart catheterization                        A   7.04   3.14     3.20     3.14     3.20     0.49  10.67  10.73  10.67  10.73  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93524  Left heart catheterization                        C   0.00   0.00NA   0.00NA   0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93524TCLeft heart catheterization                        C   0.00   0.00NA   0.00NA   0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9352426Left heart catheterization                        A   6.94   3.33     3.79     3.33     3.79     0.48  10.75  11.21  10.75  11.21  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93526  Rt & Lt heart catheters                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93526TCRt & Lt heart catheters                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9352626Rt & Lt heart catheters                           A   5.98   2.93     3.29     2.93     3.29     0.42   9.33   9.69   9.33   9.69  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93527  Rt & Lt heart catheters                           C   0.00   0.00NA   0.00NA   0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93527TCRt & Lt heart catheters                           C   0.00   0.00NA   0.00NA   0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9352726Rt & Lt heart catheters                           A   7.27   3.49     4.03     3.49     4.03     0.51  11.27  11.81  11.27  11.81  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93528  Rt & Lt heart catheters                           C   0.00   0.00NA   0.00NA   0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93528TCRt & Lt heart catheters                           C   0.00   0.00NA   0.00NA   0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9352826Rt & Lt heart catheters                           A   8.99   4.19     4.68     4.19     4.68     0.62  13.80  14.29  13.80  14.29  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93529  Rt, lt heart catheterization                      C   0.00   0.00NA   0.00NA   0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93529TCRt, lt heart catheterization                      C   0.00   0.00NA   0.00NA   0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9352926Rt, lt heart catheterization                      A   4.79   2.36     2.64     2.36     2.64     0.33   7.48   7.76   7.48   7.76  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93530  Rt heart cath, congenital                         C   0.00   0.00NA   0.00NA   0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93530TCRt heart cath, congenital                         C   0.00   0.00NA   0.00NA   0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9353026Rt heart cath, congenital                         A   4.22   1.92     1.87     1.92     1.87     0.29   6.43   6.38   6.43   6.38  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93531  R & l heart cath, congenital                      C   0.00   0.00NA   0.00NA   0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93531TCR & l heart cath, congenital                      C   0.00   0.00NA   0.00NA   0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9353126R & l heart cath, congenital                      A   8.34   3.63     3.77     3.63     3.77     0.58  12.55  12.69  12.55  12.69  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93532  R & l heart cath, congenital                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93532TCR & l heart cath, congenital                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9353226R & l heart cath, congenital                      A   9.99   4.21     4.09     4.21     4.09     0.69  14.89  14.77  14.89  14.77  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93533  R & l heart cath, congenital                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93533TCR & l heart cath, congenital                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9353326R & l heart cath, congenital                      A   6.69   2.87     3.09     2.87     3.09     0.47  10.03  10.25  10.03  10.25  1000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93539  Injection, cardiac cath                           A   0.40   0.18NA   0.22NA   0.18     0.22     0.01   0.59   0.63   0.59   0.63  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93540  Injection, cardiac cath                           A   0.43   0.19NA   0.24NA   0.19     0.24     0.01   0.63   0.68   0.63   0.68  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93541  Injection for lung angiogram                      A   0.29   0.12NA   0.15NA   0.12     0.15     0.01   0.42   0.45   0.42   0.45  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93542  Injection for heart x-rays                        A   0.29   0.12NA   0.15NA   0.12     0.15     0.01   0.42   0.45   0.42   0.45  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93543  Injection for heart x-rays                        A   0.29   0.12NA   0.16NA   0.12     0.16     0.01   0.42   0.46   0.42   0.46  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93544  Injection for aortography                         A   0.25   0.11NA   0.13NA   0.11     0.13     0.01   0.37   0.39   0.37   0.39  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93545  Inject for coronary x-rays                        A   0.40   0.18NA   0.22NA   0.18     0.22     0.01   0.59   0.63   0.59   0.63  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93555  Imaging, cardiac cath                             C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93555TCImaging, cardiac cath                             C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9355526Imaging, cardiac cath                             A   0.81   0.35     0.45     0.35     0.45     0.03   1.19   1.29   1.19   1.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93556  Imaging, cardiac cath                             C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93556TCImaging, cardiac cath                             C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9355626Imaging, cardiac cath                             A   0.83   0.36     0.46     0.36     0.46     0.03   1.22   1.32   1.22   1.32  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93561  Cardiac output measurement                        C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93561TCCardiac output measurement                        C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9356126Cardiac output measurement                        A   0.50   0.16     0.14     0.16     0.14     0.02   0.68   0.66   0.68   0.66  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93562  Cardiac output measurement                        C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93562TCCardiac output measurement                        C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9356226Cardiac output measurement                        A   0.16   0.05     0.03     0.05     0.03     0.01   0.22   0.20   0.22   0.20  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93571  Heart flow reserve measure                        C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99    50.51  50.51   2.68
93571TCHeart flow reserve measure                        C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 030 99    49.75  49.75   2.62
9357126Heart flow reserve measure                        A   1.80   0.76     0.99     0.76     0.99     0.06   2.62   2.85   2.62   2.85  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93572  Heart flow reserve measure                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99    50.71  50.71   2.68
93572TCHeart flow reserve measure                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 030 99    50.15  50.15   2.64
9357226Heart flow reserve measure                        A   1.44   0.56     0.75     0.56     0.75     0.04   2.04   2.23   2.04   2.23  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93580  Transcath closure of asd                          A  17.97   7.97NA   9.73NA   7.97     9.73     1.25  27.19  28.95  27.19  28.95  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93581  Transcath closure of vsd                          A  24.39  10.39NA  13.39NA  10.39    13.39     1.72  36.50  39.50  36.50  39.50  0000.00.00.0020000             37.8975 090 99     0.00   0.00   0.00
93600  Bundle of His recording                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93600TCBundle of His recording                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9360026Bundle of His recording                           A   2.12   0.90     1.11     0.90     1.11     0.16   3.18   3.39   3.18   3.39  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93602  Intra-atrial recording                            C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93602TCIntra-atrial recording                            C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9360226Intra-atrial recording                            A   2.12   0.89     1.09     0.89     1.09     0.17   3.18   3.38   3.18   3.38  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93603  Right ventricular recording                       C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93603TCRight ventricular recording                       C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9360326Right ventricular recording                       A   2.12   0.88     1.08     0.88     1.08     0.18   3.18   3.38   3.18   3.38  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93609  Map tachycardia, add-on                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93609TCMap tachycardia, add-on                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9360926Map tachycardia, add-on                           A   4.99   2.15     2.73     2.15     2.73     0.35   7.49   8.07   7.49   8.07  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93610  Intra-atrial pacing                               C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93610TCIntra-atrial pacing                               C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9361026Intra-atrial pacing                               A   3.02   1.25     1.53     1.25     1.53     0.24   4.51   4.79   4.51   4.79  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93612  Intraventricular pacing                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93612TCIntraventricular pacing                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9361226Intraventricular pacing                           A   3.02   1.24     1.48     1.24     1.48     0.25   4.51   4.75   4.51   4.75  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93613  Electrophys map 3d, add-on                        A   6.99   3.03NA   3.83NA   3.03     3.83     0.49  10.51  11.31  10.51  11.31  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93615  Esophageal recording                              C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93615TCEsophageal recording                              C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9361526Esophageal recording                              A   0.99   0.33     0.49     0.33     0.49     0.03   1.35   1.51   1.35   1.51  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93616  Esophageal recording                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93616TCEsophageal recording                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9361626Esophageal recording                              A   1.49   0.43     0.43     0.43     0.43     0.09   2.01   2.01   2.01   2.01  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93618  Heart rhythm pacing                               C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93618TCHeart rhythm pacing                               C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9361826Heart rhythm pacing                               A   4.25   1.84     2.36     1.84     2.36     0.30   6.39   6.91   6.39   6.91  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93619  Electrophysiology evaluation                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93619TCElectrophysiology evaluation                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9361926Electrophysiology evaluation                      A   7.31   3.37     3.93     3.37     3.93     0.51  11.19  11.75  11.19  11.75  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93620  Electrophysiology evaluation                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93620TCElectrophysiology evaluation                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9362026Electrophysiology evaluation                      A  11.57   5.22     6.34     5.22     6.34     0.80  17.59  18.71  17.59  18.71  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93621  Electrophysiology evaluation                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93621TCElectrophysiology evaluation                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9362126Electrophysiology evaluation                      A   2.10   0.90     1.15     0.90     1.15     0.15   3.15   3.40   3.15   3.40  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93622  Electrophysiology evaluation                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93622TCElectrophysiology evaluation                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9362226Electrophysiology evaluation                      A   3.10   1.33     1.68     1.33     1.68     0.22   4.65   5.00   4.65   5.00  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93623  Stimulation, pacing heart                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93623TCStimulation, pacing heart                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9362326Stimulation, pacing heart                         A   2.85   1.22     1.56     1.22     1.56     0.20   4.27   4.61   4.27   4.61  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93624  Electrophysiologic study                          C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93624TCElectrophysiologic study                          C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9362426Electrophysiologic study                          A   4.80   2.31     2.67     2.31     2.67     0.33   7.44   7.80   7.44   7.80  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93631  Heart pacing, mapping                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93631TCHeart pacing, mapping                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9363126Heart pacing, mapping                             A   7.59   2.77     2.76     2.77     2.76     0.97  11.33  11.32  11.33  11.32  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93640  Evaluation heart device                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93640TCEvaluation heart device                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9364026Evaluation heart device                           A   3.51   1.50     1.92     1.50     1.92     0.24   5.25   5.67   5.25   5.67  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93641  Electrophysiology evaluation                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93641TCElectrophysiology evaluation                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9364126Electrophysiology evaluation                      A   5.92   2.54     3.23     2.54     3.23     0.41   8.87   9.56   8.87   9.56  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93642  Electrophysiology evaluation                      A   4.88   8.90     7.45     8.90     7.45     0.57  14.35  12.90  14.35  12.90  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93642TCElectrophysiology evaluation                      A   0.00   6.57     4.77     6.57     4.77     0.42   6.99   5.19   6.99   5.19  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9364226Electrophysiology evaluation                      A   4.88   2.33     2.68     2.33     2.68     0.15   7.36   7.71   7.36   7.71  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93650  Ablate heart dysrhythm focus                      A  10.49   4.84NA   6.06NA   4.84     6.06     0.73  16.06  17.28  16.06  17.28  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93651  Ablate heart dysrhythm focus                      A  16.23   6.96NA   8.88NA   6.96     8.88     1.13  24.32  26.24  24.32  26.24  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93652  Ablate heart dysrhythm focus                      A  17.65   7.58NA   9.68NA   7.58     9.68     1.23  26.46  28.56  26.46  28.56  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93660  Tilt table evaluation                             A   1.89   2.58     3.05     2.58     3.05     0.08   4.55   5.02   4.55   5.02  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93660TCTilt table evaluation                             A   0.00   1.77     2.04     1.77     2.04     0.02   1.79   2.06   1.79   2.06  1000.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9366026Tilt table evaluation                             A   1.89   0.81     1.01     0.81     1.01     0.06   2.76   2.96   2.76   2.96  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93662  Intracardiac ecg (ice)                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93662TCIntracardiac ecg (ice)                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9366226Intracardiac ecg (ice)                            A   2.80   1.22     1.53     1.22     1.53     0.09   4.11   4.42   4.11   4.42  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93668  Peripheral vascular rehab                         N+  0.00   0.40     0.40     0.40NA   0.40 NA  0.01   0.41   0.41   0.41   0.41  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
93701  Bioimpedance, thoracic                            A   0.17   0.91     0.70     0.91NA   0.70 NA  0.02   1.10   0.89   1.10   0.89  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93701TCBioimpedance, thoracic                            A   0.00   0.84     0.64     0.84NA   0.64 NA  0.01   0.85   0.65   0.85   0.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
9370126Bioimpedance, thoracic                            A   0.17   0.07     0.06     0.07     0.06     0.01   0.25   0.24   0.25   0.24  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93720  Total body plethysmography                        A   0.17   0.87     1.19     0.87NA   1.19 NA  0.07   1.11   1.43   1.11   1.43  4XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93721  Plethysmography tracing                           A   0.00   0.82     1.14     0.82NA   1.14 NA  0.06   0.88   1.20   0.88   1.20  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93722  Plethysmography report                            A   0.17   0.05     0.05     0.05     0.05     0.01   0.23   0.23   0.23   0.23  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93724  Analyze pacemaker system                          A   4.88   5.29     3.53     5.29     3.53     0.39  10.56   8.80  10.56   8.80  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93724TCAnalyze pacemaker system                          A   0.00   3.20     0.91     3.20     0.91     0.24   3.44   1.15   3.44   1.15  1000.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9372426Analyze pacemaker system                          A   4.88   2.09     2.62     2.09     2.62     0.15   7.12   7.65   7.12   7.65  1000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93727  Analyze ilr system                                A   0.52   0.31     0.65     0.31     0.65     0.02   0.85   1.19   0.85   1.19  2XXX.00.00.0099999             37.8975 030 99     0.00   0.00   0.00
