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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
A4252  Blood ketone test or strip                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
A4648  Implantable tissue marker                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
A4650  Implant radiation dosimeter                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
A5083  Stoma absorptive cover                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
A6413  Adhesive bandage, first-aid                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
A6452  High compres band w>=3"<5"yd                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
A7027  Combination oral/nasal mask                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
A7028  Repl oral cushion combo mask                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
A7029  Repl nasal pillow comb mask                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
A9155  Artificial saliva                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
A9274  Ext amb insulin delivery 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
A9276  Disposable sensor, CGM sys                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
A9277  External transmitter, CGM                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
A9278  External receiver, CGM sys                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
A9279  Monitoring feature/deviceNOC                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
A9283  Foot press off load supp dev                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
A9501  Technetium TC-99m teboroxime                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
A9509  Iodine I-123 sod iodide mil                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
A9516  Iodine I-123 sod iodide 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
A9569  Technetium TC-99m auto 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             38.0870 090 99     0.00   0.00   0.00
A9570  Indium In-111 auto 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             38.0870 090 99     0.00   0.00   0.00
A9571  Indium IN-111 auto 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             38.0870 090 99     0.00   0.00   0.00
A9572  Indium In-111 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             38.0870 090 99     0.00   0.00   0.00
A9576  Inj prohance multipack                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
A9577  Inj multihance                                    X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
A9578  Inj multihance multipack                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
A9579  Gad-base MR contrast NOS,1ml                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
D2970  Temp crown (fractured 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0101  CA screen;pelvic/breast exam                      A   0.45   0.50     0.48     0.50NA   0.48 NA  0.02   0.97   0.95   0.97   0.95  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0102  Prostate ca screening; dre                        A   0.17   0.36     0.32     0.06     0.06     0.01   0.54   0.50   0.24   0.24  0XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0104  CA screen;flexi sigmoidscope                      A   0.96   2.40     2.52     0.56     0.62     0.08   3.44   3.56   1.60   1.66  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
G0105  Colorectal scrn; hi risk ind                      A   3.69   6.27     6.39     1.65     1.82     0.30  10.26  10.38   5.64   5.81  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
G010553Colorectal scrn; hi risk ind                      A   0.96   2.40     2.52     0.56     0.62     0.08   3.44   3.56   1.60   1.66  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
G0106  Colon CA screen;barium enema                      A   0.99   3.75     4.95     3.75NA   4.95 NA  0.17   4.91   6.11   4.91   6.11  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0106TCColon CA screen;barium enema                      A   0.00   3.42     4.60     3.42NA   4.60 NA  0.13   3.55   4.73   3.55   4.73  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
G010626Colon CA screen;barium enema                      A   0.99   0.33     0.35     0.33     0.35     0.04   1.36   1.38   1.36   1.38  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0108  Diab manage trn  per indiv                        A   0.00   0.71     0.59     0.71NA   0.59 NA  0.01   0.72   0.60   0.72   0.60  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0109  Diab manage trn ind/group                         A   0.00   0.40     0.31     0.40NA   0.31 NA  0.01   0.41   0.32   0.41   0.32  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0117  Glaucoma scrn hgh risk direc                      T   0.45   0.74     0.76     0.74NA   0.76 NA  0.01   1.20   1.22   1.20   1.22  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0118  Glaucoma scrn hgh risk direc                      T   0.17   0.62     0.71     0.62NA   0.71 NA  0.01   0.80   0.89   0.80   0.89  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0120  Colon ca scrn; barium enema                       A   0.99   3.75     4.95     3.75NA   4.95 NA  0.17   4.91   6.11   4.91   6.11  1XXX.00.00.0000000             38.0870 090 99     3.66   3.66   0.17
G0120TCColon ca scrn; barium enema                       A   0.00   3.42     4.60     3.42NA   4.60 NA  0.13   3.55   4.73   3.55   4.73  1XXX.00.00.0000000             38.0870 090 99     3.33   3.33   0.13
G012026Colon ca scrn; barium enema                       A   0.99   0.33     0.35     0.33     0.35     0.04   1.36   1.38   1.36   1.38  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0121  Colon ca scrn not hi rsk ind                      A   3.69   6.27     6.39     1.65     1.82     0.30  10.26  10.38   5.64   5.81  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
G012153Colon ca scrn not hi rsk ind                      A   0.96   2.40     2.52     0.56     0.62     0.08   3.44   3.56   1.60   1.66  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
G0122  Colon ca scrn; barium enema                       N+  0.99   4.11     5.65     4.11NA   5.65 NA  0.18   5.28   6.82   5.28   6.82  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G0122TCColon ca scrn; barium enema                       N+  0.00   3.81     5.42     3.81NA   5.42 NA  0.13   3.94   5.55   3.94   5.55  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G012226Colon ca scrn; barium enema                       N+  0.99   0.30     0.23     0.30     0.23     0.05   1.34   1.27   1.34   1.27  1XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0124  Screen c/v thin layer by MD                       A   0.42   0.26     0.38     0.26     0.38     0.02   0.70   0.82   0.70   0.82  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0127  Trim nail(s)                                      R   0.17   0.32     0.38     0.06     0.04     0.01   0.50   0.56   0.24   0.22  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
G0128  CORF skilled nursing service                      R   0.08   0.02     0.02     0.02     0.02     0.01   0.11   0.11   0.11   0.11  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0130  Single energy x-ray study                         A   0.22   0.72     0.55     0.72NA   0.55 NA  0.06   1.00   0.83   1.00   0.83  1XXX.00.00.0000000             38.0870 090 99     1.15   1.15   0.09
G0130TCSingle energy x-ray study                         A   0.00   0.65     0.49     0.65NA   0.49 NA  0.05   0.70   0.54   0.70   0.54  1XXX.00.00.0000000             38.0870 010 99     1.08   1.08   0.08
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             38.0870 090 99     0.00   0.00   0.00
G0141  Scr c/v cyto,autosys and md                       A   0.42   0.26     0.38     0.26     0.38     0.02   0.70   0.82   0.70   0.82  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0166  Extrnl counterpulse, per tx                       A   0.07   4.04     4.50     4.04NA   4.50 NA  0.01   4.12   4.58   4.12   4.58  0XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G0168  Wound closure by adhesive                         A   0.45   1.76     1.58     0.21     0.21     0.03   2.24   2.06   0.69   0.69  0000.00.00.0020100             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0179  MD recertification HHA PT                         A   0.45   0.75     0.48     0.75NA   0.48 NA  0.02   1.22   0.95   1.22   0.95  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0180  MD certification HHA patient                      A   0.67   0.91     0.56     0.91NA   0.56 NA  0.03   1.61   1.26   1.61   1.26  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0181  Home health care supervision                      A   1.73   1.14     0.80     1.14NA   0.80 NA  0.07   2.94   2.60   2.94   2.60  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0182  Hospice care supervision                          A   1.73   1.24     0.82     1.24NA   0.82 NA  0.07   3.04   2.62   3.04   2.62  0XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0202  Screeningmammographydigital                       A   0.70   2.79     2.81     2.79NA   2.81 NA  0.10   3.59   3.61   3.59   3.61  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
G0202TCScreeningmammographydigital                       A   0.00   2.56     2.57     2.56NA   2.57 NA  0.07   2.63   2.64   2.63   2.64  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
G020226Screeningmammographydigital                       A   0.70   0.23     0.24     0.23     0.24     0.03   0.96   0.97   0.96   0.97  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
G0204  Diagnosticmammographydigital                      A   0.87   3.09     3.40     3.09NA   3.40 NA  0.11   4.07   4.38   4.07   4.38  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
G0204TCDiagnosticmammographydigital                      A   0.00   2.80     3.10     2.80NA   3.10 NA  0.07   2.87   3.17   2.87   3.17  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
G020426Diagnosticmammographydigital                      A   0.87   0.29     0.30     0.29     0.30     0.04   1.20   1.21   1.20   1.21  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
G0206  Diagnosticmammographydigital                      A   0.70   2.46     2.67     2.46NA   2.67 NA  0.09   3.25   3.46   3.25   3.46  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0206TCDiagnosticmammographydigital                      A   0.00   2.23     2.43     2.23NA   2.43 NA  0.06   2.29   2.49   2.29   2.49  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G020626Diagnosticmammographydigital                      A   0.70   0.23     0.24     0.23     0.24     0.03   0.96   0.97   0.96   0.97  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0219  PET img wholbod melano nonco                      N   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G0219TCPET img wholbod melano nonco                      N   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0235  PET not otherwise specified                       N   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G0235TCPET not otherwise specified                       N   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0237  Therapeutic procd strg endur                      A   0.00   0.34     0.21     0.34NA   0.21 NA  0.02   0.36   0.23   0.36   0.23  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0238  Oth resp proc, indiv                              A   0.00   0.36     0.23     0.36NA   0.23 NA  0.02   0.38   0.25   0.38   0.25  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0239  Oth resp proc, group                              A   0.00   0.32     0.31     0.32NA   0.31 NA  0.02   0.34   0.33   0.34   0.33  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0245  Initial foot exam pt lops                         R   0.88   0.81     0.84     0.30     0.29     0.04   1.73   1.76   1.22   1.21  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0246  Followup eval of foot pt lop                      R   0.45   0.55     0.55     0.15     0.15     0.02   1.02   1.02   0.62   0.62  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0247  Routine footcare pt w lops                        R   0.50   0.60     0.68     0.18     0.16     0.02   1.12   1.20   0.70   0.68  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0248  Demonstrate use home inr mon                      R   0.00   5.01     3.41     5.01NA   3.41 NA  0.01   5.02   3.42   5.02   3.42  3XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
G0249  Provide test material,equipm                      R   0.00   3.68     3.40     3.68NA   3.40 NA  0.01   3.69   3.41   3.69   3.41  3XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0252  PET imaging initial dx                            N   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G0252TCPET imaging initial dx                            N   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0255  Current percep threshold tst                      N   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G0255TCCurrent percep threshold tst                      N   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0268  Removal of impacted wax md                        A   0.61   0.65     0.66     0.22     0.20     0.02   1.28   1.29   0.85   0.83  0000.00.00.0022100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0270  MNT subs tx for change dx                         A   0.37   0.29     0.12     0.28     0.09     0.01   0.67   0.50   0.66   0.47  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0271  Group MNT 2 or more 30 mins                       A   0.25   0.13     0.08     0.12     0.07     0.01   0.39   0.34   0.38   0.33  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0275  Renal angio, cardiac cath                         A   0.25   0.12NA   0.13NA   0.12     0.13     0.01   0.38   0.39   0.38   0.39  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0278  Iliac art angio,cardiac cath                      A   0.25   0.12NA   0.13NA   0.12     0.13     0.01   0.38   0.39   0.38   0.39  0ZZZ.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0288  Recon, CTA for surg plan                          A   0.00   5.83     1.03     5.83NA   1.03 NA  0.18   6.01   1.21   6.01   1.21  3XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
G0289  Arthro, loose body + chondro                      A   1.48   0.69NA   0.58NA   0.69     0.58     0.26   2.43   2.32   2.43   2.32  0ZZZ.00.00.0001000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0308  ESRD related svc 4+mo < 2yrs                      A  12.74   7.06     5.57     7.06     5.57     0.42  20.22  18.73  20.22  18.73  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0309  ESRD related svc 2-3mo <2yrs                      A  10.61   5.63     4.16     5.63     4.16     0.36  16.60  15.13  16.60  15.13  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0310  ESRD related svc 1 vst <2yrs                      A   8.49   4.24     2.78     4.24     2.78     0.28  13.01  11.55  13.01  11.55  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0311  ESRD related svs 4+mo 2-11yr                      A   9.73   4.13     3.55     4.13     3.55     0.34  14.20  13.62  14.20  13.62  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0312  ESRD relate svs 2-3 mo 2-11y                      A   8.11   3.31     2.70     3.31     2.70     0.29  11.71  11.10  11.71  11.10  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0313  ESRD related svs 1 mon 2-11y                      A   6.49   2.49     1.84     2.49     1.84     0.22   9.20   8.55   9.20   8.55  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0314  ESRD related svs 4+ mo 12-19                      A   8.28   3.90     3.39     3.90     3.39     0.27  12.45  11.94  12.45  11.94  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0315  ESRD related svs 2-3mo/12-19                      A   6.90   3.12     2.56     3.12     2.56     0.23  10.25   9.69  10.25   9.69  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0316  ESRD related svs 1vis/12-19y                      A   5.52   2.30     1.66     2.30     1.66     0.17   7.99   7.35   7.99   7.35  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0317  ESRD related svs 4+mo 20+yrs                      A   5.09   2.56     2.25     2.56     2.25     0.17   7.82   7.51   7.82   7.51  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0318  ESRD related svs 2-3 mo 20+y                      A   4.24   2.04     1.69     2.04     1.69     0.14   6.42   6.07   6.42   6.07  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0319  ESRD related svs 1visit 20+y                      A   3.39   1.52     1.13     1.52     1.13     0.11   5.02   4.63   5.02   4.63  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0320  ESD related svs home undr 2                       A  10.61   4.90     2.69     4.90     2.69     0.36  15.87  13.66  15.87  13.66  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0321  ESRDrelatedsvs home mo 2-11y                      A   8.11   2.95     1.99     2.95     1.99     0.29  11.35  10.39  11.35  10.39  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0322  ESRD related svs hom mo12-19                      A   6.90   2.69     1.71     2.69     1.71     0.23   9.82   8.84   9.82   8.84  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0323  ESRD related svs home mo 20+                      A   4.24   1.76     1.14     1.76     1.14     0.14   6.14   5.52   6.14   5.52  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0324  ESRD relate svs home/dy <2yr                      A   0.35   0.20     0.16     0.20     0.16     0.01   0.56   0.52   0.56   0.52  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0325  ESRD relate home/day/ 2-11yr                      A   0.23   0.10     0.09     0.10     0.09     0.01   0.34   0.33   0.34   0.33  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0326  ESRD relate home/dy 12-19yr                       A   0.27   0.11     0.10     0.11     0.10     0.01   0.39   0.38   0.39   0.38  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0327  ESRD relate home/dy 20+yrs                        A   0.14   0.07     0.06     0.07     0.06     0.01   0.22   0.21   0.22   0.21  0XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0329  Electromagntic tx for ulcers                      A   0.06   0.15     0.15     0.15NA   0.15 NA  0.01   0.22   0.22   0.22   0.22  7XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0337  Hospice evaluation preelecti                      X+  1.34   0.41     0.31     0.41     0.31     0.09   1.84   1.74   1.84   1.74  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0341  Percutaneous islet celltrans                      A   6.98   2.48NA   2.36NA   2.48     2.36     0.48   9.94   9.82   9.94   9.82  0000.00.00.0020010             38.0870 090 99     0.00   0.00   0.00
G0342  Laparoscopy islet cell trans                      A  11.92   5.18NA   5.07NA   5.18     5.07     1.46  18.56  18.45  18.56  18.45  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
G0343  Laparotomy islet cell transp                      A  19.85   8.66NA   8.55NA   8.66     8.55     2.07  30.58  30.47  30.58  30.47  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
G0344  Initial preventive exam                           A   1.34   1.12     1.11     0.45     0.43     0.10   2.56   2.55   1.89   1.87  0XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0365  Vessel mapping hemo access                        A   0.25   4.61     5.22     4.61NA   5.22 NA  0.25   5.11   5.72   5.11   5.72  1XXX.00.00.0000000             38.0870 090 99     3.87   3.87   0.21
G0365TCVessel mapping hemo access                        A   0.00   4.53     5.16     4.53NA   5.16 NA  0.23   4.76   5.39   4.76   5.39  1XXX.00.00.0000000             38.0870 010 99     3.79   3.79   0.19
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             38.0870 090 99     0.00   0.00   0.00
G0366  EKG for initial prevent exam                      A   0.17   0.42     0.35     0.42NA   0.35 NA  0.03   0.62   0.55   0.62   0.55  4XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0367  EKG tracing for initial prev                      A   0.00   0.36     0.28     0.36NA   0.28 NA  0.02   0.38   0.30   0.38   0.30  3XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0372  MD service required for PMD                       A   0.17   0.22     0.04     0.05     0.04     0.01   0.40   0.22   0.23   0.22  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0389  Ultrasound exam AAA screen                        A   0.58   2.41     2.41     2.41NA   2.41 NA  0.11   3.10   3.10   3.10   3.10  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0389TCUltrasound exam AAA screen                        A   0.00   2.21     2.21     2.21NA   2.21 NA  0.08   2.29   2.29   2.29   2.29  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
G038926Ultrasound exam AAA screen                        A   0.58   0.20     0.20     0.20     0.20     0.03   0.81   0.81   0.81   0.81  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0392  AV fistula or graft arterial                      A   9.48  52.41    48.69     3.47     3.39     0.62  62.51  58.79  13.57  13.49  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
G0393  AV fistula or graft venous                        A   6.03  40.96    37.15     2.29     2.23     0.34  47.33  43.52   8.66   8.60  0000.00.00.0021100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G0396  Alcohol/subs interv 15-30mn                       A   0.65   0.19     0.19     0.15     0.15     0.01   0.85   0.85   0.81   0.81  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G0397  Alcohol/subs interv >30 min                       A   1.30   0.34     0.34     0.29     0.29     0.03   1.67   1.67   1.62   1.62  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G8351  Pt not doc 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G8372  Chemother rec stg3 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             38.0870 090 99     0.00   0.00   0.00
G8373  Chemo plan documen 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G8378  MD doc pt inelig radiation                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8379  Doc radiat tx recom 12mo 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             38.0870 090 99     0.00   0.00   0.00
G8380  Pt w stgIC-3Brst ca not 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G8383  No doc radiation rec 12mo 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             38.0870 090 99     0.00   0.00   0.00
G8384  Base cytogen test MDS notper                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8385  Diabet pt no do 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             38.0870 090 99     0.00   0.00   0.00
G8386  Diabet pt nodoc LDLiprotei                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G8388  ESRD pt w URR/Ktv notdoc eli                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8389  MDS pt no doc FE st prio 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G8395  LVEF>=40% doc normal or mild                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8396  LVEF not 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             38.0870 090 99     0.00   0.00   0.00
G8397  Dil macula/fundus exam/w doc                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8398  Dil macular/fundus not perfo                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8399  Pt w/DXA document or order                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8400  Pt w/DXA no document or orde                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8401  Pt inelig osteo screen 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             38.0870 090 99     0.00   0.00   0.00
G8402  Smoke preven interven counse                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8403  Smoke preven nocounsel                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8404  Low extemity neur exam docum                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8405  Low extemity neur not perfor                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8406  Pt inelig lower extrem neuro                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8407  ABI documented                                    M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8408  ABI not documented                                M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8409  Pt inelig for ABI 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             38.0870 090 99     0.00   0.00   0.00
G8410  Eval on foot documented                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8415  Eval on foot not performed                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8416  Pt inelig footwear evaluatio                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8417  BMI >=30 calcuate w/followup                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8418  BMI < 22 calcuate w/followup                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8419  BMI>=30or<22 cal no followup                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8420  BMI<30 and >=22 calc & docu                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8421  BMI not calculated                                M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8422  Pt inelig BMI calculation                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8423  Pt screen flu vac & counsel                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8424  Flu vaccine not 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             38.0870 090 99     0.00   0.00   0.00
G8425  Flu vaccine screen not curre                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8426  Pt not approp screen & counc                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8427  Doc meds verified w/pt or re                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8428  Meds document w/o verifica                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8429  Incomplete doc pt on meds                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8430  Pt inelig med check                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8431  Clin depression screen 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             38.0870 090 99     0.00   0.00   0.00
G8432  Clin depression screen not 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             38.0870 090 99     0.00   0.00   0.00
G8433  Pt inelig for depression scr                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8434  Cognitive impairment 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             38.0870 090 99     0.00   0.00   0.00
G8435  Cognitive screen not documen                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8436  Pt inelig for cognitive impa                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8437  Tx plan develop & document                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8438  Tx plan develop & 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             38.0870 090 99     0.00   0.00   0.00
G8439  Pt inelig for co-develp tx p                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8440  Pain assessment document                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8441  No document of pain 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             38.0870 090 99     0.00   0.00   0.00
G8442  Pt inelig pain assessment                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8443  Prescription by E-Prescrib s                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8445  Prescrip not gen at encounte                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8446  Some prescrib handwritten or                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8447  Pt visit doc using CCHIT cer                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8448  Pt visit docum w/non-CCHIT 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             38.0870 090 99     0.00   0.00   0.00
G8449  Pt not doc w/EMR due to 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             38.0870 090 99     0.00   0.00   0.00
G8450  Beta-bloc rx pt w/abn lvef                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8451  Pt w/abn lvef inelig b-bloc                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8452  Pt w/abn lvef b-bloc no rx                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8453  Tob use cess int counsel                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8454  Tob use cess int no counsel                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8455  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             38.0870 090 99     0.00   0.00   0.00
G8456  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             38.0870 090 99     0.00   0.00   0.00
G8457  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             38.0870 090 99     0.00   0.00   0.00
G8458  Pt inelig geno no antvir 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             38.0870 090 99     0.00   0.00   0.00
G8459  Doc pt rec antivir treat                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8460  Pt inelig RNA no antvir 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             38.0870 090 99     0.00   0.00   0.00
G8461  Pt rec antivir treat 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             38.0870 090 99     0.00   0.00   0.00
G8462  Pt inelig couns no antvir 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             38.0870 090 99     0.00   0.00   0.00
G8463  Pt rec antiviral treat 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             38.0870 090 99     0.00   0.00   0.00
G8464  Pt inelig; lo to no dter rsk                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8465  High risk recurrence pro ca                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8466  Pt inelig suic; MDD remis                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8467  New dx init/rec episode 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             38.0870 090 99     0.00   0.00   0.00
G8468  ACE/ARB rx pt w/abn lvef                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8469  Pt w/abn lvef inelig ACE/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             38.0870 090 99     0.00   0.00   0.00
G8470  Pt w/ normal lvef                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8471  LVEF not performed/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             38.0870 090 99     0.00   0.00   0.00
G8472  ACE/ARB no rx pt w/abn lvef                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8473  ACE/ARB thxpy rx'd                                M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8474  ACE/ARB not rx'd; doc reas                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8475  ACE/ARB thxpy not rx'd                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8476  BP sys <130 and dias <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             38.0870 090 99     0.00   0.00   0.00
G8477  BP sys>=130 and/or dias >=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             38.0870 090 99     0.00   0.00   0.00
G8478  BP not performed/doc                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8479  MD rx'd ACE/ARB 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             38.0870 090 99     0.00   0.00   0.00
G8480  Pt inelig ACE/ARB 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             38.0870 090 99     0.00   0.00   0.00
G8481  MD not rx'd ACE/ARB 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             38.0870 090 99     0.00   0.00   0.00
G8482  Flu immunize order/admin                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8483  Flu imm no ord/admin doc rea                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
G8484  Flu immunize no 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G9041  Low vision rehab occupationa                      A   0.44   0.20     0.10     0.20     0.10     0.01   0.65   0.55   0.65   0.55  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G9042  Low vision rehab orient/mobi                      A   0.10   0.16     0.02     0.16     0.02     0.01   0.27   0.13   0.27   0.13  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G9043  Low vision lowvision therapi                      A   0.10   0.16     0.02     0.16     0.02     0.01   0.27   0.13   0.27   0.13  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
G9044  Low vision rehabilate teache                      A   0.10   0.13     0.02     0.13     0.02     0.01   0.24   0.13   0.24   0.13  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
G9140  Frontier extended stay demo                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
H0049  Alcohol/drug 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             38.0870 090 99     0.00   0.00   0.00
H0050  Alcohol/drug service 15 min                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J0220  Aglucosidase alfa 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J0400  Aripiprazole 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J1300  Eculizumab 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J1561  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             38.0870 090 99     0.00   0.00   0.00
J1562  Vivaglobin, 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J1568  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             38.0870 090 99     0.00   0.00   0.00
J1569  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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J1571  HepaGam B IM injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
J1572  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             38.0870 090 99     0.00   0.00   0.00
J1573  Hepagam B intravenous, inj                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J1743  Idursulfase 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J2323  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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J2545  Pentamidine non-comp unit                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J2724  Protein C concentrate                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J2778  Ranibizumab 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J2791  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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J3488  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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J7187  Humate-P, 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J7307  Etonogestrel implant system                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J7321  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             38.0870 090 99     0.00   0.00   0.00
J7322  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             38.0870 090 99     0.00   0.00   0.00
J7323  Euflexxa inj per dose                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
J7324  Orthovisc inj per dose                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J7347  Integra matrix 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             38.0870 090 99     0.00   0.00   0.00
J7348  Tissuemend 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             38.0870 090 99     0.00   0.00   0.00
J7349  Primatrix 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J7602  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             38.0870 090 99     0.00   0.00   0.00
J7603  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             38.0870 090 99     0.00   0.00   0.00
J7604  Acetylcysteine 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             38.0870 090 99     0.00   0.00   0.00
J7605  Arformoterol non-comp unit                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J7608  Acetylcysteine non-comp unit                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J7631  Cromolyn sodium noncomp unit                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
J7632  Cromolyn sodium comp unit                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J7639  Dornase alpha 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J7676  Pentamidine comp unit dose                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J9225  Vantas 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             38.0870 090 99     0.00   0.00   0.00
J9226  Supprelin LA 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
J9303  Panitumumab 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
M0064  Visit for drug monitoring                         A   0.37   0.62     0.91     0.09     0.07     0.01   1.00   1.29   0.47   0.45  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
P3001  Screening pap smear by phys                       A   0.42   0.26     0.38     0.26     0.38     0.02   0.70   0.82   0.70   0.82  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
Q0035  Cardiokymography                                  A   0.17   0.37     0.30     0.37NA   0.30 NA  0.03   0.57   0.50   0.57   0.50  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
Q0035TCCardiokymography                                  A   0.00   0.32     0.25     0.32NA   0.25 NA  0.02   0.34   0.27   0.34   0.27  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
Q003526Cardiokymography                                  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             38.0870 090 99     0.00   0.00   0.00
Q0091  Obtaining screen pap smear                        A   0.37   0.71     0.75     0.12     0.10     0.02   1.10   1.14   0.51   0.49  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
Q0092  Set up port xray equipment                        A   0.00   0.40     0.47     0.40     0.47     0.01   0.41   0.48   0.41   0.48  3XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
Q4080  Iloprost non-comp unit 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
Q9965  LOCM 100-199mg/ml iodine,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
Q9966  LOCM 200-299mg/ml iodine,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
Q9967  LOCM 300-399mg/ml iodine,1ml                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
S0270  Home std case rate 30 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             38.0870 090 99     0.00   0.00   0.00
S0271  Home hospice case 30 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             38.0870 090 99     0.00   0.00   0.00
S0272  Home episodic case 30 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             38.0870 090 99     0.00   0.00   0.00
S0273  MD home visit outside 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             38.0870 090 99     0.00   0.00   0.00
S0274  Nurse practr visit outs 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
S2066  Breast GAP flap reconst                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
S2067  Breast "stacked" DIEP/GAP                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
S2068  Breast DIEP or SIEA flap                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
S3800  Genetic testing ALS                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
S3905  Auto handheld diag nerv 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
S9152  Speech therapy, re-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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
T1503  Med admin, not oral/inject                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
V2787  Astigmatism-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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0014F  Comp preop assess cat 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0015F  Melan follow-up complete                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0066T  Ct colonography;screen                            N   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
0066TTCCt colonography;screen                            N   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0067T  Ct colonography;dx                                C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0040000             38.0870 090 02     0.00   0.00   0.00
0067TTCCt colonography;dx                                C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0040000             38.0870 090 02     4.63   4.63   0.40
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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0073T  Delivery, comp imrt                               A   0.00  15.60    13.17    15.60NA  13.17 NA  0.13  15.73  13.30  15.73  13.30  3XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0075T  Perq stent/chest vert art                         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             38.0870 090 99     0.00   0.00   0.00
0075TTCPerq stent/chest vert art                         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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0076T  S&i stent/chest vert art                          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             38.0870 090 99     0.00   0.00   0.00
0076TTCS&i stent/chest vert art                          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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0144T  CT heart wo dye; qual calc                        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             38.0870 090 99     0.00   0.00   0.00
0144TTCCT heart wo dye; qual calc                        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             38.0870 090 99     2.44   2.44   0.21
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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0145T  CT heart w/wo dye funct                           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             38.0870 090 99     0.00   0.00   0.00
0145TTCCT heart w/wo dye funct                           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             38.0870 090 99     7.23   7.23   0.63
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             38.0870 090 99     0.00   0.00   0.00
0146T  CCTA w/wo dye                                     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             38.0870 090 99     0.00   0.00   0.00
0146TTCCCTA w/wo dye                                     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             38.0870 090 99     7.23   7.23   0.63
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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0147T  CCTA w/wo, quan calcium                           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             38.0870 090 99     0.00   0.00   0.00
0147TTCCCTA w/wo, quan calcium                           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             38.0870 090 99     7.23   7.23   0.63
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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0148T  CCTA w/wo, strxr                                  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             38.0870 090 99     0.00   0.00   0.00
0148TTCCCTA w/wo, strxr                                  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             38.0870 090 99     7.23   7.23   0.63
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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0149T  CCTA w/wo, strxr quan calc                        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             38.0870 090 99     0.00   0.00   0.00
0149TTCCCTA w/wo, strxr quan calc                        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             38.0870 090 99     7.23   7.23   0.63
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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0150T  CCTA w/wo, disease strxr                          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             38.0870 090 99     0.00   0.00   0.00
0150TTCCCTA w/wo, disease strxr                          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             38.0870 090 99     7.23   7.23   0.63
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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0151T  CT heart funct add-on                             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             38.0870 090 99     0.00   0.00   0.00
0151TTCCT heart funct add-on                             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             38.0870 090 99     2.44   2.44   0.21
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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0159T  Cad breast mri                                    C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
0159TTCCad breast mri                                    C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0172T  Lumbar spine process 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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.00.00.0000000             38.0870 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             38.0870 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             38.0870 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.00.00.0000000             38.0870 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.00.00.0000000             38.0870 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.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0182T  Hdr elect brachytherapy                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  3XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0183T  Wound ultrasound                                  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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0184T  Exc rectal tumor endoscopic                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0185T  Comptr probability 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0186T  Suprachoroidal drug delivery                      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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0187T  Ophthalmic dx image anterior                      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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