93731  Analyze pacemaker system                          A   0.45   0.70     0.79     0.70NA   0.79 NA  0.05   1.20   1.29   1.20   1.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93731TCAnalyze pacemaker system                          A   0.00   0.51     0.55     0.51NA   0.55 NA  0.04   0.55   0.59   0.55   0.59  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9373126Analyze pacemaker system                          A   0.45   0.19     0.24     0.19     0.24     0.01   0.65   0.70   0.65   0.70  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93732  Analyze pacemaker system                          A   0.92   0.94     1.17     0.94NA   1.17 NA  0.07   1.93   2.16   1.93   2.16  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93732TCAnalyze pacemaker system                          A   0.00   0.55     0.67     0.55NA   0.67 NA  0.04   0.59   0.71   0.59   0.71  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9373226Analyze pacemaker system                          A   0.92   0.39     0.50     0.39     0.50     0.03   1.34   1.45   1.34   1.45  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93733  Telephone analy, pacemaker                        A   0.17   0.83     0.92     0.83NA   0.92 NA  0.07   1.07   1.16   1.07   1.16  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93733TCTelephone analy, pacemaker                        A   0.00   0.76     0.84     0.76NA   0.84 NA  0.06   0.82   0.90   0.82   0.90  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9373326Telephone analy, pacemaker                        A   0.17   0.07     0.08     0.07     0.08     0.01   0.25   0.26   0.25   0.26  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93734  Analyze pacemaker system                          A   0.38   0.55     0.70     0.55NA   0.70 NA  0.03   0.96   1.11   0.96   1.11  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93734TCAnalyze pacemaker system                          A   0.00   0.39     0.50     0.39NA   0.50 NA  0.02   0.41   0.52   0.41   0.52  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9373426Analyze pacemaker system                          A   0.38   0.16     0.20     0.16     0.20     0.01   0.55   0.59   0.55   0.59  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93735  Analyze pacemaker system                          A   0.74   0.78     0.97     0.78NA   0.97 NA  0.06   1.58   1.77   1.58   1.77  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93735TCAnalyze pacemaker system                          A   0.00   0.47     0.57     0.47NA   0.57 NA  0.04   0.51   0.61   0.51   0.61  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9373526Analyze pacemaker system                          A   0.74   0.31     0.40     0.31     0.40     0.02   1.07   1.16   1.07   1.16  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93736  Telephonic analy, pacemaker                       A   0.15   0.74     0.90     0.74NA   0.90 NA  0.07   0.96   1.12   0.96   1.12  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93736TCTelephonic analy, pacemaker                       A   0.00   0.68     0.83     0.68NA   0.83 NA  0.06   0.74   0.89   0.74   0.89  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9373626Telephonic analy, pacemaker                       A   0.15   0.06     0.07     0.06     0.07     0.01   0.22   0.23   0.22   0.23  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93740  Temperature gradient studies                      B+  0.16   0.15     0.04     0.15NA   0.04 NA  0.02   0.33   0.22   0.33   0.22  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
93740TCTemperature gradient studies                      B+  0.00   0.11     0.00     0.11NA   0.00 NA  0.01   0.12   0.01   0.12   0.01  1XXX.00.00.0099999             37.8975 010 99     0.00   0.00   0.00
9374026Temperature gradient studies                      B+  0.16   0.04     0.04     0.04     0.04     0.01   0.21   0.21   0.21   0.21  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
93741  Analyze ht pace device sngl                       A   0.80   0.99     1.04     0.99NA   1.04 NA  0.07   1.86   1.91   1.86   1.91  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
93741TCAnalyze ht pace device sngl                       A   0.00   0.65     0.60     0.65NA   0.60 NA  0.04   0.69   0.64   0.69   0.64  1XXX.00.00.0099999             37.8975 020 99     0.00   0.00   0.00
9374126Analyze ht pace device sngl                       A   0.80   0.34     0.44     0.34     0.44     0.03   1.17   1.27   1.17   1.27  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
93742  Analyze ht pace device sngl                       A   0.91   1.07     1.18     1.07NA   1.18 NA  0.07   2.05   2.16   2.05   2.16  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
93742TCAnalyze ht pace device sngl                       A   0.00   0.67     0.67     0.67NA   0.67 NA  0.04   0.71   0.71   0.71   0.71  1XXX.00.00.0099999             37.8975 020 99     0.00   0.00   0.00
9374226Analyze ht pace device sngl                       A   0.91   0.40     0.51     0.40     0.51     0.03   1.34   1.45   1.34   1.45  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
93743  Analyze ht pace device dual                       A   1.03   1.15     1.22     1.15NA   1.22 NA  0.07   2.25   2.32   2.25   2.32  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
93743TCAnalyze ht pace device dual                       A   0.00   0.71     0.65     0.71NA   0.65 NA  0.04   0.75   0.69   0.75   0.69  1XXX.00.00.0099999             37.8975 020 99     0.00   0.00   0.00
9374326Analyze ht pace device dual                       A   1.03   0.44     0.57     0.44     0.57     0.03   1.50   1.63   1.50   1.63  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
93744  Analyze ht pace device dual                       A   1.18   1.19     1.37     1.19NA   1.37 NA  0.08   2.45   2.63   2.45   2.63  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
93744TCAnalyze ht pace device dual                       A   0.00   0.68     0.72     0.68NA   0.72 NA  0.04   0.72   0.76   0.72   0.76  1XXX.00.00.0099999             37.8975 020 99     0.00   0.00   0.00
9374426Analyze ht pace device dual                       A   1.18   0.51     0.65     0.51     0.65     0.04   1.73   1.87   1.73   1.87  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
93745  Set-up cardiovert-defibrill                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93745TCSet-up cardiovert-defibrill                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9374526Set-up cardiovert-defibrill                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93760  Cephalic thermogram                               N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
93762  Peripheral thermogram                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
93770  Measure venous pressure                           B+  0.16   0.07     0.04     0.07NA   0.04 NA  0.02   0.25   0.22   0.25   0.22  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
93770TCMeasure venous pressure                           B+  0.00   0.02     0.00     0.02NA   0.00 NA  0.01   0.03   0.01   0.03   0.01  1XXX.00.00.0099999             37.8975 010 99     0.00   0.00   0.00
9377026Measure venous pressure                           B+  0.16   0.05     0.04     0.05     0.04     0.01   0.22   0.21   0.22   0.21  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
93784  Ambulatory BP monitoring                          A   0.38   1.54     1.54     1.54NA   1.54 NA  0.03   1.95   1.95   1.95   1.95  4XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93786  Ambulatory BP recording                           A   0.00   0.90     0.88     0.90NA   0.88 NA  0.01   0.91   0.89   0.91   0.89  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
93788  Ambulatory BP analysis                            A   0.00   0.51     0.52     0.51NA   0.52 NA  0.01   0.52   0.53   0.52   0.53  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93790  Review/report BP recording                        A   0.38   0.13     0.14     0.13     0.14     0.01   0.52   0.53   0.52   0.53  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93797  Cardiac rehab                                     A   0.18   0.31     0.32     0.08     0.09     0.01   0.50   0.51   0.27   0.28  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93798  Cardiac rehab/monitor                             A   0.28   0.46     0.44     0.12     0.13     0.01   0.75   0.73   0.41   0.42  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93799  Cardiovascular procedure                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93799TCCardiovascular procedure                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
9379926Cardiovascular procedure                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93875  Extracranial study                                A   0.22   2.38     2.50     2.38NA   2.50 NA  0.12   2.72   2.84   2.72   2.84  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
93875TCExtracranial study                                A   0.00   2.30     2.43     2.30NA   2.43 NA  0.11   2.41   2.54   2.41   2.54  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9387526Extracranial study                                A   0.22   0.08     0.07     0.08     0.07     0.01   0.31   0.30   0.31   0.30  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
93880  Extracranial study                                A   0.60   5.67     6.01     5.67NA   6.01 NA  0.39   6.66   7.00   6.66   7.00  1XXX.00.00.0002000             37.8975 090 99     3.95   3.95   0.28
93880TCExtracranial study                                A   0.00   5.47     5.81     5.47NA   5.81 NA  0.35   5.82   6.16   5.82   6.16  1XXX.00.00.0002000             37.8975 010 99     3.75   3.75   0.24
9388026Extracranial study                                A   0.60   0.20     0.20     0.20     0.20     0.04   0.84   0.84   0.84   0.84  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
93882  Extracranial study                                A   0.40   3.63     4.04     3.63NA   4.04 NA  0.26   4.29   4.70   4.29   4.70  1XXX.00.00.0000000             37.8975 090 99     3.88   3.88   0.28
93882TCExtracranial study                                A   0.00   3.50     3.93     3.50NA   3.93 NA  0.22   3.72   4.15   3.72   4.15  1XXX.00.00.0000000             37.8975 010 99     3.75   3.75   0.24
9388226Extracranial study                                A   0.40   0.13     0.11     0.13     0.11     0.04   0.57   0.55   0.57   0.55  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93886  Intracranial study                                A   0.94   6.77     6.83     6.77NA   6.83 NA  0.45   8.16   8.22   8.16   8.22  1XXX.00.00.0000000             37.8975 090 99     4.11   4.11   0.29
93886TCIntracranial study                                A   0.00   6.42     6.55     6.42NA   6.55 NA  0.39   6.81   6.94   6.81   6.94  1XXX.00.00.0000000             37.8975 010 99     3.76   3.76   0.23
9388626Intracranial study                                A   0.94   0.35     0.28     0.35     0.28     0.06   1.35   1.28   1.35   1.28  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93888  Intracranial study                                A   0.62   4.36     4.73     4.36NA   4.73 NA  0.32   5.30   5.67   5.30   5.67  1XXX.00.00.0000000             37.8975 090 99     1.73   1.73   0.15
93888TCIntracranial study                                A   0.00   4.14     4.54     4.14NA   4.54 NA  0.27   4.41   4.81   4.41   4.81  1XXX.00.00.0000000             37.8975 010 99     1.51   1.51   0.10
9388826Intracranial study                                A   0.62   0.22     0.19     0.22     0.19     0.05   0.89   0.86   0.89   0.86  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93890  Tcd, vasoreactivity study                         A   1.00   5.20     6.08     5.20NA   6.08 NA  0.45   6.65   7.53   6.65   7.53  1XXX.00.00.0000000             37.8975 090 99     2.72   2.72   0.25
93890TCTcd, vasoreactivity study                         A   0.00   4.82     5.78     4.82NA   5.78 NA  0.39   5.21   6.17   5.21   6.17  1XXX.00.00.0000000             37.8975 010 99     2.34   2.34   0.19
9389026Tcd, vasoreactivity study                         A   1.00   0.38     0.30     0.38     0.30     0.06   1.44   1.36   1.44   1.36  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93892  Tcd, emboli detect w/o inj                        A   1.15   5.52     6.59     5.52NA   6.59 NA  0.45   7.12   8.19   7.12   8.19  1XXX.00.00.0000000             37.8975 090 99     2.78   2.78   0.24
93892TCTcd, emboli detect w/o inj                        A   0.00   5.09     6.25     5.09NA   6.25 NA  0.39   5.48   6.64   5.48   6.64  1XXX.00.00.0000000             37.8975 010 99     2.35   2.35   0.18
9389226Tcd, emboli detect w/o inj                        A   1.15   0.43     0.34     0.43     0.34     0.06   1.64   1.55   1.64   1.55  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93893  Tcd, emboli detect w/inj                          A   1.15   5.34     6.28     5.34NA   6.28 NA  0.45   6.94   7.88   6.94   7.88  1XXX.00.00.0000000             37.8975 090 99     2.77   2.77   0.25
93893TCTcd, emboli detect w/inj                          A   0.00   4.91     5.94     4.91NA   5.94 NA  0.39   5.30   6.33   5.30   6.33  1XXX.00.00.0000000             37.8975 010 99     2.34   2.34   0.19
9389326Tcd, emboli detect w/inj                          A   1.15   0.43     0.34     0.43     0.34     0.06   1.64   1.55   1.64   1.55  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93922  Extremity study                                   A   0.25   2.78     3.07     2.78NA   3.07 NA  0.15   3.18   3.47   3.18   3.47  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
93922TCExtremity study                                   A   0.00   2.70     2.99     2.70NA   2.99 NA  0.13   2.83   3.12   2.83   3.12  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9392226Extremity study                                   A   0.25   0.08     0.08     0.08     0.08     0.02   0.35   0.35   0.35   0.35  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
93923  Extremity study                                   A   0.45   4.18     4.60     4.18NA   4.60 NA  0.26   4.89   5.31   4.89   5.31  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
93923TCExtremity study                                   A   0.00   4.03     4.47     4.03NA   4.47 NA  0.22   4.25   4.69   4.25   4.69  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9392326Extremity study                                   A   0.45   0.15     0.13     0.15     0.13     0.04   0.64   0.62   0.64   0.62  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
93924  Extremity study                                   A   0.50   5.05     5.81     5.05NA   5.81 NA  0.30   5.85   6.61   5.85   6.61  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
93924TCExtremity study                                   A   0.00   4.88     5.65     4.88NA   5.65 NA  0.25   5.13   5.90   5.13   5.90  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9392426Extremity study                                   A   0.50   0.17     0.16     0.17     0.16     0.05   0.72   0.71   0.72   0.71  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
93925  Lower extremity study                             A   0.58   7.05     7.82     7.05NA   7.82 NA  0.39   8.02   8.79   8.02   8.79  1XXX.00.00.0002000             37.8975 090 99     4.00   4.00   0.23
93925TCLower extremity study                             A   0.00   6.85     7.64     6.85NA   7.64 NA  0.35   7.20   7.99   7.20   7.99  1XXX.00.00.0002000             37.8975 010 99     3.80   3.80   0.19
9392526Lower extremity study                             A   0.58   0.20     0.18     0.20     0.18     0.04   0.82   0.80   0.82   0.80  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
93926  Lower extremity study                             A   0.39   4.31     5.05     4.31NA   5.05 NA  0.27   4.97   5.71   4.97   5.71  1XXX.00.00.0000000             37.8975 090 99     2.53   2.53   0.17
93926TCLower extremity study                             A   0.00   4.18     4.94     4.18NA   4.94 NA  0.23   4.41   5.17   4.41   5.17  1XXX.00.00.0000000             37.8975 010 99     2.40   2.40   0.13
9392626Lower extremity study                             A   0.39   0.13     0.11     0.13     0.11     0.04   0.56   0.54   0.56   0.54  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93930  Upper extremity study                             A   0.46   5.54     6.09     5.54NA   6.09 NA  0.41   6.41   6.96   6.41   6.96  1XXX.00.00.0002000             37.8975 090 99     3.89   3.89   0.30
93930TCUpper extremity study                             A   0.00   5.38     5.95     5.38NA   5.95 NA  0.37   5.75   6.32   5.75   6.32  1XXX.00.00.0002000             37.8975 010 99     3.73   3.73   0.26
9393026Upper extremity study                             A   0.46   0.16     0.14     0.16     0.14     0.04   0.66   0.64   0.66   0.64  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
93931  Upper extremity study                             A   0.31   3.64     4.11     3.64NA   4.11 NA  0.27   4.22   4.69   4.22   4.69  1XXX.00.00.0000000             37.8975 090 99     2.47   2.47   0.19
93931TCUpper extremity study                             A   0.00   3.54     4.02     3.54NA   4.02 NA  0.24   3.78   4.26   3.78   4.26  1XXX.00.00.0000000             37.8975 010 99     2.37   2.37   0.16
9393126Upper extremity study                             A   0.31   0.10     0.09     0.10     0.09     0.03   0.44   0.43   0.44   0.43  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93965  Extremity study                                   A   0.35   2.83     2.94     2.83NA   2.94 NA  0.14   3.32   3.43   3.32   3.43  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
93965TCExtremity study                                   A   0.00   2.71     2.84     2.71NA   2.84 NA  0.12   2.83   2.96   2.83   2.96  1XXX.00.00.0002000             37.8975 010 99     0.00   0.00   0.00
9396526Extremity study                                   A   0.35   0.12     0.10     0.12     0.10     0.02   0.49   0.47   0.49   0.47  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
93970  Extremity study                                   A   0.68   5.44     6.00     5.44NA   6.00 NA  0.46   6.58   7.14   6.58   7.14  1XXX.00.00.0002000             37.8975 090 99     3.92   3.92   0.35
93970TCExtremity study                                   A   0.00   5.22     5.81     5.22NA   5.81 NA  0.40   5.62   6.21   5.62   6.21  1XXX.00.00.0002000             37.8975 010 99     3.70   3.70   0.29
9397026Extremity study                                   A   0.68   0.22     0.19     0.22     0.19     0.06   0.96   0.93   0.96   0.93  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
93971  Extremity study                                   A   0.45   3.67     3.90     3.67NA   3.90 NA  0.30   4.42   4.65   4.42   4.65  1XXX.00.00.0000000             37.8975 090 99     2.50   2.50   0.21
93971TCExtremity study                                   A   0.00   3.52     3.77     3.52NA   3.77 NA  0.27   3.79   4.04   3.79   4.04  1XXX.00.00.0000000             37.8975 010 99     2.35   2.35   0.18
9397126Extremity study                                   A   0.45   0.15     0.13     0.15     0.13     0.03   0.63   0.61   0.63   0.61  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93975  Vascular study                                    A   1.80   7.78     8.23     7.78NA   8.23 NA  0.56  10.14  10.59  10.14  10.59  1XXX.00.00.0000000             37.8975 090 99     4.36   4.36   0.36
93975TCVascular study                                    A   0.00   7.18     7.64     7.18NA   7.64 NA  0.43   7.61   8.07   7.61   8.07  1XXX.00.00.0000000             37.8975 010 99     3.76   3.76   0.23
9397526Vascular study                                    A   1.80   0.60     0.59     0.60     0.59     0.13   2.53   2.52   2.53   2.52  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93976  Vascular study                                    A   1.21   4.33     4.33     4.33NA   4.33 NA  0.35   5.89   5.89   5.89   5.89  1XXX.00.00.0000000             37.8975 090 99     4.10   4.10   0.33
93976TCVascular study                                    A   0.00   3.94     3.97     3.94NA   3.97 NA  0.30   4.24   4.27   4.24   4.27  1XXX.00.00.0000000             37.8975 010 99     3.71   3.71   0.28
9397626Vascular study                                    A   1.21   0.39     0.36     0.39     0.36     0.05   1.65   1.62   1.65   1.62  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93978  Vascular study                                    A   0.65   4.85     5.84     4.85NA   5.84 NA  0.43   5.93   6.92   5.93   6.92  1XXX.00.00.0000000             37.8975 090 99     2.56   2.56   0.25
93978TCVascular study                                    A   0.00   4.63     5.63     4.63NA   5.63 NA  0.37   5.00   6.00   5.00   6.00  1XXX.00.00.0000000             37.8975 010 99     2.34   2.34   0.19
9397826Vascular study                                    A   0.65   0.22     0.21     0.22     0.21     0.06   0.93   0.92   0.93   0.92  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93979  Vascular study                                    A   0.44   3.46     4.23     3.46NA   4.23 NA  0.27   4.17   4.94   4.17   4.94  1XXX.00.00.0000000             37.8975 090 99     2.51   2.51   0.20
93979TCVascular study                                    A   0.00   3.31     4.07     3.31NA   4.07 NA  0.24   3.55   4.31   3.55   4.31  1XXX.00.00.0000000             37.8975 010 99     2.36   2.36   0.17
9397926Vascular study                                    A   0.44   0.15     0.16     0.15     0.16     0.03   0.62   0.63   0.62   0.63  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93980  Penile vascular study                             A   1.25   3.02     3.50     3.02NA   3.50 NA  0.42   4.69   5.17   4.69   5.17  1XXX.00.00.0000000             37.8975 090 99     3.95   3.95   0.55
93980TCPenile vascular study                             A   0.00   2.59     3.03     2.59NA   3.03 NA  0.34   2.93   3.37   2.93   3.37  1XXX.00.00.0000000             37.8975 010 99     3.52   3.52   0.47
9398026Penile vascular study                             A   1.25   0.43     0.47     0.43     0.47     0.08   1.76   1.80   1.76   1.80  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93981  Penile vascular study                             A   0.44   2.85     2.75     2.85NA   2.75 NA  0.33   3.62   3.52   3.62   3.52  1XXX.00.00.0000000             37.8975 090 99     2.42   2.42   0.28
93981TCPenile vascular study                             A   0.00   2.70     2.59     2.70NA   2.59 NA  0.31   3.01   2.90   3.01   2.90  1XXX.00.00.0000000             37.8975 010 99     2.27   2.27   0.26
9398126Penile vascular study                             A   0.44   0.15     0.16     0.15     0.16     0.02   0.61   0.62   0.61   0.62  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
93990  Doppler flow testing                              A   0.25   4.28     5.16     4.28NA   5.16 NA  0.26   4.79   5.67   4.79   5.67  1XXX.00.00.0000000             37.8975 090 99     2.48   2.48   0.16
93990TCDoppler flow testing                              A   0.00   4.20     5.10     4.20NA   5.10 NA  0.23   4.43   5.33   4.43   5.33  1XXX.00.00.0000000             37.8975 010 99     2.40   2.40   0.13
9399026Doppler flow testing                              A   0.25   0.08     0.06     0.08     0.06     0.03   0.36   0.34   0.36   0.34  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94002  Vent mgmt inpat, init day                         A   1.99   0.34NA   0.39NA   0.34     0.39     0.09   2.42   2.47   2.42   2.47  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94003  Vent mgmt inpat, subq day                         A   1.37   0.33NA   0.33NA   0.33     0.33     0.06   1.76   1.76   1.76   1.76  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94004  Vent mgmt nf per day                              A   1.00   0.24NA   0.24NA   0.24     0.24     0.04   1.28   1.28   1.28   1.28  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94005  Home vent mgmt supervision                        B+  1.50   0.69     0.69     0.69NA   0.69 NA  0.06   2.25   2.25   2.25   2.25  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
94010  Breathing capacity test                           A   0.17   0.69     0.73     0.69NA   0.73 NA  0.03   0.89   0.93   0.89   0.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94010TCBreathing capacity test                           A   0.00   0.64     0.69     0.64NA   0.69 NA  0.02   0.66   0.71   0.66   0.71  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9401026Breathing capacity test                           A   0.17   0.05     0.04     0.05     0.04     0.01   0.23   0.22   0.23   0.22  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94014  Patient recorded spirometry                       A   0.52   0.77     0.82     0.77NA   0.82 NA  0.03   1.32   1.37   1.32   1.37  4XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
94015  Patient recorded spirometry                       A   0.00   0.61     0.68     0.61NA   0.68 NA  0.01   0.62   0.69   0.62   0.69  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
94016  Review patient spirometry                         A   0.52   0.16     0.14     0.16     0.14     0.02   0.70   0.68   0.70   0.68  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94060  Evaluation of wheezing                            A   0.31   1.13     1.31     1.13     1.31     0.07   1.51   1.69   1.51   1.69  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94060TCEvaluation of wheezing                            A   0.00   1.04     1.23     1.04     1.23     0.06   1.10   1.29   1.10   1.29  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9406026Evaluation of wheezing                            A   0.31   0.09     0.08     0.09     0.08     0.01   0.41   0.40   0.41   0.40  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94070  Evaluation of wheezing                            A   0.60   0.86     0.99     0.86NA   0.99 NA  0.13   1.59   1.72   1.59   1.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94070TCEvaluation of wheezing                            A   0.00   0.69     0.84     0.69NA   0.84 NA  0.10   0.79   0.94   0.79   0.94  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9407026Evaluation of wheezing                            A   0.60   0.17     0.15     0.17     0.15     0.03   0.80   0.78   0.80   0.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94150  Vital capacity test                               B+  0.07   0.48     0.48     0.48NA   0.48 NA  0.02   0.57   0.57   0.57   0.57  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
94150TCVital capacity test                               B+  0.00   0.45     0.46     0.45NA   0.46 NA  0.01   0.46   0.47   0.46   0.47  1XXX.00.00.0099999             37.8975 010 99     0.00   0.00   0.00
9415026Vital capacity test                               B+  0.07   0.03     0.02     0.03     0.02     0.01   0.11   0.10   0.11   0.10  1XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
94200  Lung function test (MBC/MVV)                      A   0.11   0.45     0.48     0.45NA   0.48 NA  0.03   0.59   0.62   0.59   0.62  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94200TCLung function test (MBC/MVV)                      A   0.00   0.42     0.45     0.42NA   0.45 NA  0.02   0.44   0.47   0.44   0.47  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9420026Lung function test (MBC/MVV)                      A   0.11   0.03     0.03     0.03     0.03     0.01   0.15   0.15   0.15   0.15  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94240  Residual lung capacity                            A   0.26   0.70     0.81     0.70NA   0.81 NA  0.06   1.02   1.13   1.02   1.13  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94240TCResidual lung capacity                            A   0.00   0.62     0.75     0.62NA   0.75 NA  0.05   0.67   0.80   0.67   0.80  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9424026Residual lung capacity                            A   0.26   0.08     0.06     0.08     0.06     0.01   0.35   0.33   0.35   0.33  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94250  Expired gas collection                            A   0.11   0.61     0.51     0.61NA   0.51 NA  0.02   0.74   0.64   0.74   0.64  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94250TCExpired gas collection                            A   0.00   0.58     0.48     0.58NA   0.48 NA  0.01   0.59   0.49   0.59   0.49  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9425026Expired gas collection                            A   0.11   0.03     0.03     0.03     0.03     0.01   0.15   0.15   0.15   0.15  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94260  Thoracic gas volume                               A   0.13   0.63     0.76     0.63NA   0.76 NA  0.05   0.81   0.94   0.81   0.94  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94260TCThoracic gas volume                               A   0.00   0.59     0.73     0.59NA   0.73 NA  0.04   0.63   0.77   0.63   0.77  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9426026Thoracic gas volume                               A   0.13   0.04     0.03     0.04     0.03     0.01   0.18   0.17   0.18   0.17  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94350  Lung nitrogen washout curve                       A   0.26   0.73     0.62     0.73NA   0.62 NA  0.05   1.04   0.93   1.04   0.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94350TCLung nitrogen washout curve                       A   0.00   0.65     0.55     0.65NA   0.55 NA  0.04   0.69   0.59   0.69   0.59  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9435026Lung nitrogen washout curve                       A   0.26   0.08     0.07     0.08     0.07     0.01   0.35   0.34   0.35   0.34  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94360  Measure airflow resistance                        A   0.26   0.77     0.95     0.77NA   0.95 NA  0.07   1.10   1.28   1.10   1.28  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94360TCMeasure airflow resistance                        A   0.00   0.69     0.89     0.69NA   0.89 NA  0.06   0.75   0.95   0.75   0.95  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9436026Measure airflow resistance                        A   0.26   0.08     0.06     0.08     0.06     0.01   0.35   0.33   0.35   0.33  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94370  Breath airway closing volume                      A   0.26   0.69     0.59     0.69NA   0.59 NA  0.03   0.98   0.88   0.98   0.88  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94370TCBreath airway closing volume                      A   0.00   0.61     0.52     0.61NA   0.52 NA  0.02   0.63   0.54   0.63   0.54  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9437026Breath airway closing volume                      A   0.26   0.08     0.07     0.08     0.07     0.01   0.35   0.34   0.35   0.34  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94375  Respiratory flow volume loop                      A   0.31   0.63     0.72     0.63NA   0.72 NA  0.03   0.97   1.06   0.97   1.06  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94375TCRespiratory flow volume loop                      A   0.00   0.54     0.64     0.54NA   0.64 NA  0.02   0.56   0.66   0.56   0.66  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9437526Respiratory flow volume loop                      A   0.31   0.09     0.08     0.09     0.08     0.01   0.41   0.40   0.41   0.40  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94400  CO2 breathing response curve                      A   0.40   0.89     1.02     0.89NA   1.02 NA  0.09   1.38   1.51   1.38   1.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94400TCCO2 breathing response curve                      A   0.00   0.77     0.92     0.77NA   0.92 NA  0.06   0.83   0.98   0.83   0.98  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9440026CO2 breathing response curve                      A   0.40   0.12     0.10     0.12     0.10     0.03   0.55   0.53   0.55   0.53  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94450  Hypoxia response curve                            A   0.40   0.89     1.03     0.89NA   1.03 NA  0.04   1.33   1.47   1.33   1.47  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94450TCHypoxia response curve                            A   0.00   0.78     0.94     0.78NA   0.94 NA  0.02   0.80   0.96   0.80   0.96  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9445026Hypoxia response curve                            A   0.40   0.11     0.09     0.11     0.09     0.02   0.53   0.51   0.53   0.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94452  Hast w/report                                     A   0.31   1.05     1.13     1.05NA   1.13 NA  0.04   1.40   1.48   1.40   1.48  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94452TCHast w/report                                     A   0.00   0.96     1.05     0.96NA   1.05 NA  0.02   0.98   1.07   0.98   1.07  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9445226Hast w/report                                     A   0.31   0.09     0.08     0.09     0.08     0.02   0.42   0.41   0.42   0.41  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94453  Hast w/oxygen titrate                             A   0.40   1.53     1.58     1.53NA   1.58 NA  0.04   1.97   2.02   1.97   2.02  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94453TCHast w/oxygen titrate                             A   0.00   1.41     1.48     1.41NA   1.48 NA  0.02   1.43   1.50   1.43   1.50  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9445326Hast w/oxygen titrate                             A   0.40   0.12     0.10     0.12     0.10     0.02   0.54   0.52   0.54   0.52  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94610  Surfactant admin thru tube                        A   1.16   0.35     0.35     0.35     0.35     0.26   1.77   1.77   1.77   1.77  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94620  Pulmonary stress test/simple                      A   0.64   2.06     0.79     2.06NA   0.79 NA  0.13   2.83   1.56   2.83   1.56  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94620TCPulmonary stress test/simple                      A   0.00   1.87     0.62     1.87NA   0.62 NA  0.10   1.97   0.72   1.97   0.72  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9462026Pulmonary stress test/simple                      A   0.64   0.19     0.17     0.19     0.17     0.03   0.86   0.84   0.86   0.84  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94621  Pulm stress test/complex                          A   1.42   2.45     3.17     2.45NA   3.17 NA  0.16   4.03   4.75   4.03   4.75  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94621TCPulm stress test/complex                          A   0.00   2.00     2.71     2.00NA   2.71 NA  0.10   2.10   2.81   2.10   2.81  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9462126Pulm stress test/complex                          A   1.42   0.45     0.46     0.45     0.46     0.06   1.93   1.94   1.93   1.94  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94640  Airway inhalation treatment                       A   0.00   0.32     0.36     0.32NA   0.36 NA  0.02   0.34   0.38   0.34   0.38  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94642  Aerosol inhalation treatment                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94644  Cbt, 1st hour                                     A   0.00   0.92     0.92     0.92NA   0.92 NA  0.02   0.94   0.94   0.94   0.94  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94645  Cbt, each addl hour                               A   0.00   0.34     0.34     0.34NA   0.34 NA  0.02   0.36   0.36   0.36   0.36  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94660  Pos airway pressure, CPAP                         A   0.76   0.69     0.82     0.22     0.20     0.04   1.49   1.62   1.02   1.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94662  Neg press ventilation, cnp                        A   0.76   0.22NA   0.19NA   0.22     0.19     0.03   1.01   0.98   1.01   0.98  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94664  Evaluate pt use of inhaler                        A   0.00   0.33     0.40     0.33NA   0.40 NA  0.04   0.37   0.44   0.37   0.44  5XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
94667  Chest wall manipulation                           A   0.00   0.53     0.54     0.53NA   0.54 NA  0.05   0.58   0.59   0.58   0.59  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94668  Chest wall manipulation                           A   0.00   0.46     0.50     0.46NA   0.50 NA  0.02   0.48   0.52   0.48   0.52  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94680  Exhaled air analysis, o2                          A   0.26   1.67     1.10     1.67     1.10     0.07   2.00   1.43   2.00   1.43  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94680TCExhaled air analysis, o2                          A   0.00   1.59     1.03     1.59     1.03     0.06   1.65   1.09   1.65   1.09  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9468026Exhaled air analysis, o2                          A   0.26   0.08     0.07     0.08     0.07     0.01   0.35   0.34   0.35   0.34  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94681  Exhaled air analysis, o2/co2                      A   0.20   2.16     1.06     2.16NA   1.06 NA  0.13   2.49   1.39   2.49   1.39  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94681TCExhaled air analysis, o2/co2                      A   0.00   2.10     1.01     2.10NA   1.01 NA  0.12   2.22   1.13   2.22   1.13  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9468126Exhaled air analysis, o2/co2                      A   0.20   0.06     0.05     0.06     0.05     0.01   0.27   0.26   0.27   0.26  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94690  Exhaled air analysis                              A   0.07   1.75     1.04     1.75NA   1.04 NA  0.05   1.87   1.16   1.87   1.16  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94690TCExhaled air analysis                              A   0.00   1.73     1.02     1.73NA   1.02 NA  0.04   1.77   1.06   1.77   1.06  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9469026Exhaled air analysis                              A   0.07   0.02     0.02     0.02     0.02     0.01   0.10   0.10   0.10   0.10  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94720  Monoxide diffusing capacity                       A   0.26   1.04     1.15     1.04NA   1.15 NA  0.07   1.37   1.48   1.37   1.48  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94720TCMonoxide diffusing capacity                       A   0.00   0.96     1.09     0.96NA   1.09 NA  0.06   1.02   1.15   1.02   1.15  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9472026Monoxide diffusing capacity                       A   0.26   0.08     0.06     0.08     0.06     0.01   0.35   0.33   0.35   0.33  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94725  Membrane diffusion capacity                       A   0.26   2.43     0.96     2.43NA   0.96 NA  0.13   2.82   1.35   2.82   1.35  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94725TCMembrane diffusion capacity                       A   0.00   2.35     0.89     2.35NA   0.89 NA  0.12   2.47   1.01   2.47   1.01  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9472526Membrane diffusion capacity                       A   0.26   0.08     0.07     0.08     0.07     0.01   0.35   0.34   0.35   0.34  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94750  Pulmonary compliance study                        A   0.23   1.43     1.69     1.43NA   1.69 NA  0.05   1.71   1.97   1.71   1.97  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94750TCPulmonary compliance study                        A   0.00   1.36     1.63     1.36NA   1.63 NA  0.04   1.40   1.67   1.40   1.67  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9475026Pulmonary compliance study                        A   0.23   0.07     0.06     0.07     0.06     0.01   0.31   0.30   0.31   0.30  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94760  Measure blood oxygen level                        T   0.00   0.05     0.06     0.05NA   0.06 NA  0.02   0.07   0.08   0.07   0.08  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