01935  Anesth, perc img dx sp proc                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
01936  Anesth, perc img tx sp proc                       J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
0513F  Elev BP plan of care docd                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
0514F  Care plan Hgb docd ESA pt                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
0516F  Anemia plan of care 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             38.0870 090 99     0.00   0.00   0.00
0517F  Glaucoma plan of care docd                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
0518F  Fall plan of care docd                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
0519F  Pland chemo docd b/4 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             38.0870 090 99     0.00   0.00   0.00
0520F  Tissue dose done w/in 5 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             38.0870 090 99     0.00   0.00   0.00
0521F  Plan of care 4 pain docd                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
10021  Fna w/o image                                     A   1.27   2.17     2.18     0.46     0.37     0.10   3.54   3.55   1.83   1.74  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
10022  Fna w/image                                       A   1.27   2.35     2.15     0.41     0.41     0.08   3.70   3.50   1.76   1.76  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
10040  Acne surgery                                      A   1.19   1.17     1.33     0.88     0.98     0.05   2.41   2.57   2.12   2.22  0010.10.80.1020100             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
10060  Drainage of skin abscess                          A   1.19   1.36     1.51     1.01     1.08     0.12   2.67   2.82   2.32   2.39  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
10061  Drainage of skin abscess                          A   2.42   1.95     2.07     1.50     1.51     0.26   4.63   4.75   4.18   4.19  0010.10.80.1020100             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
10080  Drainage of pilonidal cyst                        A   1.19   2.89     2.68     1.11     1.10     0.11   4.19   3.98   2.41   2.40  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
10081  Drainage of pilonidal cyst                        A   2.47   3.78     3.49     1.47     1.45     0.24   6.49   6.20   4.18   4.16  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
10120  Remove foreign body                               A   1.23   2.06     1.95     0.96     0.94     0.12   3.41   3.30   2.31   2.29  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
10121  Remove foreign body                               A   2.71   3.51     3.51     1.72     1.65     0.33   6.55   6.55   4.76   4.69  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
10140  Drainage of hematoma/fluid                        A   1.55   2.02     2.26     1.29     1.29     0.19   3.76   4.00   3.03   3.03  0010.10.80.1020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
10160  Puncture drainage of lesion                       A   1.22   1.72     1.85     1.08     1.08     0.14   3.08   3.21   2.44   2.44  0010.10.80.1020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
10180  Complex drainage, wound                           A   2.27   3.12     3.25     1.89     1.80     0.35   5.74   5.87   4.51   4.42  0010.10.80.1020100             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
11000  Debride infected skin                             A   0.60   0.65     0.72     0.19     0.16     0.07   1.32   1.39   0.86   0.83  0000.00.00.0020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
11004  Debride genitalia & perineum                      A  10.80   3.55NA   3.21NA   3.55     3.21     0.67  15.02  14.68  15.02  14.68  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
11005  Debride abdom wall                                A  14.24   4.67NA   3.78NA   4.67     3.78     0.96  19.87  18.98  19.87  18.98  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
11006  Debride genit/per/abdom wall                      A  13.10   4.40NA   3.96NA   4.40     3.96     1.28  18.78  18.34  18.78  18.34  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
11008  Remove mesh from abd wall                         A   5.00   1.66NA   1.29NA   1.66     1.29     0.61   7.27   6.90   7.27   6.90  0ZZZ.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
11010  Debride skin, fx                                  A   4.19   6.84     6.81     2.48     2.34     0.66  11.69  11.66   7.33   7.19  0010.10.80.1022100             38.0870 090 99     0.00   0.00   0.00
11011  Debride skin/muscle, fx                           A   4.94   7.60     7.04     2.18     2.01     0.74  13.28  12.72   7.86   7.69  0000.00.00.0022100             38.0870 090 99     0.00   0.00   0.00
11012  Debride skin/muscle/bone, fx                      A   6.87  10.56     9.01     3.47     3.11     1.16  18.59  17.04  11.50  11.14  0000.00.00.0022100             38.0870 090 99     0.00   0.00   0.00
11040  Debride skin, partial                             A   0.50   0.60     0.68     0.18     0.16     0.06   1.16   1.24   0.74   0.72  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
11041  Debride skin, full                                A   0.60   0.69     0.72     0.26     0.19     0.10   1.39   1.42   0.96   0.89  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
11042  Debride skin/tissue                               A   0.80   0.96     0.95     0.34     0.24     0.13   1.89   1.88   1.27   1.17  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
11043  Debride tissue/muscle                             A   3.04   3.44     3.51     2.60     2.60     0.32   6.80   6.87   5.96   5.96  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11044  Debride tissue/muscle/bone                        A   4.11   4.65     4.84     3.67     3.58     0.43   9.19   9.38   8.21   8.12  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11055  Trim skin lesion                                  R   0.43   0.68     0.81     0.14     0.11     0.05   1.16   1.29   0.62   0.59  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
11056  Trim skin lesions, 2 to 4                         R   0.61   0.76     0.88     0.19     0.16     0.07   1.44   1.56   0.87   0.84  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
11057  Trim skin lesions, over 4                         R   0.79   0.86     0.99     0.25     0.20     0.10   1.75   1.88   1.14   1.09  0000.00.00.0020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
11100  Biopsy, skin lesion                               A   0.81   1.56     1.88     0.38     0.38     0.03   2.40   2.72   1.22   1.22  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
11101  Biopsy, skin add-on                               A   0.41   0.37     0.41     0.19     0.20     0.02   0.80   0.84   0.62   0.63  0ZZZ.00.00.0000100             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
1118F  GERD symps assessed 12 month                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
1119F  Init. Eval for condition                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
11200  Removal of skin tags                              A   0.79   1.13     1.23     0.83     0.90     0.04   1.96   2.06   1.66   1.73  0010.10.80.1020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
1121F  Subs. Eval for condition                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
1123F  ACP discuss/dscn mkr docd                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
1124F  ACP discuss-no dscnmkr docd                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
1125F  Amnt Pain noted; pain prsnt                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
1126F  Amnt Pain noted; none prsnt                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
1127F  New episode for condition                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
1128F  Subs. episode for condition                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
11300  Shave skin lesion                                 A   0.51   1.09     1.19     0.21     0.21     0.03   1.63   1.73   0.75   0.75  0000.00.00.0029000             38.0870 090 99     0.00   0.00   0.00
11301  Shave skin lesion                                 A   0.85   1.31     1.51     0.38     0.38     0.04   2.20   2.40   1.27   1.27  0000.00.00.0029000             38.0870 090 99     0.00   0.00   0.00
11302  Shave skin lesion                                 A   1.05   1.53     1.76     0.47     0.48     0.05   2.63   2.86   1.57   1.58  0000.00.00.0029000             38.0870 090 99     0.00   0.00   0.00
11303  Shave skin lesion                                 A   1.24   1.81     2.03     0.54     0.55     0.07   3.12   3.34   1.85   1.86  0000.00.00.0029000             38.0870 090 99     0.00   0.00   0.00
11305  Shave skin lesion                                 A   0.67   0.96     1.07     0.24     0.20     0.07   1.70   1.81   0.98   0.94  0000.00.00.0029000             38.0870 090 99     0.00   0.00   0.00
11306  Shave skin lesion                                 A   0.99   1.26     1.43     0.40     0.38     0.07   2.32   2.49   1.46   1.44  0000.00.00.0029000             38.0870 090 99     0.00   0.00   0.00
11307  Shave skin lesion                                 A   1.14   1.49     1.70     0.48     0.47     0.07   2.70   2.91   1.69   1.68  0000.00.00.0029000             38.0870 090 99     0.00   0.00   0.00
11308  Shave skin lesion                                 A   1.41   1.58     1.71     0.54     0.49     0.13   3.12   3.25   2.08   2.03  0000.00.00.0029000             38.0870 090 99     0.00   0.00   0.00
11310  Shave skin lesion                                 A   0.73   1.25     1.38     0.32     0.31     0.04   2.02   2.15   1.09   1.08  0000.00.00.0029000             38.0870 090 99     0.00   0.00   0.00
11311  Shave skin lesion                                 A   1.05   1.43     1.64     0.48     0.48     0.05   2.53   2.74   1.58   1.58  0000.00.00.0029000             38.0870 090 99     0.00   0.00   0.00
11312  Shave skin lesion                                 A   1.20   1.67     1.92     0.55     0.56     0.06   2.93   3.18   1.81   1.82  0000.00.00.0029000             38.0870 090 99     0.00   0.00   0.00
11313  Shave skin lesion                                 A   1.62   2.00     2.19     0.72     0.73     0.10   3.72   3.91   2.44   2.45  0000.00.00.0029000             38.0870 090 99     0.00   0.00   0.00
11400  Exc tr-ext b9+marg 0.5 < cm                       A   0.87   1.94     1.88     0.91     0.93     0.06   2.87   2.81   1.84   1.86  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11401  Exc tr-ext b9+marg 0.6-1 cm                       A   1.25   2.12     2.19     1.09     1.15     0.10   3.47   3.54   2.44   2.50  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11402  Exc tr-ext b9+marg 1.1-2 cm                       A   1.42   2.31     2.40     1.14     1.21     0.13   3.86   3.95   2.69   2.76  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11403  Exc tr-ext b9+marg 2.1-3 cm                       A   1.81   2.48     2.56     1.44     1.57     0.17   4.46   4.54   3.42   3.55  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11404  Exc tr-ext b9+marg 3.1-4 cm                       A   2.08   2.78     2.86     1.51     1.63     0.21   5.07   5.15   3.80   3.92  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11406  Exc tr-ext b9+marg > 4.0 cm                       A   3.47   3.30     3.54     1.87     2.10     0.32   7.09   7.33   5.66   5.89  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11420  Exc h-f-nk-sp b9+marg 0.5 <                       A   1.00   1.80     1.83     0.93     0.93     0.09   2.89   2.92   2.02   2.02  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11421  Exc h-f-nk-sp b9+marg 0.6-1                       A   1.44   2.14     2.22     1.14     1.16     0.13   3.71   3.79   2.71   2.73  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11422  Exc h-f-nk-sp b9+marg 1.1-2                       A   1.65   2.35     2.44     1.43     1.53     0.16   4.16   4.25   3.24   3.34  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11423  Exc h-f-nk-sp b9+marg 2.1-3                       A   2.03   2.63     2.67     1.55     1.66     0.20   4.86   4.90   3.78   3.89  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11424  Exc h-f-nk-sp b9+marg 3.1-4                       A   2.45   2.89     2.97     1.69     1.77     0.25   5.59   5.67   4.39   4.47  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11426  Exc h-f-nk-sp b9+marg > 4 cm                      A   4.04   3.54     3.59     2.21     2.31     0.44   8.02   8.07   6.69   6.79  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11440  Exc face-mm b9+marg 0.5 < cm                      A   1.02   2.10     2.00     1.31     1.31     0.08   3.20   3.10   2.41   2.41  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11441  Exc face-mm b9+marg 0.6-1 cm                      A   1.50   2.36     2.38     1.52     1.55     0.13   3.99   4.01   3.15   3.18  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11442  Exc face-mm b9+marg 1.1-2 cm                      A   1.74   2.59     2.65     1.61     1.66     0.16   4.49   4.55   3.51   3.56  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11443  Exc face-mm b9+marg 2.1-3 cm                      A   2.31   2.90     2.89     1.83     1.84     0.22   5.43   5.42   4.36   4.37  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11444  Exc face-mm b9+marg 3.1-4 cm                      A   3.16   3.40     3.32     2.14     2.10     0.30   6.86   6.78   5.60   5.56  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11446  Exc face-mm b9+marg > 4 cm                        A   4.75   4.07     4.10     2.73     2.68     0.43   9.25   9.28   7.91   7.86  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11450  Removal, sweat gland lesion                       A   3.14   5.08     5.13     2.22     2.41     0.34   8.56   8.61   5.70   5.89  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
11451  Removal, sweat gland lesion                       A   4.35   6.49     6.38     2.73     2.91     0.53  11.37  11.26   7.61   7.79  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
11462  Removal, sweat gland lesion                       A   2.92   5.22     5.33     2.24     2.47     0.32   8.46   8.57   5.48   5.71  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
11463  Removal, sweat gland lesion                       A   4.35   6.68     6.53     2.81     2.94     0.54  11.57  11.42   7.70   7.83  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
11470  Removal, sweat gland lesion                       A   3.66   5.27     5.47     2.45     2.63     0.40   9.33   9.53   6.51   6.69  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
11471  Removal, sweat gland lesion                       A   4.81   6.61     6.51     2.89     3.01     0.58  12.00  11.90   8.28   8.40  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
11600  Exc tr-ext mlg+marg 0.5 < cm                      A   1.58   2.69     2.74     1.05     1.14     0.10   4.37   4.42   2.73   2.82  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11601  Exc tr-ext mlg+marg 0.6-1 cm                      A   2.02   3.07     3.44     1.36     1.51     0.12   5.21   5.58   3.50   3.65  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11602  Exc tr-ext mlg+marg 1.1-2 cm                      A   2.22   3.34     3.85     1.47     1.69     0.12   5.68   6.19   3.81   4.03  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11603  Exc tr-ext mlg+marg 2.1-3 cm                      A   2.77   3.56     4.05     1.60     1.87     0.16   6.49   6.98   4.53   4.80  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11604  Exc tr-ext mlg+marg 3.1-4 cm                      A   3.12   3.86     4.34     1.66     1.93     0.20   7.18   7.66   4.98   5.25  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11606  Exc tr-ext mlg+marg > 4 cm                        A   4.97   4.78     5.50     2.10     2.46     0.36  10.11  10.83   7.43   7.79  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11620  Exc h-f-nk-sp mlg+marg 0.5 <                      A   1.59   2.72     2.85     1.07     1.19     0.09   4.40   4.53   2.75   2.87  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11621  Exc h-f-nk-sp mlg+marg 0.6-1                      A   2.03   3.10     3.51     1.39     1.54     0.12   5.25   5.66   3.54   3.69  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11622  Exc h-f-nk-sp mlg+marg 1.1-2                      A   2.36   3.43     3.90     1.57     1.75     0.14   5.93   6.40   4.07   4.25  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11623  Exc h-f-nk-sp mlg+marg 2.1-3                      A   3.06   3.73     4.12     1.77     1.95     0.20   6.99   7.38   5.03   5.21  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11624  Exc h-f-nk-sp mlg+marg 3.1-4                      A   3.57   4.09     4.43     1.93     2.08     0.27   7.93   8.27   5.77   5.92  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11626  Exc h-f-nk-sp mlg+mar > 4 cm                      A   4.56   4.80     4.96     2.36     2.33     0.45   9.81   9.97   7.37   7.34  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11640  Exc face-mm malig+marg 0.5 <                      A   1.62   2.86     3.06     1.20     1.29     0.11   4.59   4.79   2.93   3.02  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11641  Exc face-mm malig+marg 0.6-1                      A   2.12   3.33     3.64     1.57     1.61     0.16   5.61   5.92   3.85   3.89  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11642  Exc face-mm malig+marg 1.1-2                      A   2.57   3.72     4.04     1.78     1.84     0.19   6.48   6.80   4.54   4.60  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11643  Exc face-mm malig+marg 2.1-3                      A   3.37   4.04     4.28     2.04     2.11     0.26   7.67   7.91   5.67   5.74  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11644  Exc face-mm malig+marg 3.1-4                      A   4.29   4.88     5.07     2.46     2.47     0.37   9.54   9.73   7.12   7.13  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11646  Exc face-mm mlg+marg > 4 cm                       A   6.21   5.83     5.91     3.30     3.14     0.61  12.65  12.73  10.12   9.96  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11719  Trim nail(s)                                      R   0.17   0.31     0.38     0.06     0.04     0.02   0.50   0.57   0.25   0.23  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
11720  Debride nail, 1-5                                 A   0.32   0.40     0.47     0.10     0.08     0.04   0.76   0.83   0.46   0.44  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
11721  Debride nail, 6 or more                           A   0.54   0.49     0.55     0.17     0.14     0.07   1.10   1.16   0.78   0.75  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
11730  Removal of nail plate                             A   1.10   1.18     1.33     0.36     0.28     0.14   2.42   2.57   1.60   1.52  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
11732  Remove nail plate, add-on                         A   0.57   0.49     0.55     0.18     0.15     0.07   1.13   1.19   0.82   0.79  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
11740  Drain blood from under nail                       A   0.37   0.67     0.80     0.39     0.43     0.04   1.08   1.21   0.80   0.84  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
11750  Removal of nail bed                               A   2.40   2.56     2.96     1.82     1.88     0.22   5.18   5.58   4.44   4.50  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11752  Remove nail bed/finger tip                        A   3.48   3.53     4.06     2.88     2.78     0.35   7.36   7.89   6.71   6.61  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11755  Biopsy, nail unit                                 A   1.31   1.80     2.03     0.76     0.76     0.14   3.25   3.48   2.21   2.21  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
11760  Repair of nail bed                                A   1.60   3.01     3.40     1.61     1.43     0.21   4.82   5.21   3.42   3.24  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11762  Reconstruction of nail bed                        A   2.91   3.29     3.70     2.01     1.68     0.36   6.56   6.97   5.28   4.95  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11765  Excision of nail fold, toe                        A   0.71   2.23     2.67     0.88     1.01     0.08   3.02   3.46   1.67   1.80  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11770  Removal of pilonidal lesion                       A   2.63   3.47     3.46     1.51     1.52     0.33   6.43   6.42   4.47   4.48  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
11771  Removal of pilonidal lesion                       A   5.98   6.14     6.64     3.50     3.69     0.74  12.86  13.36  10.22  10.41  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
11772  Removal of pilonidal lesion                       A   7.23   7.77     8.04     5.31     5.56     0.89  15.89  16.16  13.43  13.68  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
11900  Injection into skin lesions                       A   0.52   0.78     0.92     0.23     0.25     0.02   1.32   1.46   0.77   0.79  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
11901  Added skin lesions injection                      A   0.80   0.83     1.01     0.37     0.39     0.03   1.66   1.84   1.20   1.22  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
11920  Correct skin color defects                        R   1.61   3.02     2.35     1.09     1.09     0.24   4.87   4.20   2.94   2.94  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
11921  Correct skin color defects                        R   1.93   3.31     2.66     1.26     1.26     0.29   5.53   4.88   3.48   3.48  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
11922  Correct skin color defects                        R   0.49   1.03     0.92     0.24     0.22     0.07   1.59   1.48   0.80   0.78  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
11950  Therapy for contour defects                       R   0.84   1.01     0.88     0.37     0.36     0.06   1.91   1.78   1.27   1.26  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
11951  Therapy for contour defects                       R   1.19   1.20     0.90     0.43     0.36     0.11   2.50   2.20   1.73   1.66  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
11952  Therapy for contour defects                       R   1.69   1.74     1.63     0.72     0.77     0.16   3.59   3.48   2.57   2.62  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
11954  Therapy for contour defects                       R   1.85   2.12     1.79     0.83     0.77     0.25   4.22   3.89   2.93   2.87  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
11960  Insert tissue expander(s)                         A  11.01  10.49NA  10.58NA  10.49    10.58     1.31  22.81  22.90  22.81  22.90  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
11970  Replace tissue expander                           A   7.86   6.15NA   6.17NA   6.15     6.17     1.05  15.06  15.08  15.06  15.08  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
11971  Remove tissue expander(s)                         A   3.21   8.26     7.40     3.91     4.02     0.32  11.79  10.93   7.44   7.55  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
11975  Insert contraceptive cap                          N+  1.48   1.48     1.54     0.45     0.34     0.17   3.13   3.19   2.10   1.99  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
11976  Removal of contraceptive cap                      R   1.78   1.72     1.73     0.58     0.48     0.21   3.71   3.72   2.57   2.47  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
11977  Removal/reinsert contra cap                       N+  3.30   2.13     1.98     1.01     0.76     0.37   5.80   5.65   4.68   4.43  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
11980  Implant hormone pellet(s)                         A   1.48   1.08     1.07     0.51     0.49     0.13   2.69   2.68   2.12   2.10  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
11981  Insert drug implant device                        A   1.48   1.80     1.90     0.63     0.58     0.12   3.40   3.50   2.23   2.18  0XXX.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
11982  Remove drug implant device                        A   1.78   1.98     2.02     0.76     0.70     0.17   3.93   3.97   2.71   2.65  0XXX.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
11983  Remove/insert drug implant                        A   3.30   2.46     2.64     1.39     1.32     0.23   5.99   6.17   4.92   4.85  0XXX.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
12001  Repair superficial wound(s)                       A   1.72   1.86     1.73     0.75     0.73     0.15   3.73   3.60   2.62   2.60  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12002  Repair superficial wound(s)                       A   1.88   1.92     1.80     0.87     0.84     0.17   3.97   3.85   2.92   2.89  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12004  Repair superficial wound(s)                       A   2.26   2.20     2.08     0.97     0.92     0.21   4.67   4.55   3.44   3.39  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12005  Repair superficial wound(s)                       A   2.88   2.67     2.52     1.13     1.06     0.27   5.82   5.67   4.28   4.21  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12006  Repair superficial wound(s)                       A   3.68   3.23     3.06     1.40     1.30     0.35   7.26   7.09   5.43   5.33  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12007  Repair superficial wound(s)                       A   4.13   3.59     3.36     1.64     1.46     0.45   8.17   7.94   6.22   6.04  0010.10.80.1020110             38.0870 090 99     0.00   0.00   0.00
12011  Repair superficial wound(s)                       A   1.78   2.02     1.91     0.77     0.76     0.16   3.96   3.85   2.71   2.70  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12013  Repair superficial wound(s)                       A   2.01   2.17     2.07     0.91     0.89     0.18   4.36   4.26   3.10   3.08  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12014  Repair superficial wound(s)                       A   2.48   2.43     2.29     1.02     0.98     0.23   5.14   5.00   3.73   3.69  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12015  Repair superficial wound(s)                       A   3.21   2.96     2.79     1.18     1.12     0.29   6.46   6.29   4.68   4.62  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12016  Repair superficial wound(s)                       A   3.94   3.36     3.17     1.40     1.28     0.37   7.67   7.48   5.71   5.59  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12017  Repair superficial wound(s)                       A   4.72   1.71NA   1.52NA   1.71     1.52     0.47   6.90   6.71   6.90   6.71  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
12018  Repair superficial wound(s)                       A   5.54   2.09NA   1.92NA   2.09     1.92     0.64   8.27   8.10   8.27   8.10  0010.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
12020  Closure of split wound                            A   2.64   3.76     3.69     1.84     1.75     0.30   6.70   6.63   4.78   4.69  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12021  Closure of split wound                            A   1.86   1.84     1.85     1.37     1.33     0.24   3.94   3.95   3.47   3.43  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12031  Layer closure of wound(s)                         A   2.17   3.09     3.90     1.37     1.77     0.17   5.43   6.24   3.71   4.11  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12032  Layer closure of wound(s)                         A   2.49   4.53     5.22     2.04     2.28     0.16   7.18   7.87   4.69   4.93  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12034  Layer closure of wound(s)                         A   2.94   3.90     4.61     1.72     2.00     0.25   7.09   7.80   4.91   5.19  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12035  Layer closure of wound(s)                         A   3.44   5.25     5.30     2.13     2.11     0.39   9.08   9.13   5.96   5.94  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12036  Layer closure of wound(s)                         A   4.06   5.48     5.41     2.39     2.23     0.55  10.09  10.02   7.00   6.84  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12037  Layer closure of wound(s)                         A   4.68   6.04     5.99     2.80     2.63     0.66  11.38  11.33   8.14   7.97  0010.10.80.1020010             38.0870 090 99     0.00   0.00   0.00
12041  Layer closure of wound(s)                         A   2.39   3.21     3.87     1.45     1.78     0.19   5.79   6.45   4.03   4.36  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12042  Layer closure of wound(s)                         A   2.76   3.88     4.50     1.79     2.13     0.17   6.81   7.43   4.72   5.06  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12044  Layer closure of wound(s)                         A   3.16   4.31     5.41     1.77     1.95     0.27   7.74   8.84   5.20   5.38  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12045  Layer closure of wound(s)                         A   3.65   5.15     5.03     2.17     2.06     0.41   9.21   9.09   6.23   6.12  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12046  Layer closure of wound(s)                         A   4.26   6.08     5.66     2.52     2.29     0.54  10.88  10.46   7.32   7.09  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
12047  Layer closure of wound(s)                         A   4.66   6.42     6.50     2.87     2.66     0.58  11.66  11.74   8.11   7.90  0010.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
12051  Layer closure of wound(s)                         A   2.49   3.69     4.11     1.69     1.92     0.20   6.38   6.80   4.38   4.61  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12052  Layer closure of wound(s)                         A   2.81   4.04     4.87     2.00     2.56     0.17   7.02   7.85   4.98   5.54  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12053  Layer closure of wound(s)                         A   3.14   4.32     5.39     1.83     2.13     0.23   7.69   8.76   5.20   5.50  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12054  Layer closure of wound(s)                         A   3.47   4.50     5.43     1.84     2.06     0.30   8.27   9.20   5.61   5.83  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12055  Layer closure of wound(s)                         A   4.44   5.25     6.01     2.11     2.09     0.45  10.14  10.90   7.00   6.98  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
12056  Layer closure of wound(s)                         A   5.25   6.66     6.57     2.82     2.58     0.59  12.50  12.41   8.66   8.42  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
12057  Layer closure of wound(s)                         A   5.97   6.95     7.76     3.34     2.93     0.56  13.48  14.29   9.87   9.46  0010.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
13100  Repair of wound or lesion                         A   3.14   4.24     4.42     2.39     2.47     0.26   7.64   7.82   5.79   5.87  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
13101  Repair of wound or lesion                         A   3.93   5.30     5.95     2.83     2.97     0.26   9.49  10.14   7.02   7.16  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
13102  Repair wound/lesion add-on                        A   1.24   1.26     1.35     0.55     0.53     0.13   2.63   2.72   1.92   1.90  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
13120  Repair of wound or lesion                         A   3.32   4.36     4.58     2.46     2.58     0.26   7.94   8.16   6.04   6.16  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
13121  Repair of wound or lesion                         A   4.36   5.78     6.72     3.22     3.64     0.25  10.39  11.33   7.83   8.25  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
13122  Repair wound/lesion add-on                        A   1.44   1.44     1.37     0.60     0.58     0.15   3.03   2.96   2.19   2.17  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
13131  Repair of wound or lesion                         A   3.80   4.69     5.01     2.78     2.88     0.26   8.75   9.07   6.84   6.94  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
13132  Repair of wound or lesion                         A   6.48   6.90     7.89     4.56     4.96     0.32  13.70  14.69  11.36  11.76  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
13133  Repair wound/lesion add-on                        A   2.19   1.77     1.88     1.00     0.98     0.18   4.14   4.25   3.37   3.35  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
13150  Repair of wound or lesion                         A   3.82   4.80     4.72     2.74     2.72     0.34   8.96   8.88   6.90   6.88  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
13151  Repair of wound or lesion                         A   4.46   5.16     5.52     3.18     3.22     0.31   9.93  10.29   7.95   7.99  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
13152  Repair of wound or lesion                         A   6.34   6.79     7.54     3.98     3.92     0.40  13.53  14.28  10.72  10.66  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
13153  Repair wound/lesion add-on                        A   2.38   1.99     2.05     1.08     1.03     0.24   4.61   4.67   3.70   3.65  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
13160  Late closure of wound                             A  11.84   7.09NA   7.02NA   7.09     7.02     1.54  20.47  20.40  20.47  20.40  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
14000  Skin tissue rearrangement                         A   6.83   8.40     8.95     5.76     6.04     0.59  15.82  16.37  13.18  13.46  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
14001  Skin tissue rearrangement                         A   9.60  10.22    11.02     7.28     7.49     0.82  20.64  21.44  17.70  17.91  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
14020  Skin tissue rearrangement                         A   7.66   9.32    10.04     6.71     6.89     0.64  17.62  18.34  15.01  15.19  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
14021  Skin tissue rearrangement                         A  11.18  11.23    12.47     8.47     8.66     0.81  23.22  24.46  20.46  20.65  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
14040  Skin tissue rearrangement                         A   8.44   9.50    10.20     7.10     6.99     0.62  18.56  19.26  16.16  16.05  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
14041  Skin tissue rearrangement                         A  12.67  12.09    13.58     9.01     9.35     0.73  25.49  26.98  22.41  22.75  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
14060  Skin tissue rearrangement                         A   9.07   9.24     9.69     7.31     7.18     0.68  18.99  19.44  17.06  16.93  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
14061  Skin tissue rearrangement                         A  13.67  13.22    14.84     9.84    10.18     0.76  27.65  29.27  24.27  24.61  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
14300  Skin tissue rearrangement                         A  13.26  12.33    13.53     9.31     9.45     1.16  26.75  27.95  23.73  23.87  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
14350  Skin tissue rearrangement                         A  10.82   7.02NA   6.90NA   7.02     6.90     1.34  19.18  19.06  19.18  19.06  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15002  Wnd prep, ch/inf, trk/arm/lg                      A   3.65   4.22     4.22     1.69     1.69     0.49   8.36   8.36   5.83   5.83  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
15003  Wnd prep, ch/inf addl 100 cm                      A   0.80   0.90     0.90     0.26     0.26     0.11   1.81   1.81   1.17   1.17  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
15004  Wnd prep ch/inf, f/n/hf/g                         A   4.58   4.88     4.88     2.02     2.02     0.62  10.08  10.08   7.22   7.22  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
15005  Wnd prep, f/n/hf/g, addl cm                       A   1.60   1.24     1.24     0.53     0.53     0.22   3.06   3.06   2.35   2.35  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
15040  Harvest cultured skin graft                       A   2.00   4.25     3.94     1.09     1.05     0.24   6.49   6.18   3.33   3.29  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15050  Skin pinch graft                                  A   5.37   7.27     7.63     5.06     5.01     0.57  13.21  13.57  11.00  10.95  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15100  Skin splt grft, trnk/arm/leg                      A   9.74  11.18     9.77     7.25     6.68     1.28  22.20  20.79  18.27  17.70  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15101  Skin splt grft t/a/l, add-on                      A   1.72   3.10     2.47     1.01     0.85     0.24   5.06   4.43   2.97   2.81  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15110  Epidrm autogrft trnk/arm/leg                      A  10.88   9.71     8.75     6.68     6.36     1.31  21.90  20.94  18.87  18.55  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15111  Epidrm autogrft t/a/l add-on                      A   1.85   1.08     0.87     0.70     0.62     0.26   3.19   2.98   2.81   2.73  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15115  Epidrm a-grft face/nck/hf/g                       A  11.19   9.23     9.23     7.05     6.74     1.15  21.57  21.57  19.39  19.08  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15116  Epidrm a-grft f/n/hf/g addl                       A   2.50   1.39     1.19     0.99     0.86     0.33   4.22   4.02   3.82   3.69  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
15120  Skn splt a-grft fac/nck/hf/g                      A  10.96  11.04    11.35     7.62     7.45     1.16  23.16  23.47  19.74  19.57  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15121  Skn splt a-grft f/n/hf/g add                      A   2.67   3.97     3.44     1.57     1.29     0.36   7.00   6.47   4.60   4.32  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
15130  Derm autograft, trnk/arm/leg                      A   7.41   8.91     7.96     5.96     5.58     0.97  17.29  16.34  14.34  13.96  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15131  Derm autograft t/a/l add-on                       A   1.50   0.86     0.66     0.56     0.48     0.21   2.57   2.37   2.27   2.19  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
15135  Derm autograft face/nck/hf/g                      A  10.91   9.68     9.49     7.59     7.05     1.23  21.82  21.63  19.73  19.19  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15136  Derm autograft, f/n/hf/g add                      A   1.50   0.77     0.66     0.59     0.51     0.20   2.47   2.36   2.29   2.21  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
15150  Cult epiderm grft t/arm/leg                       A   9.30   7.75     7.05     6.10     5.76     1.14  18.19  17.49  16.54  16.20  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15151  Cult epiderm grft t/a/l addl                      A   2.00   1.09     0.88     0.76     0.67     0.28   3.37   3.16   3.04   2.95  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15152  Cult epiderm graft t/a/l +%                       A   2.50   1.30     1.05     0.95     0.84     0.35   4.15   3.90   3.80   3.69  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15155  Cult epiderm graft, f/n/hf/g                      A  10.05   7.74     7.66     6.64     6.31     1.05  18.84  18.76  17.74  17.41  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15156  Cult epidrm grft f/n/hfg add                      A   2.75   1.35     1.15     1.09     0.94     0.36   4.46   4.26   4.20   4.05  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
15157  Cult epiderm grft f/n/hfg +%                      A   3.00   1.56     1.34     1.19     1.03     0.39   4.95   4.73   4.58   4.42  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
15170  Acell graft trunk/arms/legs                       A   5.99   3.92     4.01     2.48     2.60     0.55  10.46  10.55   9.02   9.14  0090.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
15171  Acell graft t/arm/leg add-on                      A   1.55   0.64     0.60     0.54     0.46     0.19   2.38   2.34   2.28   2.20  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15175  Acellular graft, f/n/hf/g                         A   7.99   4.95     4.47     3.57     3.15     0.82  13.76  13.28  12.38  11.96  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15176  Acell graft, f/n/hf/g add-on                      A   2.45   1.07     1.04     0.89     0.79     0.29   3.81   3.78   3.63   3.53  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
15200  Skin full graft, trunk                            A   8.97   9.66     9.91     6.28     6.35     0.98  19.61  19.86  16.23  16.30  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15201  Skin full graft trunk add-on                      A   1.32   2.29     2.02     0.54     0.47     0.19   3.80   3.53   2.05   1.98  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
15220  Skin full graft sclp/arm/leg                      A   7.95   9.83    10.47     6.69     6.70     0.84  18.62  19.26  15.48  15.49  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15221  Skin full graft add-on                            A   1.19   2.16     2.00     0.53     0.50     0.16   3.51   3.35   1.88   1.85  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15240  Skin full grft face/genit/hf                      A  10.15  11.12    12.04     8.43     8.90     0.92  22.19  23.11  19.50  19.97  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15241  Skin full graft add-on                            A   1.86   2.49     2.54     0.86     0.81     0.23   4.58   4.63   2.95   2.90  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15260  Skin full graft een & lips                        A  11.39  11.62    13.02     8.96     9.34     0.69  23.70  25.10  21.04  21.42  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15261  Skin full graft add-on                            A   2.23   2.84     2.98     1.28     1.16     0.21   5.28   5.42   3.72   3.60  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15300  Apply skinallogrft, t/arm/lg                      A   4.65   3.32     3.44     2.19     2.15     0.49   8.46   8.58   7.33   7.29  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15301  Apply sknallogrft t/a/l addl                      A   1.00   0.46     0.46     0.36     0.32     0.14   1.60   1.60   1.50   1.46  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15320  Apply skin allogrft f/n/hf/g                      A   5.36   3.70     3.78     2.45     2.36     0.58   9.64   9.72   8.39   8.30  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15321  Aply sknallogrft f/n/hfg add                      A   1.50   0.69     0.69     0.55     0.51     0.21   2.40   2.40   2.26   2.22  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
15330  Aply acell alogrft t/arm/leg                      A   3.99   3.34     3.50     2.18     2.14     0.49   7.82   7.98   6.66   6.62  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15331  Aply acell grft t/a/l add-on                      A   1.00   0.47     0.49     0.38     0.36     0.14   1.61   1.63   1.52   1.50  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15335  Apply acell graft, f/n/hf/g                       A   4.50   3.40     3.32     2.23     2.01     0.55   8.45   8.37   7.28   7.06  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15336  Aply acell grft f/n/hf/g add                      A   1.43   0.71     0.74     0.54     0.51     0.20   2.34   2.37   2.17   2.14  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
15340  Apply cult skin substitute                        A   3.76   3.84     3.69     2.70     2.64     0.41   8.01   7.86   6.87   6.81  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
15341  Apply cult skin sub add-on                        A   0.50   0.62     0.64     0.17     0.13     0.06   1.18   1.20   0.73   0.69  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15360  Apply cult derm sub, t/a/l                        A   3.93   4.66     4.85     3.31     3.54     0.43   9.02   9.21   7.67   7.90  0090.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
15361  Aply cult derm sub t/a/l add                      A   1.15   0.54     0.50     0.39     0.32     0.14   1.83   1.79   1.68   1.61  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15365  Apply cult derm sub f/n/hf/g                      A   4.21   4.38     4.22     3.15     3.10     0.46   9.05   8.89   7.82   7.77  0090.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