94761  Measure blood oxygen level                        T   0.00   0.08     0.11     0.08NA   0.11 NA  0.06   0.14   0.17   0.14   0.17  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
94762  Measure blood oxygen level                        A   0.00   0.56     0.84     0.56NA   0.84 NA  0.10   0.66   0.94   0.66   0.94  3XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
94770  Exhaled carbon dioxide test                       A   0.15   0.76     0.77     0.76NA   0.77 NA  0.08   0.99   1.00   0.99   1.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94770TCExhaled carbon dioxide test                       A   0.00   0.72     0.74     0.72NA   0.74 NA  0.07   0.79   0.81   0.79   0.81  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9477026Exhaled carbon dioxide test                       A   0.15   0.04     0.03     0.04     0.03     0.01   0.20   0.19   0.20   0.19  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94772  Breath recording, infant                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94772TCBreath recording, infant                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9477226Breath recording, infant                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94774  Ped home apnea rec, compl                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  4YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94775  Ped home apnea rec, hk-up                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  3YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94776  Ped home apnea rec, downld                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  3YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94777  Ped home apnea rec, report                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  2YYY.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94799  Pulmonary service/procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
94799TCPulmonary service/procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
9479926Pulmonary service/procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95004  Percut allergy skin tests                         A   0.00   0.12     0.16     0.12NA   0.16 NA  0.01   0.13   0.17   0.13   0.17  5XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
95010  Percut allergy titrate test                       A   0.15   0.31     0.29     0.06     0.04     0.01   0.47   0.45   0.22   0.20  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95012  Exhaled nitric oxide meas                         A   0.00   0.48     0.48     0.48NA   0.48 NA  0.01   0.49   0.49   0.49   0.49  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95015  Id allergy titrate-drug/bug                       A   0.15   0.16     0.20     0.06     0.04     0.01   0.32   0.36   0.22   0.20  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95024  Id allergy test, drug/bug                         A   0.00   0.17     0.21     0.17NA   0.21 NA  0.01   0.18   0.22   0.18   0.22  5XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
95027  Id allergy titrate-airborne                       A   0.00   0.17     0.24     0.17NA   0.24 NA  0.01   0.18   0.25   0.18   0.25  3XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
95028  Id allergy test-delayed type                      A   0.00   0.25     0.29     0.25NA   0.29 NA  0.01   0.26   0.30   0.26   0.30  3XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
95044  Allergy patch tests                               A   0.00   0.19     0.15     0.19NA   0.15 NA  0.01   0.20   0.16   0.20   0.16  5XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
95052  Photo patch test                                  A   0.00   0.23     0.15     0.23NA   0.15 NA  0.01   0.24   0.16   0.24   0.16  5XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
95056  Photosensitivity tests                            A   0.00   0.43     1.21     0.43NA   1.21 NA  0.01   0.44   1.22   0.44   1.22  5XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
95060  Eye allergy tests                                 A   0.00   0.44     0.72     0.44NA   0.72 NA  0.02   0.46   0.74   0.46   0.74  3XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
95065  Nose allergy test                                 A   0.00   0.31     0.65     0.31NA   0.65 NA  0.01   0.32   0.66   0.32   0.66  3XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
95070  Bronchial allergy tests                           A   0.00   1.91     0.79     1.91NA   0.79 NA  0.02   1.93   0.81   1.93   0.81  3XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
95071  Bronchial allergy tests                           A   0.00   2.41     0.88     2.41NA   0.88 NA  0.02   2.43   0.90   2.43   0.90  3XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
95075  Ingestion challenge test                          A   0.95   0.78     0.67     0.35     0.26     0.03   1.76   1.65   1.33   1.24  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95115  Immunotherapy, one injection                      A   0.00   0.35     0.22     0.29     0.00     0.02   0.37   0.24   0.31   0.02  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95117  Immunotherapy injections                          A   0.00   0.44     0.27     0.38     0.00     0.02   0.46   0.29   0.40   0.02  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95120  Immunotherapy, one injection                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
95125  Immunotherapy, many antigens                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
95130  Immunotherapy, insect venom                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
95131  Immunotherapy, insect venoms                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
95132  Immunotherapy, insect venoms                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
95133  Immunotherapy, insect venoms                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
95134  Immunotherapy, insect venoms                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
95144  Antigen therapy services                          A   0.06   0.21     0.26     0.02     0.02     0.01   0.28   0.33   0.09   0.09  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95145  Antigen therapy services                          A   0.06   0.33     0.34     0.02     0.02     0.01   0.40   0.41   0.09   0.09  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95146  Antigen therapy services                          A   0.06   0.49     0.65     0.03     0.02     0.01   0.56   0.72   0.10   0.09  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95147  Antigen therapy services                          A   0.06   0.48     0.64     0.02     0.02     0.01   0.55   0.71   0.09   0.09  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95148  Antigen therapy services                          A   0.06   0.67     0.94     0.03     0.02     0.01   0.74   1.01   0.10   0.09  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95149  Antigen therapy services                          A   0.06   0.91     1.25     0.03     0.02     0.01   0.98   1.32   0.10   0.09  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95165  Antigen therapy services                          A   0.06   0.21     0.25     0.02     0.02     0.01   0.28   0.32   0.09   0.09  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95170  Antigen therapy services                          A   0.06   0.15     0.19     0.03     0.02     0.01   0.22   0.26   0.10   0.09  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95180  Rapid desensitization                             A   2.01   1.92     1.59     0.88     0.73     0.04   3.97   3.64   2.93   2.78  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95199  Allergy immunology services                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95250  Glucose monitoring, cont                          A   0.00   3.95     3.49     3.95NA   3.49 NA  0.01   3.96   3.50   3.96   3.50  3XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95251  Gluc monitor, cont, phys i&r                      A   0.85   0.21     0.27     0.21     0.27     0.02   1.08   1.14   1.08   1.14  2XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95805  Multiple sleep latency test                       A   1.88  14.70     6.99    14.70NA   6.99 NA  0.43  17.01   9.30  17.01   9.30  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95805TCMultiple sleep latency test                       A   0.00  14.08     6.50    14.08NA   6.50 NA  0.34  14.42   6.84  14.42   6.84  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9580526Multiple sleep latency test                       A   1.88   0.62     0.49     0.62     0.49     0.09   2.59   2.46   2.59   2.46  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95806  Sleep study, unattended                           A   1.66   3.46     3.84     3.46NA   3.84 NA  0.39   5.51   5.89   5.51   5.89  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95806TCSleep study, unattended                           A   0.00   2.93     3.36     2.93NA   3.36 NA  0.31   3.24   3.67   3.24   3.67  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9580626Sleep study, unattended                           A   1.66   0.53     0.48     0.53     0.48     0.08   2.27   2.22   2.27   2.22  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95807  Sleep study, attended                             A   1.66  11.82    11.72    11.82NA  11.72 NA  0.50  13.98  13.88  13.98  13.88  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95807TCSleep study, attended                             A   0.00  11.31    11.29    11.31NA  11.29 NA  0.42  11.73  11.71  11.73  11.71  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9580726Sleep study, attended                             A   1.66   0.51     0.43     0.51     0.43     0.08   2.25   2.17   2.25   2.17  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95808  Polysomnography, 1-3                              A   2.65  13.79    15.55    13.79NA  15.55 NA  0.55  16.99  18.75  16.99  18.75  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95808TCPolysomnography, 1-3                              A   0.00  12.92    14.85    12.92NA  14.85 NA  0.42  13.34  15.27  13.34  15.27  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9580826Polysomnography, 1-3                              A   2.65   0.87     0.70     0.87     0.70     0.13   3.65   3.48   3.65   3.48  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95810  Polysomnography, 4 or more                        A   3.52  17.54    17.67    17.54NA  17.67 NA  0.59  21.65  21.78  21.65  21.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95810TCPolysomnography, 4 or more                        A   0.00  16.42    16.75    16.42NA  16.75 NA  0.42  16.84  17.17  16.84  17.17  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9581026Polysomnography, 4 or more                        A   3.52   1.12     0.92     1.12     0.92     0.17   4.81   4.61   4.81   4.61  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95811  Polysomnography w/cpap                            A   3.79  19.32    19.70    19.32NA  19.70 NA  0.61  23.72  24.10  23.72  24.10  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95811TCPolysomnography w/cpap                            A   0.00  18.12    18.72    18.12NA  18.72 NA  0.43  18.55  19.15  18.55  19.15  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9581126Polysomnography w/cpap                            A   3.79   1.20     0.98     1.20     0.98     0.18   5.17   4.95   5.17   4.95  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95812  Eeg, 41-60 minutes                                A   1.08   4.49     5.85     4.49NA   5.85 NA  0.17   5.74   7.10   5.74   7.10  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95812TCEeg, 41-60 minutes                                A   0.00   4.07     5.54     4.07NA   5.54 NA  0.11   4.18   5.65   4.18   5.65  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9581226Eeg, 41-60 minutes                                A   1.08   0.42     0.31     0.42     0.31     0.06   1.56   1.45   1.56   1.45  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95813  Eeg, over 1 hour                                  A   1.73   5.40     6.53     5.40NA   6.53 NA  0.20   7.33   8.46   7.33   8.46  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95813TCEeg, over 1 hour                                  A   0.00   4.75     6.03     4.75NA   6.03 NA  0.11   4.86   6.14   4.86   6.14  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9581326Eeg, over 1 hour                                  A   1.73   0.65     0.50     0.65     0.50     0.09   2.47   2.32   2.47   2.32  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95816  Eeg, awake and drowsy                             A   1.08   4.10     5.26     4.10NA   5.26 NA  0.16   5.34   6.50   5.34   6.50  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95816TCEeg, awake and drowsy                             A   0.00   3.68     4.95     3.68NA   4.95 NA  0.10   3.78   5.05   3.78   5.05  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9581626Eeg, awake and drowsy                             A   1.08   0.42     0.31     0.42     0.31     0.06   1.56   1.45   1.56   1.45  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95819  Eeg, awake and asleep                             A   1.08   3.76     6.10     3.76NA   6.10 NA  0.16   5.00   7.34   5.00   7.34  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95819TCEeg, awake and asleep                             A   0.00   3.34     5.79     3.34NA   5.79 NA  0.10   3.44   5.89   3.44   5.89  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9581926Eeg, awake and asleep                             A   1.08   0.42     0.31     0.42     0.31     0.06   1.56   1.45   1.56   1.45  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95822  Eeg, coma or sleep only                           A   1.08   4.82     5.49     4.82NA   5.49 NA  0.19   6.09   6.76   6.09   6.76  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95822TCEeg, coma or sleep only                           A   0.00   4.40     5.18     4.40NA   5.18 NA  0.13   4.53   5.31   4.53   5.31  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9582226Eeg, coma or sleep only                           A   1.08   0.42     0.31     0.42     0.31     0.06   1.56   1.45   1.56   1.45  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95824  Eeg, cerebral death only                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95824TCEeg, cerebral death only                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9582426Eeg, cerebral death only                          A   0.74   0.29     0.22     0.29     0.22     0.04   1.07   1.00   1.07   1.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95827  Eeg, all night recording                          A   1.08   4.89    11.46     4.89NA  11.46 NA  0.19   6.16  12.73   6.16  12.73  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95827TCEeg, all night recording                          A   0.00   4.51    11.17     4.51NA  11.17 NA  0.14   4.65  11.31   4.65  11.31  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9582726Eeg, all night recording                          A   1.08   0.38     0.29     0.38     0.29     0.05   1.51   1.42   1.51   1.42  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95829  Surgery electrocorticogram                        A   6.20  29.56    25.25    29.56NA  25.25 NA  0.50  36.26  31.95  36.26  31.95  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95829TCSurgery electrocorticogram                        A   0.00  27.37    23.42    27.37NA  23.42 NA  0.02  27.39  23.44  27.39  23.44  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9582926Surgery electrocorticogram                        A   6.20   2.19     1.83     2.19     1.83     0.48   8.87   8.51   8.87   8.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95830  Insert electrodes for EEG                         A   1.70   3.21     2.98     0.66     0.43     0.11   5.02   4.79   2.47   2.24  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95831  Limb muscle testing, manual                       A   0.28   0.44     0.38     0.12     0.09     0.01   0.73   0.67   0.41   0.38  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95832  Hand muscle testing, manual                       A   0.29   0.34     0.36     0.12     0.10     0.02   0.65   0.67   0.43   0.41  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95833  Body muscle testing, manual                       A   0.47   0.55     0.47     0.21     0.13     0.02   1.04   0.96   0.70   0.62  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95834  Body muscle testing, manual                       A   0.60   0.61     0.54     0.26     0.18     0.03   1.24   1.17   0.89   0.81  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95851  Range of motion measurements                      A   0.16   0.34     0.26     0.07     0.04     0.01   0.51   0.43   0.24   0.21  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95852  Range of motion measurements                      A   0.11   0.25     0.21     0.05     0.03     0.01   0.37   0.33   0.17   0.15  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95857  Tensilon test                                     A   0.53   0.60     0.59     0.22     0.17     0.02   1.15   1.14   0.77   0.72  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95860  Muscle test, one limb                             A   0.96   1.36     1.15     1.36NA   1.15 NA  0.07   2.39   2.18   2.39   2.18  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95860TCMuscle test, one limb                             A   0.00   0.96     0.83     0.96NA   0.83 NA  0.02   0.98   0.85   0.98   0.85  1XXX.00.00.0000000             37.8975 6A0 99     0.00   0.00   0.00
9586026Muscle test, one limb                             A   0.96   0.40     0.32     0.40     0.32     0.05   1.41   1.33   1.41   1.33  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95861  Muscle test, 2 limbs                              A   1.54   1.48     1.67     1.48NA   1.67 NA  0.13   3.15   3.34   3.15   3.34  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95861TCMuscle test, 2 limbs                              A   0.00   0.84     1.15     0.84NA   1.15 NA  0.06   0.90   1.21   0.90   1.21  1XXX.00.00.0000000             37.8975 6A0 99     0.00   0.00   0.00
9586126Muscle test, 2 limbs                              A   1.54   0.64     0.52     0.64     0.52     0.07   2.25   2.13   2.25   2.13  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95863  Muscle test, 3 limbs                              A   1.87   1.79     1.94     1.79NA   1.94 NA  0.15   3.81   3.96   3.81   3.96  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95863TCMuscle test, 3 limbs                              A   0.00   1.04     1.35     1.04NA   1.35 NA  0.06   1.10   1.41   1.10   1.41  1XXX.00.00.0000000             37.8975 6A0 99     0.00   0.00   0.00
9586326Muscle test, 3 limbs                              A   1.87   0.75     0.59     0.75     0.59     0.09   2.71   2.55   2.71   2.55  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95864  Muscle test, 4 limbs                              A   1.99   2.53     2.19     2.53NA   2.19 NA  0.21   4.73   4.39   4.73   4.39  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95864TCMuscle test, 4 limbs                              A   0.00   1.72     1.55     1.72NA   1.55 NA  0.12   1.84   1.67   1.84   1.67  1XXX.00.00.0000000             37.8975 6A0 99     0.00   0.00   0.00
9586426Muscle test, 4 limbs                              A   1.99   0.81     0.64     0.81     0.64     0.09   2.89   2.72   2.89   2.72  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95865  Muscle test, larynx                               A   1.57   1.43     1.35     1.43NA   1.35 NA  0.11   3.11   3.03   3.11   3.03  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
95865TCMuscle test, larynx                               A   0.00   0.73     0.88     0.73NA   0.88 NA  0.03   0.76   0.91   0.76   0.91  1XXX.00.00.0002000             37.8975 6A0 99     0.00   0.00   0.00
9586526Muscle test, larynx                               A   1.57   0.70     0.47     0.70     0.47     0.08   2.35   2.12   2.35   2.12  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
95866  Muscle test, hemidiaphragm                        A   1.25   0.90     1.33     0.90NA   1.33 NA  0.10   2.25   2.68   2.25   2.68  1XXX.00.00.0001000             37.8975 090 99     0.00   0.00   0.00
95866TCMuscle test, hemidiaphragm                        A   0.00   0.38     0.93     0.38NA   0.93 NA  0.03   0.41   0.96   0.41   0.96  1XXX.00.00.0001000             37.8975 6A0 99     0.00   0.00   0.00
9586626Muscle test, hemidiaphragm                        A   1.25   0.52     0.40     0.52     0.40     0.07   1.84   1.72   1.84   1.72  1XXX.00.00.0001000             37.8975 090 99     0.00   0.00   0.00
95867  Muscle test cran nerv unilat                      A   0.79   0.98     1.12     0.98NA   1.12 NA  0.07   1.84   1.98   1.84   1.98  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95867TCMuscle test cran nerv unilat                      A   0.00   0.66     0.88     0.66NA   0.88 NA  0.04   0.70   0.92   0.70   0.92  1XXX.00.00.0000000             37.8975 6A0 99     0.00   0.00   0.00
9586726Muscle test cran nerv unilat                      A   0.79   0.32     0.24     0.32     0.24     0.03   1.14   1.06   1.14   1.06  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95868  Muscle test cran nerve bilat                      A   1.18   1.26     1.43     1.26NA   1.43 NA  0.10   2.54   2.71   2.54   2.71  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
95868TCMuscle test cran nerve bilat                      A   0.00   0.79     1.07     0.79NA   1.07 NA  0.05   0.84   1.12   0.84   1.12  1XXX.00.00.0002000             37.8975 6A0 99     0.00   0.00   0.00
9586826Muscle test cran nerve bilat                      A   1.18   0.47     0.36     0.47     0.36     0.05   1.70   1.59   1.70   1.59  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
95869  Muscle test, thor paraspinal                      A   0.37   0.53     1.02     0.53NA   1.02 NA  0.04   0.94   1.43   0.94   1.43  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95869TCMuscle test, thor paraspinal                      A   0.00   0.38     0.90     0.38NA   0.90 NA  0.02   0.40   0.92   0.40   0.92  1XXX.00.00.0000000             37.8975 6A0 99     0.00   0.00   0.00
9586926Muscle test, thor paraspinal                      A   0.37   0.15     0.12     0.15     0.12     0.02   0.54   0.51   0.54   0.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95870  Muscle test, nonparaspinal                        A   0.37   0.53     0.99     0.53NA   0.99 NA  0.04   0.94   1.40   0.94   1.40  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95870TCMuscle test, nonparaspinal                        A   0.00   0.38     0.87     0.38NA   0.87 NA  0.02   0.40   0.89   0.40   0.89  1XXX.00.00.0000000             37.8975 6A0 99     0.00   0.00   0.00
9587026Muscle test, nonparaspinal                        A   0.37   0.15     0.12     0.15     0.12     0.02   0.54   0.51   0.54   0.51  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95872  Muscle test, one fiber                            A   2.88   1.35     1.72     1.35NA   1.72 NA  0.13   4.36   4.73   4.36   4.73  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95872TCMuscle test, one fiber                            A   0.00   0.64     0.77     0.64NA   0.77 NA  0.05   0.69   0.82   0.69   0.82  1XXX.00.00.0000000             37.8975 660 99     0.00   0.00   0.00
9587226Muscle test, one fiber                            A   2.88   0.71     0.95     0.71     0.95     0.08   3.67   3.91   3.67   3.91  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95873  Guide nerv destr, elec stim                       A   0.37   0.51     0.94     0.51     0.94     0.04   0.92   1.35   0.92   1.35  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95873TCGuide nerv destr, elec stim                       A   0.00   0.36     0.82     0.36     0.82     0.02   0.38   0.84   0.38   0.84  1ZZZ.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9587326Guide nerv destr, elec stim                       A   0.37   0.15     0.12     0.15     0.12     0.02   0.54   0.51   0.54   0.51  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95874  Guide nerv destr, needle emg                      A   0.37   0.52     0.95     0.52     0.95     0.04   0.93   1.36   0.93   1.36  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95874TCGuide nerv destr, needle emg                      A   0.00   0.36     0.83     0.36     0.83     0.02   0.38   0.85   0.38   0.85  1ZZZ.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9587426Guide nerv destr, needle emg                      A   0.37   0.16     0.12     0.16     0.12     0.02   0.55   0.51   0.55   0.51  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95875  Limb exercise test                                A   1.10   1.41     1.31     1.41NA   1.31 NA  0.11   2.62   2.52   2.62   2.52  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95875TCLimb exercise test                                A   0.00   0.98     0.99     0.98NA   0.99 NA  0.06   1.04   1.05   1.04   1.05  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9587526Limb exercise test                                A   1.10   0.43     0.32     0.43     0.32     0.05   1.58   1.47   1.58   1.47  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95900  Motor nerve conduction test                       A   0.42   1.18     0.93     1.18NA   0.93 NA  0.04   1.64   1.39   1.64   1.39  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95900TCMotor nerve conduction test                       A   0.00   1.01     0.79     1.01NA   0.79 NA  0.02   1.03   0.81   1.03   0.81  1XXX.00.00.0000000             37.8975 7A0 99     0.00   0.00   0.00
9590026Motor nerve conduction test                       A   0.42   0.17     0.14     0.17     0.14     0.02   0.61   0.58   0.61   0.58  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95903  Motor nerve conduction test                       A   0.60   1.15     1.02     1.15NA   1.02 NA  0.05   1.80   1.67   1.80   1.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95903TCMotor nerve conduction test                       A   0.00   0.91     0.84     0.91NA   0.84 NA  0.02   0.93   0.86   0.93   0.86  1XXX.00.00.0000000             37.8975 7A0 99     0.00   0.00   0.00
9590326Motor nerve conduction test                       A   0.60   0.24     0.18     0.24     0.18     0.03   0.87   0.81   0.87   0.81  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95904  Sense nerve conduction test                       A   0.34   1.03     0.86     1.03NA   0.86 NA  0.04   1.41   1.24   1.41   1.24  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95904TCSense nerve conduction test                       A   0.00   0.89     0.75     0.89NA   0.75 NA  0.02   0.91   0.77   0.91   0.77  1XXX.00.00.0000000             37.8975 7A0 99     0.00   0.00   0.00
9590426Sense nerve conduction test                       A   0.34   0.14     0.11     0.14     0.11     0.02   0.50   0.47   0.50   0.47  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95920  Intraop nerve test add-on                         A   2.11   2.13     1.79     2.13     1.79     0.23   4.47   4.13   4.47   4.13  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95920TCIntraop nerve test add-on                         A   0.00   1.26     1.12     1.26     1.12     0.07   1.33   1.19   1.33   1.19  1ZZZ.00.00.0000000             37.8975 220 99     0.00   0.00   0.00
9592026Intraop nerve test add-on                         A   2.11   0.87     0.67     0.87     0.67     0.16   3.14   2.94   3.14   2.94  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95921  Autonomic nerv function test                      A   0.90   0.82     1.12     0.82NA   1.12 NA  0.06   1.78   2.08   1.78   2.08  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95921TCAutonomic nerv function test                      A   0.00   0.51     0.88     0.51NA   0.88 NA  0.02   0.53   0.90   0.53   0.90  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9592126Autonomic nerv function test                      A   0.90   0.31     0.24     0.31     0.24     0.04   1.25   1.18   1.25   1.18  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95922  Autonomic nerv function test                      A   0.96   1.00     1.64     1.00NA   1.64 NA  0.07   2.03   2.67   2.03   2.67  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95922TCAutonomic nerv function test                      A   0.00   0.63     1.36     0.63NA   1.36 NA  0.02   0.65   1.38   0.65   1.38  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9592226Autonomic nerv function test                      A   0.96   0.37     0.28     0.37     0.28     0.05   1.38   1.29   1.38   1.29  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95923  Autonomic nerv function test                      A   0.90   1.99     2.11     1.99NA   2.11 NA  0.07   2.96   3.08   2.96   3.08  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95923TCAutonomic nerv function test                      A   0.00   1.64     1.87     1.64NA   1.87 NA  0.02   1.66   1.89   1.66   1.89  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9592326Autonomic nerv function test                      A   0.90   0.35     0.24     0.35     0.24     0.05   1.30   1.19   1.30   1.19  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95925  Somatosensory testing                             A   0.54   1.63     3.12     1.63NA   3.12 NA  0.10   2.27   3.76   2.27   3.76  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
95925TCSomatosensory testing                             A   0.00   1.42     2.95     1.42NA   2.95 NA  0.06   1.48   3.01   1.48   3.01  1XXX.00.00.0002000             37.8975 210 99     0.00   0.00   0.00
9592526Somatosensory testing                             A   0.54   0.21     0.17     0.21     0.17     0.04   0.79   0.75   0.79   0.75  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
95926  Somatosensory testing                             A   0.54   1.59     2.95     1.59NA   2.95 NA  0.09   2.22   3.58   2.22   3.58  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
95926TCSomatosensory testing                             A   0.00   1.38     2.79     1.38NA   2.79 NA  0.06   1.44   2.85   1.44   2.85  1XXX.00.00.0002000             37.8975 210 99     0.00   0.00   0.00
9592626Somatosensory testing                             A   0.54   0.21     0.16     0.21     0.16     0.03   0.78   0.73   0.78   0.73  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
95927  Somatosensory testing                             A   0.54   1.63     3.01     1.63NA   3.01 NA  0.10   2.27   3.65   2.27   3.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95927TCSomatosensory testing                             A   0.00   1.40     2.85     1.40NA   2.85 NA  0.06   1.46   2.91   1.46   2.91  1XXX.00.00.0000000             37.8975 210 99     0.00   0.00   0.00
9592726Somatosensory testing                             A   0.54   0.23     0.16     0.23     0.16     0.04   0.81   0.74   0.81   0.74  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95928  C motor evoked, uppr limbs                        A   1.50   3.25     3.96     3.25NA   3.96 NA  0.09   4.84   5.55   4.84   5.55  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95928TCC motor evoked, uppr limbs                        A   0.00   2.65     3.50     2.65NA   3.50 NA  0.03   2.68   3.53   2.68   3.53  1XXX.00.00.0000000             37.8975 210 99     0.00   0.00   0.00
9592826C motor evoked, uppr limbs                        A   1.50   0.60     0.46     0.60     0.46     0.06   2.16   2.02   2.16   2.02  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95929  C motor evoked, lwr limbs                         A   1.50   3.48     4.28     3.48NA   4.28 NA  0.09   5.07   5.87   5.07   5.87  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95929TCC motor evoked, lwr limbs                         A   0.00   2.87     3.81     2.87NA   3.81 NA  0.03   2.90   3.84   2.90   3.84  1XXX.00.00.0000000             37.8975 210 99     0.00   0.00   0.00
9592926C motor evoked, lwr limbs                         A   1.50   0.61     0.47     0.61     0.47     0.06   2.17   2.03   2.17   2.03  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95930  Visual evoked potential test                      A   0.35   2.34     2.62     2.34NA   2.62 NA  0.03   2.72   3.00   2.72   3.00  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
95930TCVisual evoked potential test                      A   0.00   2.20     2.52     2.20NA   2.52 NA  0.01   2.21   2.53   2.21   2.53  1XXX.00.00.0002000             37.8975 210 99     0.00   0.00   0.00
9593026Visual evoked potential test                      A   0.35   0.14     0.10     0.14     0.10     0.02   0.51   0.47   0.51   0.47  1XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
95933  Blink reflex test                                 A   0.59   1.04     1.09     1.04NA   1.09 NA  0.10   1.73   1.78   1.73   1.78  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95933TCBlink reflex test                                 A   0.00   0.82     0.92     0.82NA   0.92 NA  0.06   0.88   0.98   0.88   0.98  1XXX.00.00.0000000             37.8975 7A0 99     0.00   0.00   0.00
9593326Blink reflex test                                 A   0.59   0.22     0.17     0.22     0.17     0.04   0.85   0.80   0.85   0.80  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95934  H-reflex test                                     A   0.51   0.55     0.88     0.55NA   0.88 NA  0.04   1.10   1.43   1.10   1.43  1XXX.00.00.0001000             37.8975 090 99     0.00   0.00   0.00
95934TCH-reflex test                                     A   0.00   0.34     0.72     0.34NA   0.72 NA  0.02   0.36   0.74   0.36   0.74  1XXX.00.00.0001000             37.8975 7A0 99     0.00   0.00   0.00
9593426H-reflex test                                     A   0.51   0.21     0.16     0.21     0.16     0.02   0.74   0.69   0.74   0.69  1XXX.00.00.0001000             37.8975 090 99     0.00   0.00   0.00
95936  H-reflex test                                     A   0.55   0.49     0.60     0.49NA   0.60 NA  0.05   1.09   1.20   1.09   1.20  1XXX.00.00.0001000             37.8975 090 99     0.00   0.00   0.00
95936TCH-reflex test                                     A   0.00   0.27     0.43     0.27NA   0.43 NA  0.02   0.29   0.45   0.29   0.45  1XXX.00.00.0001000             37.8975 7A0 99     0.00   0.00   0.00
9593626H-reflex test                                     A   0.55   0.22     0.17     0.22     0.17     0.03   0.80   0.75   0.80   0.75  1XXX.00.00.0001000             37.8975 090 99     0.00   0.00   0.00
95937  Neuromuscular junction test                       A   0.65   0.68     0.91     0.68NA   0.91 NA  0.10   1.43   1.66   1.43   1.66  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95937TCNeuromuscular junction test                       A   0.00   0.43     0.71     0.43NA   0.71 NA  0.02   0.45   0.73   0.45   0.73  1XXX.00.00.0000000             37.8975 7A0 99     0.00   0.00   0.00
9593726Neuromuscular junction test                       A   0.65   0.25     0.20     0.25     0.20     0.08   0.98   0.93   0.98   0.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95950  Ambulatory eeg monitoring                         A   1.51   4.18     4.91     4.18NA   4.91 NA  0.51   6.20   6.93   6.20   6.93  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95950TCAmbulatory eeg monitoring                         A   0.00   3.59     4.48     3.59NA   4.48 NA  0.43   4.02   4.91   4.02   4.91  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9595026Ambulatory eeg monitoring                         A   1.51   0.59     0.43     0.59     0.43     0.08   2.18   2.02   2.18   2.02  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95951  EEG monitoring/videorecord                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95951TCEEG monitoring/videorecord                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9595126EEG monitoring/videorecord                        A   5.99   2.34     1.72     2.34     1.72     0.32   8.65   8.03   8.65   8.03  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95953  EEG monitoring/computer                           A   3.30   7.52     7.18     7.52NA   7.18 NA  0.60  11.42  11.08  11.42  11.08  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95953TCEEG monitoring/computer                           A   0.00   6.31     6.23     6.31NA   6.23 NA  0.43   6.74   6.66   6.74   6.66  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9595326EEG monitoring/computer                           A   3.30   1.21     0.95     1.21     0.95     0.17   4.68   4.42   4.68   4.42  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95954  EEG monitoring/giving drugs                       A   2.45   4.38     4.86     4.38NA   4.86 NA  0.19   7.02   7.50   7.02   7.50  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95954TCEEG monitoring/giving drugs                       A   0.00   3.47     4.34     3.47NA   4.34 NA  0.06   3.53   4.40   3.53   4.40  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9595426EEG monitoring/giving drugs                       A   2.45   0.91     0.52     0.91     0.52     0.13   3.49   3.10   3.49   3.10  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95955  EEG during surgery                                A   1.01   2.43     2.78     2.43     2.78     0.22   3.66   4.01   3.66   4.01  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95955TCEEG during surgery                                A   0.00   2.09     2.49     2.09     2.49     0.17   2.26   2.66   2.26   2.66  1XXX.00.00.0000000             37.8975 020 99     0.00   0.00   0.00
9595526EEG during surgery                                A   1.01   0.34     0.29     0.34     0.29     0.05   1.40   1.35   1.40   1.35  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95956  Eeg monitoring, cable/radio                       A   3.08  15.47    15.61    15.47NA  15.61 NA  0.59  19.14  19.28  19.14  19.28  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95956TCEeg monitoring, cable/radio                       A   0.00  14.27    14.73    14.27NA  14.73 NA  0.43  14.70  15.16  14.70  15.16  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9595626Eeg monitoring, cable/radio                       A   3.08   1.20     0.88     1.20     0.88     0.16   4.44   4.12   4.44   4.12  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95957  EEG digital analysis                              A   1.98   3.37     5.82     3.37NA   5.82 NA  0.23   5.58   8.03   5.58   8.03  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95957TCEEG digital analysis                              A   0.00   2.59     5.26     2.59NA   5.26 NA  0.12   2.71   5.38   2.71   5.38  1XXX.00.00.0000000             37.8975 010 99     0.00   0.00   0.00