15366  Apply cult derm f/hf/g add                        A   1.45   0.68     0.67     0.53     0.47     0.17   2.30   2.29   2.15   2.09  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15400  Apply skin xenograft, t/a/l                       A   4.38   4.50     5.00     3.89     3.76     0.47   9.35   9.85   8.74   8.61  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15401  Apply skn xenogrft t/a/l add                      A   1.00   1.45     1.01     0.39     0.33     0.14   2.59   2.15   1.53   1.47  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15420  Apply skin xgraft, f/n/hf/g                       A   4.89   5.11     5.43     3.98     4.18     0.52  10.52  10.84   9.39   9.59  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15421  Apply skn xgrft f/n/hf/g add                      A   1.50   1.24     1.16     0.55     0.48     0.21   2.95   2.87   2.26   2.19  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15430  Apply acellular xenograft                         A   5.93   6.76     6.61     6.34     6.06     0.66  13.35  13.20  12.93  12.65  0090.10.71.1920100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
15570  Form skin pedicle flap                            A  10.00  10.70    10.09     6.52     6.27     1.34  22.04  21.43  17.86  17.61  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15572  Form skin pedicle flap                            A   9.94   9.64     9.79     6.56     6.66     1.20  20.78  20.93  17.70  17.80  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15574  Form skin pedicle flap                            A  10.52  10.62    10.55     7.42     7.04     1.20  22.34  22.27  19.14  18.76  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15576  Form skin pedicle flap                            A   9.24   9.72     9.67     6.70     6.52     0.87  19.83  19.78  16.81  16.63  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15600  Skin graft                                        A   1.95   6.46     5.32     2.91     2.75     0.27   8.68   7.54   5.13   4.97  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15610  Skin graft                                        A   2.46   5.13     5.57     3.24     3.05     0.35   7.94   8.38   6.05   5.86  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15620  Skin graft                                        A   3.62   7.13     6.47     3.89     3.90     0.35  11.10  10.44   7.86   7.87  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15630  Skin graft                                        A   3.95   7.06     7.08     4.23     4.32     0.34  11.35  11.37   8.52   8.61  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15650  Transfer skin pedicle flap                        A   4.64   7.21     7.28     4.30     4.39     0.42  12.27  12.34   9.36   9.45  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15731  Forehead flap w/vasc pedicle                      A  14.12  11.90    11.90     9.34     9.34     1.28  27.30  27.30  24.74  24.74  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15732  Muscle-skin graft, head/neck                      A  19.70  16.36    14.66    11.66    11.10     2.00  38.06  36.36  33.36  32.80  0090.10.71.1920110             38.0870 090 99     0.00   0.00   0.00
15734  Muscle-skin graft, trunk                          A  19.62  16.91    15.70    12.12    11.85     2.62  39.15  37.94  34.36  34.09  0090.10.71.1920210             38.0870 090 99     0.00   0.00   0.00
15736  Muscle-skin graft, arm                            A  16.92  15.82    13.40    10.41     9.60     2.46  35.20  32.78  29.79  28.98  0090.10.71.1920110             38.0870 090 99     0.00   0.00   0.00
15738  Muscle-skin graft, leg                            A  18.92  15.88    13.78    10.96    10.20     2.66  37.46  35.36  32.54  31.78  0090.10.71.1920210             38.0870 090 99     0.00   0.00   0.00
15740  Island pedicle flap graft                         A  11.57  11.86    13.58     8.84     9.43     0.63  24.06  25.78  21.04  21.63  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15750  Neurovascular pedicle graft                       A  12.73   8.95NA   8.86NA   8.95     8.86     1.42  23.10  23.01  23.10  23.01  0090.10.71.1920200             38.0870 090 99     0.00   0.00   0.00
15756  Free myo/skin flap microvasc                      A  36.74  19.57NA  18.57NA  19.57    18.57     4.62  60.93  59.93  60.93  59.93  0090.10.71.1920220             38.0870 090 99     0.00   0.00   0.00
15757  Free skin flap, microvasc                         A  36.95  19.74NA  17.87NA  19.74    17.87     3.90  60.59  58.72  60.59  58.72  0090.10.71.1920220             38.0870 090 99     0.00   0.00   0.00
15758  Free fascial flap, microvasc                      A  36.70  19.58NA  17.58NA  19.58    17.58     4.24  60.52  58.52  60.52  58.52  0090.10.71.1920220             38.0870 090 99     0.00   0.00   0.00
15760  Composite skin graft                              A   9.68  10.23    10.42     7.16     7.06     0.85  20.76  20.95  17.69  17.59  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15770  Derma-fat-fascia graft                            A   8.73   6.66NA   6.64NA   6.66     6.64     1.05  16.44  16.42  16.44  16.42  0090.10.71.1920210             38.0870 090 99     0.00   0.00   0.00
15775  Hair transplant punch grafts                      R   3.95   3.56     2.88     1.26     1.23     0.52   8.03   7.35   5.73   5.70  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
15776  Hair transplant punch grafts                      R   5.53   5.11     4.85     2.47     2.14     0.72  11.36  11.10   8.72   8.39  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
15780  Abrasion treatment of skin                        A   8.50  11.38    11.24     7.39     6.53     0.67  20.55  20.41  16.56  15.70  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15781  Abrasion treatment of skin                        A   4.91   7.80     8.68     5.51     5.64     0.34  13.05  13.93  10.76  10.89  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15782  Abrasion treatment of skin                        A   4.36   9.29     8.72     5.76     4.97     0.34  13.99  13.42  10.46   9.67  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15783  Abrasion treatment of skin                        A   4.33   7.40     7.92     4.58     4.97     0.28  12.01  12.53   9.19   9.58  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15786  Abrasion, lesion, single                          A   2.05   3.63     3.90     1.28     1.25     0.11   5.79   6.06   3.44   3.41  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
15787  Abrasion, lesions, add-on                         A   0.33   0.96     0.83     0.12     0.08     0.04   1.33   1.20   0.49   0.45  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
15788  Chemical peel, face, epiderm                      R   2.09   8.09     9.47     3.60     4.13     0.11  10.29  11.67   5.80   6.33  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15789  Chemical peel, face, dermal                       R   4.91   8.76     9.43     5.32     5.83     0.20  13.87  14.54  10.43  10.94  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15792  Chemical peel, nonfacial                          R   1.86   8.04     8.98     4.52     4.58     0.13  10.03  10.97   6.51   6.57  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15793  Chemical peel, nonfacial                          A   3.82   7.20     8.10     4.64     4.90     0.19  11.21  12.11   8.65   8.91  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15819  Plastic surgery, neck                             A  10.45   6.93NA   6.68NA   6.93     6.68     0.97  18.35  18.10  18.35  18.10  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15820  Revision of lower eyelid                          A   6.09   6.68     6.39     5.38     5.20     0.40  13.17  12.88  11.87  11.69  0090.10.71.1921000             38.0870 090 99     0.00   0.00   0.00
15821  Revision of lower eyelid                          A   6.66   6.96     6.57     5.50     5.28     0.45  14.07  13.68  12.61  12.39  0090.10.71.1921000             38.0870 090 99     0.00   0.00   0.00
15822  Revision of upper eyelid                          A   4.51   5.53     5.23     4.29     4.09     0.37  10.41  10.11   9.17   8.97  0090.10.71.1921100             38.0870 090 99     0.00   0.00   0.00
15823  Revision of upper eyelid                          A   8.12   7.62     7.39     6.27     6.11     0.50  16.24  16.01  14.89  14.73  0090.10.71.1921100             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
15830  Exc skin abd                                      R  16.90   9.82NA   9.82NA   9.82     9.82     2.93  29.65  29.65  29.65  29.65  0090.10.71.1920210             38.0870 090 99     0.00   0.00   0.00
15832  Excise excessive skin tissue                      A  12.65   8.31NA   8.28NA   8.31     8.28     1.66  22.62  22.59  22.62  22.59  0090.10.71.1920210             38.0870 090 99     0.00   0.00   0.00
15833  Excise excessive skin tissue                      A  11.70   7.86NA   7.50NA   7.86     7.50     1.49  21.05  20.69  21.05  20.69  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15834  Excise excessive skin tissue                      A  11.97   7.93NA   8.16NA   7.93     8.16     1.61  21.51  21.74  21.51  21.74  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15835  Excise excessive skin tissue                      A  12.79   7.70NA   7.86NA   7.70     7.86     1.60  22.09  22.25  22.09  22.25  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15836  Excise excessive skin tissue                      A  10.41   6.81NA   6.83NA   6.81     6.83     1.34  18.56  18.58  18.56  18.58  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15837  Excise excessive skin tissue                      A   9.37   8.62     8.68     6.58     5.79     1.18  19.17  19.23  17.13  16.34  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15838  Excise excessive skin tissue                      A   8.07   5.76NA   5.45NA   5.76     5.45     0.58  14.41  14.10  14.41  14.10  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15839  Excise excessive skin tissue                      A  10.32   9.30     9.76     6.43     6.47     1.22  20.84  21.30  17.97  18.01  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15840  Graft for face nerve palsy                        A  14.76   9.45NA   8.93NA   9.45     8.93     1.32  25.53  25.01  25.53  25.01  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15841  Graft for face nerve palsy                        A  25.69  14.27NA  13.54NA  14.27    13.54     2.55  42.51  41.78  42.51  41.78  0090.10.71.1920210             38.0870 090 99     0.00   0.00   0.00
15842  Flap for face nerve palsy                         A  40.68  21.91NA  20.89NA  21.91    20.89     4.94  67.53  66.51  67.53  66.51  0090.10.71.1920210             38.0870 090 99     0.00   0.00   0.00
15845  Skin and muscle repair, face                      A  14.04   8.84NA   8.36NA   8.84     8.36     0.81  23.69  23.21  23.69  23.21  0090.10.71.1920200             38.0870 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             38.0870 090 99     0.00   0.00   0.00
15850  Removal of sutures                                B+  0.78   1.38     1.20     0.24     0.18     0.05   2.21   2.03   1.07   1.01  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
15851  Removal of sutures                                A   0.86   1.51     1.33     0.27     0.24     0.06   2.43   2.25   1.19   1.16  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
15852  Dressing change not for burn                      A   0.86   0.29NA   0.25NA   0.29     0.25     0.09   1.24   1.20   1.24   1.20  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
15860  Test for blood flow in graft                      A   1.95   0.71NA   0.64NA   0.71     0.64     0.27   2.93   2.86   2.93   2.86  0000.00.00.0020000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
15920  Removal of tail bone ulcer                        A   8.15   5.45NA   5.35NA   5.45     5.35     1.04  14.64  14.54  14.64  14.54  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15922  Removal of tail bone ulcer                        A  10.23   7.19NA   7.17NA   7.19     7.17     1.42  18.84  18.82  18.84  18.82  0090.10.71.1920210             38.0870 090 99     0.00   0.00   0.00
15931  Remove sacrum pressure sore                       A   9.96   5.63NA   5.56NA   5.63     5.56     1.25  16.84  16.77  16.84  16.77  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15933  Remove sacrum pressure sore                       A  11.60   7.58NA   7.31NA   7.58     7.31     1.52  20.70  20.43  20.70  20.43  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15934  Remove sacrum pressure sore                       A  13.54   7.88NA   7.73NA   7.88     7.73     1.79  23.21  23.06  23.21  23.06  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15935  Remove sacrum pressure sore                       A  15.58   9.75NA   9.18NA   9.75     9.18     2.10  27.43  26.86  27.43  26.86  0090.10.71.1920210             38.0870 090 99     0.00   0.00   0.00
15936  Remove sacrum pressure sore                       A  13.04   7.82NA   7.42NA   7.82     7.42     1.77  22.63  22.23  22.63  22.23  0090.10.71.1920110             38.0870 090 99     0.00   0.00   0.00
15937  Remove sacrum pressure sore                       A  15.00   9.38NA   8.94NA   9.38     8.94     2.07  26.45  26.01  26.45  26.01  0090.10.71.1920110             38.0870 090 99     0.00   0.00   0.00
15940  Remove hip pressure sore                          A  10.11   5.99NA   5.81NA   5.99     5.81     1.31  17.41  17.23  17.41  17.23  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15941  Remove hip pressure sore                          A  12.24   8.94NA   8.43NA   8.94     8.43     1.66  22.84  22.33  22.84  22.33  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15944  Remove hip pressure sore                          A  12.27   8.37NA   8.14NA   8.37     8.14     1.65  22.29  22.06  22.29  22.06  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15945  Remove hip pressure sore                          A  13.57   9.23NA   8.81NA   9.23     8.81     1.85  24.65  24.23  24.65  24.23  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
15946  Remove hip pressure sore                          A  23.80  14.04NA  13.71NA  14.04    13.71     3.17  41.01  40.68  41.01  40.68  0090.10.71.1920110             38.0870 090 99     0.00   0.00   0.00
15950  Remove thigh pressure sore                        A   7.91   5.41NA   5.40NA   5.41     5.40     1.04  14.36  14.35  14.36  14.35  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
15951  Remove thigh pressure sore                        A  11.41   7.60NA   7.34NA   7.60     7.34     1.49  20.50  20.24  20.50  20.24  0090.10.71.1920010             38.0870 090 99     0.00   0.00   0.00
15952  Remove thigh pressure sore                        A  12.14   7.61NA   7.46NA   7.61     7.46     1.60  21.35  21.20  21.35  21.20  0090.10.71.1920210             38.0870 090 99     0.00   0.00   0.00
15953  Remove thigh pressure sore                        A  13.39   8.62NA   8.23NA   8.62     8.23     1.80  23.81  23.42  23.81  23.42  0090.10.71.1920110             38.0870 090 99     0.00   0.00   0.00
15956  Remove thigh pressure sore                        A  16.59  10.16NA   9.55NA  10.16     9.55     2.22  28.97  28.36  28.97  28.36  0090.10.71.1920110             38.0870 090 99     0.00   0.00   0.00
15958  Remove thigh pressure sore                        A  16.55  10.74NA  10.43NA  10.74    10.43     2.26  29.55  29.24  29.55  29.24  0090.10.71.1920110             38.0870 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             38.0870 090 99     0.00   0.00   0.00
16000  Initial treatment of burn(s)                      A   0.89   0.79     0.72     0.25     0.23     0.08   1.76   1.69   1.22   1.20  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
16020  Dress/debrid p-thick burn, s                      A   0.80   1.20     1.11     0.57     0.56     0.08   2.08   1.99   1.45   1.44  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
16025  Dress/debrid p-thick burn, m                      A   1.85   1.67     1.57     0.91     0.86     0.19   3.71   3.61   2.95   2.90  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
16030  Dress/debrid p-thick burn, l                      A   2.08   2.13     2.08     1.07     1.02     0.24   4.45   4.40   3.39   3.34  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
16035  Incision of burn scab, initi                      A   3.74   1.40NA   1.22NA   1.40     1.22     0.46   5.60   5.42   5.60   5.42  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
16036  Escharotomy; addl incision                       A   1.50   0.53NA   0.46NA   0.53     0.46     0.20   2.23   2.16   2.23   2.16  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
17000  Destruct premalg lesion                           A   0.62   1.19     1.41     0.64     0.74     0.03   1.84   2.06   1.29   1.39  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17003  Destruct premalg les, 2-14                        A   0.07   0.11     0.10     0.05     0.03     0.01   0.19   0.18   0.13   0.11  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
17004  Destroy premlg lesions 15+                        A   1.82   2.37     2.44     1.48     1.38     0.11   4.30   4.37   3.41   3.31  0010.10.80.1000100             38.0870 090 99     0.00   0.00   0.00
17106  Destruction of skin lesions                       A   4.62   4.65     4.69     3.31     3.28     0.35   9.62   9.66   8.28   8.25  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
17107  Destruction of skin lesions                       A   9.19   7.09     6.98     5.20     4.95     0.63  16.91  16.80  15.02  14.77  0090.10.71.1920100             38.0870 090 99     0.00   0.00   0.00
17108  Destruction of skin lesions                       A  13.22   9.07     8.87     7.03     6.39     0.54  22.83  22.63  20.79  20.15  0090.10.71.1920000             38.0870 090 99     0.00   0.00   0.00
17110  Destruct b9 lesion, 1-14                          A   0.67   1.70     1.79     0.79     0.88     0.05   2.42   2.51   1.51   1.60  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17111  Destruct lesion, 15 or more                       A   0.94   1.96     2.25     0.96     1.11     0.05   2.95   3.24   1.95   2.10  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17250  Chemical cautery, tissue                          A   0.50   1.27     1.32     0.36     0.38     0.06   1.83   1.88   0.92   0.94  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
17260  Destruction of skin lesions                       A   0.93   1.34     1.41     0.69     0.71     0.04   2.31   2.38   1.66   1.68  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17261  Destruction of skin lesions                       A   1.19   2.05     2.49     0.95     1.07     0.05   3.29   3.73   2.19   2.31  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17262  Destruction of skin lesions                       A   1.60   2.36     2.84     1.15     1.27     0.06   4.02   4.50   2.81   2.93  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17263  Destruction of skin lesions                       A   1.81   2.56     3.07     1.23     1.37     0.07   4.44   4.95   3.11   3.25  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17264  Destruction of skin lesions                       A   1.96   2.75     3.27     1.28     1.44     0.08   4.79   5.31   3.32   3.48  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17266  Destruction of skin lesions                       A   2.36   3.00     3.50     1.40     1.59     0.09   5.45   5.95   3.85   4.04  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17270  Destruction of skin lesions                       A   1.34   2.07     2.44     0.98     1.10     0.05   3.46   3.83   2.37   2.49  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17271  Destruction of skin lesions                       A   1.51   2.22     2.66     1.10     1.22     0.06   3.79   4.23   2.67   2.79  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17272  Destruction of skin lesions                       A   1.79   2.49     2.97     1.24     1.37     0.07   4.35   4.83   3.10   3.23  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17273  Destruction of skin lesions                       A   2.07   2.71     3.21     1.35     1.49     0.08   4.86   5.36   3.50   3.64  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17274  Destruction of skin lesions                       A   2.61   3.09     3.61     1.59     1.74     0.10   5.80   6.32   4.30   4.45  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17276  Destruction of skin lesions                       A   3.22   3.42     3.89     1.82     1.97     0.16   6.80   7.27   5.20   5.35  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17280  Destruction of skin lesions                       A   1.19   1.99     2.36     0.92     1.03     0.05   3.23   3.60   2.16   2.27  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17281  Destruction of skin lesions                       A   1.74   2.32     2.74     1.21     1.33     0.07   4.13   4.55   3.02   3.14  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17282  Destruction of skin lesions                       A   2.06   2.65     3.14     1.36     1.49     0.08   4.79   5.28   3.50   3.63  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17283  Destruction of skin lesions                       A   2.66   3.05     3.56     1.63     1.77     0.11   5.82   6.33   4.40   4.54  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17284  Destruction of skin lesions                       A   3.23   3.45     3.97     1.89     2.03     0.13   6.81   7.33   5.25   5.39  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17286  Destruction of skin lesions                       A   4.45   4.06     4.45     2.47     2.49     0.23   8.74   9.13   7.15   7.17  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17311  Mohs, 1 stage, h/n/hf/g                           A   6.20  10.71    10.71     3.05     3.05     0.24  17.15  17.15   9.49   9.49  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
17312  Mohs addl stage                                   A   3.30   6.89     6.89     1.62     1.62     0.13  10.32  10.32   5.05   5.05  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
17313  Mohs, 1 stage, t/a/l                              A   5.56   9.88     9.88     2.74     2.74     0.22  15.66  15.66   8.52   8.52  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
17314  Mohs, addl stage, t/a/l                           A   3.06   6.37     6.37     1.50     1.50     0.12   9.55   9.55   4.68   4.68  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
17315  Mohs surg, addl block                             A   0.87   1.14     1.14     0.43     0.43     0.03   2.04   2.04   1.33   1.33  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
17340  Cryotherapy of skin                               A   0.76   0.36     0.35     0.37     0.38     0.05   1.17   1.16   1.18   1.19  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
17360  Skin peel therapy                                 A   1.44   1.65     1.86     0.94     1.01     0.06   3.15   3.36   2.44   2.51  0010.10.80.1020100             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
19000  Drainage of breast lesion                         A   0.84   1.95     1.91     0.29     0.26     0.08   2.87   2.83   1.21   1.18  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
19001  Drain breast lesion add-on                        A   0.42   0.25     0.26     0.14     0.14     0.04   0.71   0.72   0.60   0.60  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
19020  Incision of breast lesion                         A   3.74   6.48     6.63     2.86     3.04     0.45  10.67  10.82   7.05   7.23  0090.10.71.1921100             38.0870 090 99     0.00   0.00   0.00
19030  Injection for breast x-ray                        A   1.53   2.77     2.67     0.52     0.54     0.09   4.39   4.29   2.14   2.16  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
19100  Bx breast percut w/o image                        A   1.27   2.08     2.08     0.37     0.33     0.16   3.51   3.51   1.80   1.76  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
19101  Biopsy of breast, open                            A   3.20   4.44     4.37     1.85     1.78     0.39   8.03   7.96   5.44   5.37  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
19102  Bx breast percut w/image                          A   2.00   3.65     3.47     0.67     0.68     0.14   5.79   5.61   2.81   2.82  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
19103  Bx breast percut w/device                         A   3.69  10.80    10.10     1.21     1.19     0.30  14.79  14.09   5.20   5.18  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
19105  Cryosurg ablate fa, each                          A   3.69  46.51    46.51     1.00     1.00     0.30  50.50  50.50   4.99   4.99  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
19110  Nipple exploration                                A   4.35   5.93     6.07     2.98     3.10     0.57  10.85  10.99   7.90   8.02  0090.10.71.1921100             38.0870 090 99     0.00   0.00   0.00
19112  Excise breast duct fistula                        A   3.72   6.15     6.23     2.91     3.13     0.48  10.35  10.43   7.11   7.33  0090.10.71.1921000             38.0870 090 99     0.00   0.00   0.00
19120  Removal of breast lesion                          A   5.84   4.81     5.09     3.21     3.37     0.73  11.38  11.66   9.78   9.94  0090.10.71.1921100             38.0870 090 99     0.00   0.00   0.00
19125  Excision, breast lesion                           A   6.59   5.17     5.56     3.47     3.65     0.80  12.56  12.95  10.86  11.04  0090.10.71.1921110             38.0870 090 99     0.00   0.00   0.00
19126  Excision, addl breast lesion                      A   2.93   0.87NA   0.75NA   0.87     0.75     0.38   4.18   4.06   4.18   4.06  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
19260  Removal of chest wall lesion                      A  17.60  10.65NA  10.15NA  10.65    10.15     2.14  30.39  29.89  30.39  29.89  0090.10.71.1920210             38.0870 090 99     0.00   0.00   0.00
19271  Revision of chest wall                            A  21.86  16.90NA  15.83NA  16.90    15.83     2.63  41.39  40.32  41.39  40.32  0090.10.71.1920210             38.0870 090 99     0.00   0.00   0.00
19272  Extensive chest wall surgery                      A  24.82  17.95NA  16.97NA  17.95    16.97     3.00  45.77  44.79  45.77  44.79  0090.10.71.1920210             38.0870 090 99     0.00   0.00   0.00
19290  Place needle wire, breast                         A   1.27   2.87     2.89     0.43     0.45     0.07   4.21   4.23   1.77   1.79  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
19291  Place needle wire, breast                         A   0.63   1.17     1.14     0.21     0.22     0.04   1.84   1.81   0.88   0.89  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
19295  Place breast clip, percut                         A   0.00   2.49     2.28     2.49NA   2.28 NA  0.01   2.50   2.29   2.50   2.29  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
19296  Place po breast cath for rad                      A   3.63 105.75    86.03     1.36     1.19     0.36 109.74  90.02   5.35   5.18  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
19297  Place breast cath for rad                         A   1.72   0.54NA   0.44NA   0.54     0.44     0.17   2.43   2.33   2.43   2.33  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
19298  Place breast rad tube/caths                       A   6.00  32.10    22.02     2.26     2.11     0.43  38.53  28.45   8.69   8.54  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
19300  Removal of breast tissue                          A   5.20   7.60     8.06     3.63     3.86     0.69  13.49  13.95   9.52   9.75  0090.10.71.1921100             38.0870 090 99     0.00   0.00   0.00
19301  Partical mastectomy                               A  10.00   4.02NA   4.63NA   4.02     4.63     0.79  14.81  15.42  14.81  15.42  0090.10.71.1921000             38.0870 090 99     0.00   0.00   0.00
19302  P-mastectomy w/ln removal                         A  13.88   6.24NA   6.14NA   6.24     6.14     1.80  21.92  21.82  21.92  21.82  0090.10.71.1921210             38.0870 090 99     0.00   0.00   0.00
19303  Mast, simple, complete                            A  15.67   6.01NA   7.00NA   6.01     7.00     1.18  22.86  23.85  22.86  23.85  0090.10.71.1921210             38.0870 090 99     0.00   0.00   0.00
19304  Mast, subq                                        A   7.81   4.85NA   4.94NA   4.85     4.94     1.04  13.70  13.79  13.70  13.79  0090.10.71.1921210             38.0870 090 99     0.00   0.00   0.00
19305  Mast, radical                                     A  17.23   8.04NA   8.12NA   8.04     8.12     1.93  27.20  27.28  27.20  27.28  0090.10.71.1921210             38.0870 090 99     0.00   0.00   0.00
19306  Mast, rad, urban type                             A  17.85   8.48NA   8.72NA   8.48     8.72     2.08  28.41  28.65  28.41  28.65  0090.10.71.1921210             38.0870 090 99     0.00   0.00   0.00
19307  Mast, mod rad                                     A  17.95   8.49NA   8.77NA   8.49     8.77     2.13  28.57  28.85  28.57  28.85  0090.10.71.1921210             38.0870 090 99     0.00   0.00   0.00
19316  Suspension of breast                              A  10.98   7.23NA   6.95NA   7.23     6.95     1.64  19.85  19.57  19.85  19.57  0090.10.71.1921210             38.0870 090 99     0.00   0.00   0.00
19318  Reduction of large breast                         A  15.91  10.54NA   9.91NA  10.54     9.91     2.93  29.38  28.75  29.38  28.75  0090.10.71.1921210             38.0870 090 99     0.00   0.00   0.00
19324  Enlarge breast                                    A   6.65   4.68NA   4.47NA   4.68     4.47     0.84  12.17  11.96  12.17  11.96  0090.10.71.1921000             38.0870 090 99     0.00   0.00   0.00
19325  Enlarge breast with implant                       A   8.52   6.47NA   6.41NA   6.47     6.41     1.33  16.32  16.26  16.32  16.26  0090.10.71.1921000             38.0870 090 99     0.00   0.00   0.00
19328  Removal of breast implant                         A   6.35   5.01NA   4.99NA   5.01     4.99     0.91  12.27  12.25  12.27  12.25  0090.10.71.1921100             38.0870 090 99     0.00   0.00   0.00
19330  Removal of implant material                       A   8.39   6.00NA   5.95NA   6.00     5.95     1.26  15.65  15.60  15.65  15.60  0090.10.71.1921100             38.0870 090 99     0.00   0.00   0.00
19340  Immediate breast prosthesis                       A   6.32   2.96NA   2.81NA   2.96     2.81     1.06  10.34  10.19  10.34  10.19  0ZZZ.00.00.0021110             38.0870 090 99     0.00   0.00   0.00
19342  Delayed breast prosthesis                         A  12.40   8.93NA   8.93NA   8.93     8.93     1.84  23.17  23.17  23.17  23.17  0090.10.71.1921010             38.0870 090 99     0.00   0.00   0.00
19350  Breast reconstruction                             A   8.99  11.87     9.89     6.88     6.59     1.41  22.27  20.29  17.28  16.99  0090.10.71.1921100             38.0870 090 99     0.00   0.00   0.00
19355  Correct inverted nipple(s)                        A   8.37   8.83     7.41     4.69     4.68     0.92  18.12  16.70  13.98  13.97  0090.10.71.1921000             38.0870 090 99     0.00   0.00   0.00
19357  Breast reconstruction                             A  20.57  15.51NA  15.39NA  15.51    15.39     2.94  39.02  38.90  39.02  38.90  0090.10.71.1921210             38.0870 090 99     0.00   0.00   0.00
19361  Breast reconstr w/lat flap                        A  23.17  14.62NA  16.80NA  14.62    16.80     2.93  40.72  42.90  40.72  42.90  0090.10.71.1921210             38.0870 090 99     0.00   0.00   0.00
19364  Breast reconstruction                             A  42.40  22.87NA  22.17NA  22.87    22.17     6.24  71.51  70.81  71.51  70.81  0090.10.71.1921210             38.0870 090 99     0.00   0.00   0.00
19366  Breast reconstruction                             A  21.70  10.75NA   9.91NA  10.75     9.91     3.25  35.70  34.86  35.70  34.86  0090.10.71.1921210             38.0870 090 99     0.00   0.00   0.00
19367  Breast reconstruction                             A  26.59  15.95NA  15.19NA  15.95    15.19     4.04  46.58  45.82  46.58  45.82  0090.10.71.1921210             38.0870 090 99     0.00   0.00   0.00
19368  Breast reconstruction                             A  33.61  18.48NA  18.04NA  18.48    18.04     5.54  57.63  57.19  57.63  57.19  0090.10.71.1921210             38.0870 090 99     0.00   0.00   0.00
19369  Breast reconstruction                             A  31.02  17.37NA  16.33NA  17.37    16.33     4.51  52.90  51.86  52.90  51.86  0090.10.71.1921210             38.0870 090 99     0.00   0.00   0.00
19370  Surgery of breast capsule                         A   8.99   6.85NA   6.79NA   6.85     6.79     1.29  17.13  17.07  17.13  17.07  0090.10.71.1921100             38.0870 090 99     0.00   0.00   0.00
19371  Removal of breast capsule                         A  10.42   7.76NA   7.69NA   7.76     7.69     1.62  19.80  19.73  19.80  19.73  0090.10.71.1921100             38.0870 090 99     0.00   0.00   0.00
19380  Revise breast reconstruction                      A  10.21   7.66NA   7.61NA   7.66     7.61     1.44  19.31  19.26  19.31  19.26  0090.10.71.1921100             38.0870 090 99     0.00   0.00   0.00
19396  Design custom breast implant                      A   2.17   2.81     4.53     1.14     1.28     0.30   5.28   7.00   3.61   3.75  0000.00.00.0021000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
20000  Incision of abscess                               A   2.14   2.74     2.78     1.63     1.53     0.25   5.13   5.17   4.02   3.92  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
20005  Incision of deep abscess                          A   3.55   3.58     3.67     2.13     2.01     0.46   7.59   7.68   6.14   6.02  0010.10.80.1020100             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
20100  Explore wound, neck                               A  10.33   4.02NA   3.58NA   4.02     3.58     1.21  15.56  15.12  15.56  15.12  0010.10.80.1021200             38.0870 090 99     0.00   0.00   0.00
20101  Explore wound, chest                              A   3.22   6.26     6.60     1.57     1.53     0.44   9.92  10.26   5.23   5.19  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
20102  Explore wound, abdomen                            A   3.95   7.21     6.95     1.87     1.84     0.49  11.65  11.39   6.31   6.28  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
20103  Explore wound, extremity                          A   5.31   8.20     7.81     3.09     2.79     0.75  14.26  13.87   9.15   8.85  0010.10.80.1020000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
20150  Excise epiphyseal bar                             A  14.60   7.34NA   7.65NA   7.34     7.65     2.04  23.98  24.29  23.98  24.29  0090.10.69.2121210             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
20200  Muscle biopsy                                     A   1.46   3.06     3.09     0.72     0.69     0.23   4.75   4.78   2.41   2.38  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
20205  Deep muscle biopsy                                A   2.35   3.86     3.83     1.14     1.10     0.33   6.54   6.51   3.82   3.78  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
20206  Needle biopsy, muscle                             A   0.99   5.86     5.22     0.60     0.57     0.07   6.92   6.28   1.66   1.63  0000.00.00.0020100             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
20220  Bone biopsy, trocar/needle                        A   1.27   3.63     2.71     0.73     0.68     0.08   4.98   4.06   2.08   2.03  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
20225  Bone biopsy, trocar/needle                        A   1.87  18.23    12.00     1.08     1.02     0.22  20.32  14.09   3.17   3.11  0000.00.00.0020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
20240  Bone biopsy, excisional                           A   3.25   2.29NA   2.02NA   2.29     2.02     0.44   5.98   5.71   5.98   5.71  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
20245  Bone biopsy, excisional                           A   8.77   6.16NA   5.75NA   6.16     5.75     1.31  16.24  15.83  16.24  15.83  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
20250  Open bone biopsy                                  A   5.16   3.57NA   3.63NA   3.57     3.63     1.02   9.75   9.81   9.75   9.81  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
20251  Open bone biopsy                                  A   5.69   4.00NA   3.85NA   4.00     3.85     1.15  10.84  10.69  10.84  10.69  0010.10.80.1020200             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
20500  Injection of sinus tract                          A   1.25   1.80     1.34     1.20     0.88     0.12   3.17   2.71   2.57   2.25  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
20501  Inject sinus tract for x-ray                      A   0.76   2.64     2.37     0.26     0.27     0.04   3.44   3.17   1.06   1.07  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
20520  Removal of foreign body                           A   1.87   2.76     2.61     1.61     1.45     0.21   4.84   4.69   3.69   3.53  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
20525  Removal of foreign body                           A   3.51   8.13     7.11     2.42     2.21     0.51  12.15  11.13   6.44   6.23  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
20526  Ther injection, carp tunnel                       A   0.94   0.89     0.81     0.46     0.41     0.13   1.96   1.88   1.53   1.48  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
20550  Inj tendon sheath/ligament                        A   0.75   0.67     0.63     0.26     0.28     0.09   1.51   1.47   1.10   1.12  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
20551  Inj tendon origin/insertion                       A   0.75   0.66     0.64     0.31     0.29     0.08   1.49   1.47   1.14   1.12  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
20552  Inj trigger point, 1/2 muscl                      A   0.66   0.65     0.58     0.22     0.24     0.05   1.36   1.29   0.93   0.95  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
20553  Inject trigger points, =/> 3                      A   0.75   0.73     0.64     0.24     0.26     0.04   1.52   1.43   1.03   1.05  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
20555  Place ndl musc/tis for rt                         A   6.00   2.18NA   2.18NA   2.18     2.18     0.43   8.61   8.61   8.61   8.61  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
20600  Drain/inject, joint/bursa                         A   0.66   0.66     0.66     0.33     0.31     0.08   1.40   1.40   1.07   1.05  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
20605  Drain/inject, joint/bursa                         A   0.68   0.75     0.74     0.34     0.32     0.08   1.51   1.50   1.10   1.08  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
20610  Drain/inject, joint/bursa                         A   0.79   1.01     1.07     0.41     0.40     0.11   1.91   1.97   1.31   1.30  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
20612  Aspirate/inj ganglion cyst                        A   0.70   0.70     0.70     0.34     0.32     0.10   1.50   1.50   1.14   1.12  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
20615  Treatment of bone cyst                            A   2.30   3.11     2.71     1.63     1.42     0.20   5.61   5.21   4.13   3.92  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
20650  Insert and remove bone pin                        A   2.25   2.41     2.46     1.50     1.45     0.31   4.97   5.02   4.06   4.01  0010.10.80.1020110             38.0870 090 99     0.00   0.00   0.00
20660  Apply, rem fixation device                        A   4.00   2.28     1.50     1.55     1.50     0.59   6.87   6.09   6.14   6.09  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
20661  Application of head brace                         A   5.14   5.48NA   6.05NA   5.48     6.05     1.14  11.76  12.33  11.76  12.33  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
20662  Application of pelvis brace                       A   6.26   5.17NA   4.81NA   5.17     4.81     0.56  11.99  11.63  11.99  11.63  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
20663  Application of thigh brace                        A   5.62   4.84NA   4.86NA   4.84     4.86     0.94  11.40  11.42  11.40  11.42  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
20664  Halo brace application                            A   9.86   7.43NA   7.81NA   7.43     7.81     1.75  19.04  19.42  19.04  19.42  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
20665  Removal of fixation device                        A   1.33   1.76     1.37     1.16     0.98     0.19   3.28   2.89   2.68   2.50  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
20670  Removal of support implant                        A   1.76   9.08     6.63     1.89     1.67     0.28  11.12   8.67   3.93   3.71  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
20680  Removal of support implant                        A   5.90   8.47     8.14     3.89     4.07     0.56  14.93  14.60  10.35  10.53  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
20690  Apply bone fixation device                        A   8.65   3.71NA   4.91NA   3.71     4.91     0.59  12.95  14.15  12.95  14.15  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
20692  Apply bone fixation device                        A  16.00   6.79NA   9.81NA   6.79     9.81     1.05  23.84  26.86  23.84  26.86  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
20693  Adjust bone fixation device                       A   5.97   4.97NA   4.49NA   4.97     4.49     0.98  11.92  11.44  11.92  11.44  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
20694  Remove bone fixation device                       A   4.20   6.23     5.31     3.78     3.53     0.71  11.14  10.22   8.69   8.44  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
20802  Replantation, arm, complete                       A  42.30  17.10NA  13.23NA  17.10    13.23     3.82  63.22  59.35  63.22  59.35  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
20805  Replant forearm, complete                         A  51.14  26.16NA  17.99NA  26.16    17.99     4.85  82.15  73.98  82.15  73.98  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
20808  Replantation hand, complete                       A  62.77  36.29NA  30.34NA  36.29    30.34     6.88 105.94  99.99 105.94  99.99  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
20816  Replantation digit, complete                      A  31.74  27.09NA  16.37NA  27.09    16.37     4.53  63.36  52.64  63.36  52.64  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
20822  Replantation digit, complete                      A  26.42  24.84NA  15.07NA  24.84    15.07     4.19  55.45  45.68  55.45  45.68  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
20824  Replantation thumb, complete                      A  31.74  26.39NA  16.21NA  26.39    16.21     4.62  62.75  52.57  62.75  52.57  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
20827  Replantation thumb, complete                      A  27.24  25.62NA  14.75NA  25.62    14.75     3.67  56.53  45.66  56.53  45.66  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
20838  Replantation foot, complete                       A  42.56  18.16NA  14.03NA  18.16    14.03     1.12  61.84  57.71  61.84  57.71  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
20900  Removal of bone for graft                         A   5.77   8.83     9.23     5.29     4.90     0.94  15.54  15.94  12.00  11.61  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
20902  Removal of bone for graft                         A   7.98   6.43NA   5.98NA   6.43     5.98     1.30  15.71  15.26  15.71  15.26  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
20910  Remove cartilage for graft                        A   5.41   4.88NA   4.57NA   4.88     4.57     0.71  11.00  10.69  11.00  10.69  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
20912  Remove cartilage for graft                        A   6.42   5.37NA   4.95NA   5.37     4.95     0.69  12.48  12.06  12.48  12.06  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
20920  Removal of fascia for graft                       A   5.42   4.28NA   4.34NA   4.28     4.34     0.66  10.36  10.42  10.36  10.42  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
20922  Removal of fascia for graft                       A   6.84   7.55     7.56     4.93     5.00     0.70  15.09  15.10  12.47  12.54  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
20924  Removal of tendon for graft                       A   6.59   5.43NA   4.97NA   5.43     4.97     1.04  13.06  12.60  13.06  12.60  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
20926  Removal of tissue for graft                       A   5.70   4.62NA   4.50NA   4.62     4.50     0.87  11.19  11.07  11.19  11.07  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
20930  Sp bone algrft morsel add-on                      B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
20931  Sp bone algrft struct add-on                      A   1.81   0.80NA   0.68NA   0.80     0.68     0.43   3.04   2.92   3.04   2.92  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
20936  Sp bone agrft local add-on                        B   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
20937  Sp bone agrft morsel add-on                       A   2.79   1.26NA   1.08NA   1.26     1.08     0.54   4.59   4.41   4.59   4.41  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
20938  Sp bone agrft struct add-on                       A   3.02   1.35NA   1.15NA   1.35     1.15     0.64   5.01   4.81   5.01   4.81  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
20950  Fluid pressure, muscle                            A   1.26   5.54     4.23     0.94     0.88     0.20   7.00   5.69   2.40   2.34  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
20955  Fibula bone graft, microvasc                      A  40.02  21.42NA  18.55NA  21.42    18.55     4.90  66.34  63.47  66.34  63.47  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
20956  Iliac bone graft, microvasc                       A  40.93  22.55NA  20.34NA  22.55    20.34     7.03  70.51  68.30  70.51  68.30  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
20957  Mt bone graft, microvasc                          A  42.33  17.42NA  15.89NA  17.42    15.89     7.07  66.82  65.29  66.82  65.29  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
20962  Other bone graft, microvasc                       A  39.21  23.93NA  21.32NA  23.93    21.32     6.57  69.71  67.10  69.71  67.10  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