9595726EEG digital analysis                              A   1.98   0.78     0.56     0.78     0.56     0.11   2.87   2.65   2.87   2.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95958  EEG monitoring/function test                      A   4.24   4.25     6.54     4.25NA   6.54 NA  0.34   8.83  11.12   8.83  11.12  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95958TCEEG monitoring/function test                      A   0.00   2.64     5.34     2.64NA   5.34 NA  0.13   2.77   5.47   2.77   5.47  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9595826EEG monitoring/function test                      A   4.24   1.61     1.20     1.61     1.20     0.21   6.06   5.65   6.06   5.65  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95961  Electrode stimulation, brain                      A   2.97   2.75     3.12     2.75NA   3.12 NA  0.55   6.27   6.64   6.27   6.64  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95961TCElectrode stimulation, brain                      A   0.00   1.53     2.20     1.53NA   2.20 NA  0.07   1.60   2.27   1.60   2.27  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9596126Electrode stimulation, brain                      A   2.97   1.22     0.92     1.22     0.92     0.48   4.67   4.37   4.67   4.37  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95962  Electrode stim, brain add-on                      A   3.21   2.59     2.22     2.59     2.22     0.39   6.19   5.82   6.19   5.82  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95962TCElectrode stim, brain add-on                      A   0.00   1.31     1.29     1.31     1.29     0.07   1.38   1.36   1.38   1.36  1ZZZ.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9596226Electrode stim, brain add-on                      A   3.21   1.28     0.93     1.28     0.93     0.32   4.81   4.46   4.81   4.46  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95965  Meg, spontaneous                                  C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95965TCMeg, spontaneous                                  C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
9596526Meg, spontaneous                                  A   7.99   3.14     2.30     3.14     2.30     0.46  11.59  10.75  11.59  10.75  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95966  Meg, evoked, single                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95966TCMeg, evoked, single                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
9596626Meg, evoked, single                               A   3.99   1.57     1.15     1.57     1.15     0.19   5.75   5.33   5.75   5.33  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95967  Meg, evoked, each addl                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95967TCMeg, evoked, each addl                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
9596726Meg, evoked, each addl                           A   3.49   1.13     0.99     1.13     0.99     0.16   4.78   4.64   4.78   4.64  1ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95970  Analyze neurostim, no prog                        A   0.45   0.86     0.88     0.14     0.13     0.03   1.34   1.36   0.62   0.61  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95971  Analyze neurostim, simple                         A   0.78   0.66     0.61     0.22     0.20     0.07   1.51   1.46   1.07   1.05  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95972  Analyze neurostim, complex                        A   1.50   1.21     1.19     0.48     0.46     0.14   2.85   2.83   2.12   2.10  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95973  Analyze neurostim, complex                        A   0.92   0.61     0.56     0.32     0.25     0.07   1.60   1.55   1.31   1.24  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95974  Cranial neurostim, complex                        A   3.00   1.65     1.49     1.19     0.87     0.16   4.81   4.65   4.35   4.03  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95975  Cranial neurostim, complex                        A   1.70   0.86     0.75     0.67     0.49     0.12   2.68   2.57   2.49   2.31  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95978  Analyze neurostim brain/1h                        A   3.50   1.91     1.85     1.24     1.06     0.18   5.59   5.53   4.92   4.74  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95979  Analyz neurostim brain addon                      A   1.64   0.84     0.74     0.64     0.48     0.08   2.56   2.46   2.36   2.20  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95990  Spin/brain pump refil & main                      A   0.00   1.53     1.62     1.53NA   1.62 NA  0.06   1.59   1.68   1.59   1.68  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95991  Spin/brain pump refil & main                      A   0.77   1.53     1.63     0.17     0.18     0.06   2.36   2.46   1.00   1.01  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
95999  Neurological procedure                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96000  Motion analysis, video/3d                         A   1.80   0.54NA   0.58NA   0.54     0.58     0.11   2.45   2.49   2.45   2.49  7XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
96001  Motion test w/ft press meas                       A   2.15   0.63NA   0.54NA   0.63     0.54     0.10   2.88   2.79   2.88   2.79  7XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
96002  Dynamic surface emg                               A   0.41   0.14NA   0.11NA   0.14     0.11     0.02   0.57   0.54   0.57   0.54  0XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
96003  Dynamic fine wire emg                             A   0.37   0.13NA   0.14NA   0.13     0.14     0.02   0.52   0.53   0.52   0.53  0XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
96004  Phys review of motion tests                       A   2.14   0.84     0.55     0.84     0.55     0.11   3.09   2.80   3.09   2.80  2XXX.00.00.0002000             37.8975 090 99     0.00   0.00   0.00
96020  Functional brain mapping                          C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96020TCFunctional brain mapping                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             37.8975 030 99     0.00   0.00   0.00
9602026Functional brain mapping                          A   3.43   0.86     0.86     0.86     0.86     0.17   4.46   4.46   4.46   4.46  1XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96040  Genetic counseling, 30 min                        B+  0.00   0.97     0.97     0.97NA   0.97 NA  0.01   0.98   0.98   0.98   0.98  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
96101  Psycho testing by psych/phys                      A   1.86   0.58     0.35     0.56     0.33     0.05   2.49   2.26   2.47   2.24  0XXX.00.00.0000000             37.8975 040 99     0.00   0.00   0.00
96102  Psycho testing by technician                      A   0.50   0.80     1.20     0.15     0.09     0.01   1.31   1.71   0.66   0.60  0XXX.00.00.0000000             37.8975 040 99     0.00   0.00   0.00
96103  Psycho testing admin by comp                      A   0.51   0.49     1.31     0.15     0.09     0.02   1.02   1.84   0.68   0.62  0XXX.00.00.0000000             37.8975 040 99     0.00   0.00   0.00
96105  Assessment of aphasia                             A   0.00   1.83     2.05     1.83NA   2.05 NA  0.18   2.01   2.23   2.01   2.23  0XXX.00.00.0000000             37.8975 040 99     0.00   0.00   0.00
96110  Developmental test, lim                           A   0.00   0.18     0.18     0.18NA   0.18 NA  0.18   0.36   0.36   0.36   0.36  5XXX.00.00.0000000             37.8975 040 99     0.00   0.00   0.00
96111  Developmental test, extend                        A   2.60   0.96     0.67     0.92     0.54     0.18   3.74   3.45   3.70   3.32  0XXX.00.00.0000000             37.8975 040 99     0.00   0.00   0.00
96116  Neurobehavioral status exam                       A   1.86   0.76     0.54     0.59     0.43     0.18   2.80   2.58   2.63   2.47  0XXX.00.00.0000000             37.8975 040 99     0.00   0.00   0.00
96118  Neuropsych tst by psych/phys                      A   1.86   1.25     0.82     0.56     0.33     0.18   3.29   2.86   2.60   2.37  0XXX.00.00.0000000             37.8975 040 99     0.00   0.00   0.00
96119  Neuropsych testing by tec                         A   0.55   1.15     1.53     0.17     0.10     0.18   1.88   2.26   0.90   0.83  0XXX.00.00.0000000             37.8975 040 99     0.00   0.00   0.00
96120  Neuropsych tst admin w/comp                       A   0.51   1.04     1.92     0.15     0.09     0.02   1.57   2.45   0.68   0.62  0XXX.00.00.0000000             37.8975 040 99     0.00   0.00   0.00
96150  Assess hlth/behave, init                          A   0.50   0.16     0.10     0.16     0.09     0.01   0.67   0.61   0.67   0.60  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96151  Assess hlth/behave, subseq                        A   0.48   0.16     0.10     0.15     0.09     0.01   0.65   0.59   0.64   0.58  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96152  Intervene hlth/behave, indiv                      A   0.46   0.15     0.09     0.14     0.08     0.01   0.62   0.56   0.61   0.55  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96153  Intervene hlth/behave, group                      A   0.10   0.04     0.02     0.03     0.02     0.01   0.15   0.13   0.14   0.13  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96154  Interv hlth/behav, fam w/pt                       A   0.45   0.15     0.09     0.14     0.08     0.01   0.61   0.55   0.60   0.54  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96155  Interv hlth/behav fam no pt                       N+  0.44   0.16     0.10     0.15     0.10     0.02   0.62   0.56   0.61   0.56  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
96401  Chemo, anti-neopl, sq/im                          A   0.21   1.34     1.86     1.34NA   1.86 NA  0.01   1.56   2.08   1.56   2.08  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96402  Chemo hormon antineopl sq/im                      A   0.19   0.94     0.71     0.94NA   0.71 NA  0.01   1.14   0.91   1.14   0.91  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96405  Chemo intralesional, up to 7                      A   0.52   2.71     3.55     0.24     0.23     0.03   3.26   4.10   0.79   0.78  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
96406  Chemo intralesional over 7                        A   0.80   3.08     3.29     0.29     0.28     0.03   3.91   4.12   1.12   1.11  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
96409  Chemo, iv push, sngl drug                         A   0.24   2.88     2.77     2.88NA   2.77 NA  0.06   3.18   3.07   3.18   3.07  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96411  Chemo, iv push, addl drug                         A   0.20   1.58     1.49     1.58NA   1.49 NA  0.06   1.84   1.75   1.84   1.75  5ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96413  Chemo, iv infusion, 1 hr                          A   0.28   4.05     3.61     4.05NA   3.61 NA  0.08   4.41   3.97   4.41   3.97  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96415  Chemo, iv infusion, addl hr                       A   0.19   0.74     0.65     0.74NA   0.65 NA  0.07   1.00   0.91   1.00   0.91  5ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96416  Chemo prolong infuse w/pump                       A   0.21   4.47     4.06     4.47NA   4.06 NA  0.08   4.76   4.35   4.76   4.35  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96417  Chemo iv infus each addl seq                      A   0.21   1.89     1.72     1.89NA   1.72 NA  0.07   2.17   2.00   2.17   2.00  5ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96420  Chemo, ia, push tecnique                          A   0.17   2.67     2.69     2.67NA   2.69 NA  0.08   2.92   2.94   2.92   2.94  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96422  Chemo ia infusion up to 1 hr                      A   0.17   4.57     3.80     4.57NA   3.80 NA  0.08   4.82   4.05   4.82   4.05  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96423  Chemo ia infuse each addl hr                      A   0.17   1.89     1.91     1.89NA   1.91 NA  0.02   2.08   2.10   2.08   2.10  5ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96425  Chemotherapy,infusion method                      A   0.17   4.48     4.52     4.48NA   4.52 NA  0.08   4.73   4.77   4.73   4.77  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96440  Chemotherapy, intracavitary                       A   2.37   7.48     5.51     1.17     1.00     0.17  10.02   8.05   3.71   3.54  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96445  Chemotherapy, intracavitary                       A   2.20   7.38     5.41     1.12     0.95     0.14   9.72   7.75   3.46   3.29  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96450  Chemotherapy, into CNS                            A   1.53   6.45     4.93     1.18     0.83     0.09   8.07   6.55   2.80   2.45  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96521  Refill/maint, portable pump                       A   0.21   3.60     3.13     3.60NA   3.13 NA  0.06   3.87   3.40   3.87   3.40  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96522  Refill/maint pump/resvr syst                      A   0.21   2.66     2.72     2.66NA   2.72 NA  0.06   2.93   2.99   2.93   2.99  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96523  Irrig drug delivery device                        T   0.04   0.68     0.64     0.68NA   0.64 NA  0.01   0.73   0.69   0.73   0.69  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96542  Chemotherapy injection                            A   0.75   4.07     3.54     0.58     0.33     0.07   4.89   4.36   1.40   1.15  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96549  Chemotherapy, unspecified                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96567  Photodynamic tx, skin                             A   0.00   2.40     3.74     2.40NA   3.74 NA  0.04   2.44   3.78   2.44   3.78  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96570  Photodynamic tx, 30 min                           A   1.10   0.38     0.41     0.38     0.41     0.11   1.59   1.62   1.59   1.62  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
96571  Photodynamic tx, addl 15 min                      A   0.55   0.19     0.20     0.19     0.20     0.03   0.77   0.78   0.77   0.78  0ZZZ.00.00.0000100             37.8975 090 99     0.00   0.00   0.00
96900  Ultraviolet light therapy                         A   0.00   0.47     0.56     0.47NA   0.56 NA  0.02   0.49   0.58   0.49   0.58  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96902  Trichogram                                        B+  0.41   0.16     0.11     0.15     0.10     0.01   0.58   0.53   0.57   0.52  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
96904  Whole body photography                            R   0.00   1.84     1.84     1.84NA   1.84 NA  0.01   1.85   1.85   1.85   1.85  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96910  Photochemotherapy with UV-B                       A   0.00   1.24     2.00     1.24NA   2.00 NA  0.04   1.28   2.04   1.28   2.04  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96912  Photochemotherapy with UV-A                       A   0.00   1.59     2.58     1.59NA   2.58 NA  0.05   1.64   2.63   1.64   2.63  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96913  Photochemotherapy, UV-A or B                      A   0.00   2.17     3.65     2.17NA   3.65 NA  0.10   2.27   3.75   2.27   3.75  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
96920  Laser tx, skin < 250 sq cm                        A   1.15   2.80     3.59     0.57     0.58     0.02   3.97   4.76   1.74   1.75  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
96921  Laser tx, skin 250-500 sq cm                      A   1.17   2.82     3.49     0.57     0.55     0.03   4.02   4.69   1.77   1.75  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
96922  Laser tx, skin > 500 sq cm                        A   2.10   3.77     4.63     0.73     1.06     0.04   5.91   6.77   2.87   3.20  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
96999  Dermatological procedure                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97001  Pt evaluation                                     A   1.20   0.73     0.67     0.73NA   0.67 NA  0.05   1.98   1.92   1.98   1.92  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97002  Pt re-evaluation                                  A   0.60   0.43     0.41     0.43NA   0.41 NA  0.02   1.05   1.03   1.05   1.03  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97003  Ot evaluation                                     A   1.20   0.86     0.78     0.86NA   0.78 NA  0.06   2.12   2.04   2.12   2.04  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97004  Ot re-evaluation                                  A   0.60   0.64     0.55     0.64NA   0.55 NA  0.02   1.26   1.17   1.26   1.17  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97005  Athletic train eval                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
97006  Athletic train reeval                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
97010  Hot or cold packs therapy                         B+  0.06   0.06     0.07     0.06NA   0.07 NA  0.01   0.13   0.14   0.13   0.14  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
97012  Mechanical traction therapy                       A   0.25   0.13     0.14     0.13NA   0.14 NA  0.01   0.39   0.40   0.39   0.40  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97014  Electric stimulation therapy                      I+  0.18   0.19     0.18     0.19NA   0.18 NA  0.01   0.38   0.37   0.38   0.37  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
97016  Vasopneumatic device therapy                      A   0.18   0.20     0.24     0.20NA   0.24 NA  0.01   0.39   0.43   0.39   0.43  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97018  Paraffin bath therapy                             A   0.06   0.12     0.17     0.12NA   0.17 NA  0.01   0.19   0.24   0.19   0.24  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97022  Whirlpool therapy                                 A   0.17   0.24     0.33     0.24NA   0.33 NA  0.01   0.42   0.51   0.42   0.51  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97024  Diathermy eg, microwave                           A   0.06   0.07     0.08     0.07NA   0.08 NA  0.01   0.14   0.15   0.14   0.15  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97026  Infrared therapy                                  A   0.06   0.06     0.07     0.06NA   0.07 NA  0.01   0.13   0.14   0.13   0.14  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97028  Ultraviolet therapy                               A   0.08   0.07     0.08     0.07NA   0.08 NA  0.01   0.16   0.17   0.16   0.17  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97032  Electrical stimulation                            A   0.25   0.17     0.20     0.17NA   0.20 NA  0.01   0.43   0.46   0.43   0.46  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97033  Electric current therapy                          A   0.26   0.31     0.44     0.31NA   0.44 NA  0.01   0.58   0.71   0.58   0.71  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97034  Contrast bath therapy                             A   0.21   0.16     0.20     0.16NA   0.20 NA  0.01   0.38   0.42   0.38   0.42  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97035  Ultrasound therapy                                A   0.21   0.10     0.10     0.10NA   0.10 NA  0.01   0.32   0.32   0.32   0.32  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97036  Hydrotherapy                                      A   0.28   0.35     0.44     0.35NA   0.44 NA  0.01   0.64   0.73   0.64   0.73  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97039  Physical therapy treatment                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97110  Therapeutic exercises                             A   0.45   0.28     0.32     0.28NA   0.32 NA  0.02   0.75   0.79   0.75   0.79  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97112  Neuromuscular reeducation                         A   0.45   0.32     0.34     0.32NA   0.34 NA  0.01   0.78   0.80   0.78   0.80  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97113  Aquatic therapy/exercises                         A   0.44   0.43     0.53     0.43NA   0.53 NA  0.01   0.88   0.98   0.88   0.98  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97116  Gait training therapy                             A   0.40   0.25     0.28     0.25NA   0.28 NA  0.01   0.66   0.69   0.66   0.69  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97124  Massage therapy                                   A   0.35   0.24     0.27     0.24NA   0.27 NA  0.01   0.60   0.63   0.60   0.63  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97139  Physical medicine procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97140  Manual therapy                                    A   0.43   0.26     0.29     0.26NA   0.29 NA  0.01   0.70   0.73   0.70   0.73  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97150  Group therapeutic procedures                      A   0.27   0.19     0.22     0.19NA   0.22 NA  0.01   0.47   0.50   0.47   0.50  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97530  Therapeutic activities                            A   0.44   0.34     0.38     0.34NA   0.38 NA  0.01   0.79   0.83   0.79   0.83  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97532  Cognitive skills development                      A   0.44   0.21     0.22     0.21NA   0.22 NA  0.01   0.66   0.67   0.66   0.67  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97533  Sensory integration                               A   0.44   0.25     0.27     0.25NA   0.27 NA  0.01   0.70   0.72   0.70   0.72  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97535  Self care mngment training                        A   0.45   0.34     0.37     0.34NA   0.37 NA  0.01   0.80   0.83   0.80   0.83  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97537  Community/work reintegration                      A   0.45   0.27     0.28     0.27NA   0.28 NA  0.01   0.73   0.74   0.73   0.74  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97542  Wheelchair mngment training                       A   0.45   0.28     0.29     0.28NA   0.29 NA  0.01   0.74   0.75   0.74   0.75  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97545  Work hardening                                    R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97546  Work hardening add-on                             R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  7ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97597  Active wound care/20 cm or <                      A   0.58   0.77     1.10     0.53     0.12     0.05   1.40   1.73   1.16   0.75  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97598  Active wound care > 20 cm                         A   0.80   0.91     1.27     0.64     0.17     0.05   1.76   2.12   1.49   1.02  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97602  Wound(s) care non-selective                       B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
97605  Neg press wound tx, < 50 cm                       A   0.55   0.36     0.41     0.20     0.12     0.02   0.93   0.98   0.77   0.69  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97606  Neg press wound tx, > 50 cm                       A   0.60   0.37     0.42     0.21     0.13     0.03   1.00   1.05   0.84   0.76  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97750  Physical performance test                         A   0.45   0.32     0.33     0.32NA   0.33 NA  0.02   0.79   0.80   0.79   0.80  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97755  Assistive technology assess                       A   0.62   0.28     0.28     0.28NA   0.28 NA  0.02   0.92   0.92   0.92   0.92  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97760  Orthotic mgmt and training                        A   0.45   0.36     0.42     0.36NA   0.42 NA  0.03   0.84   0.90   0.84   0.90  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97761  Prosthetic training                               A   0.45   0.29     0.33     0.29NA   0.33 NA  0.02   0.76   0.80   0.76   0.80  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97762  C/o for orthotic/prosth use                       A   0.25   0.50     0.73     0.50NA   0.73 NA  0.02   0.77   1.00   0.77   1.00  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97799  Physical medicine procedure                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  7XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97802  Medical nutrition, indiv, in                      A   0.45   0.39     0.14     0.38     0.11     0.01   0.85   0.60   0.84   0.57  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97803  Med nutrition, indiv, subseq                      A   0.37   0.38     0.12     0.38     0.09     0.01   0.76   0.50   0.76   0.47  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97804  Medical nutrition, group                          A   0.25   0.15     0.07     0.15     0.06     0.01   0.41   0.33   0.41   0.32  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
97810  Acupunct w/o stimul 15 min                        N+  0.60   0.35     0.26     0.21     0.14     0.03   0.98   0.89   0.84   0.77  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
97811  Acupunct w/o stimul addl 15m                      N+  0.50   0.23     0.15     0.17     0.12     0.03   0.76   0.68   0.70   0.65  9ZZZ.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
97813  Acupunct w/stimul 15 min                          N+  0.65   0.37     0.27     0.23     0.15     0.03   1.05   0.95   0.91   0.83  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
97814  Acupunct w/stimul addl 15m                        N+  0.55   0.27     0.19     0.19     0.13     0.03   0.85   0.77   0.77   0.71  9ZZZ.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
98925  Osteopathic manipulation                          A   0.45   0.31     0.28     0.14     0.12     0.02   0.78   0.75   0.61   0.59  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
98926  Osteopathic manipulation                          A   0.65   0.40     0.36     0.23     0.17     0.03   1.08   1.04   0.91   0.85  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
98927  Osteopathic manipulation                          A   0.87   0.49     0.45     0.28     0.23     0.03   1.39   1.35   1.18   1.13  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
98928  Osteopathic manipulation                          A   1.03   0.57     0.51     0.32     0.26     0.04   1.64   1.58   1.39   1.33  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
98929  Osteopathic manipulation                          A   1.19   0.65     0.57     0.35     0.30     0.05   1.89   1.81   1.59   1.54  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
98940  Chiropractic manipulation                         A   0.45   0.23     0.21     0.12     0.12     0.01   0.69   0.67   0.58   0.58  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
98941  Chiropractic manipulation                         A   0.65   0.29     0.27     0.17     0.18     0.01   0.95   0.93   0.83   0.84  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
98942  Chiropractic manipulation                         A   0.87   0.36     0.34     0.23     0.24     0.02   1.25   1.23   1.12   1.13  0000.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
98943  Chiropractic manipulation                         N+  0.40   0.22     0.17     0.14     0.09     0.01   0.63   0.58   0.55   0.50  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
98960  Self-mgmt educ & train, 1 pt                      B+  0.00   0.57     0.57     0.57NA   0.57 NA  0.01   0.58   0.58   0.58   0.58  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
98961  Self-mgmt educ/train, 2-4 pt                      B+  0.00   0.27     0.27     0.27NA   0.27 NA  0.01   0.28   0.28   0.28   0.28  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
98962  Self-mgmt educ/train, 5-8 pt                      B+  0.00   0.20     0.20     0.20NA   0.20 NA  0.01   0.21   0.21   0.21   0.21  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99000  Specimen handling                                 B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99001  Specimen handling                                 B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99002  Device handling                                   B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99024  Postop follow-up visit                            B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99026  In-hospital on call service                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99027  Out-of-hosp on call service                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99050  Medical services after hrs                        B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99051  Med serv, eve/wkend/holiday                       B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99053  Med serv 10pm-8am, 24 hr fac                      B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99056  Med service out of office                         B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99058  Office emergency care                             B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99060  Out of office emerg med serv                      B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99070  Special supplies                                  B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99071  Patient education materials                       B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99075  Medical testimony                                 N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99078  Group health education                            B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99080  Special reports or forms                          B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99082  Unusual physician travel                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99090  Computer data analysis                            B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99091  Collect/review data from pt                       B+  1.10   0.25     0.25     0.25NA   0.25 NA  0.04   1.39   1.39   1.39   1.39  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99100  Special anesthesia service                        B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9ZZZ.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99116  Anesthesia with hypothermia                       B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9ZZZ.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99135  Special anesthesia procedure                      B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9ZZZ.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99140  Emergency anesthesia                              B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9ZZZ.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99143  Mod cs by same phys, < 5 yrs                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99144  Mod cs by same phys, 5 yrs +                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99145  Mod cs by same phys add-on                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99148  Mod cs diff phys < 5 yrs                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99149  Mod cs diff phys 5 yrs +                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99150  Mod cs diff phys add-on                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99170  Anogenital exam, child                            A   1.75   1.70     1.50     0.54     0.50     0.08   3.53   3.33   2.37   2.33  0000.00.00.0020100             37.8975 090 99     0.00   0.00   0.00
99172  Ocular function screen                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99173  Visual acuity screen                              N+  0.00   0.06     0.06     0.06NA   0.06 NA  0.01   0.07   0.07   0.07   0.07  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99175  Induction of vomiting                             A   0.00   1.13     0.33     1.13NA   0.33 NA  0.10   1.23   0.43   1.23   0.43  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99183  Hyperbaric oxygen therapy                         A   2.34   3.08     2.60     0.69     0.59     0.16   5.58   5.10   3.19   3.09  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99185  Regional hypothermia                              A   0.00   0.89     1.65     0.89NA   1.65 NA  0.04   0.93   1.69   0.93   1.69  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99186  Total body hypothermia                            A   0.00   1.68     1.38     1.68NA   1.38 NA  0.45   2.13   1.83   2.13   1.83  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99190  Special pump services                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99191  Special pump services                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99192  Special pump services                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99195  Phlebotomy                                        A   0.00   0.98     2.59     0.98NA   2.59 NA  0.02   1.00   2.61   1.00   2.61  5XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99199  Special service/proc/report                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99201  Office/outpatient visit, new                      A   0.45   0.51     0.55     0.15     0.16     0.03   0.99   1.03   0.63   0.64  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99202  Office/outpatient visit, new                      A   0.88   0.80     0.84     0.31     0.30     0.05   1.73   1.77   1.24   1.23  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99203  Office/outpatient visit, new                      A   1.34   1.13     1.11     0.47     0.43     0.09   2.56   2.54   1.90   1.86  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99204  Office/outpatient visit, new                      A   2.30   1.50     1.50     0.71     0.72     0.12   3.92   3.92   3.13   3.14  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99205  Office/outpatient visit, new                      A   3.00   1.78     1.80     0.95     0.93     0.15   4.93   4.95   4.10   4.08  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99211  Office/outpatient visit, est                      A   0.17   0.37     0.32     0.06     0.06     0.01   0.55   0.50   0.24   0.24  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99212  Office/outpatient visit, est                      A   0.45   0.54     0.55     0.16     0.15     0.03   1.02   1.03   0.64   0.63  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99213  Office/outpatient visit, est                      A   0.92   0.71     0.76     0.25     0.29     0.03   1.66   1.71   1.20   1.24  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99214  Office/outpatient visit, est                      A   1.42   1.05     1.11     0.42     0.45     0.05   2.52   2.58   1.89   1.92  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99215  Office/outpatient visit, est                      A   2.00   1.34     1.39     0.64     0.62     0.08   3.42   3.47   2.72   2.70  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99217  Observation care discharge                        A   1.28   0.53NA   0.51NA   0.53     0.51     0.06   1.87   1.85   1.87   1.85  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99218  Observation care                                  A   1.28   0.43NA   0.39NA   0.43     0.39     0.06   1.77   1.73   1.77   1.73  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99219  Observation care                                  A   2.14   0.69NA   0.61NA   0.69     0.61     0.10   2.93   2.85   2.93   2.85  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99220  Observation care                                  A   2.99   0.99NA   0.87NA   0.99     0.87     0.14   4.12   4.00   4.12   4.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99221  Initial hospital care                             A   1.88   0.48NA   0.56NA   0.48     0.56     0.07   2.43   2.51   2.43   2.51  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99222  Initial hospital care                             A   2.56   0.74NA   0.73NA   0.74     0.73     0.10   3.40   3.39   3.40   3.39  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99223  Initial hospital care                             A   3.78   1.05NA   1.11NA   1.05     1.11     0.13   4.96   5.02   4.96   5.02  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99231  Subsequent hospital care                          A   0.76   0.23NA   0.24NA   0.23     0.24     0.03   1.02   1.03   1.02   1.03  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99232  Subsequent hospital care                          A   1.39   0.39NA   0.44NA   0.39     0.44     0.04   1.82   1.87   1.82   1.87  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99233  Subsequent hospital care                          A   2.00   0.54NA   0.61NA   0.54     0.61     0.06   2.60   2.67   2.60   2.67  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99234  Observ/hosp same date                             A   2.56   0.87NA   0.80NA   0.87     0.80     0.13   3.56   3.49   3.56   3.49  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99235  Observ/hosp same date                             A   3.41   1.12NA   1.02NA   1.12     1.02     0.16   4.69   4.59   4.69   4.59  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99236  Observ/hosp same date                             A   4.26   1.40NA   1.28NA   1.40     1.28     0.19   5.85   5.73   5.85   5.73  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99238  Hospital discharge day                            A   1.28   0.53NA   0.50NA   0.53     0.50     0.05   1.86   1.83   1.86   1.83  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99239  Hospital discharge day                            A   1.90   0.72NA   0.69NA   0.72     0.69     0.07   2.69   2.66   2.69   2.66  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99241  Office consultation                               A   0.64   0.65     0.66     0.22     0.23     0.05   1.34   1.35   0.91   0.92  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99242  Office consultation                               A   1.34   1.05     1.09     0.47     0.49     0.10   2.49   2.53   1.91   1.93  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99243  Office consultation                               A   1.88   1.41     1.45     0.64     0.68     0.13   3.42   3.46   2.65   2.69  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99244  Office consultation                               A   3.02   1.86     1.96     0.97     1.12     0.16   5.04   5.14   4.15   4.30  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99245  Office consultation                               A   3.77   2.28     2.30     1.27     1.35     0.21   6.26   6.28   5.25   5.33  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99251  Inpatient consultation                            A   1.00   0.26NA   0.32NA   0.26     0.32     0.05   1.31   1.37   1.31   1.37  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99252  Inpatient consultation                            A   1.50   0.50NA   0.51NA   0.50     0.51     0.09   2.09   2.10   2.09   2.10  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99253  Inpatient