20969  Bone/skin graft, microvasc                        A  45.11  23.88NA  21.12NA  23.88    21.12     4.80  73.79  71.03  73.79  71.03  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
20970  Bone/skin graft, iliac crest                      A  44.26  23.16NA  20.92NA  23.16    20.92     6.62  74.04  71.80  74.04  71.80  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
20972  Bone/skin graft, metatarsal                       A  44.19  17.76NA  14.93NA  17.76    14.93     5.32  67.27  64.44  67.27  64.44  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
20973  Bone/skin graft, great toe                        A  46.95  19.67NA  14.16NA  19.67    14.16     5.56  72.18  66.67  72.18  66.67  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
20974  Electrical bone stimulation                       A   0.62   0.83     0.98     0.51     0.48     0.11   1.56   1.71   1.24   1.21  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
20975  Electrical bone stimulation                       A   2.60   1.58NA   1.46NA   1.58     1.46     0.51   4.69   4.57   4.69   4.57  0000.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
20979  Us bone stimulation                               A   0.62   0.71     0.61     0.27     0.20     0.09   1.42   1.32   0.98   0.91  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
20982  Ablate, bone tumor(s) perq                        A   7.27  94.85    80.09     2.83     2.69     0.69 102.81  88.05  10.79  10.65  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
20985  Cptr-asst dir ms px                               A   2.50   0.99     0.99     0.99     0.99     0.48   3.97   3.97   3.97   3.97  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
20986  Cptr-asst dir ms px io img                        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             38.0870 090 99     0.00   0.00   0.00
20987  Cptr-asst dir ms px  pre img                      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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
21010  Incision of jaw joint                             A  10.90   6.69NA   6.29NA   6.69     6.29     1.11  18.70  18.30  18.70  18.30  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
21015  Resection of facial tumor                         A   5.59   4.66NA   4.31NA   4.66     4.31     0.70  10.95  10.60  10.95  10.60  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21025  Excision of bone, lower jaw                       A  11.07  12.40    12.55     9.05     8.75     1.32  24.79  24.94  21.44  21.14  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21026  Excision of facial bone(s)                        A   5.54   8.35     8.83     6.13     5.94     0.60  14.49  14.97  12.27  12.08  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21029  Contour of face bone lesion                       A   8.26   9.47     9.56     6.77     6.52     0.94  18.67  18.76  15.97  15.72  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21030  Excise max/zygoma b9 tumor                        A   4.80   6.76     7.19     4.86     4.69     0.54  12.10  12.53  10.20  10.03  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21031  Remove exostosis, mandible                        A   3.26   5.54     5.92     3.55     3.47     0.48   9.28   9.66   7.29   7.21  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21032  Remove exostosis, maxilla                         A   3.28   5.70     6.04     3.44     3.37     0.47   9.45   9.79   7.19   7.12  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21034  Excise max/zygoma mlg tumor                       A  17.17  14.94    13.94    11.40    10.12     1.72  33.83  32.83  30.29  29.01  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21040  Excise mandible lesion                            A   4.80   6.80     7.20     4.68     4.64     0.54  12.14  12.54  10.02   9.98  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21044  Removal of jaw bone lesion                        A  12.61   8.74NA   8.11NA   8.74     8.11     1.12  22.47  21.84  22.47  21.84  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21045  Extensive jaw surgery                             A  18.13  11.58NA  10.79NA  11.58    10.79     1.52  31.23  30.44  31.23  30.44  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21046  Remove mandible cyst complex                      A  13.97  11.70NA  11.50NA  11.70    11.50     1.86  27.53  27.33  27.53  27.33  0090.10.69.2120010             38.0870 090 99     0.00   0.00   0.00
21047  Excise lwr jaw cyst w/repair                      A  19.83  11.83NA  10.22NA  11.83    10.22     2.13  33.79  32.18  33.79  32.18  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21048  Remove maxilla cyst complex                       A  14.47  11.77NA  11.39NA  11.77    11.39     1.77  28.01  27.63  28.01  27.63  0090.10.69.2120010             38.0870 090 99     0.00   0.00   0.00
21049  Excis uppr jaw cyst w/repair                      A  19.08  11.66NA  10.29NA  11.66    10.29     1.59  32.33  30.96  32.33  30.96  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21050  Removal of jaw joint                              A  11.54   8.83NA   8.21NA   8.83     8.21     1.47  21.84  21.22  21.84  21.22  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
21060  Remove jaw joint cartilage                        A  10.91   7.90NA   7.20NA   7.90     7.20     1.38  20.19  19.49  20.19  19.49  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
21070  Remove coronoid process                           A   8.50   6.69NA   6.27NA   6.69     6.27     1.27  16.46  16.04  16.46  16.04  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
21073  Mnpj of tmj w/anesth                              A   3.33   5.50     5.50     2.31     2.31     0.43   9.26   9.26   6.07   6.07  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
21076  Prepare face/oral prosthesis                      A  13.40  10.19     8.02     7.35     4.69     2.00  25.59  23.42  22.75  20.09  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
21077  Prepare face/oral prosthesis                      A  33.70  24.89    18.44    18.93    11.83     4.56  63.15  56.70  57.19  50.09  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
21079  Prepare face/oral prosthesis                      A  22.31  17.74    13.97    12.63     8.10     3.16  43.21  39.44  38.10  33.57  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21080  Prepare face/oral prosthesis                      A  25.06  20.33    16.16    14.20     9.02     3.75  49.14  44.97  43.01  37.83  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21081  Prepare face/oral prosthesis                      A  22.85  18.67    15.02    12.95     8.41     3.21  44.73  41.08  39.01  34.47  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21082  Prepare face/oral prosthesis                      A  20.84  17.13    14.91    12.01     8.27     3.12  41.09  38.87  35.97  32.23  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21083  Prepare face/oral prosthesis                      A  19.27  16.86    14.91    11.11     7.78     2.89  39.02  37.07  33.27  29.94  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21084  Prepare face/oral prosthesis                      A  22.48  19.65    16.85    13.33     8.95     2.19  44.32  41.52  38.00  33.62  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21085  Prepare face/oral prosthesis                      A   8.99   7.61     6.93     5.15     3.52     1.27  17.87  17.19  15.41  13.78  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
21086  Prepare face/oral prosthesis                      A  24.88  18.34    12.91    13.95     8.45     3.72  46.94  41.51  42.55  37.05  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
21087  Prepare face/oral prosthesis                      A  24.88  18.17    13.05    13.88     8.55     3.45  46.50  41.38  42.21  36.88  0090.10.69.2120000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
21100  Maxillofacial fixation                            A   4.56  13.20    14.87     5.14     5.53     0.34  18.10  19.77  10.04  10.43  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21110  Interdental fixation                              A   5.80  11.31    13.06     9.05     9.74     0.72  17.83  19.58  15.57  16.26  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21116  Injection, jaw joint x-ray                        A   0.81   3.42     2.52     0.28     0.23     0.06   4.29   3.39   1.15   1.10  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
21120  Reconstruction of chin                            A   4.99  10.12     9.65     7.07     6.65     0.60  15.71  15.24  12.66  12.24  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
21121  Reconstruction of chin                            A   7.70  10.19    10.65     7.71     7.59     0.90  18.79  19.25  16.31  16.19  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21122  Reconstruction of chin                            A   8.59   8.54NA   8.46NA   8.54     8.46     1.07  18.20  18.12  18.20  18.12  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21123  Reconstruction of chin                            A  11.22   8.92NA   7.03NA   8.92     7.03     1.40  21.54  19.65  21.54  19.65  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21125  Augmentation, lower jaw bone                      A  10.68  59.63    64.01     7.38     6.43     0.79  71.10  75.48  18.85  17.90  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21127  Augmentation, lower jaw bone                      A  12.24  63.93    85.03     8.48     7.50     1.52  77.69  98.79  22.24  21.26  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21137  Reduction of forehead                             A  10.12   7.59NA   7.44NA   7.59     7.44     1.32  19.03  18.88  19.03  18.88  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21138  Reduction of forehead                             A  12.73   8.66NA   7.79NA   8.66     7.79     1.75  23.14  22.27  23.14  22.27  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21139  Reduction of forehead                             A  14.90   9.03NA   6.99NA   9.03     6.99     1.18  25.11  23.07  25.11  23.07  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21141  Reconstruct midface, lefort                       A  19.27  12.76NA  11.87NA  12.76    11.87     2.36  34.39  33.50  34.39  33.50  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21142  Reconstruct midface, lefort                       A  19.98  11.46NA  10.08NA  11.46    10.08     2.39  33.83  32.45  33.83  32.45  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21143  Reconstruct midface, lefort                       A  20.75  13.06NA  11.81NA  13.06    11.81     1.66  35.47  34.22  35.47  34.22  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21145  Reconstruct midface, lefort                       A  23.64  13.44NA  12.98NA  13.44    12.98     2.85  39.93  39.47  39.93  39.47  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21146  Reconstruct midface, lefort                       A  24.54  12.26NA   9.18NA  12.26     9.18     3.10  39.90  36.82  39.90  36.82  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21147  Reconstruct midface, lefort                       A  26.14  14.68NA  14.31NA  14.68    14.31     1.85  42.67  42.30  42.67  42.30  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21150  Reconstruct midface, lefort                       A  25.78  16.85NA  16.93NA  16.85    16.93     2.56  45.19  45.27  45.19  45.27  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21151  Reconstruct midface, lefort                       A  28.84  17.29NA  11.61NA  17.29    11.61     2.31  48.44  42.76  48.44  42.76  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21154  Reconstruct midface, lefort                       A  31.05  20.52NA  17.89NA  20.52    17.89     2.49  54.06  51.43  54.06  51.43  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21155  Reconstruct midface, lefort                       A  34.98  21.04NA  18.17NA  21.04    18.17     6.66  62.68  59.81  62.68  59.81  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21159  Reconstruct midface, lefort                       A  42.90  22.12NA  15.13NA  22.12    15.13     8.20  73.22  66.23  73.22  66.23  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21160  Reconstruct midface, lefort                       A  46.95  25.37NA  23.24NA  25.37    23.24     4.14  76.46  74.33  76.46  74.33  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21172  Reconstruct orbit/forehead                        A  28.07  13.75NA  13.75NA  13.75    13.75     3.56  45.38  45.38  45.38  45.38  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21175  Reconstruct orbit/forehead                        A  33.43  15.67NA  13.53NA  15.67    13.53     4.84  53.94  51.80  53.94  51.80  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21179  Reconstruct entire forehead                       A  22.53  12.68NA  11.22NA  12.68    11.22     2.81  38.02  36.56  38.02  36.56  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21180  Reconstruct entire forehead                       A  25.46  14.19NA  13.00NA  14.19    13.00     3.49  43.14  41.95  43.14  41.95  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21181  Contour cranial bone lesion                       A  10.18   7.15NA   6.83NA   7.15     6.83     1.32  18.65  18.33  18.65  18.33  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21182  Reconstruct cranial bone                          A  32.45  17.20NA  15.27NA  17.20    15.27     2.81  52.46  50.53  52.46  50.53  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21183  Reconstruct cranial bone                          A  35.57  20.03NA  19.23NA  20.03    19.23     4.48  60.08  59.28  60.08  59.28  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21184  Reconstruct cranial bone                          A  38.49  18.79NA  15.63NA  18.79    15.63     5.72  63.00  59.84  63.00  59.84  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21188  Reconstruction of midface                         A  22.97  17.27NA  15.65NA  17.27    15.65     1.70  41.94  40.32  41.94  40.32  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21193  Reconst lwr jaw w/o graft                         A  18.65  11.24NA   9.82NA  11.24     9.82     2.24  32.13  30.71  32.13  30.71  0090.10.69.2122210             38.0870 090 99     0.00   0.00   0.00
21194  Reconst lwr jaw w/graft                           A  21.54  12.95NA  12.13NA  12.95    12.13     2.03  36.52  35.70  36.52  35.70  0090.10.69.2122200             38.0870 090 99     0.00   0.00   0.00
21195  Reconst lwr jaw w/o fixation                      A  18.88  13.95NA  13.08NA  13.95    13.08     1.64  34.47  33.60  34.47  33.60  0090.10.69.2122200             38.0870 090 99     0.00   0.00   0.00
21196  Reconst lwr jaw w/fixation                        A  20.55  14.83NA  13.95NA  14.83    13.95     2.08  37.46  36.58  37.46  36.58  0090.10.69.2122210             38.0870 090 99     0.00   0.00   0.00
21198  Reconstr lwr jaw segment                          A  15.48  12.30NA  11.89NA  12.30    11.89     1.44  29.22  28.81  29.22  28.81  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21199  Reconstr lwr jaw w/advance                        A  16.62   8.35NA   7.57NA   8.35     7.57     1.39  26.36  25.58  26.36  25.58  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21206  Reconstruct upper jaw bone                        A  15.36  11.77NA  10.89NA  11.77    10.89     1.33  28.46  27.58  28.46  27.58  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21208  Augmentation of facial bones                      A  11.15  27.76    33.18     8.80     8.01     1.09  40.00  45.42  21.04  20.25  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21209  Reduction of facial bones                         A   7.58  11.50    12.20     7.73     7.40     0.90  19.98  20.68  16.21  15.88  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21210  Face bone graft                                   A  11.40  34.19    43.50     8.50     7.64     1.30  46.89  56.20  21.20  20.34  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21215  Lower jaw bone graft                              A  11.94  64.02    86.14     8.67     7.97     1.53  77.49  99.61  22.14  21.44  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
21230  Rib cartilage graft                               A  11.06   7.53NA   7.02NA   7.53     7.02     1.29  19.88  19.37  19.88  19.37  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21235  Ear cartilage graft                               A   7.31   9.98    10.12     6.30     6.19     0.61  17.90  18.04  14.22  14.11  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21240  Reconstruction of jaw joint                       A  15.77  10.75NA   9.44NA  10.75     9.44     2.25  28.77  27.46  28.77  27.46  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
21242  Reconstruction of jaw joint                       A  14.32  10.27NA   9.02NA  10.27     9.02     1.79  26.38  25.13  26.38  25.13  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
21243  Reconstruction of jaw joint                       A  24.03  15.80NA  14.16NA  15.80    14.16     3.26  43.09  41.45  43.09  41.45  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
21244  Reconstruction of lower jaw                       A  13.35  11.81NA  11.53NA  11.81    11.53     1.25  26.41  26.13  26.41  26.13  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21245  Reconstruction of jaw                             A  12.88  14.31    14.22     9.24     8.62     1.19  28.38  28.29  23.31  22.69  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21246  Reconstruction of jaw                             A  12.78   8.24NA   7.43NA   8.24     7.43     1.35  22.37  21.56  22.37  21.56  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21247  Reconstruct lower jaw bone                        A  24.05  15.03NA  12.70NA  15.03    12.70     2.84  41.92  39.59  41.92  39.59  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21248  Reconstruction of jaw                             A  12.54  12.38    12.61     8.46     7.52     1.55  26.47  26.70  22.55  21.61  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21249  Reconstruction of jaw                             A  18.57  16.24    15.74    11.16     9.62     2.49  37.30  36.80  32.22  30.68  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21255  Reconstruct lower jaw bone                        A  18.14  15.10NA  14.05NA  15.10    14.05     2.39  35.63  34.58  35.63  34.58  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21256  Reconstruction of orbit                           A  17.42  10.70NA   9.59NA  10.70     9.59     1.50  29.62  28.51  29.62  28.51  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21260  Revise eye sockets                                A  17.74  12.87NA  12.96NA  12.87    12.96     0.97  31.58  31.67  31.58  31.67  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21261  Revise eye sockets                                A  33.78  19.50NA  14.75NA  19.50    14.75     3.43  56.71  51.96  56.71  51.96  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21263  Revise eye sockets                                A  30.72  16.57NA  14.05NA  16.57    14.05     2.63  49.92  47.40  49.92  47.40  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21267  Revise eye sockets                                A  20.45  17.92NA  16.05NA  17.92    16.05     1.71  40.08  38.21  40.08  38.21  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21268  Revise eye sockets                                A  26.78  16.68NA  13.14NA  16.68    13.14     3.66  47.12  43.58  47.12  43.58  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21270  Augmentation, cheek bone                          A  10.52  11.41    11.16     6.58     5.90     0.72  22.65  22.40  17.82  17.14  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21275  Revision, orbitofacial bones                      A  11.65   7.66NA   7.16NA   7.66     7.16     1.29  20.60  20.10  20.60  20.10  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21280  Revision of eyelid                                A   6.92   5.79NA   5.66NA   5.79     5.66     0.42  13.13  13.00  13.13  13.00  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
21282  Revision of eyelid                                A   4.11   4.32NA   4.16NA   4.32     4.16     0.26   8.69   8.53   8.69   8.53  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
21295  Revision of jaw muscle/bone                       A   1.82   2.38NA   2.23NA   2.38     2.23     0.16   4.36   4.21   4.36   4.21  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21296  Revision of jaw muscle/bone                       A   4.67   5.17NA   5.43NA   5.17     5.43     0.34  10.18  10.44  10.18  10.44  0090.10.69.2120000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
21310  Treatment of nose fracture                        A   0.58   2.14     2.00     0.13     0.11     0.05   2.77   2.63   0.76   0.74  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
21315  Treatment of nose fracture                        A   1.78   4.48     4.72     1.83     1.78     0.14   6.40   6.64   3.75   3.70  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
21320  Treatment of nose fracture                        A   1.86   4.11     4.30     1.49     1.36     0.18   6.15   6.34   3.53   3.40  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
21325  Treatment of nose fracture                        A   4.07   7.80NA   6.98NA   7.80     6.98     0.31  12.18  11.36  12.18  11.36  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21330  Treatment of nose fracture                        A   5.68   8.67NA   7.63NA   8.67     7.63     0.56  14.91  13.87  14.91  13.87  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21335  Treatment of nose fracture                        A   8.91   9.05NA   8.48NA   9.05     8.48     0.74  18.70  18.13  18.70  18.13  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21336  Treat nasal septal fracture                       A   6.56   9.14NA   8.67NA   9.14     8.67     0.55  16.25  15.78  16.25  15.78  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21337  Treat nasal septal fracture                       A   3.26   6.14     6.15     3.57     3.56     0.28   9.68   9.69   7.11   7.10  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21338  Treat nasoethmoid fracture                        A   6.76  11.98NA   9.93NA  11.98     9.93     0.82  19.56  17.51  19.56  17.51  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21339  Treat nasoethmoid fracture                        A   8.39  11.87NA   9.84NA  11.87     9.84     0.96  21.22  19.19  21.22  19.19  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21340  Treatment of nose fracture                        A  11.33   7.83NA   7.25NA   7.83     7.25     1.15  20.31  19.73  20.31  19.73  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21343  Treatment of sinus fracture                       A  14.11  14.14NA  12.80NA  14.14    12.80     1.47  29.72  28.38  29.72  28.38  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21344  Treatment of sinus fracture                       A  21.36  14.79NA  13.06NA  14.79    13.06     2.44  38.59  36.86  38.59  36.86  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
21345  Treat nose/jaw fracture                           A   8.87  10.17    10.50     6.87     6.56     0.92  19.96  20.29  16.66  16.35  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21346  Treat nose/jaw fracture                           A  11.29  11.52NA  10.83NA  11.52    10.83     1.21  24.02  23.33  24.02  23.33  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
21347  Treat nose/jaw fracture                           A  13.37  13.97NA  11.74NA  13.97    11.74     1.47  28.81  26.58  28.81  26.58  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21348  Treat nose/jaw fracture                           A  17.36  11.06NA  11.00NA  11.06    11.00     2.49  30.91  30.85  30.91  30.85  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
21355  Treat cheek bone fracture                         A   4.32   6.07     5.91     3.37     3.25     0.34  10.73  10.57   8.03   7.91  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
21356  Treat cheek bone fracture                         A   4.70   7.05     6.98     4.30     4.06     0.46  12.21  12.14   9.46   9.22  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
21360  Treat cheek bone fracture                         A   7.03   5.67NA   5.40NA   5.67     5.40     0.74  13.44  13.17  13.44  13.17  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21365  Treat cheek bone fracture                         A  16.52   9.97NA   9.10NA   9.97     9.10     1.70  28.19  27.32  28.19  27.32  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21366  Treat cheek bone fracture                         A  18.44  10.92NA  10.51NA  10.92    10.51     2.50  31.86  31.45  31.86  31.45  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
21385  Treat eye socket fracture                         A   9.46   7.71NA   7.14NA   7.71     7.14     0.97  18.14  17.57  18.14  17.57  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21386  Treat eye socket fracture                         A   9.46   6.54NA   6.01NA   6.54     6.01     0.97  16.97  16.44  16.97  16.44  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21387  Treat eye socket fracture                         A  10.00   8.21NA   7.45NA   8.21     7.45     1.08  19.29  18.53  19.29  18.53  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21390  Treat eye socket fracture                         A  11.07   7.41NA   7.01NA   7.41     7.01     0.90  19.38  18.98  19.38  18.98  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21395  Treat eye socket fracture                         A  14.62   8.69NA   8.34NA   8.69     8.34     1.44  24.75  24.40  24.75  24.40  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21400  Treat eye socket fracture                         A   1.44   2.66     2.71     1.92     1.96     0.15   4.25   4.30   3.51   3.55  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21401  Treat eye socket fracture                         A   3.57   7.52     7.04     3.27     3.05     0.38  11.47  10.99   7.22   7.00  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21406  Treat eye socket fracture                         A   7.31   5.69NA   5.29NA   5.69     5.29     0.73  13.73  13.33  13.73  13.33  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21407  Treat eye socket fracture                         A   8.91   6.39NA   5.92NA   6.39     5.92     0.94  16.24  15.77  16.24  15.77  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21408  Treat eye socket fracture                         A  12.67   8.17NA   7.45NA   8.17     7.45     1.44  22.28  21.56  22.28  21.56  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
21421  Treat mouth roof fracture                         A   5.80  10.90    12.47     8.76     9.22     0.73  17.43  19.00  15.29  15.75  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21422  Treat mouth roof fracture                         A   8.62   7.56NA   7.05NA   7.56     7.05     0.99  17.17  16.66  17.17  16.66  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21423  Treat mouth roof fracture                         A  10.71   8.37NA   7.40NA   8.37     7.40     1.27  20.35  19.38  20.35  19.38  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
21431  Treat craniofacial fracture                       A   7.74  10.19NA  10.85NA  10.19    10.85     0.70  18.63  19.29  18.63  19.29  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21432  Treat craniofacial fracture                       A   8.76   7.44NA   6.81NA   7.44     6.81     0.81  17.01  16.38  17.01  16.38  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21433  Treat craniofacial fracture                       A  26.13  14.28NA  12.14NA  14.28    12.14     2.79  43.20  41.06  43.20  41.06  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21435  Treat craniofacial fracture                       A  20.02  11.90NA  11.08NA  11.90    11.08     1.99  33.91  33.09  33.91  33.09  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21436  Treat craniofacial fracture                       A  30.01  15.69NA  13.15NA  15.69    13.15     3.10  48.80  46.26  48.80  46.26  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
21440  Treat dental ridge fracture                       A   3.28   8.59    10.07     6.81     7.46     0.38  12.25  13.73  10.47  11.12  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21445  Treat dental ridge fracture                       A   6.04  11.02    12.29     8.42     8.47     0.78  17.84  19.11  15.24  15.29  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21450  Treat lower jaw fracture                          A   3.55   8.95    10.51     7.30     7.72     0.33  12.83  14.39  11.18  11.60  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21451  Treat lower jaw fracture                          A   5.46  11.17    12.99     9.04     9.68     0.63  17.26  19.08  15.13  15.77  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21452  Treat lower jaw fracture                          A   2.29  12.54    12.04     5.34     6.06     0.27  15.10  14.60   7.90   8.62  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21453  Treat lower jaw fracture                          A   6.40  12.78    14.81    11.20    11.66     0.74  19.92  21.95  18.34  18.80  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21454  Treat lower jaw fracture                          A   7.17   6.00NA   5.72NA   6.00     5.72     0.82  13.99  13.71  13.99  13.71  0090.10.69.2120010             38.0870 090 99     0.00   0.00   0.00
21461  Treat lower jaw fracture                          A   9.07  33.10    41.73    12.74    12.82     0.98  43.15  51.78  22.79  22.87  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
21462  Treat lower jaw fracture                          A  10.77  35.32    43.02    13.07    13.41     1.27  47.36  55.06  25.11  25.45  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21465  Treat lower jaw fracture                          A  12.88   8.97NA   8.12NA   8.97     8.12     1.50  23.35  22.50  23.35  22.50  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21470  Treat lower jaw fracture                          A  17.24  11.10NA  10.18NA  11.10    10.18     1.97  30.31  29.39  30.31  29.39  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21480  Reset dislocated jaw                              A   0.61   1.65     1.52     0.18     0.18     0.06   2.32   2.19   0.85   0.85  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
21485  Reset dislocated jaw                              A   4.58  10.16    12.10     8.39     9.11     0.51  15.25  17.19  13.48  14.20  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
21490  Repair dislocated jaw                             A  12.71   8.91NA   8.13NA   8.91     8.13     1.97  23.59  22.81  23.59  22.81  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
21495  Treat hyoid bone fracture                         A   6.55   9.45NA  10.48NA   9.45    10.48     0.46  16.46  17.49  16.46  17.49  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21497  Interdental wiring                                A   4.45  10.34    12.23     8.50     9.35     0.50  15.29  17.18  13.45  14.30  0090.10.69.2120000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
21501  Drain neck/chest lesion                           A   3.87   6.49     6.56     3.67     3.52     0.43  10.79  10.86   7.97   7.82  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21502  Drain chest lesion                                A   7.43   5.10NA   4.56NA   5.10     4.56     0.97  13.50  12.96  13.50  12.96  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21510  Drainage of bone lesion                           A   6.06   5.24NA   4.81NA   5.24     4.81     0.80  12.10  11.67  12.10  11.67  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21550  Biopsy of neck/chest                              A   2.08   3.97     4.36     1.75     1.79     0.16   6.21   6.60   3.99   4.03  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
21555  Remove lesion, neck/chest                         A   4.40   5.65     5.79     3.31     3.43     0.56  10.61  10.75   8.27   8.39  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21556  Remove lesion, neck/chest                         A   5.63   4.12NA   4.14NA   4.12     4.14     0.65  10.40  10.42  10.40  10.42  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21557  Remove tumor, neck/chest                          A   8.91   4.94NA   4.51NA   4.94     4.51     1.08  14.93  14.50  14.93  14.50  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21600  Partial removal of rib                            A   7.14   5.85NA   5.97NA   5.85     5.97     0.99  13.98  14.10  13.98  14.10  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21610  Partial removal of rib                            A  15.76   8.89NA   8.90NA   8.89     8.90     3.08  27.73  27.74  27.73  27.74  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21615  Removal of rib                                    A  10.31   5.93NA   5.17NA   5.93     5.17     1.45  17.69  16.93  17.69  16.93  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
21616  Removal of rib and nerves                         A  12.54   7.27NA   6.52NA   7.27     6.52     1.87  21.68  20.93  21.68  20.93  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
21620  Partial removal of sternum                        A   7.16   5.37NA   4.76NA   5.37     4.76     0.98  13.51  12.90  13.51  12.90  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21627  Sternal debridement                               A   7.18   5.93NA   5.55NA   5.93     5.55     1.02  14.13  13.75  14.13  13.75  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21630  Extensive sternum surgery                         A  19.01  11.10NA  10.36NA  11.10    10.36     2.59  32.70  31.96  32.70  31.96  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21632  Extensive sternum surgery                         A  19.51  10.27NA   9.43NA  10.27     9.43     2.66  32.44  31.60  32.44  31.60  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21685  Hyoid myotomy & suspension                        A  14.89   9.37NA   8.77NA   9.37     8.77     1.06  25.32  24.72  25.32  24.72  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
21700  Revision of neck muscle                           A   6.23   4.42NA   4.40NA   4.42     4.40     0.32  10.97  10.95  10.97  10.95  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21705  Revision of neck muscle/rib                       A   9.83   4.97NA   4.36NA   4.97     4.36     1.43  16.23  15.62  16.23  15.62  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21720  Revision of neck muscle                           A   5.72   3.29NA   4.11NA   3.29     4.11     0.91   9.92  10.74   9.92  10.74  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21725  Revision of neck muscle                           A   7.10   5.30NA   5.15NA   5.30     5.15     1.21  13.61  13.46  13.61  13.46  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21740  Reconstruction of sternum                         A  17.47   8.36NA   8.21NA   8.36     8.21     2.37  28.20  28.05  28.20  28.05  0090.10.69.2120210             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
21750  Repair of sternum separation                      A  11.35   5.72NA   5.32NA   5.72     5.32     1.63  18.70  18.30  18.70  18.30  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
21800  Treatment of rib fracture                         A   0.98   1.35     1.36     1.38     1.43     0.09   2.42   2.43   2.45   2.50  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21805  Treatment of rib fracture                         A   2.80   3.24NA   3.27NA   3.24     3.27     0.38   6.42   6.45   6.42   6.45  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
21810  Treatment of rib fracture(s)                      A   6.92   5.17NA   5.38NA   5.17     5.38     0.94  13.03  13.24  13.03  13.24  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
21820  Treat sternum fracture                            A   1.31   1.83     1.83     1.83     1.89     0.16   3.30   3.30   3.30   3.36  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21825  Treat sternum fracture                            A   7.65   5.89NA   5.38NA   5.89     5.38     1.11  14.65  14.14  14.65  14.14  0090.10.69.2120210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
21920  Biopsy soft tissue of back                        A   2.08   3.86     4.44     1.68     1.88     0.14   6.08   6.66   3.90   4.10  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
21925  Biopsy soft tissue of back                        A   4.54   5.26     5.35     3.30     3.36     0.60  10.40  10.49   8.44   8.50  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21930  Remove lesion, back or flank                      A   5.06   5.88     6.05     3.59     3.78     0.66  11.60  11.77   9.31   9.50  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
21935  Remove tumor, back                                A  18.38   9.04NA   8.45NA   9.04     8.45     2.48  29.90  29.31  29.90  29.31  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
22010  I&d, p-spine, c/t/cerv-thor                       A  12.57   8.62NA   8.36NA   8.62     8.36     1.74  22.93  22.67  22.93  22.67  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
22015  I&d, p-spine, l/s/ls                              A  12.46   8.59NA   8.34NA   8.59     8.34     1.72  22.77  22.52  22.77  22.52  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
22100  Remove part of neck vertebra                      A  10.80   7.87NA   8.20NA   7.87     8.20     2.14  20.81  21.14  20.81  21.14  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22101  Remove part, thorax vertebra                      A  10.88   7.94NA   8.12NA   7.94     8.12     1.91  20.73  20.91  20.73  20.91  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22102  Remove part, lumbar vertebra                      A  10.88   8.02NA   7.93NA   8.02     7.93     1.88  20.78  20.69  20.78  20.69  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22103  Remove extra spine segment                        A   2.34   1.05NA   0.90NA   1.05     0.90     0.44   3.83   3.68   3.83   3.68  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
22110  Remove part of neck vertebra                      A  13.80   9.15NA   9.12NA   9.15     9.12     2.77  25.72  25.69  25.72  25.69  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22112  Remove part, thorax vertebra                      A  13.87   9.16NA   9.03NA   9.16     9.03     2.53  25.56  25.43  25.56  25.43  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22114  Remove part, lumbar vertebra                      A  13.87   9.14NA   9.01NA   9.14     9.01     2.64  25.65  25.52  25.65  25.52  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22116  Remove extra spine segment                        A   2.32   1.03NA   0.89NA   1.03     0.89     0.50   3.85   3.71   3.85   3.71  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
22206  Cut spine 3 col, thor                             A  37.00  17.73NA  17.73NA  17.73    17.73     6.23  60.96  60.96  60.96  60.96  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22207  Cut spine 3 col, lumb                             A  36.50  17.61NA  17.61NA  17.61    17.61     6.07  60.18  60.18  60.18  60.18  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22208  Cut spine 3 col, addl seg                         A   9.66   3.73     3.73     3.73     3.73     2.07  15.46  15.46  15.46  15.46  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
22210  Revision of neck spine                            A  25.13  14.99NA  14.56NA  14.99    14.56     5.46  45.58  45.15  45.58  45.15  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22212  Revision of thorax spine                          A  20.74  12.87NA  12.45NA  12.87    12.45     3.91  37.52  37.10  37.52  37.10  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
22214  Revision of lumbar spine                          A  20.77  13.18NA  12.54NA  13.18    12.54     3.92  37.87  37.23  37.87  37.23  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22216  Revise, extra spine segment                       A   6.03   2.73NA   2.32NA   2.73     2.32     1.29  10.05   9.64  10.05   9.64  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
22220  Revision of neck spine                            A  22.69  13.50NA  13.36NA  13.50    13.36     5.08  41.27  41.13  41.27  41.13  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22222  Revision of thorax spine                          A  22.84  10.80NA  10.47NA  10.80    10.47     4.13  37.77  37.44  37.77  37.44  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
22224  Revision of lumbar spine                          A  22.84  13.57NA  12.90NA  13.57    12.90     4.19  40.60  39.93  40.60  39.93  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22226  Revise, extra spine segment                       A   6.03   2.69NA   2.28NA   2.69     2.28     1.29  10.01   9.60  10.01   9.60  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
22305  Treat spine process fracture                      A   2.08   2.23     2.15     1.86     1.80     0.39   4.70   4.62   4.33   4.27  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
22310  Treat spine fracture                              A   3.69   2.90     2.99     2.43     2.50     0.50   7.09   7.18   6.62   6.69  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
22315  Treat spine fracture                              A   9.91   9.79     9.89     7.39     7.44     1.86  21.56  21.66  19.16  19.21  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
22318  Treat odontoid fx w/o graft                       A  22.54  13.33NA  13.27NA  13.33    13.27     5.30  41.17  41.11  41.17  41.11  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
22319  Treat odontoid fx w/graft                         A  25.15  14.09NA  13.46NA  14.09    13.46     6.05  45.29  44.66  45.29  44.66  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
22325  Treat spine fracture                              A  19.62  12.12NA  12.15NA  12.12    12.15     3.88  35.62  35.65  35.62  35.65  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22326  Treat neck spine fracture                         A  20.64  12.37NA  12.03NA  12.37    12.03     4.43  37.44  37.10  37.44  37.10  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22327  Treat thorax spine fracture                       A  20.52  12.36NA  12.34NA  12.36    12.34     3.99  36.87  36.85  36.87  36.85  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22328  Treat each add spine fx                           A   4.60   2.01NA   1.76NA   2.01     1.76     0.94   7.55   7.30   7.55   7.30  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
22505  Manipulation of spine                             A   1.87   1.02NA   1.10NA   1.02     1.10     0.36   3.25   3.33   3.25   3.33  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
22520  Percut vertebroplasty thor                        A   9.17  52.77    43.83     4.84     4.58     1.72  63.66  54.72  15.73  15.47  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
22521  Percut vertebroplasty lumb                        A   8.60  50.51    45.01     4.65     4.36     1.60  60.71  55.21  14.85  14.56  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
22522  Percut vertebroplasty addl                       A   4.30   1.59NA   1.51NA   1.59     1.51     0.82   6.71   6.63   6.71   6.63  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
22523  Percut kyphoplasty, thor                          A   9.21   5.29NA   4.67NA   5.29     4.67     1.72  16.22  15.60  16.22  15.60  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
22524  Percut kyphoplasty, lumbar                        A   8.81   5.11NA   4.53NA   5.11     4.53     1.60  15.52  14.94  15.52  14.94  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
22525  Percut kyphoplasty, add-on                        A   4.47   1.98NA   1.69NA   1.98     1.69     0.82   7.27   6.98   7.27   6.98  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
22526  Idet, single level                                A   6.07  46.73    46.73     2.05     2.05     1.16  53.96  53.96   9.28   9.28  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
22527  Idet, 1 or more levels                            A   3.03  40.40    40.40     0.70     0.70     0.58  44.01  44.01   4.31   4.31  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
22532  Lat thorax spine fusion                           A  25.81  14.31NA  13.79NA  14.31    13.79     4.35  44.47  43.95  44.47  43.95  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
22533  Lat lumbar spine fusion                           A  24.61  13.59NA  13.58NA  13.59    13.58     3.16  41.36  41.35  41.36  41.35  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
22534  Lat thor/lumb, addl seg                          A   5.99   2.66NA   2.28NA   2.66     2.28     1.25   9.90   9.52   9.90   9.52  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
22548  Neck spine fusion                                 A  26.86  15.38NA  14.94NA  15.38    14.94     5.61  47.85  47.41  47.85  47.41  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
22554  Neck spine fusion                                 A  17.54  11.50NA  10.65NA  11.50    10.65     4.46  33.50  32.65  33.50  32.65  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
22556  Thorax spine fusion                               A  24.50  13.85NA  12.96NA  13.85    12.96     4.35  42.70  41.81  42.70  41.81  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
22558  Lumbar spine fusion                               A  23.33  12.37NA  11.44NA  12.37    11.44     3.16  38.86  37.93  38.86  37.93  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
22585  Additional spinal fusion                          A   5.52   2.43NA   2.06NA   2.43     2.06     1.25   9.20   8.83   9.20   8.83  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
22590  Spine & skull spinal fusion                       A  21.56  13.21NA  13.08NA  13.21    13.08     4.79  39.56  39.43  39.56  39.43  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