consultation                            A   2.27   0.72NA   0.82NA   0.72     0.82     0.11   3.10   3.20   3.10   3.20  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99254  Inpatient consultation                            A   3.29   1.04NA   1.22NA   1.04     1.22     0.13   4.46   4.64   4.46   4.64  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99255  Inpatient consultation                            A   4.00   1.37NA   1.43NA   1.37     1.43     0.18   5.55   5.61   5.55   5.61  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99281  Emergency dept visit                              A   0.45   0.09NA   0.09NA   0.09     0.09     0.02   0.56   0.56   0.56   0.56  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99282  Emergency dept visit                              A   0.88   0.15NA   0.17NA   0.15     0.17     0.04   1.07   1.09   1.07   1.09  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99283  Emergency dept visit                              A   1.34   0.30NA   0.25NA   0.30     0.25     0.09   1.73   1.68   1.73   1.68  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99284  Emergency dept visit                              A   2.56   0.47NA   0.48NA   0.47     0.48     0.14   3.17   3.18   3.17   3.18  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99285  Emergency dept visit                              A   3.80   0.71NA   0.69NA   0.71     0.69     0.23   4.74   4.72   4.74   4.72  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99288  Direct advanced life support                      B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99289  Ped crit care transport                           A   4.79   1.37NA   1.14NA   1.37     1.14     0.24   6.40   6.17   6.40   6.17  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99290  Ped crit care transport addl                      A   2.40   0.76NA   0.62NA   0.76     0.62     0.12   3.28   3.14   3.28   3.14  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99291  Critical care, first hour                         A   4.50   2.50     2.30     1.25     1.15     0.21   7.21   7.01   5.96   5.86  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99292  Critical care, addl 30 min                       A   2.25   0.89     0.84     0.63     0.60     0.11   3.25   3.20   2.99   2.96  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99293  Ped critical care, initial                        A  15.98   4.48NA   3.67NA   4.48     3.67     1.12  21.58  20.77  21.58  20.77  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99294  Ped critical care, subseq                         A   7.99   2.24NA   1.76NA   2.24     1.76     0.45  10.68  10.20  10.68  10.20  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99295  Neonate crit care, initial                        A  18.46   5.14NA   4.44NA   5.14     4.44     1.16  24.76  24.06  24.76  24.06  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99296  Neonate critical care subseq                      A   7.99   2.36NA   1.81NA   2.36     1.81     0.32  10.67  10.12  10.67  10.12  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99298  Ic for lbw infant < 1500 gm                       A   2.75   0.87NA   0.68NA   0.87     0.68     0.17   3.79   3.60   3.79   3.60  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99299  Ic, lbw infant 1500-2500 gm                       A   2.50   0.84NA   0.77NA   0.84     0.77     0.16   3.50   3.43   3.50   3.43  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99300  Ic, infant pbw 2501-5000 gm                       A   2.40   0.82NA   0.74NA   0.82     0.74     0.15   3.37   3.29   3.37   3.29  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99304  Nursing facility care, init                       A   1.20   0.48     0.45     0.48     0.45     0.05   1.73   1.70   1.73   1.70  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99305  Nursing facility care, init                       A   1.61   0.62     0.57     0.62     0.57     0.07   2.30   2.25   2.30   2.25  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99306  Nursing facility care, init                       A   2.01   0.73     0.67     0.73     0.67     0.09   2.83   2.77   2.83   2.77  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99307  Nursing fac care, subseq                          A   0.60   0.27     0.27     0.27     0.27     0.03   0.90   0.90   0.90   0.90  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99308  Nursing fac care, subseq                          A   1.00   0.45     0.44     0.45     0.44     0.04   1.49   1.48   1.49   1.48  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99309  Nursing fac care, subseq                          A   1.42   0.61     0.59     0.61     0.59     0.06   2.09   2.07   2.09   2.07  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99310  Nursing fac care, subseq                          A   1.77   0.77     0.74     0.77     0.74     0.08   2.62   2.59   2.62   2.59  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99315  Nursing fac discharge day                         A   1.13   0.44     0.41     0.44     0.41     0.05   1.62   1.59   1.62   1.59  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99316  Nursing fac discharge day                         A   1.50   0.57     0.52     0.57     0.52     0.06   2.13   2.08   2.13   2.08  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99318  Annual nursing fac assessmnt                      A   1.20   0.48     0.45     0.48     0.45     0.05   1.73   1.70   1.73   1.70  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99324  Domicil/r-home visit new pat                      A   1.01   0.48     0.44     0.48NA   0.44 NA  0.05   1.54   1.50   1.54   1.50  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99325  Domicil/r-home visit new pat                      A   1.52   0.66     0.58     0.66NA   0.58 NA  0.07   2.25   2.17   2.25   2.17  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99326  Domicil/r-home visit new pat                      A   2.27   0.88     0.74     0.88NA   0.74 NA  0.10   3.25   3.11   3.25   3.11  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99327  Domicil/r-home visit new pat                      A   3.03   1.11     0.94     1.11NA   0.94 NA  0.13   4.27   4.10   4.27   4.10  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99328  Domicil/r-home visit new pat                      A   3.78   1.35     1.13     1.35NA   1.13 NA  0.16   5.29   5.07   5.29   5.07  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99334  Domicil/r-home visit est pat                      A   0.76   0.39     0.36     0.39NA   0.36 NA  0.04   1.19   1.16   1.19   1.16  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99335  Domicil/r-home visit est pat                      A   1.26   0.56     0.48     0.56NA   0.48 NA  0.06   1.88   1.80   1.88   1.80  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99336  Domicil/r-home visit est pat                      A   2.02   0.78     0.67     0.78NA   0.67 NA  0.09   2.89   2.78   2.89   2.78  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99337  Domicil/r-home visit est pat                      A   3.03   1.09     0.92     1.09NA   0.92 NA  0.13   4.25   4.08   4.25   4.08  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99339  Domicil/r-home care supervis                      B+  1.25   0.58     0.58     0.58NA   0.58 NA  0.06   1.89   1.89   1.89   1.89  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99340  Domicil/r-home care supervis                      B+  1.80   0.76     0.76     0.76NA   0.76 NA  0.07   2.63   2.63   2.63   2.63  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99341  Home visit, new patient                           A   1.01   0.47     0.44     0.47NA   0.44 NA  0.05   1.53   1.50   1.53   1.50  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99342  Home visit, new patient                           A   1.52   0.66     0.58     0.66NA   0.58 NA  0.07   2.25   2.17   2.25   2.17  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99343  Home visit, new patient                           A   2.27   0.90     0.77     0.90NA   0.77 NA  0.10   3.27   3.14   3.27   3.14  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99344  Home visit, new patient                           A   3.03   1.12     0.93     1.12NA   0.93 NA  0.13   4.28   4.09   4.28   4.09  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99345  Home visit, new patient                           A   3.78   1.35     1.10     1.35NA   1.10 NA  0.16   5.29   5.04   5.29   5.04  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99347  Home visit, est patient                           A   0.76   0.39     0.37     0.39NA   0.37 NA  0.04   1.19   1.17   1.19   1.17  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99348  Home visit, est patient                           A   1.26   0.56     0.49     0.56NA   0.49 NA  0.06   1.88   1.81   1.88   1.81  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99349  Home visit, est patient                           A   2.02   0.79     0.67     0.79NA   0.67 NA  0.09   2.90   2.78   2.90   2.78  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99350  Home visit, est patient                           A   3.03   1.12     0.92     1.12NA   0.92 NA  0.13   4.28   4.08   4.28   4.08  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99354  Prolonged service, office                         A   1.77   0.74     0.66     0.62     0.51     0.08   2.59   2.51   2.47   2.36  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99355  Prolonged service, office                         A   1.77   0.73     0.68     0.60     0.53     0.07   2.57   2.52   2.44   2.37  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99356  Prolonged service, inpatient                      A   1.71   0.60NA   0.52NA   0.60     0.52     0.07   2.38   2.30   2.38   2.30  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99357  Prolonged service, inpatient                      A   1.71   0.60NA   0.51NA   0.60     0.51     0.08   2.39   2.30   2.39   2.30  0ZZZ.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99358  Prolonged serv, w/o contact                       B+  2.10   0.51     0.51     0.51     0.51     0.09   2.70   2.70   2.70   2.70  9ZZZ.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99359  Prolonged serv, w/o contact                       B+  1.00   0.26     0.26     0.26     0.26     0.04   1.30   1.30   1.30   1.30  9ZZZ.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99360  Physician standby services                        X+  1.20   0.00     0.00     0.00     0.00     0.05   1.25   1.25   1.25   1.25  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99361  Physician/team conference                         B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99362  Physician/team conference                         B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99363  Anticoag mgmt, init                               B+  1.65   1.29     1.29     0.38     0.38     0.07   3.01   3.01   2.10   2.10  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99364  Anticoag mgmt, subseq                             B+  0.63   0.38     0.38     0.15     0.15     0.04   1.05   1.05   0.82   0.82  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99371  Physician phone consultation                      B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99372  Physician phone consultation                      B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99373  Physician phone consultation                      B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99374  Home health care supervision                      B+  1.10   0.66     0.54     0.38     0.25     0.05   1.81   1.69   1.53   1.40  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99375  Home health care supervision                      I+  1.73   1.35     0.75     1.26     0.40     0.07   3.15   2.55   3.06   2.20  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99377  Hospice care supervision                          B+  1.10   0.66     0.54     0.38     0.25     0.05   1.81   1.69   1.53   1.40  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99378  Hospice care supervision                          I+  1.73   1.64     0.75     1.56     0.40     0.07   3.44   2.55   3.36   2.20  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99379  Nursing fac care supervision                      B+  1.10   0.66     0.54     0.38     0.25     0.04   1.80   1.68   1.52   1.39  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99380  Nursing fac care supervision                      B+  1.73   0.93     0.75     0.60     0.40     0.06   2.72   2.54   2.39   2.19  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99381  Init pm e/m, new pat, inf                         N+  1.19   1.37     0.99     0.41     0.27     0.05   2.61   2.23   1.65   1.51  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99382  Init pm e/m, new pat 1-4 yrs                      N+  1.36   1.41     1.03     0.47     0.31     0.05   2.82   2.44   1.88   1.72  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99383  Prev visit, new, age 5-11                         N+  1.36   1.37     1.02     0.47     0.31     0.05   2.78   2.43   1.88   1.72  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99384  Prev visit, new, age 12-17                        N+  1.53   1.43     1.06     0.53     0.35     0.06   3.02   2.65   2.12   1.94  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99385  Prev visit, new, age 18-39                        N+  1.53   1.43     1.06     0.53     0.35     0.06   3.02   2.65   2.12   1.94  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99386  Prev visit, new, age 40-64                        N+  1.88   1.59     1.14     0.65     0.43     0.07   3.54   3.09   2.60   2.38  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99387  Init pm e/m, new pat 65+ yrs                      N+  2.06   1.72     1.27     0.71     0.48     0.07   3.85   3.40   2.84   2.61  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99391  Per pm reeval, est pat, inf                       N+  1.02   0.98     0.86     0.35     0.24     0.04   2.04   1.92   1.41   1.30  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99392  Prev visit, est, age 1-4                          N+  1.19   1.04     0.89     0.41     0.27     0.05   2.28   2.13   1.65   1.51  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99393  Prev visit, est, age 5-11                         N+  1.19   1.02     0.89     0.41     0.27     0.05   2.26   2.13   1.65   1.51  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99394  Prev visit, est, age 12-17                        N+  1.36   1.08     0.93     0.47     0.31     0.05   2.49   2.34   1.88   1.72  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99395  Prev visit, est, age 18-39                        N+  1.36   1.10     0.93     0.47     0.31     0.05   2.51   2.34   1.88   1.72  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99396  Prev visit, est, age 40-64                        N+  1.53   1.18     0.97     0.53     0.35     0.06   2.77   2.56   2.12   1.94  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99397  Per pm reeval est pat 65+ yr                      N+  1.71   1.30     1.11     0.60     0.40     0.06   3.07   2.88   2.37   2.17  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99401  Preventive counseling, indiv                      N+  0.48   0.56     0.36     0.17     0.11     0.01   1.05   0.85   0.66   0.60  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99402  Preventive counseling, indiv                      N+  0.98   0.77     0.47     0.34     0.23     0.02   1.77   1.47   1.34   1.23  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99403  Preventive counseling, indiv                      N+  1.46   0.96     0.58     0.51     0.34     0.04   2.46   2.08   2.01   1.84  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99404  Preventive counseling, indiv                      N+  1.95   1.17     0.70     0.68     0.45     0.05   3.17   2.70   2.68   2.45  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99411  Preventive counseling, group                      N+  0.15   0.19     0.22     0.05     0.03     0.01   0.35   0.38   0.21   0.19  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99412  Preventive counseling, group                      N+  0.25   0.25     0.24     0.09     0.06     0.01   0.51   0.50   0.35   0.32  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99420  Health risk assessment test                       N+  0.00   0.22     0.22     0.22NA   0.22 NA  0.01   0.23   0.23   0.23   0.23  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99429  Unlisted preventive service                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99431  Initial care, normal newborn                      A   1.17   0.35NA   0.27NA   0.35     0.27     0.05   1.57   1.49   1.57   1.49  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99432  Newborn care, not in hosp                         A   1.26   0.95     1.00     0.37     0.29     0.07   2.28   2.33   1.70   1.62  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99433  Normal newborn care/hospital                      A   0.62   0.19NA   0.15NA   0.19     0.15     0.02   0.83   0.79   0.83   0.79  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99435  Newborn discharge day hosp                        A   1.50   0.56NA   0.46NA   0.56     0.46     0.06   2.12   2.02   2.12   2.02  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99436  Attendance, birth                                 A   1.50   0.44NA   0.35NA   0.44     0.35     0.06   2.00   1.91   2.00   1.91  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99440  Newborn resuscitation                             A   2.93   0.87NA   0.68NA   0.87     0.68     0.12   3.92   3.73   3.92   3.73  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99450  Basic life disability exam                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99455  Work related disability exam                      R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99456  Disability examination                            R   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99499  Unlisted e&m service                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             37.8975 090 99     0.00   0.00   0.00
99500  Home visit, prenatal                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99501  Home visit, postnatal                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99502  Home visit, nb care                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99503  Home visit, resp therapy                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99504  Home visit mech ventilator                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99505  Home visit, stoma care                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99506  Home visit, im injection                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99507  Home visit, cath maintain                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99509  Home visit day life activity                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99510  Home visit, sing/m/fam couns                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99511  Home visit, fecal/enema mgmt                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99512  Home visit for hemodialysis                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99600  Home visit nos                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99601  Home infusion/visit, 2 hrs                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
99602  Home infusion, each addtl hr                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             37.8975 090 99     0.00   0.00   0.00