22595  Neck spinal fusion                                A  20.44  12.75NA  12.65NA  12.75    12.65     4.41  37.60  37.50  37.60  37.50  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
22600  Neck spine fusion                                 A  17.20  11.20NA  11.20NA  11.20    11.20     3.73  32.13  32.13  32.13  32.13  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
22610  Thorax spine fusion                               A  17.08  11.12NA  10.82NA  11.12    10.82     3.53  31.73  31.43  31.73  31.43  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
22612  Lumbar spine fusion                               A  23.38  13.36NA  12.50NA  13.36    12.50     4.47  41.21  40.35  41.21  40.35  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
22614  Spine fusion, extra segment                       A   6.43   2.90NA   2.46NA   2.90     2.46     1.38  10.71  10.27  10.71  10.27  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
22630  Lumbar spine fusion                               A  21.89  13.08NA  12.54NA  13.08    12.54     4.73  39.70  39.16  39.70  39.16  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
22632  Spine fusion, extra segment                       A   5.22   2.33NA   1.99NA   2.33     1.99     1.16   8.71   8.37   8.71   8.37  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
22800  Fusion of spine                                   A  19.30  11.97NA  11.16NA  11.97    11.16     3.76  35.03  34.22  35.03  34.22  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22802  Fusion of spine                                   A  31.91  17.80NA  16.00NA  17.80    16.00     6.17  55.88  54.08  55.88  54.08  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22804  Fusion of spine                                   A  37.30  20.42NA  18.13NA  20.42    18.13     7.00  64.72  62.43  64.72  62.43  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22808  Fusion of spine                                   A  27.31  15.19NA  14.06NA  15.19    14.06     4.93  47.43  46.30  47.43  46.30  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22810  Fusion of spine                                   A  31.30  16.64NA  14.92NA  16.64    14.92     5.15  53.09  51.37  53.09  51.37  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22812  Fusion of spine                                   A  34.00  18.73NA  17.39NA  18.73    17.39     5.30  58.03  56.69  58.03  56.69  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22818  Kyphectomy, 1-2 segments                          A  34.18  17.75NA  16.63NA  17.75    16.63     6.47  58.40  57.28  58.40  57.28  0090.11.76.1320222             38.0870 090 99     0.00   0.00   0.00
22819  Kyphectomy, 3 or more                             A  39.18  19.47NA  18.88NA  19.47    18.88     7.67  66.32  65.73  66.32  65.73  0090.11.76.1320222             38.0870 090 99     0.00   0.00   0.00
22830  Exploration of spinal fusion                      A  11.13   7.51NA   7.06NA   7.51     7.06     2.30  20.94  20.49  20.94  20.49  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22840  Insert spine fixation device                      A  12.52   5.64NA   4.78NA   5.64     4.78     2.79  20.95  20.09  20.95  20.09  0ZZZ.00.00.0000210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
22842  Insert spine fixation device                      A  12.56   5.65NA   4.80NA   5.65     4.80     2.75  20.96  20.11  20.96  20.11  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
22843  Insert spine fixation device                      A  13.44   5.88NA   5.16NA   5.88     5.16     2.86  22.18  21.46  22.18  21.46  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
22844  Insert spine fixation device                      A  16.42   7.58NA   6.41NA   7.58     6.41     3.19  27.19  26.02  27.19  26.02  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
22845  Insert spine fixation device                      A  11.94   5.28NA   4.49NA   5.28     4.49     2.86  20.08  19.29  20.08  19.29  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
22846  Insert spine fixation device                      A  12.40   5.50NA   4.66NA   5.50     4.66     2.96  20.86  20.02  20.86  20.02  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
22847  Insert spine fixation device                      A  13.78   6.11NA   5.20NA   6.11     5.20     3.00  22.89  21.98  22.89  21.98  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
22848  Insert pelv fixation device                       A   5.99   2.76NA   2.34NA   2.76     2.34     1.15   9.90   9.48   9.90   9.48  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
22849  Reinsert spinal fixation                          A  19.08  10.95NA  10.17NA  10.95    10.17     3.90  33.93  33.15  33.93  33.15  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22850  Remove spine fixation device                      A   9.74   6.70NA   6.41NA   6.70     6.41     2.05  18.49  18.20  18.49  18.20  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22851  Apply spine prosth device                         A   6.70   2.95NA   2.54NA   2.95     2.54     1.49  11.14  10.73  11.14  10.73  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
22852  Remove spine fixation device                      A   9.29   6.49NA   6.18NA   6.49     6.18     1.90  17.68  17.37  17.68  17.37  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22855  Remove spine fixation device                      A  15.77   9.43NA   9.18NA   9.43     9.18     3.52  28.72  28.47  28.72  28.47  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
22857  Lumbar artif diskectomy                           R  26.93  14.82NA  14.82NA  14.82    14.82     3.56  45.31  45.31  45.31  45.31  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
22862  Revise lumbar artif disc                          R  32.43  16.09NA  16.09NA  16.09    16.09     5.36  53.88  53.88  53.88  53.88  0090.10.71.1920222             38.0870 090 99     0.00   0.00   0.00
22865  Remove lumb artif disc                            R  31.55  15.74NA  15.74NA  15.74    15.74     5.18  52.47  52.47  52.47  52.47  0090.10.71.1920222             38.0870 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             38.0870 090 99     0.00   0.00   0.00
22900  Remove abdominal wall lesion                      A   6.14   3.38NA   3.54NA   3.38     3.54     0.76  10.28  10.44  10.28  10.44  0090.10.69.2120210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
23000  Removal of calcium deposits                       A   4.40   8.21     7.89     4.08     3.74     0.68  13.29  12.97   9.16   8.82  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
23020  Release shoulder joint                            A   9.24   7.02NA   6.49NA   7.02     6.49     1.54  17.80  17.27  17.80  17.27  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
23030  Drain shoulder lesion                             A   3.44   6.84     6.29     2.65     2.40     0.57  10.85  10.30   6.66   6.41  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
23031  Drain shoulder bursa                              A   2.76   7.19     6.52     2.47     2.22     0.46  10.41   9.74   5.69   5.44  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
23035  Drain shoulder bone lesion                        A   9.04   7.36NA   6.46NA   7.36     6.46     1.47  17.87  16.97  17.87  16.97  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
23040  Exploratory shoulder surgery                      A   9.63   7.31NA   6.75NA   7.31     6.75     1.60  18.54  17.98  18.54  17.98  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23044  Exploratory shoulder surgery                      A   7.48   5.98NA   5.52NA   5.98     5.52     1.24  14.70  14.24  14.70  14.24  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
23065  Biopsy shoulder tissues                           A   2.28   2.72     2.96     1.68     1.74     0.20   5.20   5.44   4.16   4.22  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
23066  Biopsy shoulder tissues                           A   4.21   7.72     7.76     3.80     3.61     0.63  12.56  12.60   8.64   8.45  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23075  Removal of shoulder lesion                        A   2.41   3.68     3.70     1.75     1.72     0.34   6.43   6.45   4.50   4.47  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
23076  Removal of shoulder lesion                        A   7.77   5.44NA   5.32NA   5.44     5.32     1.13  14.34  14.22  14.34  14.22  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23077  Remove tumor of shoulder                          A  18.08   9.92NA   9.61NA   9.92     9.61     2.34  30.34  30.03  30.34  30.03  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23100  Biopsy of shoulder joint                          A   6.09   5.33NA   5.00NA   5.33     5.00     1.04  12.46  12.13  12.46  12.13  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23101  Shoulder joint surgery                            A   5.63   4.94NA   4.54NA   4.94     4.54     0.96  11.53  11.13  11.53  11.13  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
23105  Remove shoulder joint lining                      A   8.36   6.61NA   6.10NA   6.61     6.10     1.42  16.39  15.88  16.39  15.88  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23106  Incision of collarbone joint                      A   6.02   5.25NA   4.79NA   5.25     4.79     0.99  12.26  11.80  12.26  11.80  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
23107  Explore treat shoulder joint                      A   8.75   6.83NA   6.26NA   6.83     6.26     1.49  17.07  16.50  17.07  16.50  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23120  Partial removal, collar bone                      A   7.23   5.97NA   5.47NA   5.97     5.47     1.23  14.43  13.93  14.43  13.93  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
23125  Removal of collar bone                            A   9.52   6.98NA   6.39NA   6.98     6.39     1.62  18.12  17.53  18.12  17.53  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23130  Remove shoulder bone, part                        A   7.63   6.61NA   6.08NA   6.61     6.08     1.30  15.54  15.01  15.54  15.01  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
23140  Removal of bone lesion                            A   7.01   5.07NA   4.90NA   5.07     4.90     1.08  13.16  12.99  13.16  12.99  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23145  Removal of bone lesion                            A   9.28   6.97NA   6.49NA   6.97     6.49     1.49  17.74  17.26  17.74  17.26  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23146  Removal of bone lesion                            A   7.96   6.52NA   5.92NA   6.52     5.92     1.35  15.83  15.23  15.83  15.23  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
23150  Removal of humerus lesion                         A   8.79   6.59NA   6.26NA   6.59     6.26     1.32  16.70  16.37  16.70  16.37  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23155  Removal of humerus lesion                         A  10.72   7.79NA   7.26NA   7.79     7.26     1.81  20.32  19.79  20.32  19.79  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23156  Removal of humerus lesion                         A   8.99   6.84NA   6.29NA   6.84     6.29     1.50  17.33  16.78  17.33  16.78  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
23170  Remove collar bone lesion                         A   7.10   5.51NA   5.00NA   5.51     5.00     1.12  13.73  13.22  13.73  13.22  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23172  Remove shoulder blade lesion                      A   7.20   5.90NA   5.52NA   5.90     5.52     1.01  14.11  13.73  14.11  13.73  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
23174  Remove humerus lesion                             A   9.90   7.77NA   7.18NA   7.77     7.18     1.65  19.32  18.73  19.32  18.73  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23180  Remove collar bone lesion                         A   8.85   7.71NA   6.42NA   7.71     6.42     1.47  18.03  16.74  18.03  16.74  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
23182  Remove shoulder blade lesion                      A   8.47   7.49NA   6.43NA   7.49     6.43     1.37  17.33  16.27  17.33  16.27  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
23184  Remove humerus lesion                             A   9.76   8.12NA   6.93NA   8.12     6.93     1.63  19.51  18.32  19.51  18.32  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23190  Partial removal of scapula                        A   7.36   5.74NA   5.31NA   5.74     5.31     1.17  14.27  13.84  14.27  13.84  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23195  Removal of head of humerus                        A  10.24   7.33NA   6.92NA   7.33     6.92     1.71  19.28  18.87  19.28  18.87  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23200  Removal of collar bone                            A  12.69   7.92NA   7.12NA   7.92     7.12     1.94  22.55  21.75  22.55  21.75  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23210  Removal of shoulder blade                         A  13.16   8.41NA   7.81NA   8.41     7.81     2.03  23.60  23.00  23.60  23.00  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23220  Partial removal of humerus                        A  15.36   9.99NA   9.15NA   9.99     9.15     2.49  27.84  27.00  27.84  27.00  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23221  Partial removal of humerus                        A  18.41  11.17NA  10.62NA  11.17    10.62     3.06  32.64  32.09  32.64  32.09  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
23222  Partial removal of humerus                        A  25.44  14.57NA  13.35NA  14.57    13.35     3.95  43.96  42.74  43.96  42.74  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23330  Remove shoulder foreign body                      A   1.87   3.52     3.36     1.70     1.51     0.24   5.63   5.47   3.81   3.62  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
23331  Remove shoulder foreign body                      A   7.51   6.32NA   5.84NA   6.32     5.84     1.27  15.10  14.62  15.10  14.62  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
23332  Remove shoulder foreign body                      A  12.23   8.65NA   7.97NA   8.65     7.97     2.03  22.91  22.23  22.91  22.23  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23350  Injection for shoulder x-ray                      A   1.00   3.10     2.73     0.34     0.35     0.06   4.16   3.79   1.40   1.41  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
23395  Muscle transfer,shoulder/arm                      A  18.29  12.04NA  11.21NA  12.04    11.21     2.94  33.27  32.44  33.27  32.44  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
23397  Muscle transfers                                  A  16.62  10.47NA   9.56NA  10.47     9.56     2.74  29.83  28.92  29.83  28.92  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
23400  Fixation of shoulder blade                        A  13.73   9.31NA   8.55NA   9.31     8.55     2.30  25.34  24.58  25.34  24.58  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23405  Incision of tendon & muscle                       A   8.43   6.42NA   5.92NA   6.42     5.92     1.45  16.30  15.80  16.30  15.80  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
23406  Incise tendon(s) & muscle(s)                      A  10.90   7.63NA   6.91NA   7.63     6.91     1.88  20.41  19.69  20.41  19.69  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
23410  Repair rotator cuff, acute                        A  12.63   8.60NA   7.78NA   8.60     7.78     2.17  23.40  22.58  23.40  22.58  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23412  Repair rotator cuff, chronic                      A  13.55   9.03NA   8.16NA   9.03     8.16     2.32  24.90  24.03  24.90  24.03  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23415  Release of shoulder ligament                      A  10.09   7.29NA   6.59NA   7.29     6.59     1.74  19.12  18.42  19.12  18.42  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
23420  Repair of shoulder                                A  14.75  10.28NA   9.71NA  10.28     9.71     2.32  27.35  26.78  27.35  26.78  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23430  Repair biceps tendon                              A  10.05   7.44NA   6.78NA   7.44     6.78     1.74  19.23  18.57  19.23  18.57  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23440  Remove/transplant tendon                          A  10.53   7.52NA   6.78NA   7.52     6.78     1.83  19.88  19.14  19.88  19.14  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23450  Repair shoulder capsule                           A  13.58   9.02NA   8.18NA   9.02     8.18     2.33  24.93  24.09  24.93  24.09  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23455  Repair shoulder capsule                           A  14.55   9.50NA   8.56NA   9.50     8.56     2.50  26.55  25.61  26.55  25.61  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23460  Repair shoulder capsule                           A  15.68  10.37NA   9.37NA  10.37     9.37     2.67  28.72  27.72  28.72  27.72  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23462  Repair shoulder capsule                           A  15.60   9.92NA   9.09NA   9.92     9.09     2.60  28.12  27.29  28.12  27.29  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23465  Repair shoulder capsule                           A  16.16  10.34NA   9.50NA  10.34     9.50     2.77  29.27  28.43  29.27  28.43  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23466  Repair shoulder capsule                           A  15.55  10.69NA  10.00NA  10.69    10.00     2.47  28.71  28.02  28.71  28.02  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23470  Reconstruct shoulder joint                        A  17.75  11.19NA  10.13NA  11.19    10.13     2.99  31.93  30.87  31.93  30.87  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23472  Reconstruct shoulder joint                        A  22.47  13.28NA  12.15NA  13.28    12.15     3.67  39.42  38.29  39.42  38.29  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23480  Revision of collar bone                           A  11.42   8.04NA   7.30NA   8.04     7.30     1.95  21.41  20.67  21.41  20.67  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
23485  Revision of collar bone                           A  13.79   9.05NA   8.21NA   9.05     8.21     2.34  25.18  24.34  25.18  24.34  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23490  Reinforce clavicle                                A  12.04   7.73NA   6.75NA   7.73     6.75     1.47  21.24  20.26  21.24  20.26  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
23491  Reinforce shoulder bones                          A  14.40   9.72NA   8.72NA   9.72     8.72     2.47  26.59  25.59  26.59  25.59  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23500  Treat clavicle fracture                           A   2.13   2.76     2.64     2.62     2.71     0.30   5.19   5.07   5.05   5.14  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23505  Treat clavicle fracture                           A   3.74   4.21     4.01     3.73     3.62     0.61   8.56   8.36   8.08   7.97  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23515  Treat clavicle fracture                           A   9.53   6.78NA   7.01NA   6.78     7.01     1.28  17.59  17.82  17.59  17.82  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23520  Treat clavicle dislocation                        A   2.21   2.81     2.77     2.79     2.84     0.34   5.36   5.32   5.34   5.39  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
23525  Treat clavicle dislocation                        A   3.67   4.35     4.17     3.79     3.64     0.46   8.48   8.30   7.92   7.77  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
23530  Treat clavicle dislocation                        A   7.37   5.62NA   5.31NA   5.62     5.31     1.20  14.19  13.88  14.19  13.88  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
23532  Treat clavicle dislocation                        A   8.08   6.50NA   6.02NA   6.50     6.02     1.38  15.96  15.48  15.96  15.48  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
23540  Treat clavicle dislocation                        A   2.28   2.77     2.67     2.55     2.74     0.29   5.34   5.24   5.12   5.31  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23545  Treat clavicle dislocation                        A   3.32   3.97     3.74     3.31     3.26     0.35   7.64   7.41   6.98   6.93  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
23550  Treat clavicle dislocation                        A   7.48   5.96NA   5.54NA   5.96     5.54     1.25  14.69  14.27  14.69  14.27  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23552  Treat clavicle dislocation                        A   8.70   6.79NA   6.26NA   6.79     6.26     1.46  16.95  16.42  16.95  16.42  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23570  Treat shoulder blade fx                           A   2.28   2.90     2.78     2.91     2.92     0.36   5.54   5.42   5.55   5.56  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23575  Treat shoulder blade fx                           A   4.12   4.74     4.59     4.20     4.08     0.59   9.45   9.30   8.91   8.79  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
23585  Treat scapula fracture                            A  14.07   8.08NA   8.51NA   8.08     8.51     1.54  23.69  24.12  23.69  24.12  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23600  Treat humerus fracture                            A   3.00   4.31     4.07     3.60     3.65     0.48   7.79   7.55   7.08   7.13  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23605  Treat humerus fracture                            A   4.94   5.77     5.38     4.85     4.60     0.84  11.55  11.16  10.63  10.38  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23615  Treat humerus fracture                            A  12.12   8.45NA   8.06NA   8.45     8.06     1.62  22.19  21.80  22.19  21.80  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23616  Treat humerus fracture                            A  18.19  12.30NA  10.46NA  12.30    10.46     3.70  34.19  32.35  34.19  32.35  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
23620  Treat humerus fracture                            A   2.46   3.51     3.41     3.07     3.15     0.40   6.37   6.27   5.93   6.01  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23625  Treat humerus fracture                            A   3.99   4.69     4.45     4.10     3.92     0.67   9.35   9.11   8.76   8.58  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23630  Treat humerus fracture                            A  10.39   7.00NA   7.37NA   7.00     7.37     1.27  18.66  19.03  18.66  19.03  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23650  Treat shoulder dislocation                        A   3.44   3.53     3.29     2.79     2.83     0.30   7.27   7.03   6.53   6.57  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23655  Treat shoulder dislocation                        A   4.64   4.16NA   4.15NA   4.16     4.15     0.69   9.49   9.48   9.49   9.48  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23660  Treat shoulder dislocation                        A   7.55   6.04NA   5.69NA   6.04     5.69     1.29  14.88  14.53  14.88  14.53  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23665  Treat dislocation/fracture                        A   4.54   5.09     4.85     4.49     4.27     0.71  10.34  10.10   9.74   9.52  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23670  Treat dislocation/fracture                        A  12.12   7.38NA   7.93NA   7.38     7.93     1.36  20.86  21.41  20.86  21.41  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23675  Treat dislocation/fracture                        A   6.13   6.48     6.13     5.49     5.13     1.01  13.62  13.27  12.63  12.27  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
23680  Treat dislocation/fracture                        A  12.99   8.17NA   8.24NA   8.17     8.24     1.76  22.92  22.99  22.92  22.99  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23700  Fixation of shoulder                              A   2.54   2.04NA   1.90NA   2.04     1.90     0.44   5.02   4.88   5.02   4.88  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
23800  Fusion of shoulder joint                          A  14.59   9.64NA   8.87NA   9.64     8.87     2.36  26.59  25.82  26.59  25.82  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
23802  Fusion of shoulder joint                          A  18.17  10.70NA  11.22NA  10.70    11.22     2.71  31.58  32.10  31.58  32.10  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
23900  Amputation of arm & girdle                        A  20.57  11.07NA  10.43NA  11.07    10.43     3.19  34.83  34.19  34.83  34.19  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
23920  Amputation at shoulder joint                      A  16.03   9.58NA   9.22NA   9.58     9.22     2.47  28.08  27.72  28.08  27.72  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
23921  Amputation follow-up surgery                      A   5.61   4.97NA   4.85NA   4.97     4.85     0.78  11.36  11.24  11.36  11.24  0090.10.69.2120100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
23930  Drainage of arm lesion                            A   2.96   5.65     4.98     2.15     1.98     0.43   9.04   8.37   5.54   5.37  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
23931  Drainage of arm bursa                             A   1.81   5.14     4.36     1.96     1.75     0.28   7.23   6.45   4.05   3.84  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
23935  Drain arm/elbow bone lesion                       A   6.27   5.51NA   5.10NA   5.51     5.10     1.05  12.83  12.42  12.83  12.42  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
24000  Exploratory elbow surgery                         A   5.99   5.08NA   4.75NA   5.08     4.75     0.97  12.04  11.71  12.04  11.71  0090.10.69.2121010             38.0870 090 99     0.00   0.00   0.00
24006  Release elbow joint                               A   9.62   7.18NA   6.60NA   7.18     6.60     1.50  18.30  17.72  18.30  17.72  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
24065  Biopsy arm/elbow soft tissue                      A   2.10   3.68     4.15     1.83     1.92     0.17   5.95   6.42   4.10   4.19  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
24066  Biopsy arm/elbow soft tissue                      A   5.26   8.61     8.27     4.03     3.92     0.80  14.67  14.33  10.09   9.98  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24075  Remove arm/elbow lesion                           A   3.96   7.27     7.19     3.33     3.27     0.56  11.79  11.71   7.85   7.79  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24076  Remove arm/elbow lesion                           A   6.36   4.72NA   4.59NA   4.72     4.59     0.95  12.03  11.90  12.03  11.90  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24077  Remove tumor of arm/elbow                         A  11.95   7.30NA   6.86NA   7.30     6.86     1.73  20.98  20.54  20.98  20.54  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
24100  Biopsy elbow joint lining                         A   4.98   4.31NA   4.09NA   4.31     4.09     0.85  10.14   9.92  10.14   9.92  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24101  Explore/treat elbow joint                         A   6.19   5.49NA   5.05NA   5.49     5.05     1.03  12.71  12.27  12.71  12.27  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
24102  Remove elbow joint lining                         A   8.15   6.34NA   5.81NA   6.34     5.81     1.33  15.82  15.29  15.82  15.29  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24105  Removal of elbow bursa                            A   3.67   4.21NA   4.03NA   4.21     4.03     0.61   8.49   8.31   8.49   8.31  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24110  Remove humerus lesion                             A   7.46   6.16NA   5.65NA   6.16     5.65     1.28  14.90  14.39  14.90  14.39  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
24115  Remove/graft bone lesion                          A  10.00   5.77NA   4.32NA   5.77     4.32     1.68  17.45  16.00  17.45  16.00  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24116  Remove/graft bone lesion                          A  12.11   8.38NA   7.68NA   8.38     7.68     2.06  22.55  21.85  22.55  21.85  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
24120  Remove elbow lesion                               A   6.71   5.55NA   5.18NA   5.55     5.18     1.10  13.36  12.99  13.36  12.99  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
24125  Remove/graft bone lesion                          A   8.02   6.08NA   5.99NA   6.08     5.99     1.06  15.16  15.07  15.16  15.07  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24126  Remove/graft bone lesion                          A   8.50   6.52NA   6.01NA   6.52     6.01     1.16  16.18  15.67  16.18  15.67  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
24130  Removal of head of radius                         A   6.31   5.58NA   5.13NA   5.58     5.13     1.04  12.93  12.48  12.93  12.48  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
24134  Removal of arm bone lesion                        A  10.10   7.88NA   6.91NA   7.88     6.91     1.64  19.62  18.65  19.62  18.65  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
24136  Remove radius bone lesion                         A   8.29   6.50NA   5.77NA   6.50     5.77     1.38  16.17  15.44  16.17  15.44  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24138  Remove elbow bone lesion                          A   8.33   7.14NA   6.49NA   7.14     6.49     1.34  16.81  16.16  16.81  16.16  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
24140  Partial removal of arm bone                       A   9.43   7.84NA   6.58NA   7.84     6.58     1.51  18.78  17.52  18.78  17.52  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
24145  Partial removal of radius                         A   7.70   6.85NA   5.64NA   6.85     5.64     1.25  15.80  14.59  15.80  14.59  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
24147  Partial removal of elbow                          A   7.69   7.44NA   6.28NA   7.44     6.28     1.30  16.43  15.27  16.43  15.27  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
24149  Radical resection of elbow                        A  15.92  11.20NA  10.77NA  11.20    10.77     2.35  29.47  29.04  29.47  29.04  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24150  Extensive humerus surgery                         A  13.70   9.25NA   8.50NA   9.25     8.50     2.33  25.28  24.53  25.28  24.53  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24151  Extensive humerus surgery                         A  16.08  10.61NA   9.70NA  10.61     9.70     2.60  29.29  28.38  29.29  28.38  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24152  Extensive radius surgery                          A  10.24   6.95NA   6.17NA   6.95     6.17     1.48  18.67  17.89  18.67  17.89  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24153  Extensive radius surgery                          A  11.73   5.22NA   4.87NA   5.22     4.87     0.74  17.69  17.34  17.69  17.34  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
24155  Removal of elbow joint                            A  11.97   7.91NA   7.42NA   7.91     7.42     1.93  21.81  21.32  21.81  21.32  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24160  Remove elbow joint implant                        A   7.89   6.36NA   5.83NA   6.36     5.83     1.30  15.55  15.02  15.55  15.02  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
24164  Remove radius head implant                        A   6.34   5.34NA   4.90NA   5.34     4.90     1.03  12.71  12.27  12.71  12.27  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
24200  Removal of arm foreign body                       A   1.78   3.08     2.74     1.49     1.36     0.20   5.06   4.72   3.47   3.34  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
24201  Removal of arm foreign body                       A   4.61   8.81     7.80     3.95     3.66     0.72  14.14  13.13   9.28   8.99  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24220  Injection for elbow x-ray                         A   1.31   3.15     2.66     0.45     0.46     0.08   4.54   4.05   1.84   1.85  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
24300  Manipulate elbow w/anesth                         A   3.86   5.44NA   5.16NA   5.44     5.16     0.65   9.95   9.67   9.95   9.67  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24301  Muscle/tendon transfer                            A  10.26   7.51NA   6.83NA   7.51     6.83     1.66  19.43  18.75  19.43  18.75  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
24305  Arm tendon lengthening                            A   7.51   6.19NA   5.66NA   6.19     5.66     1.15  14.85  14.32  14.85  14.32  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
24310  Revision of arm tendon                            A   6.03   5.16NA   4.73NA   5.16     4.73     0.96  12.15  11.72  12.15  11.72  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
24320  Repair of arm tendon                              A  10.74   7.28NA   7.03NA   7.28     7.03     1.74  19.76  19.51  19.76  19.51  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
24330  Revision of arm muscles                           A   9.67   7.26NA   6.64NA   7.26     6.64     1.60  18.53  17.91  18.53  17.91  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
24331  Revision of arm muscles                           A  10.83   7.82NA   6.95NA   7.82     6.95     1.78  20.43  19.56  20.43  19.56  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
24332  Tenolysis, triceps                                A   7.77   6.35NA   5.92NA   6.35     5.92     1.23  15.35  14.92  15.35  14.92  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24340  Repair of biceps tendon                           A   7.96   6.47NA   5.96NA   6.47     5.96     1.36  15.79  15.28  15.79  15.28  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24341  Repair arm tendon/muscle                          A   9.24   7.72NA   7.53NA   7.72     7.53     1.36  18.32  18.13  18.32  18.13  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24342  Repair of ruptured tendon                         A  10.74   7.79NA   7.07NA   7.79     7.07     1.86  20.39  19.67  20.39  19.67  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24343  Repr elbow lat ligmnt w/tiss                      A   8.99   7.57NA   6.99NA   7.57     6.99     1.43  17.99  17.41  17.99  17.41  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24344  Reconstruct elbow lat ligmnt                      A  14.97  10.74NA   9.96NA  10.74     9.96     2.37  28.08  27.30  28.08  27.30  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24345  Repr elbw med ligmnt w/tissu                      A   8.99   7.48NA   6.94NA   7.48     6.94     1.44  17.91  17.37  17.91  17.37  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24346  Reconstruct elbow med ligmnt                      A  14.97  10.69NA  10.04NA  10.69    10.04     2.34  28.00  27.35  28.00  27.35  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24357  Repair elbow, perc                                A   5.32   5.15NA   4.72NA   5.15     4.72     0.87  11.34  10.91  11.34  10.91  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
24358  Repair elbow w/deb, open                          A   6.54   5.73NA   5.28NA   5.73     5.28     1.07  13.34  12.89  13.34  12.89  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
24359  Repair elbow deb/attch open                       A   8.86   6.20NA   6.20NA   6.20     6.20     1.41  16.47  16.47  16.47  16.47  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
24360  Reconstruct elbow joint                           A  12.53   8.66NA   7.84NA   8.66     7.84     2.06  23.25  22.43  23.25  22.43  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24361  Reconstruct elbow joint                           A  14.27   9.67NA   8.76NA   9.67     8.76     2.19  26.13  25.22  26.13  25.22  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24362  Reconstruct elbow joint                           A  15.18   7.89NA   5.74NA   7.89     5.74     2.61  25.68  23.53  25.68  23.53  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
24363  Replace elbow joint                               A  22.47  12.95NA  12.18NA  12.95    12.18     3.02  38.44  37.67  38.44  37.67  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
24365  Reconstruct head of radius                        A   8.51   6.59NA   5.97NA   6.59     5.97     1.41  16.51  15.89  16.51  15.89  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24366  Reconstruct head of radius                        A   9.25   6.93NA   6.31NA   6.93     6.31     1.52  17.70  17.08  17.70  17.08  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24400  Revision of humerus                               A  11.19   8.18NA   7.50NA   8.18     7.50     1.93  21.30  20.62  21.30  20.62  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24410  Revision of humerus                               A  14.96   9.78NA   9.25NA   9.78     9.25     2.58  27.32  26.79  27.32  26.79  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24420  Revision of humerus                               A  13.58   9.53NA   8.51NA   9.53     8.51     2.18  25.29  24.27  25.29  24.27  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24430  Repair of humerus                                 A  15.07   9.49NA   9.23NA   9.49     9.23     2.22  26.78  26.52  26.78  26.52  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24435  Repair humerus with graft                         A  14.74  10.35NA   9.82NA  10.35     9.82     2.28  27.37  26.84  27.37  26.84  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24470  Revision of elbow joint                           A   8.81   6.69NA   5.66NA   6.69     5.66     1.48  16.98  15.95  16.98  15.95  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
24495  Decompression of forearm                          A   8.30   7.58NA   6.41NA   7.58     6.41     1.18  17.06  15.89  17.06  15.89  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
24498  Reinforce humerus                                 A  12.16   8.47NA   7.67NA   8.47     7.67     2.07  22.70  21.90  22.70  21.90  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24500  Treat humerus fracture                            A   3.29   4.65     4.45     3.75     3.81     0.50   8.44   8.24   7.54   7.60  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24505  Treat humerus fracture                            A   5.25   6.22     5.84     5.14     4.88     0.89  12.36  11.98  11.28  11.02  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24515  Treat humerus fracture                            A  11.97   8.72NA   8.04NA   8.72     8.04     2.03  22.72  22.04  22.72  22.04  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24516  Treat humerus fracture                            A  12.07   8.38NA   7.65NA   8.38     7.65     2.03  22.48  21.75  22.48  21.75  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
24530  Treat humerus fracture                            A   3.57   4.97     4.73     4.02     4.00     0.57   9.11   8.87   8.16   8.14  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24535  Treat humerus fracture                            A   6.96   7.33     6.82     6.24     5.86     1.18  15.47  14.96  14.38  14.00  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24538  Treat humerus fracture                            A   9.63   7.95NA   7.19NA   7.95     7.19     1.64  19.22  18.46  19.22  18.46  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24545  Treat humerus fracture                            A  12.99   8.37NA   8.28NA   8.37     8.28     1.83  23.19  23.10  23.19  23.10  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24546  Treat humerus fracture                            A  14.73  10.22NA   9.11NA  10.22     9.11     2.74  27.69  26.58  27.69  26.58  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
24560  Treat humerus fracture                            A   2.87   4.30     4.11     3.31     3.43     0.44   7.61   7.42   6.62   6.74  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24565  Treat humerus fracture                            A   5.64   6.28     5.94     5.29     5.05     0.93  12.85  12.51  11.86  11.62  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24566  Treat humerus fracture                            A   8.86   7.48NA   6.80NA   7.48     6.80     1.30  17.64  16.96  17.64  16.96  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24575  Treat humerus fracture                            A   9.53   7.69NA   6.97NA   7.69     6.97     1.87  19.09  18.37  19.09  18.37  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24576  Treat humerus fracture                            A   2.94   4.59     4.41     3.71     3.71     0.46   7.99   7.81   7.11   7.11  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24577  Treat humerus fracture                            A   5.87   6.49     6.04     5.47     5.08     0.95  13.31  12.86  12.29  11.90  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24579  Treat humerus fracture                            A  11.26   8.29NA   7.74NA   8.29     7.74     2.03  21.58  21.03  21.58  21.03  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24582  Treat humerus fracture                            A   9.89   8.65NA   8.18NA   8.65     8.18     1.48  20.02  19.55  20.02  19.55  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24586  Treat elbow fracture                              A  15.64  10.28NA   9.33NA  10.28     9.33     2.65  28.57  27.62  28.57  27.62  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24587  Treat elbow fracture                              A  15.65  10.17NA   9.32NA  10.17     9.32     2.53  28.35  27.50  28.35  27.50  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24600  Treat elbow dislocation                           A   4.28   4.36     3.86     3.39     3.28     0.50   9.14   8.64   8.17   8.06  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24605  Treat elbow dislocation                           A   5.50   5.14NA   4.91NA   5.14     4.91     0.89  11.53  11.30  11.53  11.30  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24615  Treat elbow dislocation                           A   9.72   7.19NA   6.56NA   7.19     6.56     1.60  18.51  17.88  18.51  17.88  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24620  Treat elbow fracture                              A   7.07   5.87NA   5.49NA   5.87     5.49     1.07  14.01  13.63  14.01  13.63  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
24635  Treat elbow fracture                              A   8.64  10.31NA   6.55NA  10.31     6.55     2.29  21.24  17.48  21.24  17.48  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24640  Treat elbow dislocation                           A   1.22   1.69     1.53     0.81     0.83     0.12   3.03   2.87   2.15   2.17  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
24650  Treat radius fracture                             A   2.22   3.60     3.43     2.87     2.99     0.35   6.17   6.00   5.44   5.56  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24655  Treat radius fracture                             A   4.48   5.57     5.18     4.60     4.40     0.70  10.75  10.36   9.78   9.58  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24665  Treat radius fracture                             A   8.22   7.01NA   6.51NA   7.01     6.51     1.41  16.64  16.14  16.64  16.14  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24666  Treat radius fracture                             A   9.74   7.51NA   6.96NA   7.51     6.96     1.62  18.87  18.32  18.87  18.32  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24670  Treat ulnar fracture                              A   2.60   3.92     3.73     3.11     3.15     0.41   6.93   6.74   6.12   6.16  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24675  Treat ulnar fracture                              A   4.79   5.69     5.38     4.77     4.57     0.81  11.29  10.98  10.37  10.17  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
24685  Treat ulnar fracture                              A   8.21   7.02NA   6.52NA   7.02     6.52     1.52  16.75  16.25  16.75  16.25  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24800  Fusion of elbow joint                             A  11.27   7.82NA   6.89NA   7.82     6.89     1.63  20.72  19.79  20.72  19.79  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24802  Fusion/graft of elbow joint                       A  14.18   9.21NA   8.03NA   9.21     8.03     2.38  25.77  24.59  25.77  24.59  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
24900  Amputation of upper arm                           A  10.04   6.74NA   6.42NA   6.74     6.42     1.53  18.31  17.99  18.31  17.99  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24920  Amputation of upper arm                           A  10.02   6.49NA   6.04NA   6.49     6.04     1.61  18.12  17.67  18.12  17.67  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
24925  Amputation follow-up surgery                      A   7.19   5.52NA   4.95NA   5.52     4.95     1.14  13.85  13.28  13.85  13.28  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
24930  Amputation follow-up surgery                      A  10.72   6.72NA   6.20NA   6.72     6.20     1.68  19.12  18.60  19.12  18.60  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
24931  Amputate upper arm & implant                      A  13.32   5.40NA   5.08NA   5.40     5.08     1.90  20.62  20.30  20.62  20.30  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
24935  Revision of amputation                            A  16.30   9.25NA  10.47NA   9.25    10.47     2.14  27.69  28.91  27.69  28.91  0090.10.69.2121000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
25000  Incision of tendon sheath                         A   3.44   5.43NA   3.98NA   5.43     3.98     0.55   9.42   7.97   9.42   7.97  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25001  Incise flexor carpi radialis                      A   3.68   4.09NA   3.95NA   4.09     3.95     0.55   8.32   8.18   8.32   8.18  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25020  Decompress forearm 1 space                        A   5.97   8.26NA   6.95NA   8.26     6.95     0.93  15.16  13.85  15.16  13.85  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25023  Decompress forearm 1 space                        A  13.69  13.14NA  11.33NA  13.14    11.33     2.04  28.87  27.06  28.87  27.06  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25024  Decompress forearm 2 spaces                       A  10.62   7.28NA   7.08NA   7.28     7.08     1.36  19.26  19.06  19.26  19.06  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25025  Decompress forearm 2 spaces                       A  17.77   9.84NA   9.70NA   9.84     9.70     1.83  29.44  29.30  29.44  29.30  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25028  Drainage of forearm lesion                        A   5.30   7.18NA   6.20NA   7.18     6.20     0.81  13.29  12.31  13.29  12.31  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25031  Drainage of forearm bursa                         A   4.18   5.71NA   3.49NA   5.71     3.49     0.63  10.52   8.30  10.52   8.30  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25035  Treat forearm bone lesion                         A   7.54   9.61NA   5.63NA   9.61     5.63     1.24  18.39  14.41  18.39  14.41  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25040  Explore/treat wrist joint                         A   7.41   6.35NA   5.40NA   6.35     5.40     1.15  14.91  13.96  14.91  13.96  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25065  Biopsy forearm soft tissues                       A   2.01   3.78     4.33     1.94     1.98     0.15   5.94   6.49   4.10   4.14  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
25066  Biopsy forearm soft tissues                       A   4.18   5.45NA   3.84NA   5.45     3.84     0.64  10.27   8.66  10.27   8.66  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25075  Removal forearm lesion subcu                      A   3.78   4.60NA   3.31NA   4.60     3.31     0.55   8.93   7.64   8.93   7.64  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25076  Removal forearm lesion deep                       A   4.97   6.83NA   4.11NA   6.83     4.11     0.74  12.54   9.82  12.54   9.82  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25077  Remove tumor, forearm/wrist                       A   9.90   9.14NA   6.18NA   9.14     6.18     1.42  20.46  17.50  20.46  17.50  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25085  Incision of wrist capsule                         A   5.55   5.87NA   4.62NA   5.87     4.62     0.85  12.27  11.02  12.27  11.02  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25100  Biopsy of wrist joint                             A   3.94   4.53NA   3.77NA   4.53     3.77     0.59   9.06   8.30   9.06   8.30  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25101  Explore/treat wrist joint                         A   4.74   5.12NA   4.35NA   5.12     4.35     0.75  10.61   9.84  10.61   9.84  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25105  Remove wrist joint lining                         A   5.91   6.14NA   4.98NA   6.14     4.98     0.92  12.97  11.81  12.97  11.81  0090.10.69.2121010             38.0870 090 99     0.00   0.00   0.00
25107  Remove wrist joint cartilage                      A   7.50   7.29NA   6.24NA   7.29     6.24     0.99  15.78  14.73  15.78  14.73  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25109  Excise tendon forearm/wrist                       A   6.81   5.24NA   5.24NA   5.24     5.24     0.96  13.01  13.01  13.01  13.01  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25110  Remove wrist tendon lesion                        A   3.96   5.34NA   3.62NA   5.34     3.62     0.62   9.92   8.20   9.92   8.20  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25111  Remove wrist tendon lesion                        A   3.44   4.16NA   3.62NA   4.16     3.62     0.53   8.13   7.59   8.13   7.59  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25112  Reremove wrist tendon lesion                      A   4.58   4.67NA   4.08NA   4.67     4.08     0.70   9.95   9.36   9.95   9.36  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25115  Remove wrist/forearm lesion                       A   9.89  10.69NA   7.34NA  10.69     7.34     1.31  21.89  18.54  21.89  18.54  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25116  Remove wrist/forearm lesion                       A   7.38   9.67NA   6.19NA   9.67     6.19     1.11  18.16  14.68  18.16  14.68  0090.10.69.2121010             38.0870 090 99     0.00   0.00   0.00
25118  Excise wrist tendon sheath                        A   4.42   4.95NA   4.15NA   4.95     4.15     0.68  10.05   9.25  10.05   9.25  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25119  Partial removal of ulna                           A   6.10   6.33NA   5.07NA   6.33     5.07     0.96  13.39  12.13  13.39  12.13  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25120  Removal of forearm lesion                         A   6.16   8.60NA   5.10NA   8.60     5.10     1.00  15.76  12.26  15.76  12.26  0090.10.69.2121010             38.0870 090 99     0.00   0.00   0.00
25125  Remove/graft forearm lesion                       A   7.55   9.27NA   5.68NA   9.27     5.68     1.06  17.88  14.29  17.88  14.29  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25126  Remove/graft forearm lesion                       A   7.62   9.44NA   5.86NA   9.44     5.86     1.27  18.33  14.75  18.33  14.75  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25130  Removal of wrist lesion                           A   5.32   5.58NA   4.73NA   5.58     4.73     0.80  11.70  10.85  11.70  10.85  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25135  Remove & graft wrist lesion                       A   6.96   6.57NA   5.62NA   6.57     5.62     1.02  14.55  13.60  14.55  13.60  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25136  Remove & graft wrist lesion                       A   6.03   5.85NA   5.10NA   5.85     5.10     1.03  12.91  12.16  12.91  12.16  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25145  Remove forearm bone lesion                        A   6.43   8.64NA   5.21NA   8.64     5.21     1.01  16.08  12.65  16.08  12.65  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25150  Partial removal of ulna                           A   7.27   6.87NA   5.53NA   6.87     5.53     1.14  15.28  13.94  15.28  13.94  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
25151  Partial removal of radius                         A   7.57   9.19NA   5.65NA   9.19     5.65     1.18  17.94  14.40  17.94  14.40  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25170  Extensive forearm surgery                         A  11.34  11.26NA   7.37NA  11.26     7.37     1.78  24.38  20.49  24.38  20.49  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25210  Removal of wrist bone                             A   6.01   5.92NA   5.05NA   5.92     5.05     0.88  12.81  11.94  12.81  11.94  0090.10.69.2120010             38.0870 090 99     0.00   0.00   0.00
25215  Removal of wrist bones                            A   8.02   7.40NA   6.03NA   7.40     6.03     1.19  16.61  15.24  16.61  15.24  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
25230  Partial removal of radius                         A   5.28   5.32NA   4.50NA   5.32     4.50     0.79  11.39  10.57  11.39  10.57  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
25240  Partial removal of ulna                           A   5.22   5.71NA   4.47NA   5.71     4.47     0.81  11.74  10.50  11.74  10.50  0090.10.69.2121010             38.0870 090 99     0.00   0.00   0.00
25246  Injection for wrist x-ray                         A   1.45   3.09     2.73     0.50     0.53     0.09   4.63   4.27   2.04   2.07  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
25248  Remove forearm foreign body                       A   5.20   6.29NA   4.05NA   6.29     4.05     0.72  12.21   9.97  12.21   9.97  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25250  Removal of wrist prosthesis                       A   6.66   5.69NA   5.27NA   5.69     5.27     1.01  13.36  12.94  13.36  12.94  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25251  Removal of wrist prosthesis                       A   9.70   7.33NA   6.75NA   7.33     6.75     1.26  18.29  17.71  18.29  17.71  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
25259  Manipulate wrist w/anesthes                       A   3.86   5.44NA   5.16NA   5.44     5.16     0.62   9.92   9.64   9.92   9.64  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25260  Repair forearm tendon/muscle                      A   7.89   9.85NA   6.38NA   9.85     6.38     1.19  18.93  15.46  18.93  15.46  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
25263  Repair forearm tendon/muscle                      A   7.90   9.68NA   6.10NA   9.68     6.10     1.18  18.76  15.18  18.76  15.18  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
25265  Repair forearm tendon/muscle                      A   9.96  10.71NA   7.11NA  10.71     7.11     1.47  22.14  18.54  22.14  18.54  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
25270  Repair forearm tendon/muscle                      A   6.06   8.50NA   4.97NA   8.50     4.97     0.95  15.51  11.98  15.51  11.98  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
25272  Repair forearm tendon/muscle                      A   7.10   9.14NA   5.49NA   9.14     5.49     1.11  17.35  13.70  17.35  13.70  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
25274  Repair forearm tendon/muscle                      A   8.82  10.00NA   6.37NA  10.00     6.37     1.36  20.18  16.55  20.18  16.55  0090.10.69.2120010             38.0870 090 99     0.00   0.00   0.00
25275  Repair forearm tendon sheath                      A   8.82   7.03NA   6.48NA   7.03     6.48     1.31  17.16  16.61  17.16  16.61  0090.10.69.2121010             38.0870 090 99     0.00   0.00   0.00
25280  Revise wrist/forearm tendon                       A   7.28   9.10NA   5.56NA   9.10     5.56     1.08  17.46  13.92  17.46  13.92  0090.10.69.2120010             38.0870 090 99     0.00   0.00   0.00
25290  Incise wrist/forearm tendon                       A   5.34   9.75NA   4.50NA   9.75     4.50     0.82  15.91  10.66  15.91  10.66  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
25295  Release wrist/forearm tendon                      A   6.61   8.73NA   5.29NA   8.73     5.29     1.00  16.34  12.90  16.34  12.90  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
25300  Fusion of tendons at wrist                        A   8.88   7.56NA   6.66NA   7.56     6.66     1.26  17.70  16.80  17.70  16.80  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25301  Fusion of tendons at wrist                        A   8.47   7.13NA   6.19NA   7.13     6.19     1.29  16.89  15.95  16.89  15.95  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25310  Transplant forearm tendon                         A   8.26   9.49NA   5.94NA   9.49     5.94     1.21  18.96  15.41  18.96  15.41  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
25312  Transplant forearm tendon                         A   9.70  10.33NA   6.71NA  10.33     6.71     1.41  21.44  17.82  21.44  17.82  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
25315  Revise palsy hand tendon(s)                       A  10.56  10.76NA   7.11NA  10.76     7.11     1.58  22.90  19.25  22.90  19.25  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25316  Revise palsy hand tendon(s)                       A  12.76  12.03NA   7.82NA  12.03     7.82     1.75  26.54  22.33  26.54  22.33  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25320  Repair/revise wrist joint                         A  12.38  10.63NA   9.87NA  10.63     9.87     1.61  24.62  23.86  24.62  23.86  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25332  Revise wrist joint                                A  11.60   8.40NA   7.61NA   8.40     7.61     1.84  21.84  21.05  21.84  21.05  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25335  Realignment of hand                               A  13.25   9.95NA   8.31NA   9.95     8.31     1.93  25.13  23.49  25.13  23.49  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25337  Reconstruct ulna/radioulnar                       A  11.44   9.86NA   8.63NA   9.86     8.63     1.61  22.91  21.68  22.91  21.68  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25350  Revision of radius                                A   8.97  10.17NA   6.35NA  10.17     6.35     1.46  20.60  16.78  20.60  16.78  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25355  Revision of radius                                A  10.41  10.68NA   6.75NA  10.68     6.75     1.74  22.83  18.90  22.83  18.90  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25360  Revision of ulna                                  A   8.62  10.06NA   6.24NA  10.06     6.24     1.41  20.09  16.27  20.09  16.27  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25365  Revise radius & ulna                              A  12.77  11.92NA   8.18NA  11.92     8.18     2.16  26.85  23.11  26.85  23.11  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25370  Revise radius or ulna                             A  13.93  12.55NA   9.01NA  12.55     9.01     2.29  28.77  25.23  28.77  25.23  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25375  Revise radius & ulna                              A  13.41  12.40NA   8.37NA  12.40     8.37     2.27  28.08  24.05  28.08  24.05  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25390  Shorten radius or ulna                            A  10.58  10.83NA   7.07NA  10.83     7.07     1.65  23.06  19.30  23.06  19.30  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25391  Lengthen radius or ulna                           A  14.14  12.62NA   8.67NA  12.62     8.67     2.22  28.98  25.03  28.98  25.03  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25392  Shorten radius & ulna                             A  14.44  12.44NA   8.91NA  12.44     8.91     2.11  28.99  25.46  28.99  25.46  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25393  Lengthen radius & ulna                            A  16.42  13.58NA   9.57NA  13.58     9.57     2.77  32.77  28.76  32.77  28.76  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25394  Repair carpal bone, shorten                       A  10.71   7.51NA   6.95NA   7.51     6.95     1.59  19.81  19.25  19.81  19.25  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25400  Repair radius or ulna                             A  11.16  11.23NA   7.27NA  11.23     7.27     1.83  24.22  20.26  24.22  20.26  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25405  Repair/graft radius or ulna                       A  14.87  13.11NA   8.93NA  13.11     8.93     2.33  30.31  26.13  30.31  26.13  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25415  Repair radius & ulna                              A  13.66  12.66NA   8.80NA  12.66     8.80     2.18  28.50  24.64  28.50  24.64  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25420  Repair/graft radius & ulna                        A  16.89  14.11NA   9.93NA  14.11     9.93     2.62  33.62  29.44  33.62  29.44  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25425  Repair/graft radius or ulna                       A  13.58  14.94NA   8.49NA  14.94     8.49     2.09  30.61  24.16  30.61  24.16  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25426  Repair/graft radius & ulna                        A  16.31  12.88NA   9.20NA  12.88     9.20     2.55  31.74  28.06  31.74  28.06  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25430  Vasc graft into carpal bone                       A   9.57   7.19NA   7.04NA   7.19     7.04     1.27  18.03  17.88  18.03  17.88  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25431  Repair nonunion carpal bone                       A  10.75   7.78NA   7.16NA   7.78     7.16     1.91  20.44  19.82  20.44  19.82  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25440  Repair/graft wrist bone                           A  10.56   8.15NA   6.90NA   8.15     6.90     1.63  20.34  19.09  20.34  19.09  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25441  Reconstruct wrist joint                           A  13.15   9.06NA   8.11NA   9.06     8.11     2.08  24.29  23.34  24.29  23.34  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25442  Reconstruct wrist joint                           A  10.98   8.20NA   7.51NA   8.20     7.51     1.53  20.71  20.02  20.71  20.02  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25443  Reconstruct wrist joint                           A  10.52   8.00NA   7.22NA   8.00     7.22     1.37  19.89  19.11  19.89  19.11  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25444  Reconstruct wrist joint                           A  11.28   8.24NA   7.44NA   8.24     7.44     1.72  21.24  20.44  21.24  20.44  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25445  Reconstruct wrist joint                           A   9.76   7.35NA   6.70NA   7.35     6.70     1.55  18.66  18.01  18.66  18.01  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
25446  Wrist replacement                                 A  17.16  10.96NA   9.99NA  10.96     9.99     2.48  30.60  29.63  30.60  29.63  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25447  Repair wrist joint(s)                             A  10.95   8.27NA   7.87NA   8.27     7.87     1.61  20.83  20.43  20.83  20.43  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25449  Remove wrist joint implant                        A  14.80   9.82NA   8.96NA   9.82     8.96     2.22  26.84  25.98  26.84  25.98  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25450  Revision of wrist joint                           A   7.94   7.02NA   3.84NA   7.02     3.84     1.36  16.32  13.14  16.32  13.14  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25455  Revision of wrist joint                           A   9.57   8.86NA   6.85NA   8.86     6.85     0.96  19.39  17.38  19.39  17.38  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25490  Reinforce radius                                  A   9.61  10.16NA   6.58NA  10.16     6.58     1.43  21.20  17.62  21.20  17.62  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25491  Reinforce ulna                                    A  10.03  10.63NA   6.79NA  10.63     6.79     1.60  22.26  18.42  22.26  18.42  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25492  Reinforce radius and ulna                         A  12.52  11.82NA   8.34NA  11.82     8.34     2.15  26.49  23.01  26.49  23.01  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25500  Treat fracture of radius                          A   2.51   3.44     3.31     2.79     2.86     0.35   6.30   6.17   5.65   5.72  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25505  Treat fracture of radius                          A   5.30   6.19     5.83     5.20     4.98     0.90  12.39  12.03  11.40  11.18  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25515  Treat fracture of radius                          A   8.64   6.97NA   6.47NA   6.97     6.47     1.59  17.20  16.70  17.20  16.70  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25520  Treat fracture of radius                          A   6.35   6.28     5.70     5.60     5.14     1.08  13.71  13.13  13.03  12.57  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25525  Treat fracture of radius                          A  10.37   8.71NA   7.42NA   8.71     7.42     2.13  21.21  19.92  21.21  19.92  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
25526  Treat fracture of radius                          A  12.96  11.10NA   8.69NA  11.10     8.69     2.20  26.26  23.85  26.26  23.85  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
25530  Treat fracture of ulna                            A   2.15   3.62     3.48     2.92     2.98     0.34   6.11   5.97   5.41   5.47  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25535  Treat fracture of ulna                            A   5.22   5.79     5.57     5.07     4.84     0.89  11.90  11.68  11.18  10.95  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25545  Treat fracture of ulna                            A   7.78   6.95NA   6.23NA   6.95     6.23     1.53  16.26  15.54  16.26  15.54  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25560  Treat fracture radius & ulna                      A   2.50   3.53     3.37     2.73     2.85     0.35   6.38   6.22   5.58   5.70  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25565  Treat fracture radius & ulna                      A   5.71   6.31     5.91     5.18     4.93     0.93  12.95  12.55  11.82  11.57  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25574  Treat fracture radius & ulna                      A   8.64   6.88NA   6.55NA   6.88     6.55     1.21  16.73  16.40  16.73  16.40  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
25575  Treat fracture radius/ulna                        A  12.10   8.94NA   8.37NA   8.94     8.37     1.82  22.86  22.29  22.86  22.29  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25600  Treat fracture radius/ulna                        A   2.69   3.89     3.68     3.07     3.17     0.42   7.00   6.79   6.18   6.28  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25605  Treat fracture radius/ulna                        A   7.02   7.05     6.87     6.18     6.14     1.00  15.07  14.89  14.20  14.16  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25606  Treat fx distal radial                            A   8.10   7.83NA   6.70NA   7.83     6.70     1.26  17.19  16.06  17.19  16.06  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25607  Treat fx rad extra-articul                        A   9.35   7.20NA   7.20NA   7.20     7.20     1.36  17.91  17.91  17.91  17.91  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25608  Treat fx rad intra-articul                        A  10.86   7.80NA   7.80NA   7.80     7.80     1.84  20.50  20.50  20.50  20.50  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25609  Treat fx radial 3+ frag                           A  14.12   9.66NA   9.66NA   9.66     9.66     2.38  26.16  26.16  26.16  26.16  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25622  Treat wrist bone fracture                         A   2.68   4.09     3.91     3.23     3.36     0.41   7.18   7.00   6.32   6.45  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25624  Treat wrist bone fracture                         A   4.62   5.97     5.64     4.92     4.78     0.76  11.35  11.02  10.30  10.16  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25628  Treat wrist bone fracture                         A   9.51   7.34NA   6.85NA   7.34     6.85     1.37  18.22  17.73  18.22  17.73  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25630  Treat wrist bone fracture                         A   2.94   3.97     3.76     3.10     3.25     0.45   7.36   7.15   6.49   6.64  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25635  Treat wrist bone fracture                         A   4.47   5.53     5.12     4.12     4.34     0.74  10.74  10.33   9.33   9.55  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25645  Treat wrist bone fracture                         A   7.31   6.10NA   5.56NA   6.10     5.56     1.20  14.61  14.07  14.61  14.07  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25650  Treat wrist bone fracture                         A   3.12   4.08     3.85     3.31     3.45     0.45   7.65   7.42   6.88   7.02  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25651  Pin ulnar styloid fracture                        A   5.68   5.32NA   5.15NA   5.32     5.15     0.86  11.86  11.69  11.86  11.69  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25652  Treat fracture ulnar styloid                      A   7.92   6.58NA   6.16NA   6.58     6.16     1.21  15.71  15.29  15.71  15.29  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
25660  Treat wrist dislocation                           A   4.84   4.52NA   4.33NA   4.52     4.33     0.58   9.94   9.75   9.94   9.75  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25670  Treat wrist dislocation                           A   7.98   6.41NA   5.82NA   6.41     5.82     1.28  15.67  15.08  15.67  15.08  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25671  Pin radioulnar dislocation                        A   6.32   5.85NA   5.54NA   5.85     5.54     1.00  13.17  12.86  13.17  12.86  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
25675  Treat wrist dislocation                           A   4.75   5.19     4.72     4.32     4.00     0.62  10.56  10.09   9.69   9.37  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25676  Treat wrist dislocation                           A   8.17   6.72NA   6.14NA   6.72     6.14     1.34  16.23  15.65  16.23  15.65  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25680  Treat wrist fracture                              A   6.08   4.56NA   4.39NA   4.56     4.39     0.78  11.42  11.25  11.42  11.25  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25685  Treat wrist fracture                              A   9.97   7.21NA   6.63NA   7.21     6.63     1.60  18.78  18.20  18.78  18.20  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25690  Treat wrist dislocation                           A   5.58   5.18NA   4.85NA   5.18     4.85     0.88  11.64  11.31  11.64  11.31  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25695  Treat wrist dislocation                           A   8.40   6.55NA   6.01NA   6.55     6.01     1.32  16.27  15.73  16.27  15.73  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25800  Fusion of wrist joint                             A   9.95   7.95NA   6.80NA   7.95     6.80     1.57  19.47  18.32  19.47  18.32  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25805  Fusion/graft of wrist joint                       A  11.59   8.97NA   7.68NA   8.97     7.68     1.81  22.37  21.08  22.37  21.08  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25810  Fusion/graft of wrist joint                       A  11.75   8.98NA   8.04NA   8.98     8.04     1.68  22.41  21.47  22.41  21.47  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25820  Fusion of hand bones                              A   7.52   7.13NA   6.41NA   7.13     6.41     1.22  15.87  15.15  15.87  15.15  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25825  Fuse hand bones with graft                        A   9.54   8.45NA   7.66NA   8.45     7.66     1.41  19.40  18.61  19.40  18.61  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25830  Fusion, radioulnar jnt/ulna                       A  10.69  12.50NA  10.59NA  12.50    10.59     1.55  24.74  22.83  24.74  22.83  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
25900  Amputation of forearm                             A   9.46   9.66NA   6.74NA   9.66     6.74     1.30  20.42  17.50  20.42  17.50  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25905  Amputation of forearm                             A   9.48   9.19NA   6.07NA   9.19     6.07     1.40  20.07  16.95  20.07  16.95  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25907  Amputation follow-up surgery                      A   7.98   8.77NA   5.77NA   8.77     5.77     1.10  17.85  14.85  17.85  14.85  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25909  Amputation follow-up surgery                      A   9.20   9.31NA   6.33NA   9.31     6.33     1.44  19.95  16.97  19.95  16.97  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25915  Amputation of forearm                             A  17.38  12.43NA   5.98NA  12.43     5.98     2.94  32.75  26.30  32.75  26.30  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25920  Amputate hand at wrist                            A   8.92   7.22NA   6.59NA   7.22     6.59     1.35  17.49  16.86  17.49  16.86  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25922  Amputate hand at wrist                            A   7.54   6.67NA   6.28NA   6.67     6.28     1.12  15.33  14.94  15.33  14.94  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25924  Amputation follow-up surgery                      A   8.70   7.11NA   6.13NA   7.11     6.13     1.32  17.13  16.15  17.13  16.15  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25927  Amputation of hand                                A   8.98  10.17NA   8.66NA  10.17     8.66     1.27  20.42  18.91  20.42  18.91  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
25929  Amputation follow-up surgery                      A   7.71   5.77NA   5.67NA   5.77     5.67     1.14  14.62  14.52  14.62  14.52  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
25931  Amputation follow-up surgery                      A   7.93   9.90NA   8.33NA   9.90     8.33     1.15  18.98  17.41  18.98  17.41  0090.10.69.2121100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
26010  Drainage of finger abscess                        A   1.56   4.81     4.06     1.57     1.52     0.18   6.55   5.80   3.31   3.26  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
26011  Drainage of finger abscess                        A   2.21   7.54     6.25     2.14     1.96     0.33  10.08   8.79   4.68   4.50  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
26020  Drain hand tendon sheath                          A   4.97   5.05NA   4.74NA   5.05     4.74     0.73  10.75  10.44  10.75  10.44  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26025  Drainage of palm bursa                            A   4.99   4.79NA   4.46NA   4.79     4.46     0.76  10.54  10.21  10.54  10.21  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26030  Drainage of palm bursa(s)                         A   6.16   5.36NA   5.00NA   5.36     5.00     0.92  12.44  12.08  12.44  12.08  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26034  Treat hand bone lesion                            A   6.49   5.97NA   5.58NA   5.97     5.58     1.01  13.47  13.08  13.47  13.08  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26035  Decompress fingers/hand                           A  11.14   8.00NA   8.13NA   8.00     8.13     1.47  20.61  20.74  20.61  20.74  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26037  Decompress fingers/hand                           A   7.48   5.91NA   5.50NA   5.91     5.50     1.13  14.52  14.11  14.52  14.11  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26040  Release palm contracture                          A   3.38   3.83NA   3.60NA   3.83     3.60     0.53   7.74   7.51   7.74   7.51  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
26045  Release palm contracture                          A   5.62   5.27NA   4.89NA   5.27     4.89     0.93  11.82  11.44  11.82  11.44  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
26055  Incise finger tendon sheath                       A   3.00  11.70     9.05     3.88     3.83     0.43  15.13  12.48   7.31   7.26  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26060  Incision of finger tendon                         A   2.85   3.28NA   3.06NA   3.28     3.06     0.45   6.58   6.36   6.58   6.36  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26070  Explore/treat hand joint                          A   3.73   3.21NA   3.06NA   3.21     3.06     0.48   7.42   7.27   7.42   7.27  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
26075  Explore/treat finger joint                        A   3.83   3.58NA   3.37NA   3.58     3.37     0.53   7.94   7.73   7.94   7.73  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
26080  Explore/treat finger joint                        A   4.36   4.59NA   4.32NA   4.59     4.32     0.66   9.61   9.34   9.61   9.34  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26100  Biopsy hand joint lining                          A   3.71   3.90NA   3.67NA   3.90     3.67     0.54   8.15   7.92   8.15   7.92  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
26105  Biopsy finger joint lining                        A   3.75   3.96NA   3.68NA   3.96     3.68     0.59   8.30   8.02   8.30   8.02  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
26110  Biopsy finger joint lining                        A   3.57   3.83NA   3.61NA   3.83     3.61     0.53   7.93   7.71   7.93   7.71  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26115  Removal hand lesion subcut                        A   3.92  11.47     9.84     4.50     4.23     0.59  15.98  14.35   9.01   8.74  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26116  Removal hand lesion, deep                         A   5.61   5.66NA   5.31NA   5.66     5.31     0.84  12.11  11.76  12.11  11.76  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26117  Remove tumor, hand/finger                         A   8.62   6.63NA   6.19NA   6.63     6.19     1.26  16.51  16.07  16.51  16.07  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26121  Release palm contracture                          A   7.61   6.45NA   5.93NA   6.45     5.93     1.17  15.23  14.71  15.23  14.71  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
26123  Release palm contracture                          A  10.63   8.54NA   8.22NA   8.54     8.22     1.43  20.60  20.28  20.60  20.28  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
26125  Release palm contracture                          A   4.60   2.16NA   1.87NA   2.16     1.87     0.70   7.46   7.17   7.46   7.17  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
26130  Remove wrist joint lining                         A   5.48   5.12NA   4.89NA   5.12     4.89     0.94  11.54  11.31  11.54  11.31  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
26135  Revise finger joint, each                         A   7.02   5.97NA   5.47NA   5.97     5.47     1.07  14.06  13.56  14.06  13.56  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26140  Revise finger joint, each                         A   6.23   5.61NA   5.17NA   5.61     5.17     0.92  12.76  12.32  12.76  12.32  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26145  Tendon excision, palm/finger                      A   6.38   5.62NA   5.19NA   5.62     5.19     0.97  12.97  12.54  12.97  12.54  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26160  Remove tendon sheath lesion                       A   3.46  10.71     9.04     4.03     3.94     0.49  14.66  12.99   7.98   7.89  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26170  Removal of palm tendon, each                      A   4.82   4.66NA   4.37NA   4.66     4.37     0.69  10.17   9.88  10.17   9.88  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26180  Removal of finger tendon                          A   5.24   5.06NA   4.71NA   5.06     4.71     0.78  11.08  10.73  11.08  10.73  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26185  Remove finger bone                                A   6.32   5.89NA   5.73NA   5.89     5.73     0.81  13.02  12.86  13.02  12.86  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
26200  Remove hand bone lesion                           A   5.56   4.96NA   4.56NA   4.96     4.56     0.88  11.40  11.00  11.40  11.00  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26205  Remove/graft bone lesion                          A   7.82   6.37NA   5.85NA   6.37     5.85     1.20  15.39  14.87  15.39  14.87  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26210  Removal of finger lesion                          A   5.21   5.08NA   4.74NA   5.08     4.74     0.79  11.08  10.74  11.08  10.74  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26215  Remove/graft finger lesion                        A   7.16   5.93NA   5.54NA   5.93     5.54     0.98  14.07  13.68  14.07  13.68  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26230  Partial removal of hand bone                      A   6.38   5.43NA   4.95NA   5.43     4.95     1.01  12.82  12.34  12.82  12.34  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26235  Partial removal, finger bone                      A   6.24   5.38NA   4.95NA   5.38     4.95     0.95  12.57  12.14  12.57  12.14  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26236  Partial removal, finger bone                      A   5.37   4.95NA   4.58NA   4.95     4.58     0.81  11.13  10.76  11.13  10.76  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26250  Extensive hand surgery                            A   7.61   6.08NA   5.72NA   6.08     5.72     1.07  14.76  14.40  14.76  14.40  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26255  Extensive hand surgery                            A  12.80   8.83NA   8.29NA   8.83     8.29     1.69  23.32  22.78  23.32  22.78  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26260  Extensive finger surgery                          A   7.09   5.83NA   5.47NA   5.83     5.47     1.01  13.93  13.57  13.93  13.57  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26261  Extensive finger surgery                          A   9.28   6.45NA   6.73NA   6.45     6.73     1.14  16.87  17.15  16.87  17.15  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26262  Partial removal of finger                         A   5.72   5.04NA   4.75NA   5.04     4.75     0.88  11.64  11.35  11.64  11.35  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26320  Removal of implant from hand                      A   4.02   4.05NA   3.79NA   4.05     3.79     0.59   8.66   8.40   8.66   8.40  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26340  Manipulate finger w/anesth                        A   2.62   4.74NA   4.61NA   4.74     4.61     0.39   7.75   7.62   7.75   7.62  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
26350  Repair finger/hand tendon                         A   6.07  12.08NA   9.54NA  12.08     9.54     0.93  19.08  16.54  19.08  16.54  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26352  Repair/graft hand tendon                          A   7.75  12.72NA  10.07NA  12.72    10.07     1.13  21.60  18.95  21.60  18.95  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26356  Repair finger/hand tendon                         A  10.22  16.05NA  13.72NA  16.05    13.72     1.21  27.48  25.15  27.48  25.15  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26357  Repair finger/hand tendon                         A   8.65  13.00NA  10.36NA  13.00    10.36     1.33  22.98  20.34  22.98  20.34  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26358  Repair/graft hand tendon                          A   9.22  13.81NA  10.96NA  13.81    10.96     1.38  24.41  21.56  24.41  21.56  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26370  Repair finger/hand tendon                         A   7.17  12.31NA   9.51NA  12.31     9.51     1.12  20.60  17.80  20.60  17.80  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26372  Repair/graft hand tendon                          A   8.89  13.54NA  10.54NA  13.54    10.54     1.40  23.83  20.83  23.83  20.83  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26373  Repair finger/hand tendon                         A   8.29  13.11NA  10.17NA  13.11    10.17     1.23  22.63  19.69  22.63  19.69  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26390  Revise hand/finger tendon                         A   9.31  11.25NA   9.21NA  11.25     9.21     1.40  21.96  19.92  21.96  19.92  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26392  Repair/graft hand tendon                          A  10.38  13.95NA  11.17NA  13.95    11.17     1.57  25.90  23.12  25.90  23.12  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26410  Repair hand tendon                                A   4.68   9.79NA   7.64NA   9.79     7.64     0.73  15.20  13.05  15.20  13.05  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26412  Repair/graft hand tendon                          A   6.37  10.95NA   8.63NA  10.95     8.63     0.97  18.29  15.97  18.29  15.97  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26415  Excision, hand/finger tendon                      A   8.40   9.63NA   7.47NA   9.63     7.47     0.98  19.01  16.85  19.01  16.85  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26416  Graft hand or finger tendon                       A   9.44  11.83NA   9.05NA  11.83     9.05     0.79  22.06  19.28  22.06  19.28  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26418  Repair finger tendon                              A   4.33  10.24NA   8.15NA  10.24     8.15     0.67  15.24  13.15  15.24  13.15  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26420  Repair/graft finger tendon                        A   6.83  11.22NA   8.81NA  11.22     8.81     1.07  19.12  16.71  19.12  16.71  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26426  Repair finger/hand tendon                         A   6.21   9.14NA   5.12NA   9.14     5.12     0.95  16.30  12.28  16.30  12.28  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26428  Repair/graft finger tendon                        A   7.28  11.57NA   9.26NA  11.57     9.26     1.09  19.94  17.63  19.94  17.63  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26432  Repair finger tendon                              A   4.07   8.53NA   6.79NA   8.53     6.79     0.64  13.24  11.50  13.24  11.50  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26433  Repair finger tendon                              A   4.61   8.91NA   7.02NA   8.91     7.02     0.72  14.24  12.35  14.24  12.35  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26434  Repair/graft finger tendon                        A   6.15   9.74NA   7.94NA   9.74     7.94     0.93  16.82  15.02  16.82  15.02  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26437  Realignment of tendons                            A   5.88   9.69NA   7.82NA   9.69     7.82     0.89  16.46  14.59  16.46  14.59  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26440  Release palm/finger tendon                        A   5.07  10.97NA   8.49NA  10.97     8.49     0.75  16.79  14.31  16.79  14.31  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26442  Release palm & finger tendon                      A   9.50  13.89NA  11.83NA  13.89    11.83     1.20  24.59  22.53  24.59  22.53  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26445  Release hand/finger tendon                        A   4.36  10.69NA   8.24NA  10.69     8.24     0.65  15.70  13.25  15.70  13.25  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26449  Release forearm/hand tendon                       A   8.34  11.53NA   7.28NA  11.53     7.28     1.06  20.93  16.68  20.93  16.68  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26450  Incision of palm tendon                           A   3.71   6.26NA   5.19NA   6.26     5.19     0.59  10.56   9.49  10.56   9.49  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26455  Incision of finger tendon                         A   3.68   6.22NA   5.15NA   6.22     5.15     0.58  10.48   9.41  10.48   9.41  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26460  Incise hand/finger tendon                         A   3.50   6.13NA   5.12NA   6.13     5.12     0.55  10.18   9.17  10.18   9.17  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26471  Fusion of finger tendons                          A   5.79   9.52NA   7.80NA   9.52     7.80     0.88  16.19  14.47  16.19  14.47  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26474  Fusion of finger tendons                          A   5.38   9.50NA   7.61NA   9.50     7.61     0.76  15.64  13.75  15.64  13.75  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26476  Tendon lengthening                                A   5.24   9.15NA   7.36NA   9.15     7.36     0.79  15.18  13.39  15.18  13.39  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26477  Tendon shortening                                 A   5.21   9.32NA   7.58NA   9.32     7.58     0.81  15.34  13.60  15.34  13.60  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
26478  Lengthening of hand tendon                        A   5.86   9.81NA   7.79NA   9.81     7.79     0.90  16.57  14.55  16.57  14.55  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26479  Shortening of hand tendon                         A   5.80   9.65NA   7.74NA   9.65     7.74     0.92  16.37  14.46  16.37  14.46  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26480  Transplant hand tendon                            A   6.76  12.36NA   9.67NA  12.36     9.67     1.02  20.14  17.45  20.14  17.45  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26483  Transplant/graft hand tendon                      A   8.36  12.87NA  10.23NA  12.87    10.23     1.26  22.49  19.85  22.49  19.85  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26485  Transplant palm tendon                            A   7.77  12.73NA  10.09NA  12.73    10.09     1.15  21.65  19.01  21.65  19.01  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26489  Transplant/graft palm tendon                      A   9.74  11.45NA  10.83NA  11.45    10.83     1.26  22.45  21.83  22.45  21.83  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26490  Revise thumb tendon                               A   8.48  10.86NA   8.88NA  10.86     8.88     1.21  20.55  18.57  20.55  18.57  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26492  Tendon transfer with graft                        A   9.70  11.72NA   9.83NA  11.72     9.83     1.40  22.82  20.93  22.82  20.93  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26494  Hand tendon/muscle transfer                       A   8.54  11.11NA   9.24NA  11.11     9.24     1.28  20.93  19.06  20.93  19.06  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26496  Revise thumb tendon                               A   9.66  11.41NA   9.58NA  11.41     9.58     1.45  22.52  20.69  22.52  20.69  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26497  Finger tendon transfer                            A   9.64  11.56NA   9.54NA  11.56     9.54     1.41  22.61  20.59  22.61  20.59  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26498  Finger tendon transfer                            A  14.07  13.92NA  11.66NA  13.92    11.66     2.11  30.10  27.84  30.10  27.84  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26499  Revision of finger                                A   9.05  10.95NA   8.86NA  10.95     8.86     1.35  21.35  19.26  21.35  19.26  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26500  Hand tendon reconstruction                        A   6.02   9.60NA   7.75NA   9.60     7.75     0.90  16.52  14.67  16.52  14.67  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26502  Hand tendon reconstruction                        A   7.20  10.18NA   8.33NA  10.18     8.33     1.13  18.51  16.66  18.51  16.66  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26508  Release thumb contracture                         A   6.07   9.74NA   7.80NA   9.74     7.80     0.98  16.79  14.85  16.79  14.85  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26510  Thumb tendon transfer                             A   5.49   9.49NA   7.64NA   9.49     7.64     0.79  15.77  13.92  15.77  13.92  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26516  Fusion of knuckle joint                           A   7.21  10.28NA   8.31NA  10.28     8.31     1.10  18.59  16.62  18.59  16.62  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26517  Fusion of knuckle joints                          A   8.96  11.26NA   9.00NA  11.26     9.00     1.41  21.63  19.37  21.63  19.37  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26518  Fusion of knuckle joints                          A   9.15  11.18NA   8.97NA  11.18     8.97     1.35  21.68  19.47  21.68  19.47  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26520  Release knuckle contracture                       A   5.36  11.39NA   8.87NA  11.39     8.87     0.80  17.55  15.03  17.55  15.03  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26525  Release finger contracture                        A   5.39  11.44NA   8.89NA  11.44     8.89     0.81  17.64  15.09  17.64  15.09  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
26530  Revise knuckle joint                              A   6.76   5.78NA   5.41NA   5.78     5.41     1.04  13.58  13.21  13.58  13.21  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26531  Revise knuckle with implant                       A   7.99   6.65NA   6.17NA   6.65     6.17     1.17  15.81  15.33  15.81  15.33  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26535  Revise finger joint                               A   5.30   3.92NA   4.09NA   3.92     4.09     0.71   9.93  10.10   9.93  10.10  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26536  Revise/implant finger joint                       A   6.44   9.45NA   9.25NA   9.45     9.25     0.96  16.85  16.65  16.85  16.65  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26540  Repair hand joint                                 A   6.49   9.97NA   8.06NA   9.97     8.06     0.99  17.45  15.54  17.45  15.54  0090.10.69.2120010             38.0870 090 99     0.00   0.00   0.00
26541  Repair hand joint with graft                      A   8.69  11.26NA   9.12NA  11.26     9.12     1.28  21.23  19.09  21.23  19.09  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26542  Repair hand joint with graft                      A   6.84  10.12NA   8.20NA  10.12     8.20     1.02  17.98  16.06  17.98  16.06  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26545  Reconstruct finger joint                          A   6.99  10.30NA   8.46NA  10.30     8.46     1.05  18.34  16.50  18.34  16.50  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26546  Repair nonunion hand                              A  10.53  13.24NA  11.43NA  13.24    11.43     1.44  25.21  23.40  25.21  23.40  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
26548  Reconstruct finger joint                          A   8.10  10.83NA   8.81NA  10.83     8.81     1.20  20.13  18.11  20.13  18.11  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26550  Construct thumb replacement                       A  21.54  16.07NA  14.55NA  16.07    14.55     2.46  40.07  38.55  40.07  38.55  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26551  Great toe-hand transfer                           A  48.23  24.82NA  17.17NA  24.82    17.17     7.98  81.03  73.38  81.03  73.38  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26553  Single transfer, toe-hand                         A  47.92  25.04NA  27.38NA  25.04    27.38     2.42  75.38  77.72  75.38  77.72  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26554  Double transfer, toe-hand                         A  56.73  36.69NA  35.82NA  36.69    35.82     9.44 102.86 101.99 102.86 101.99  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26555  Positional change of finger                       A  16.94  16.10NA  14.01NA  16.10    14.01     2.49  35.53  33.44  35.53  33.44  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26556  Toe joint transfer                                A  49.43  25.70NA  18.05NA  25.70    18.05     2.58  77.71  70.06  77.71  70.06  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26560  Repair of web finger                              A   5.43   8.23NA   6.65NA   8.23     6.65     0.85  14.51  12.93  14.51  12.93  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26561  Repair of web finger                              A  10.98  10.93NA   9.51NA  10.93     9.51     1.45  23.36  21.94  23.36  21.94  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26562  Repair of web finger                              A  16.40  12.96NA   8.77NA  12.96     8.77     2.24  31.60  27.41  31.60  27.41  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26565  Correct metacarpal flaw                           A   6.80  10.08NA   8.16NA  10.08     8.16     1.00  17.88  15.96  17.88  15.96  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26567  Correct finger deformity                          A   6.88  10.04NA   8.12NA  10.04     8.12     1.04  17.96  16.04  17.96  16.04  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26568  Lengthen metacarpal/finger                        A   9.15  13.07NA  10.70NA  13.07    10.70     1.49  23.71  21.34  23.71  21.34  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26580  Repair hand deformity                             A  19.50  11.70NA   9.74NA  11.70     9.74     2.29  33.49  31.53  33.49  31.53  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26587  Reconstruct extra finger                          A  14.36   8.62NA   8.02NA   8.62     8.02     1.53  24.51  23.91  24.51  23.91  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26590  Repair finger deformity                           A  18.51  13.19NA  12.43NA  13.19    12.43     2.78  34.48  33.72  34.48  33.72  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26591  Repair muscles of hand                            A   3.30   7.92NA   6.22NA   7.92     6.22     0.48  11.70  10.00  11.70  10.00  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26593  Release muscles of hand                           A   5.38   9.47NA   7.80NA   9.47     7.80     0.78  15.63  13.96  15.63  13.96  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26596  Excision constricting tissue                      A   9.02   8.16NA   7.49NA   8.16     7.49     1.43  18.61  17.94  18.61  17.94  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26600  Treat metacarpal fracture                         A   2.48   3.73     3.84     3.07     3.49     0.30   6.51   6.62   5.85   6.27  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26605  Treat metacarpal fracture                         A   2.92   4.32     4.09     3.58     3.51     0.49   7.73   7.50   6.99   6.92  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26607  Treat metacarpal fracture                         A   5.40   5.58NA   4.89NA   5.58     4.89     0.87  11.85  11.16  11.85  11.16  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26608  Treat metacarpal fracture                         A   5.43   5.74NA   5.23NA   5.74     5.23     0.88  12.05  11.54  12.05  11.54  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26615  Treat metacarpal fracture                         A   6.91   5.66NA   6.02NA   5.66     6.02     0.86  13.43  13.79  13.43  13.79  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26641  Treat thumb dislocation                           A   4.01   4.30     4.04     3.47     3.40     0.39   8.70   8.44   7.87   7.80  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26645  Treat thumb fracture                              A   4.47   4.89     4.61     4.06     3.92     0.67  10.03   9.75   9.20   9.06  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26650  Treat thumb fracture                              A   5.19   5.79NA   4.89NA   5.79     4.89     0.94  11.92  11.02  11.92  11.02  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26665  Treat thumb fracture                              A   7.78   6.47NA   6.32NA   6.47     6.32     0.90  15.15  15.00  15.15  15.00  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
26670  Treat hand dislocation                            A   3.74   3.94     3.62     2.99     3.03     0.39   8.07   7.75   7.12   7.16  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26675  Treat hand dislocation                            A   4.71   5.37     5.26     4.49     4.52     0.77  10.85  10.74   9.97  10.00  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26676  Pin hand dislocation                              A   5.60   6.13NA   5.57NA   6.13     5.57     0.91  12.64  12.08  12.64  12.08  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26685  Treat hand dislocation                            A   6.91   6.06NA   5.97NA   6.06     5.97     1.09  14.06  13.97  14.06  13.97  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
26686  Treat hand dislocation                            A   8.06   6.49NA   6.08NA   6.49     6.08     1.24  15.79  15.38  15.79  15.38  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
26700  Treat knuckle dislocation                         A   3.74   3.53     3.30     2.90     2.93     0.35   7.62   7.39   6.99   7.02  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26705  Treat knuckle dislocation                         A   4.26   5.04     4.75     4.17     4.04     0.66   9.96   9.67   9.09   8.96  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26706  Pin knuckle dislocation                           A   5.19   4.90NA   4.70NA   4.90     4.70     0.81  10.90  10.70  10.90  10.70  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26715  Treat knuckle dislocation                         A   6.87   5.76NA   6.00NA   5.76     6.00     0.91  13.54  13.78  13.54  13.78  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26720  Treat finger fracture, each                       A   1.70   2.68     2.58     2.18     2.30     0.24   4.62   4.52   4.12   4.24  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26725  Treat finger fracture, each                       A   3.39   4.43     4.09     3.46     3.41     0.53   8.35   8.01   7.38   7.33  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26727  Treat finger fracture, each                       A   5.30   5.71NA   5.18NA   5.71     5.18     0.84  11.85  11.32  11.85  11.32  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26735  Treat finger fracture, each                       A   7.26   5.84NA   6.13NA   5.84     6.13     0.95  14.05  14.34  14.05  14.34  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26740  Treat finger fracture, each                       A   1.99   3.07     3.01     2.71     2.72     0.31   5.37   5.31   5.01   5.02  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26742  Treat finger fracture, each                       A   3.90   4.63     4.27     3.72     3.57     0.58   9.11   8.75   8.20   8.05  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26746  Treat finger fracture, each                       A   9.59   6.38NA   7.20NA   6.38     7.20     0.91  16.88  17.70  16.88  17.70  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26750  Treat finger fracture, each                       A   1.74   2.37     2.25     2.14     2.26     0.22   4.33   4.21   4.10   4.22  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26755  Treat finger fracture, each                       A   3.15   4.08     3.75     2.97     2.94     0.42   7.65   7.32   6.54   6.51  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26756  Pin finger fracture, each                         A   4.46   5.29NA   4.86NA   5.29     4.86     0.71  10.46  10.03  10.46  10.03  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26765  Treat finger fracture, each                       A   5.70   4.93NA   5.47NA   4.93     5.47     0.66  11.29  11.83  11.29  11.83  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26770  Treat finger dislocation                          A   3.07   3.18     2.92     2.48     2.55     0.27   6.52   6.26   5.82   5.89  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26775  Treat finger dislocation                          A   3.78   4.91     4.62     3.85     3.88     0.54   9.23   8.94   8.17   8.20  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26776  Pin finger dislocation                            A   4.87   5.50NA   4.99NA   5.50     4.99     0.77  11.14  10.63  11.14  10.63  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26785  Treat finger dislocation                          A   6.44   5.15NA   5.78NA   5.15     5.78     0.68  12.27  12.90  12.27  12.90  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26820  Thumb fusion with graft                           A   8.33  11.11NA   8.97NA  11.11     8.97     1.30  20.74  18.60  20.74  18.60  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26841  Fusion of thumb                                   A   7.21  11.00NA   8.77NA  11.00     8.77     1.18  19.39  17.16  19.39  17.16  0090.10.69.2120010             38.0870 090 99     0.00   0.00   0.00
26842  Thumb fusion with graft                           A   8.37  11.20NA   9.02NA  11.20     9.02     1.32  20.89  18.71  20.89  18.71  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26843  Fusion of hand joint                              A   7.67  10.46NA   8.57NA  10.46     8.57     1.15  19.28  17.39  19.28  17.39  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26844  Fusion/graft of hand joint                        A   8.86  11.27NA   9.16NA  11.27     9.16     1.33  21.46  19.35  21.46  19.35  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26850  Fusion of knuckle                                 A   7.03  10.24NA   8.27NA  10.24     8.27     1.06  18.33  16.36  18.33  16.36  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26852  Fusion of knuckle with graft                      A   8.59  11.02NA   9.14NA  11.02     9.14     1.22  20.83  18.95  20.83  18.95  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26860  Fusion of finger joint                            A   4.76   9.37NA   7.54NA   9.37     7.54     0.73  14.86  13.03  14.86  13.03  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26861  Fusion of finger jnt, add-on                      A   1.74   0.82NA   0.70NA   0.82     0.70     0.27   2.83   2.71   2.83   2.71  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
26862  Fusion/graft of finger joint                      A   7.44  10.51NA   8.67NA  10.51     8.67     1.10  19.05  17.21  19.05  17.21  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
26863  Fuse/graft added joint                            A   3.89   1.85NA   1.58NA   1.85     1.58     0.56   6.30   6.03   6.30   6.03  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
26910  Amputate metacarpal bone                          A   7.67   9.75NA   8.28NA   9.75     8.28     1.16  18.58  17.11  18.58  17.11  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26951  Amputation of finger/thumb                        A   5.85   9.28NA   8.40NA   9.28     8.40     0.71  15.84  14.96  15.84  14.96  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26952  Amputation of finger/thumb                        A   6.37   9.79NA   7.91NA   9.79     7.91     0.95  17.11  15.23  17.11  15.23  0090.10.69.2120100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
26990  Drainage of pelvis lesion                         A   7.84   6.71NA   6.21NA   6.71     6.21     1.22  15.77  15.27  15.77  15.27  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
26991  Drainage of pelvis bursa                          A   6.97   9.89     8.62     5.16     4.88     1.11  17.97  16.70  13.24  12.96  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
26992  Drainage of bone lesion                           A  13.37   9.40NA   8.42NA   9.40     8.42     2.17  24.94  23.96  24.94  23.96  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
27000  Incision of hip tendon                            A   5.66   4.90NA   4.51NA   4.90     4.51     0.98  11.54  11.15  11.54  11.15  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27001  Incision of hip tendon                            A   7.05   5.66NA   5.23NA   5.66     5.23     1.24  13.95  13.52  13.95  13.52  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27003  Incision of hip tendon                            A   7.70   6.11NA   5.73NA   6.11     5.73     1.12  14.93  14.55  14.93  14.55  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27005  Incision of hip tendon                            A   9.96   7.15NA   6.49NA   7.15     6.49     1.73  18.84  18.18  18.84  18.18  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27006  Incision of hip tendons                           A   9.99   7.37NA   6.76NA   7.37     6.76     1.70  19.06  18.45  19.06  18.45  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27025  Incision of hip/thigh fascia                      A  12.66   8.38NA   8.21NA   8.38     8.21     1.85  22.89  22.72  22.89  22.72  0090.10.69.2121010             38.0870 090 99     0.00   0.00   0.00
27030  Drainage of hip joint                             A  13.54   8.84NA   8.04NA   8.84     8.04     2.27  24.65  23.85  24.65  23.85  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27033  Exploration of hip joint                          A  13.99   9.16NA   8.40NA   9.16     8.40     2.33  25.48  24.72  25.48  24.72  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27035  Denervation of hip joint                          A  17.23   9.88NA   8.53NA   9.88     8.53     2.16  29.27  27.92  29.27  27.92  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27036  Excision of hip joint/muscle                      A  14.18   9.47NA   8.92NA   9.47     8.92     2.27  25.92  25.37  25.92  25.37  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27040  Biopsy of soft tissues                            A   2.89   5.22     5.19     1.94     1.87     0.27   8.38   8.35   5.10   5.03  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
27041  Biopsy of soft tissues                            A  10.07   6.19NA   5.74NA   6.19     5.74     1.35  17.61  17.16  17.61  17.16  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27047  Remove hip/pelvis lesion                          A   7.51   7.07     7.03     4.63     4.50     1.03  15.61  15.57  13.17  13.04  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27048  Remove hip/pelvis lesion                          A   6.44   4.70NA   4.61NA   4.70     4.61     0.92  12.06  11.97  12.06  11.97  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27049  Remove tumor, hip/pelvis                          A  15.20   8.29NA   8.17NA   8.29     8.17     2.07  25.56  25.44  25.56  25.44  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27050  Biopsy of sacroiliac joint                        A   4.65   3.72NA   3.01NA   3.72     3.01     0.60   8.97   8.26   8.97   8.26  0090.10.69.2121010             38.0870 090 99     0.00   0.00   0.00
27052  Biopsy of hip joint                               A   7.27   5.77NA   5.65NA   5.77     5.65     1.08  14.12  14.00  14.12  14.00  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27054  Removal of hip joint lining                       A   9.09   6.92NA   6.49NA   6.92     6.49     1.47  17.48  17.05  17.48  17.05  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27060  Removal of ischial bursa                          A   5.78   4.37NA   4.37NA   4.37     4.37     0.80  10.95  10.95  10.95  10.95  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27062  Remove femur lesion/bursa                         A   5.66   4.90NA   4.60NA   4.90     4.60     0.93  11.49  11.19  11.49  11.19  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27065  Removal of hip bone lesion                        A   6.44   5.22NA   4.99NA   5.22     4.99     1.01  12.67  12.44  12.67  12.44  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27066  Removal of hip bone lesion                        A  11.06   7.94NA   7.44NA   7.94     7.44     1.80  20.80  20.30  20.80  20.30  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27067  Remove/graft hip bone lesion                      A  14.57   9.76NA   8.85NA   9.76     8.85     1.85  26.18  25.27  26.18  25.27  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27070  Partial removal of hip bone                       A  11.44   8.59NA   8.03NA   8.59     8.03     1.75  21.78  21.22  21.78  21.22  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27071  Partial removal of hip bone                       A  12.25   9.31NA   8.48NA   9.31     8.48     1.93  23.49  22.66  23.49  22.66  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27075  Extensive hip surgery                             A  36.77  17.68NA  16.15NA  17.68    16.15     5.66  60.11  58.58  60.11  58.58  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
27076  Extensive hip surgery                             A  24.25  13.68NA  12.83NA  13.68    12.83     3.71  41.64  40.79  41.64  40.79  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
27077  Extensive hip surgery                             A  42.54  21.31NA  19.95NA  21.31    19.95     6.14  69.99  68.63  69.99  68.63  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
27078  Extensive hip surgery                             A  14.54   9.38NA   8.82NA   9.38     8.82     2.23  26.15  25.59  26.15  25.59  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
27079  Extensive hip surgery                             A  14.91   8.78NA   8.01NA   8.78     8.01     1.95  25.64  24.87  25.64  24.87  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
27080  Removal of tail bone                              A   6.80   4.71NA   4.59NA   4.71     4.59     0.93  12.44  12.32  12.44  12.32  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
27086  Remove hip foreign body                           A   1.89   4.11     3.66     1.65     1.48     0.25   6.25   5.80   3.79   3.62  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
27087  Remove hip foreign body                           A   8.72   6.16NA   5.66NA   6.16     5.66     1.35  16.23  15.73  16.23  15.73  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27090  Removal of hip prosthesis                         A  11.57   8.10NA   7.41NA   8.10     7.41     1.95  21.62  20.93  21.62  20.93  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27091  Removal of hip prosthesis                         A  24.15  13.46NA  12.91NA  13.46    12.91     3.85  41.46  40.91  41.46  40.91  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27093  Injection for hip x-ray                           A   1.30   3.81     3.15     0.48     0.47     0.13   5.24   4.58   1.91   1.90  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
27095  Injection for hip x-ray                           A   1.50   4.72     3.71     0.51     0.51     0.14   6.36   5.35   2.15   2.15  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
27096  Inject sacroiliac joint                           A   1.40   3.44     2.52     0.33     0.33     0.08   4.92   4.00   1.81   1.81  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
27097  Revision of hip tendon                            A   9.16   6.38NA   6.34NA   6.38     6.34     1.57  17.11  17.07  17.11  17.07  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27098  Transfer tendon to pelvis                         A   9.20   5.97NA   4.91NA   5.97     4.91     0.95  16.12  15.06  16.12  15.06  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27100  Transfer of abdominal muscle                      A  11.21   8.04NA   7.40NA   8.04     7.40     1.86  21.11  20.47  21.11  20.47  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27105  Transfer of spinal muscle                         A  11.90   8.26NA   7.36NA   8.26     7.36     1.73  21.89  20.99  21.89  20.99  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27110  Transfer of iliopsoas muscle                      A  13.63   8.70NA   8.28NA   8.70     8.28     2.19  24.52  24.10  24.52  24.10  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27111  Transfer of iliopsoas muscle                      A  12.46   8.61NA   8.07NA   8.61     8.07     1.95  23.02  22.48  23.02  22.48  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27120  Reconstruction of hip socket                      A  19.10  11.33NA  10.82NA  11.33    10.82     3.09  33.52  33.01  33.52  33.01  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27122  Reconstruction of hip socket                      A  15.95  10.24NA   9.44NA  10.24     9.44     2.62  28.81  28.01  28.81  28.01  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27125  Partial hip replacement                           A  16.46  10.11NA   9.60NA  10.11     9.60     2.55  29.12  28.61  29.12  28.61  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27130  Total hip arthroplasty                            A  21.61  12.54NA  11.77NA  12.54    11.77     3.51  37.66  36.89  37.66  36.89  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27132  Total hip arthroplasty                            A  25.49  14.54NA  13.43NA  14.54    13.43     4.05  44.08  42.97  44.08  42.97  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27134  Revise hip joint replacement                      A  30.13  16.25NA  14.69NA  16.25    14.69     4.95  51.33  49.77  51.33  49.77  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27137  Revise hip joint replacement                      A  22.55  12.84NA  11.73NA  12.84    11.73     3.68  39.07  37.96  39.07  37.96  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27138  Revise hip joint replacement                      A  23.55  13.26NA  12.12NA  13.26    12.12     3.85  40.66  39.52  40.66  39.52  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27140  Transplant femur ridge                            A  12.66   8.65NA   7.88NA   8.65     7.88     2.12  23.43  22.66  23.43  22.66  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27146  Incision of hip bone                              A  18.72  11.42NA  10.69NA  11.42    10.69     2.97  33.11  32.38  33.11  32.38  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27147  Revision of hip bone                              A  21.87  12.64NA  12.02NA  12.64    12.02     3.58  38.09  37.47  38.09  37.47  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27151  Incision of hip bones                             A  23.92  10.42NA  12.89NA  10.42    12.89     3.92  38.26  40.73  38.26  40.73  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27156  Revision of hip bones                             A  26.03  14.90NA  13.72NA  14.90    13.72     4.22  45.15  43.97  45.15  43.97  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27158  Revision of pelvis                                A  20.89  11.25NA  11.52NA  11.25    11.52     3.17  35.31  35.58  35.31  35.58  0090.10.69.2122200             38.0870 090 99     0.00   0.00   0.00
27161  Incision of neck of femur                         A  17.74  11.24NA  10.36NA  11.24    10.36     2.95  31.93  31.05  31.93  31.05  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27165  Incision/fixation of femur                        A  20.06  12.25NA  11.58NA  12.25    11.58     3.11  35.42  34.75  35.42  34.75  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27170  Repair/graft femur head/neck                      A  17.46  10.53NA   9.76NA  10.53     9.76     2.82  30.81  30.04  30.81  30.04  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27175  Treat slipped epiphysis                           A   9.29   5.92NA   5.17NA   5.92     5.17     1.46  16.67  15.92  16.67  15.92  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27176  Treat slipped epiphysis                           A  12.78   8.60NA   8.18NA   8.60     8.18     2.23  23.61  23.19  23.61  23.19  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27177  Treat slipped epiphysis                           A  15.94  10.27NA   9.64NA  10.27     9.64     2.62  28.83  28.20  28.83  28.20  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27178  Treat slipped epiphysis                           A  12.78   8.20NA   7.98NA   8.20     7.98     2.09  23.07  22.85  23.07  22.85  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27179  Revise head/neck of femur                         A  13.83   9.29NA   8.57NA   9.29     8.57     2.26  25.38  24.66  25.38  24.66  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27181  Treat slipped epiphysis                           A  15.98   9.98NA   9.74NA   9.98     9.74     1.57  27.53  27.29  27.53  27.29  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27185  Revision of femur epiphysis                       A   9.67   7.08NA   6.65NA   7.08     6.65     2.40  19.15  18.72  19.15  18.72  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27187  Reinforce hip bones                               A  14.09   9.51NA   8.69NA   9.51     8.69     2.38  25.98  25.16  25.98  25.16  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27193  Treat pelvic ring fracture                        A   5.98   4.86     4.63     4.92     4.76     0.96  11.80  11.57  11.86  11.70  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
27194  Treat pelvic ring fracture                        A  10.08   7.13NA   6.61NA   7.13     6.61     1.65  18.86  18.34  18.86  18.34  0090.10.69.2120020             38.0870 090 99     0.00   0.00   0.00
27200  Treat tail bone fracture                          A   1.87   2.15     2.08     2.19     2.22     0.28   4.30   4.23   4.34   4.37  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
27202  Treat tail bone fracture                          A   7.25  10.89NA   4.91NA  10.89     4.91     1.06  19.20  13.22  19.20  13.22  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
27215  Treat pelvic fracture(s)                          A  10.45   6.82NA   6.55NA   6.82     6.55     1.98  19.25  18.98  19.25  18.98  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
27216  Treat pelvic ring fracture                        A  15.73   9.37NA   9.14NA   9.37     9.14     2.64  27.74  27.51  27.74  27.51  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
27217  Treat pelvic ring fracture                        A  14.65   9.39NA   8.63NA   9.39     8.63     2.42  26.46  25.70  26.46  25.70  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
27218  Treat pelvic ring fracture                        A  20.93  11.37NA  11.33NA  11.37    11.33     3.49  35.79  35.75  35.79  35.75  0090.10.69.2120220             38.0870 090 99     0.00   0.00   0.00
27220  Treat hip socket fracture                         A   6.72   5.49     5.25     5.39     5.15     1.07  13.28  13.04  13.18  12.94  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27222  Treat hip socket fracture                         A  13.97   9.25NA   8.52NA   9.25     8.52     2.20  25.42  24.69  25.42  24.69  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27226  Treat hip wall fracture                           A  15.45   8.37NA   8.93NA   8.37     8.93     2.49  26.31  26.87  26.31  26.87  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27227  Treat hip fracture(s)                             A  25.21  14.39NA  13.38NA  14.39    13.38     4.06  43.66  42.65  43.66  42.65  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27228  Treat hip fracture(s)                             A  29.13  16.24NA  14.85NA  16.24    14.85     4.67  50.04  48.65  50.04  48.65  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27230  Treat thigh fracture                              A   5.69   5.23     4.93     4.98     4.87     0.95  11.87  11.57  11.62  11.51  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27232  Treat thigh fracture                              A  11.66   6.64NA   6.10NA   6.64     6.10     1.86  20.16  19.62  20.16  19.62  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27235  Treat thigh fracture                              A  12.88   8.72NA   7.98NA   8.72     7.98     2.12  23.72  22.98  23.72  22.98  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27236  Treat thigh fracture                              A  17.43  10.60NA  10.14NA  10.60    10.14     2.72  30.75  30.29  30.75  30.29  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27238  Treat thigh fracture                              A   5.64   4.90NA   4.65NA   4.90     4.65     0.89  11.43  11.18  11.43  11.18  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27240  Treat thigh fracture                              A  13.66   8.84NA   8.21NA   8.84     8.21     2.17  24.67  24.04  24.67  24.04  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27244  Treat thigh fracture                              A  17.08  10.46NA   9.62NA  10.46     9.62     2.78  30.32  29.48  30.32  29.48  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27245  Treat thigh fracture                              A  21.09  12.55NA  11.34NA  12.55    11.34     3.53  37.17  35.96  37.17  35.96  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27246  Treat thigh fracture                              A   4.75   4.18     3.91     4.18     3.95     0.81   9.74   9.47   9.74   9.51  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27248  Treat thigh fracture                              A  10.64   7.30NA   6.38NA   7.30     6.38     1.82  19.76  18.84  19.76  18.84  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27250  Treat hip dislocation                             A   7.21   4.46NA   4.30NA   4.46     4.30     0.62  12.29  12.13  12.29  12.13  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27252  Treat hip dislocation                             A  10.92   6.96NA   6.49NA   6.96     6.49     1.66  19.54  19.07  19.54  19.07  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27253  Treat hip dislocation                             A  13.46   8.98NA   8.17NA   8.98     8.17     2.25  24.69  23.88  24.69  23.88  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27254  Treat hip dislocation                             A  18.80  11.28NA  10.54NA  11.28    10.54     3.18  33.26  32.52  33.26  32.52  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27256  Treat hip dislocation                             A   4.25   3.02     2.52     1.75     1.41     0.46   7.73   7.23   6.46   6.12  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
27257  Treat hip dislocation                             A   5.35   2.68NA   2.54NA   2.68     2.54     0.69   8.72   8.58   8.72   8.58  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
27258  Treat hip dislocation                             A  16.04  10.18NA   9.48NA  10.18     9.48     2.65  28.87  28.17  28.87  28.17  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27259  Treat hip dislocation                             A  23.03  13.45NA  12.78NA  13.45    12.78     3.75  40.23  39.56  40.23  39.56  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27265  Treat hip dislocation                             A   5.12   4.37NA   3.95NA   4.37     3.95     0.63  10.12   9.70  10.12   9.70  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27266  Treat hip dislocation                             A   7.67   5.93NA   5.51NA   5.93     5.51     1.29  14.89  14.47  14.89  14.47  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27267  Cltx thigh fx                                     A   5.38   4.40NA   4.40NA   4.40     4.40     0.89  10.67  10.67  10.67  10.67  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27268  Cltx thigh fx w/mnpj                              A   7.00   5.02NA   5.02NA   5.02     5.02     1.16  13.18  13.18  13.18  13.18  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27269  Optx thigh fx                                     A  18.75   9.89NA   9.89NA   9.89     9.89     2.93  31.57  31.57  31.57  31.57  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27275  Manipulation of hip joint                         A   2.29   1.98NA   1.85NA   1.98     1.85     0.39   4.66   4.53   4.66   4.53  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
27280  Fusion of sacroiliac joint                        A  14.49   9.58NA   8.88NA   9.58     8.88     2.54  26.61  25.91  26.61  25.91  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27282  Fusion of pubic bones                             A  11.71   7.89NA   7.78NA   7.89     7.78     1.87  21.47  21.36  21.47  21.36  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
27284  Fusion of hip joint                               A  24.91  13.39NA  12.01NA  13.39    12.01     3.93  42.23  40.85  42.23  40.85  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27286  Fusion of hip joint                               A  24.97  14.21NA  12.61NA  14.21    12.61     3.13  42.31  40.71  42.31  40.71  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27290  Amputation of leg at hip                          A  24.38  13.09NA  12.11NA  13.09    12.11     3.44  40.91  39.93  40.91  39.93  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
27295  Amputation of leg at hip                          A  19.54  10.45NA   9.59NA  10.45     9.59     2.96  32.95  32.09  32.95  32.09  0090.10.69.2120210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
27301  Drain thigh/knee lesion                           A   6.67   9.14     8.20     4.89     4.65     1.04  16.85  15.91  12.60  12.36  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27303  Drainage of bone lesion                           A   8.52   6.49NA   5.99NA   6.49     5.99     1.43  16.44  15.94  16.44  15.94  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27305  Incise thigh tendon & fascia                      A   6.09   4.93NA   4.68NA   4.93     4.68     1.01  12.03  11.78  12.03  11.78  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27306  Incision of thigh tendon                          A   4.66   4.40NA   4.08NA   4.40     4.08     0.85   9.91   9.59   9.91   9.59  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27307  Incision of thigh tendons                         A   5.97   5.06NA   4.74NA   5.06     4.74     1.04  12.07  11.75  12.07  11.75  0090.10.69.2121010             38.0870 090 99     0.00   0.00   0.00
27310  Exploration of knee joint                         A   9.88   7.18NA   6.78NA   7.18     6.78     1.61  18.67  18.27  18.67  18.27  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27323  Biopsy, thigh soft tissues                        A   2.30   3.86     4.20     1.91     1.93     0.24   6.40   6.74   4.45   4.47  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
27324  Biopsy, thigh soft tissues                        A   4.95   4.00NA   3.82NA   4.00     3.82     0.75   9.70   9.52   9.70   9.52  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27325  Neurectomy, hamstring                             A   7.09   4.97NA   4.99NA   4.97     4.99     1.09  13.15  13.17  13.15  13.17  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27326  Neurectomy, popliteal                             A   6.36   5.18NA   5.12NA   5.18     5.12     1.06  12.60  12.54  12.60  12.54  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27327  Removal of thigh lesion                           A   4.52   6.02     6.04     3.65     3.58     0.64  11.18  11.20   8.81   8.74  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27328  Removal of thigh lesion                           A   5.62   4.22NA   4.07NA   4.22     4.07     0.84  10.68  10.53  10.68  10.53  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27329  Remove tumor, thigh/knee                          A  15.68   8.75NA   8.47NA   8.75     8.47     2.15  26.58  26.30  26.58  26.30  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27330  Biopsy, knee joint lining                         A   5.02   4.42NA   4.26NA   4.42     4.26     0.86  10.30  10.14  10.30  10.14  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27331  Explore/treat knee joint                          A   5.93   5.16NA   4.80NA   5.16     4.80     1.02  12.11  11.75  12.11  11.75  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27332  Removal of knee cartilage                         A   8.34   6.62NA   6.12NA   6.62     6.12     1.43  16.39  15.89  16.39  15.89  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27333  Removal of knee cartilage                         A   7.43   6.18NA   5.69NA   6.18     5.69     1.26  14.87  14.38  14.87  14.38  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27334  Remove knee joint lining                          A   9.07   6.92NA   6.43NA   6.92     6.43     1.51  17.50  17.01  17.50  17.01  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27335  Remove knee joint lining                          A  10.43   7.62NA   7.02NA   7.62     7.02     1.75  19.80  19.20  19.80  19.20  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27340  Removal of kneecap bursa                          A   4.23   4.30NA   4.04NA   4.30     4.04     0.72   9.25   8.99   9.25   8.99  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27345  Removal of knee cyst                              A   5.98   5.26NA   4.89NA   5.26     4.89     1.00  12.24  11.87  12.24  11.87  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27347  Remove knee cyst                                  A   6.58   5.34NA   5.26NA   5.34     5.26     0.98  12.90  12.82  12.90  12.82  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27350  Removal of kneecap                                A   8.54   6.75NA   6.25NA   6.75     6.25     1.41  16.70  16.20  16.70  16.20  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27355  Remove femur lesion                               A   7.89   6.29NA   5.81NA   6.29     5.81     1.32  15.50  15.02  15.50  15.02  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27356  Remove femur lesion/graft                         A   9.97   7.34NA   6.84NA   7.34     6.84     1.65  18.96  18.46  18.96  18.46  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27357  Remove femur lesion/graft                         A  11.02   8.09NA   7.48NA   8.09     7.48     1.96  21.07  20.46  21.07  20.46  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27358  Remove femur lesion/fixation                      A   4.73   2.17NA   1.81NA   2.17     1.81     0.82   7.72   7.36   7.72   7.36  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
27360  Partial removal, leg bone(s)                      A  11.34   8.81NA   8.05NA   8.81     8.05     1.84  21.99  21.23  21.99  21.23  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27365  Extensive leg surgery                             A  17.93  11.05NA  10.42NA  11.05    10.42     2.80  31.78  31.15  31.78  31.15  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27370  Injection for knee x-ray                          A   0.96   3.36     3.00     0.34     0.36     0.08   4.40   4.04   1.38   1.40  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
27372  Removal of foreign body                           A   5.12   9.18     8.31     4.36     4.04     0.84  15.14  14.27  10.32  10.00  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27380  Repair of kneecap tendon                          A   7.34   6.67NA   6.06NA   6.67     6.06     1.24  15.25  14.64  15.25  14.64  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27381  Repair/graft kneecap tendon                       A  10.64   8.33NA   7.56NA   8.33     7.56     1.80  20.77  20.00  20.77  20.00  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27385  Repair of thigh muscle                            A   8.00   6.97NA   6.31NA   6.97     6.31     1.36  16.33  15.67  16.33  15.67  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27386  Repair/graft of thigh muscle                      A  10.99   8.72NA   7.93NA   8.72     7.93     1.86  21.57  20.78  21.57  20.78  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27390  Incision of thigh tendon                          A   5.44   4.79NA   4.47NA   4.79     4.47     0.92  11.15  10.83  11.15  10.83  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
27391  Incision of thigh tendons                         A   7.38   6.06NA   5.55NA   6.06     5.55     1.23  14.67  14.16  14.67  14.16  0090.10.69.2120010             38.0870 090 99     0.00   0.00   0.00
27392  Incision of thigh tendons                         A   9.51   7.13NA   6.67NA   7.13     6.67     1.57  18.21  17.75  18.21  17.75  0090.10.69.2122210             38.0870 090 99     0.00   0.00   0.00
27393  Lengthening of thigh tendon                       A   6.50   5.40NA   4.96NA   5.40     4.96     1.10  13.00  12.56  13.00  12.56  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
27394  Lengthening of thigh tendons                      A   8.68   6.69NA   6.15NA   6.69     6.15     1.47  16.84  16.30  16.84  16.30  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
27395  Lengthening of thigh tendons                      A  12.10   8.63NA   7.93NA   8.63     7.93     2.05  22.78  22.08  22.78  22.08  0090.10.69.2122210             38.0870 090 99     0.00   0.00   0.00
27396  Transplant of thigh tendon                        A   8.04   6.42NA   5.83NA   6.42     5.83     1.34  15.80  15.21  15.80  15.21  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
27397  Transplants of thigh tendons                      A  12.46   8.70NA   8.35NA   8.70     8.35     1.83  22.99  22.64  22.99  22.64  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
27400  Revise thigh muscles/tendons                      A   9.21   6.88NA   6.51NA   6.88     6.51     1.31  17.40  17.03  17.40  17.03  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27403  Repair of knee cartilage                          A   8.51   6.61NA   6.03NA   6.61     6.03     1.44  16.56  15.98  16.56  15.98  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27405  Repair of knee ligament                           A   8.96   6.94NA   6.39NA   6.94     6.39     1.51  17.41  16.86  17.41  16.86  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27407  Repair of knee ligament                           A  10.71   7.58NA   6.83NA   7.58     6.83     1.79  20.08  19.33  20.08  19.33  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27409  Repair of knee ligaments                          A  13.57   9.11NA   8.26NA   9.11     8.26     2.25  24.93  24.08  24.93  24.08  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27412  Autochondrocyte implant knee                      A  24.53  14.23NA  13.66NA  14.23    13.66     4.36  43.12  42.55  43.12  42.55  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27415  Osteochondral knee allograft                      A  19.79  12.17NA  11.79NA  12.17    11.79     4.36  36.32  35.94  36.32  35.94  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27416  Osteochondral knee autograft                      A  14.00   8.39NA   8.39NA   8.39     8.39     2.32  24.71  24.71  24.71  24.71  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27418  Repair degenerated kneecap                        A  11.46   8.24NA   7.57NA   8.24     7.57     1.89  21.59  20.92  21.59  20.92  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27420  Revision of unstable kneecap                      A  10.14   7.51NA   6.91NA   7.51     6.91     1.72  19.37  18.77  19.37  18.77  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27422  Revision of unstable kneecap                      A  10.09   7.50NA   6.88NA   7.50     6.88     1.71  19.30  18.68  19.30  18.68  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27424  Revision/removal of kneecap                       A  10.12   7.50NA   6.90NA   7.50     6.90     1.71  19.33  18.73  19.33  18.73  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27425  Lat retinacular release open                      A   5.28   5.12NA   4.70NA   5.12     4.70     0.90  11.30  10.88  11.30  10.88  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27427  Reconstruction, knee                              A   9.67   7.25NA   6.70NA   7.25     6.70     1.63  18.55  18.00  18.55  18.00  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27428  Reconstruction, knee                              A  15.33  10.65NA  10.05NA  10.65    10.05     2.43  28.41  27.81  28.41  27.81  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27429  Reconstruction, knee                              A  17.24  11.84NA  11.26NA  11.84    11.26     2.71  31.79  31.21  31.79  31.21  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27430  Revision of thigh muscles                         A  10.04   7.42NA   6.84NA   7.42     6.84     1.70  19.16  18.58  19.16  18.58  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27435  Incision of knee joint                            A  10.68   8.04NA   7.59NA   8.04     7.59     1.70  20.42  19.97  20.42  19.97  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27437  Revise kneecap                                    A   8.82   6.72NA   6.19NA   6.72     6.19     1.49  17.03  16.50  17.03  16.50  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27438  Revise kneecap with implant                       A  11.77   8.02NA   7.50NA   8.02     7.50     1.96  21.75  21.23  21.75  21.23  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27440  Revision of knee joint                            A  10.97   6.50NA   7.00NA   6.50     7.00     1.82  19.29  19.79  19.29  19.79  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27441  Revision of knee joint                            A  11.42   7.04NA   7.36NA   7.04     7.36     1.89  20.35  20.67  20.35  20.67  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27442  Revision of knee joint                            A  12.25   8.28NA   7.64NA   8.28     7.64     2.10  22.63  21.99  22.63  21.99  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27443  Revision of knee joint                            A  11.29   8.04NA   7.35NA   8.04     7.35     1.91  21.24  20.55  21.24  20.55  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27445  Revision of knee joint                            A  18.52  11.39NA  10.42NA  11.39    10.42     3.09  33.00  32.03  33.00  32.03  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27446  Revision of knee joint                            A  16.26  10.28NA   9.29NA  10.28     9.29     2.81  29.35  28.36  29.35  28.36  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27447  Total knee arthroplasty                           A  23.04  13.59NA  12.58NA  13.59    12.58     3.80  40.43  39.42  40.43  39.42  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27448  Incision of thigh                                 A  11.48   7.96NA   7.32NA   7.96     7.32     1.95  21.39  20.75  21.39  20.75  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27450  Incision of thigh                                 A  14.47   9.71NA   8.84NA   9.71     8.84     2.43  26.61  25.74  26.61  25.74  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27454  Realignment of thigh bone                         A  18.97  11.62NA  10.73NA  11.62    10.73     3.13  33.72  32.83  33.72  32.83  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27455  Realignment of knee                               A  13.24   9.10NA   8.31NA   9.10     8.31     2.25  24.59  23.80  24.59  23.80  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27457  Realignment of knee                               A  13.92   9.08NA   8.23NA   9.08     8.23     2.35  25.35  24.50  25.35  24.50  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27465  Shortening of thigh bone                          A  18.44  10.26NA  10.29NA  10.26    10.29     2.48  31.18  31.21  31.18  31.21  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27466  Lengthening of thigh bone                         A  17.13  10.95NA  10.06NA  10.95    10.06     2.78  30.86  29.97  30.86  29.97  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27468  Shorten/lengthen thighs                           A  19.82  11.77NA  11.17NA  11.77    11.17     3.31  34.90  34.30  34.90  34.30  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27470  Repair of thigh                                   A  16.97  10.98NA  10.16NA  10.98    10.16     2.80  30.75  29.93  30.75  29.93  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27472  Repair/graft of thigh                             A  18.57  11.67NA  10.64NA  11.67    10.64     3.08  33.32  32.29  33.32  32.29  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27475  Surgery to stop leg growth                        A   8.82   6.71NA   6.20NA   6.71     6.20     1.36  16.89  16.38  16.89  16.38  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27477  Surgery to stop leg growth                        A  10.03   7.17NA   6.60NA   7.17     6.60     1.74  18.94  18.37  18.94  18.37  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27479  Surgery to stop leg growth                        A  13.04   9.25NA   8.85NA   9.25     8.85     2.79  25.08  24.68  25.08  24.68  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27485  Surgery to stop leg growth                        A   9.02   6.81NA   6.22NA   6.81     6.22     1.53  17.36  16.77  17.36  16.77  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27486  Revise/replace knee joint                         A  20.92  12.57NA  11.63NA  12.57    11.63     3.37  36.86  35.92  36.86  35.92  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27487  Revise/replace knee joint                         A  26.91  15.27NA  13.98NA  15.27    13.98     4.40  46.58  45.29  46.58  45.29  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27488  Removal of knee prosthesis                        A  17.40  10.98NA  10.25NA  10.98    10.25     2.75  31.13  30.40  31.13  30.40  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27495  Reinforce thigh                                   A  16.40  10.51NA   9.60NA  10.51     9.60     2.72  29.63  28.72  29.63  28.72  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27496  Decompression of thigh/knee                       A   6.66   5.29NA   4.98NA   5.29     4.98     0.99  12.94  12.63  12.94  12.63  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27497  Decompression of thigh/knee                       A   7.70   5.21NA   4.99NA   5.21     4.99     1.15  14.06  13.84  14.06  13.84  0090.10.69.2121020             38.0870 090 99     0.00   0.00   0.00
27498  Decompression of thigh/knee                       A   8.54   5.57NA   5.19NA   5.57     5.19     1.24  15.35  14.97  15.35  14.97  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27499  Decompression of thigh/knee                       A   9.31   6.40NA   5.98NA   6.40     5.98     1.47  17.18  16.76  17.18  16.76  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27500  Treatment of thigh fracture                       A   6.21   5.75     5.36     4.79     4.58     1.02  12.98  12.59  12.02  11.81  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27501  Treatment of thigh fracture                       A   6.34   5.40     5.01     5.15     4.92     1.03  12.77  12.38  12.52  12.29  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27502  Treatment of thigh fracture                       A  11.24   7.49NA   6.86NA   7.49     6.86     1.79  20.52  19.89  20.52  19.89  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27503  Treatment of thigh fracture                       A  11.13   7.75NA   7.22NA   7.75     7.22     1.85  20.73  20.20  20.73  20.20  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27506  Treatment of thigh fracture                       A  19.42  12.08NA  11.37NA  12.08    11.37     3.04  34.54  33.83  34.54  33.83  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27507  Treatment of thigh fracture                       A  14.39   8.99NA   8.13NA   8.99     8.13     2.43  25.81  24.95  25.81  24.95  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27508  Treatment of thigh fracture                       A   6.08   6.08     5.69     5.27     5.05     0.97  13.13  12.74  12.32  12.10  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27509  Treatment of thigh fracture                       A   8.02   7.25NA   6.54NA   7.25     6.54     1.34  16.61  15.90  16.61  15.90  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27510  Treatment of thigh fracture                       A   9.68   6.80NA   6.27NA   6.80     6.27     1.53  18.01  17.48  18.01  17.48  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27511  Treatment of thigh fracture                       A  14.97   9.66NA   8.11NA   9.66     8.11     2.38  27.01  25.46  27.01  25.46  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27513  Treatment of thigh fracture                       A  19.11  11.82NA   9.75NA  11.82     9.75     3.13  34.06  31.99  34.06  31.99  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27514  Treatment of thigh fracture                       A  14.46  10.62NA   7.89NA  10.62     7.89     3.01  28.09  25.36  28.09  25.36  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27516  Treat thigh fx growth plate                       A   5.45   6.04     5.72     5.30     5.07     0.81  12.30  11.98  11.56  11.33  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27517  Treat thigh fx growth plate                       A   8.98   6.94NA   6.42NA   6.94     6.42     1.22  17.14  16.62  17.14  16.62  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27519  Treat thigh fx growth plate                       A  13.11   9.49NA   7.39NA   9.49     7.39     2.56  25.16  23.06  25.16  23.06  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27520  Treat kneecap fracture                            A   2.93   4.32     4.10     3.48     3.53     0.47   7.72   7.50   6.88   6.93  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27524  Treat kneecap fracture                            A  10.25   7.59NA   6.94NA   7.59     6.94     1.75  19.59  18.94  19.59  18.94  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27530  Treat knee fracture                               A   3.97   5.07     4.82     4.34     4.26     0.65   9.69   9.44   8.96   8.88  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27532  Treat knee fracture                               A   7.43   6.88     6.40     6.04     5.63     1.26  15.57  15.09  14.73  14.32  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27535  Treat knee fracture                               A  13.27   8.78NA   7.45NA   8.78     7.45     2.01  24.06  22.73  24.06  22.73  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27536  Treat knee fracture                               A  17.19  10.91NA  10.20NA  10.91    10.20     2.74  30.84  30.13  30.84  30.13  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27538  Treat knee fracture(s)                            A   4.95   5.83     5.51     5.05     4.89     0.84  11.62  11.30  10.84  10.68  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27540  Treat knee fracture                               A  11.16   8.45NA   7.39NA   8.45     7.39     2.28  21.89  20.83  21.89  20.83  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27550  Treat knee dislocation                            A   5.84   5.62     5.21     4.72     4.51     0.76  12.22  11.81  11.32  11.11  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27552  Treat knee dislocation                            A   8.04   6.52NA   6.09NA   6.52     6.09     1.36  15.92  15.49  15.92  15.49  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27556  Treat knee dislocation                            A  12.86   9.46NA   7.26NA   9.46     7.26     2.51  24.83  22.63  24.83  22.63  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27557  Treat knee dislocation                            A  15.76  10.79NA   8.45NA  10.79     8.45     2.98  29.53  27.19  29.53  27.19  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27558  Treat knee dislocation                            A  18.25  11.17NA   9.29NA  11.17     9.29     3.09  32.51  30.63  32.51  30.63  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27560  Treat kneecap dislocation                         A   3.88   4.54     4.25     3.45     3.72     0.40   8.82   8.53   7.73   8.00  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27562  Treat kneecap dislocation                         A   5.86   4.69NA   4.61NA   4.69     4.61     0.94  11.49  11.41  11.49  11.41  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27566  Treat kneecap dislocation                         A  12.59   8.61NA   7.89NA   8.61     7.89     2.13  23.33  22.61  23.33  22.61  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27570  Fixation of knee joint                            A   1.76   1.70NA   1.62NA   1.70     1.62     0.30   3.76   3.68   3.76   3.68  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
27580  Fusion of knee                                    A  20.90  13.50NA  12.19NA  13.50    12.19     3.38  37.78  36.47  37.78  36.47  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27590  Amputate leg at thigh                             A  13.35   6.35NA   6.02NA   6.35     6.02     1.75  21.45  21.12  21.45  21.12  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27591  Amputate leg at thigh                             A  13.82   8.00NA   7.35NA   8.00     7.35     2.03  23.85  23.20  23.85  23.20  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27592  Amputate leg at thigh                             A  10.86   5.81NA   5.45NA   5.81     5.45     1.45  18.12  17.76  18.12  17.76  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27594  Amputation follow-up surgery                      A   7.17   4.95NA   4.73NA   4.95     4.73     1.02  13.14  12.92  13.14  12.92  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27596  Amputation follow-up surgery                      A  11.15   6.40NA   5.98NA   6.40     5.98     1.57  19.12  18.70  19.12  18.70  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27598  Amputate lower leg at knee                        A  11.08   6.61NA   6.20NA   6.61     6.20     1.65  19.34  18.93  19.34  18.93  0090.10.69.2121210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
27600  Decompression of lower leg                        A   5.94   4.16NA   3.80NA   4.16     3.80     0.86  10.96  10.60  10.96  10.60  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27601  Decompression of lower leg                        A   5.94   4.51NA   4.18NA   4.51     4.18     0.80  11.25  10.92  11.25  10.92  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27602  Decompression of lower leg                        A   7.71   4.71NA   4.29NA   4.71     4.29     1.10  13.52  13.10  13.52  13.10  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27603  Drain lower leg lesion                            A   5.12   7.27     7.05     4.03     3.90     0.74  13.13  12.91   9.89   9.76  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27604  Drain lower leg bursa                             A   4.51   6.29     6.49     3.69     3.43     0.69  11.49  11.69   8.89   8.63  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27605  Incision of achilles tendon                       A   2.89   6.42     5.16     2.03     1.74     0.41   9.72   8.46   5.33   5.04  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
27606  Incision of achilles tendon                       A   4.15   2.99NA   2.63NA   2.99     2.63     0.69   7.83   7.47   7.83   7.47  0010.10.80.1021110             38.0870 090 99     0.00   0.00   0.00
27607  Treat lower leg bone lesion                       A   8.51   5.94NA   5.70NA   5.94     5.70     1.31  15.76  15.52  15.76  15.52  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27610  Explore/treat ankle joint                         A   9.01   6.56NA   6.11NA   6.56     6.11     1.40  16.97  16.52  16.97  16.52  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27612  Exploration of ankle joint                        A   8.01   5.64NA   5.18NA   5.64     5.18     1.13  14.78  14.32  14.78  14.32  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27613  Biopsy lower leg soft tissue                      A   2.19   3.57     3.91     1.79     1.78     0.20   5.96   6.30   4.18   4.17  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
27614  Biopsy lower leg soft tissue                      A   5.71   7.45     7.76     4.19     3.94     0.78  13.94  14.25  10.68  10.43  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27615  Remove tumor, lower leg                           A  12.93   8.34NA   7.28NA   8.34     7.28     1.84  23.11  22.05  23.11  22.05  0090.10.69.2121010             38.0870 090 99     0.00   0.00   0.00
27618  Remove lower leg lesion                           A   5.14   6.23     6.44     3.90     3.80     0.72  12.09  12.30   9.76   9.66  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27619  Remove lower leg lesion                           A   8.47   9.76    10.00     5.62     5.28     1.25  19.48  19.72  15.34  15.00  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27620  Explore/treat ankle joint                         A   6.04   5.02NA   4.57NA   5.02     4.57     0.97  12.03  11.58  12.03  11.58  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27625  Remove ankle joint lining                         A   8.37   5.98NA   5.50NA   5.98     5.50     1.28  15.63  15.15  15.63  15.15  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27626  Remove ankle joint lining                         A   8.98   6.35NA   5.78NA   6.35     5.78     1.48  16.81  16.24  16.81  16.24  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27630  Removal of tendon lesion                          A   4.85   7.77     7.99     4.09     3.81     0.74  13.36  13.58   9.68   9.40  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27635  Remove lower leg bone lesion                      A   7.91   6.19NA   5.63NA   6.19     5.63     1.31  15.41  14.85  15.41  14.85  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27637  Remove/graft leg bone lesion                      A  10.17   7.60NA   6.91NA   7.60     6.91     1.66  19.43  18.74  19.43  18.74  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27638  Remove/graft leg bone lesion                      A  10.87   7.67NA   7.05NA   7.67     7.05     1.85  20.39  19.77  20.39  19.77  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27640  Partial removal of tibia                          A  12.10   8.89NA   7.47NA   8.89     7.47     1.89  22.88  21.46  22.88  21.46  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27641  Partial removal of fibula                         A   9.73   7.22NA   6.09NA   7.22     6.09     1.46  18.41  17.28  18.41  17.28  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27645  Extensive lower leg surgery                       A  14.78  10.40NA   8.74NA  10.40     8.74     2.42  27.60  25.94  27.60  25.94  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27646  Extensive lower leg surgery                       A  13.21   9.34NA   7.64NA   9.34     7.64     2.06  24.61  22.91  24.61  22.91  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27647  Extensive ankle/heel surgery                      A  12.85   7.08NA   6.54NA   7.08     6.54     1.76  21.69  21.15  21.69  21.15  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27648  Injection for ankle x-ray                         A   0.96   3.20     2.88     0.34     0.34     0.08   4.24   3.92   1.38   1.38  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
27650  Repair achilles tendon                            A   9.94   6.84NA   6.16NA   6.84     6.16     1.59  18.37  17.69  18.37  17.69  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27652  Repair/graft achilles tendon                      A  10.64   7.24NA   6.44NA   7.24     6.44     1.72  19.60  18.80  19.60  18.80  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27654  Repair of achilles tendon                         A  10.32   6.57NA   5.99NA   6.57     5.99     1.58  18.47  17.89  18.47  17.89  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27656  Repair leg fascia defect                          A   4.62   8.25     7.96     3.68     3.58     0.69  13.56  13.27   8.99   8.89  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27658  Repair of leg tendon, each                        A   5.03   4.22NA   3.89NA   4.22     3.89     0.79  10.04   9.71  10.04   9.71  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
27659  Repair of leg tendon, each                        A   6.99   5.16NA   4.68NA   5.16     4.68     1.09  13.24  12.76  13.24  12.76  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
27664  Repair of leg tendon, each                        A   4.64   4.22NA   3.88NA   4.22     3.88     0.76   9.62   9.28   9.62   9.28  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
27665  Repair of leg tendon, each                        A   5.46   4.65NA   4.33NA   4.65     4.33     0.89  11.00  10.68  11.00  10.68  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
27675  Repair lower leg tendons                          A   7.24   5.21NA   4.67NA   5.21     4.67     1.11  13.56  13.02  13.56  13.02  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27676  Repair lower leg tendons                          A   8.61   6.24NA   5.73NA   6.24     5.73     1.37  16.22  15.71  16.22  15.71  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27680  Release of lower leg tendon                       A   5.79   4.64NA   4.16NA   4.64     4.16     0.93  11.36  10.88  11.36  10.88  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
27681  Release of lower leg tendons                      A   6.94   5.51NA   5.09NA   5.51     5.09     1.15  13.60  13.18  13.60  13.18  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
27685  Revision of lower leg tendon                      A   6.57   8.04     8.78     5.02     4.57     0.97  15.58  16.32  12.56  12.11  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
27686  Revise lower leg tendons                          A   7.64   5.89NA   5.29NA   5.89     5.29     1.24  14.77  14.17  14.77  14.17  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
27687  Revision of calf tendon                           A   6.30   4.90NA   4.47NA   4.90     4.47     1.00  12.20  11.77  12.20  11.77  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27690  Revise lower leg tendon                           A   8.96   5.86NA   5.37NA   5.86     5.37     1.33  16.15  15.66  16.15  15.66  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27691  Revise lower leg tendon                           A  10.28   7.21NA   6.66NA   7.21     6.66     1.64  19.13  18.58  19.13  18.58  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27692  Revise additional leg tendon                      A   1.87   0.82NA   0.71NA   0.82     0.71     0.32   3.01   2.90   3.01   2.90  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
27695  Repair of ankle ligament                          A   6.58   5.38NA   4.88NA   5.38     4.88     1.05  13.01  12.51  13.01  12.51  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27696  Repair of ankle ligaments                         A   8.46   5.85NA   5.26NA   5.85     5.26     1.28  15.59  15.00  15.59  15.00  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27698  Repair of ankle ligament                          A   9.49   6.41NA   5.87NA   6.41     5.87     1.47  17.37  16.83  17.37  16.83  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27700  Revision of ankle joint                           A   9.54   5.45NA   5.21NA   5.45     5.21     1.30  16.29  16.05  16.29  16.05  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27702  Reconstruct ankle joint                           A  14.28   9.56NA   8.65NA   9.56     8.65     2.38  26.22  25.31  26.22  25.31  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27703  Reconstruction, ankle joint                       A  16.79  10.51NA   9.78NA  10.51     9.78     2.77  30.07  29.34  30.07  29.34  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27704  Removal of ankle implant                          A   7.69   5.61NA   5.62NA   5.61     5.62     1.27  14.57  14.58  14.57  14.58  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27705  Incision of tibia                                 A  10.74   7.57NA   6.96NA   7.57     6.96     1.81  20.12  19.51  20.12  19.51  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27707  Incision of fibula                                A   4.67   4.71NA   4.49NA   4.71     4.49     0.76  10.14   9.92  10.14   9.92  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27709  Incision of tibia & fibula                        A  17.32   9.05NA   9.96NA   9.05     9.96     1.74  28.11  29.02  28.11  29.02  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27712  Realignment of lower leg                          A  15.67  10.10NA   9.45NA  10.10     9.45     2.48  28.25  27.60  28.25  27.60  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27715  Revision of lower leg                             A  15.36   9.91NA   9.04NA   9.91     9.04     2.50  27.77  26.90  27.77  26.90  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27720  Repair of tibia                                   A  12.22   8.67NA   7.93NA   8.67     7.93     2.05  22.94  22.20  22.94  22.20  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27722  Repair/graft of tibia                             A  12.31   8.51NA   7.89NA   8.51     7.89     2.06  22.88  22.26  22.88  22.26  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27724  Repair/graft of tibia                             A  19.18  11.33NA  10.29NA  11.33    10.29     3.17  33.68  32.64  33.68  32.64  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27725  Repair of lower leg                               A  17.15  11.25NA  10.59NA  11.25    10.59     2.72  31.12  30.46  31.12  30.46  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27726  Repair fibula nonunion                            A  14.20   7.68NA   7.68NA   7.68     7.68     1.43  23.31  23.31  23.31  23.31  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27727  Repair of lower leg                               A  14.69   9.71NA   9.07NA   9.71     9.07     2.44  26.84  26.20  26.84  26.20  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27730  Repair of tibia epiphysis                         A   7.59   5.87NA   5.31NA   5.87     5.31     1.73  15.19  14.63  15.19  14.63  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27732  Repair of fibula epiphysis                        A   5.37   4.55NA   4.17NA   4.55     4.17     0.77  10.69  10.31  10.69  10.31  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27734  Repair lower leg epiphyses                        A   8.72   6.23NA   6.17NA   6.23     6.17     1.35  16.30  16.24  16.30  16.24  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27740  Repair of leg epiphyses                           A   9.49   7.30NA   6.61NA   7.30     6.61     1.62  18.41  17.72  18.41  17.72  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
27742  Repair of leg epiphyses                           A  10.49   5.08NA   4.60NA   5.08     4.60     1.80  17.37  16.89  17.37  16.89  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27745  Reinforce tibia                                   A  10.37   7.58NA   7.00NA   7.58     7.00     1.76  19.71  19.13  19.71  19.13  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27750  Treatment of tibia fracture                       A   3.26   4.54     4.32     3.79     3.74     0.55   8.35   8.13   7.60   7.55  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27752  Treatment of tibia fracture                       A   6.15   6.30     5.95     5.39     5.11     1.01  13.46  13.11  12.55  12.27  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27756  Treatment of tibia fracture                       A   7.33   6.11NA   5.76NA   6.11     5.76     1.17  14.61  14.26  14.61  14.26  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27758  Treatment of tibia fracture                       A  12.40   8.61NA   8.03NA   8.61     8.03     2.04  23.05  22.47  23.05  22.47  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27759  Treatment of tibia fracture                       A  14.31   9.50NA   8.67NA   9.50     8.67     2.39  26.20  25.37  26.20  25.37  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27760  Cltx medial ankle fx                              A   3.09   4.48     4.28     3.63     3.68     0.48   8.05   7.85   7.20   7.25  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27762  Cltx med ankle fx w/mnpj                          A   5.33   5.91     5.48     4.97     4.65     0.85  12.09  11.66  11.15  10.83  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27766  Optx medial ankle fx                              A   7.73   6.68NA   6.13NA   6.68     6.13     1.44  15.85  15.30  15.85  15.30  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27767  Cltx post ankle fx                                A   2.50   3.62     3.62     3.65     3.65     0.30   6.42   6.42   6.45   6.45  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27768  Cltx post ankle fx w/mnpj                         A   5.00   4.30NA   4.30NA   4.30     4.30     0.79  10.09  10.09  10.09  10.09  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27769  Optx post ankle fx                                A  10.00   6.08NA   6.08NA   6.08     6.08     1.45  17.53  17.53  17.53  17.53  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27780  Treatment of fibula fracture                      A   2.72   4.02     3.87     3.26     3.31     0.41   7.15   7.00   6.39   6.44  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27781  Treatment of fibula fracture                      A   4.47   5.19     4.88     4.45     4.26     0.73  10.39  10.08   9.65   9.46  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27784  Treatment of fibula fracture                      A   9.51   6.66NA   6.85NA   6.66     6.85     1.23  17.40  17.59  17.40  17.59  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27786  Treatment of ankle fracture                       A   2.91   4.26     4.05     3.38     3.43     0.46   7.63   7.42   6.75   6.80  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27788  Treatment of ankle fracture                       A   4.52   5.31     4.97     4.44     4.23     0.74  10.57  10.23   9.70   9.49  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27792  Treatment of ankle fracture                       A   9.55   6.89NA   6.81NA   6.89     6.81     1.32  17.76  17.68  17.76  17.68  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27808  Treatment of ankle fracture                       A   2.91   4.60     4.40     3.70     3.71     0.46   7.97   7.77   7.07   7.08  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27810  Treatment of ankle fracture                       A   5.20   5.83     5.41     4.85     4.55     0.82  11.85  11.43  10.87  10.57  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27814  Treatment of ankle fracture                       A  10.46   7.90NA   7.24NA   7.90     7.24     1.86  20.22  19.56  20.22  19.56  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27816  Treatment of ankle fracture                       A   2.96   4.19     3.99     3.37     3.33     0.43   7.58   7.38   6.76   6.72  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27818  Treatment of ankle fracture                       A   5.57   5.89     5.41     4.81     4.44     0.82  12.28  11.80  11.20  10.83  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27822  Treatment of ankle fracture                       A  11.03   9.43NA   8.21NA   9.43     8.21     1.92  22.38  21.16  22.38  21.16  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27823  Treatment of ankle fracture                       A  12.98  10.21NA   8.94NA  10.21     8.94     2.26  25.45  24.18  25.45  24.18  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27824  Treat lower leg fracture                          A   3.20   3.86     3.65     3.52     3.47     0.45   7.51   7.30   7.17   7.12  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27825  Treat lower leg fracture                          A   6.60   6.19     5.78     5.07     4.76     1.02  13.81  13.40  12.69  12.38  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27826  Treat lower leg fracture                          A  10.92   8.52NA   8.21NA   8.52     8.21     1.47  20.91  20.60  20.91  20.60  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27827  Treat lower leg fracture                          A  14.56  11.48NA  10.19NA  11.48    10.19     2.44  28.48  27.19  28.48  27.19  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27828  Treat lower leg fracture                          A  18.20  12.76NA  11.58NA  12.76    11.58     2.82  33.78  32.60  33.78  32.60  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27829  Treat lower leg joint                             A   8.64   6.88NA   6.97NA   6.88     6.97     0.95  16.47  16.56  16.47  16.56  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
27830  Treat lower leg dislocation                       A   3.85   4.24     4.09     3.71     3.56     0.54   8.63   8.48   8.10   7.95  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27831  Treat lower leg dislocation                       A   4.62   4.26NA   4.06NA   4.26     4.06     0.73   9.61   9.41   9.61   9.41  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27832  Treat lower leg dislocation                       A  10.01   6.50NA   6.83NA   6.50     6.83     1.03  17.54  17.87  17.54  17.87  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27840  Treat ankle dislocation                           A   4.65   3.71NA   3.65NA   3.71     3.65     0.46   8.82   8.76   8.82   8.76  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27842  Treat ankle dislocation                           A   6.34   4.98NA   4.85NA   4.98     4.85     1.00  12.32  12.19  12.32  12.19  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27846  Treat ankle dislocation                           A  10.16   7.35NA   6.77NA   7.35     6.77     1.71  19.22  18.64  19.22  18.64  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27848  Treat ankle dislocation                           A  11.56   8.52NA   7.32NA   8.52     7.32     1.95  22.03  20.83  22.03  20.83  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27860  Fixation of ankle joint                           A   2.36   1.84NA   1.69NA   1.84     1.69     0.39   4.59   4.44   4.59   4.44  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
27870  Fusion of ankle joint, open                       A  15.21   9.81NA   9.08NA   9.81     9.08     2.37  27.39  26.66  27.39  26.66  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27871  Fusion of tibiofibular joint                      A   9.42   7.06NA   6.54NA   7.06     6.54     1.59  18.07  17.55  18.07  17.55  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27880  Amputation of lower leg                           A  15.24   6.89NA   6.65NA   6.89     6.65     1.76  23.89  23.65  23.89  23.65  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27881  Amputation of lower leg                           A  13.32   8.12NA   7.38NA   8.12     7.38     1.99  23.43  22.69  23.43  22.69  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27882  Amputation of lower leg                           A   9.67   5.70NA   4.91NA   5.70     4.91     1.29  16.66  15.87  16.66  15.87  0090.10.69.2121010             38.0870 090 99     0.00   0.00   0.00
27884  Amputation follow-up surgery                      A   8.64   5.43NA   5.11NA   5.43     5.11     1.22  15.29  14.97  15.29  14.97  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
27886  Amputation follow-up surgery                      A   9.88   6.08NA   5.65NA   6.08     5.65     1.40  17.36  16.93  17.36  16.93  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27888  Amputation of foot at ankle                       A  10.23   6.76NA   6.01NA   6.76     6.01     1.51  18.50  17.75  18.50  17.75  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
27889  Amputation of foot at ankle                       A  10.72   5.96NA   5.44NA   5.96     5.44     1.46  18.14  17.62  18.14  17.62  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
27892  Decompression of leg                              A   7.82   5.35NA   5.10NA   5.35     5.10     1.10  14.27  14.02  14.27  14.02  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27893  Decompression of leg                              A   7.78   5.30NA   5.13NA   5.30     5.13     1.10  14.18  14.01  14.18  14.01  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
27894  Decompression of leg                              A  12.42   7.56NA   7.34NA   7.56     7.34     1.65  21.63  21.41  21.63  21.41  0090.10.69.2121200             38.0870 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             38.0870 090 99     0.00   0.00   0.00
28001  Drainage of bursa of foot                         A   2.75   3.49     4.00     1.78     1.61     0.33   6.57   7.08   4.86   4.69  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
28002  Treatment of foot infection                       A   5.78   5.83     6.68     3.67     3.57     0.61  12.22  13.07  10.06   9.96  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
28003  Treatment of foot infection                       A   8.95   7.01     7.78     4.89     4.56     1.12  17.08  17.85  14.96  14.63  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28005  Treat foot bone lesion                            A   9.30   5.79NA   5.53NA   5.79     5.53     1.16  16.25  15.99  16.25  15.99  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28008  Incision of foot fascia                           A   4.50   5.36     6.17     3.10     3.00     0.57  10.43  11.24   8.17   8.07  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
28010  Incision of toe tendon                            A   2.89   2.62     2.86     2.36     2.35     0.36   5.87   6.11   5.61   5.60  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28011  Incision of toe tendons                           A   4.19   3.55     3.80     3.17     3.03     0.59   8.33   8.58   7.95   7.81  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28020  Exploration of foot joint                         A   5.06   6.69     7.37     3.86     3.58     0.72  12.47  13.15   9.64   9.36  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
28022  Exploration of foot joint                         A   4.72   6.06     6.93     3.59     3.33     0.62  11.40  12.27   8.93   8.67  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28024  Exploration of toe joint                          A   4.43   5.89     6.56     3.52     3.12     0.58  10.90  11.57   8.53   8.13  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28035  Decompression of tibia nerve                      A   5.14   6.57     7.28     3.82     3.55     0.70  12.41  13.12   9.66   9.39  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
28043  Excision of foot lesion                           A   3.58   4.30     4.78     2.95     2.73     0.46   8.34   8.82   6.99   6.77  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
28045  Excision of foot lesion                           A   4.77   6.20     7.03     3.42     3.24     0.63  11.60  12.43   8.82   8.64  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
28046  Resection of tumor, foot                          A  10.55   9.57    10.37     6.12     5.76     1.36  21.48  22.28  18.03  17.67  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
28050  Biopsy of foot joint lining                       A   4.30   5.92     6.95     3.44     3.30     0.60  10.82  11.85   8.34   8.20  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
28052  Biopsy of foot joint lining                       A   3.98   5.61     6.30     3.15     2.87     0.53  10.12  10.81   7.66   7.38  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
28054  Biopsy of toe joint lining                        A   3.49   5.49     6.25     3.01     2.80     0.46   9.44  10.20   6.96   6.75  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
28055  Neurectomy, foot                                  A   6.20   3.55NA   3.44NA   3.55     3.44     0.74  10.49  10.38  10.49  10.38  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28060  Partial removal, foot fascia                      A   5.29   6.28     7.08     3.71     3.54     0.70  12.27  13.07   9.70   9.53  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
28062  Removal of foot fascia                            A   6.58   7.17     7.83     3.92     3.82     0.83  14.58  15.24  11.33  11.23  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
28070  Removal of foot joint lining                      A   5.15   6.29     7.37     3.68     3.54     0.73  12.17  13.25   9.56   9.42  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28072  Removal of foot joint lining                      A   4.63   6.55     7.57     3.95     3.60     0.68  11.86  12.88   9.26   8.91  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28080  Removal of foot lesion                            A   4.65   6.39     7.67     3.94     4.19     0.47  11.51  12.79   9.06   9.31  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28086  Excise foot tendon sheath                         A   4.83   7.93     7.87     4.25     3.81     0.76  13.52  13.46   9.84   9.40  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28088  Excise foot tendon sheath                         A   3.90   6.38     7.00     3.54     3.19     0.61  10.89  11.51   8.05   7.70  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
28090  Removal of foot lesion                            A   4.46   5.96     6.77     3.32     3.18     0.59  11.01  11.82   8.37   8.23  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
28092  Removal of toe lesions                            A   3.69   5.84     6.47     3.26     2.99     0.49  10.02  10.65   7.44   7.17  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28100  Removal of ankle/heel lesion                      A   5.72   8.03     8.10     4.34     4.00     0.82  14.57  14.64  10.88  10.54  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28102  Remove/graft foot lesion                          A   7.80   5.40NA   4.84NA   5.40     4.84     1.14  14.34  13.78  14.34  13.78  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
28103  Remove/graft foot lesion                          A   6.56   4.32NA   4.03NA   4.32     4.03     0.91  11.79  11.50  11.79  11.50  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
28104  Removal of foot lesion                            A   5.17   6.36     7.23     3.69     3.47     0.70  12.23  13.10   9.56   9.34  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
28106  Remove/graft foot lesion                          A   7.23   4.33NA   4.23NA   4.33     4.23     0.97  12.53  12.43  12.53  12.43  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
28107  Remove/graft foot lesion                          A   5.62   7.11     7.70     3.93     3.66     0.74  13.47  14.06  10.29  10.02  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
28108  Removal of toe lesions                            A   4.21   5.47     6.35     3.12     2.99     0.53  10.21  11.09   7.86   7.73  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28110  Part removal of metatarsal                        A   4.13   6.07     6.93     3.14     3.06     0.54  10.74  11.60   7.81   7.73  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
28111  Part removal of metatarsal                        A   5.06   6.69     7.10     3.43     3.20     0.67  12.42  12.83   9.16   8.93  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
28112  Part removal of metatarsal                        A   4.54   6.50     7.19     3.41     3.24     0.61  11.65  12.34   8.56   8.39  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
28113  Part removal of metatarsal                        A   5.88   7.21     8.37     4.46     4.61     0.63  13.72  14.88  10.97  11.12  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
28114  Removal of metatarsal heads                       A  11.61  12.51    13.40     8.34     8.30     1.42  25.54  26.43  21.37  21.33  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28116  Revision of foot                                  A   8.94   8.12     9.45     5.26     5.34     1.03  18.09  19.42  15.23  15.31  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
28118  Removal of heel bone                              A   6.02   7.09     7.93     4.18     4.02     0.84  13.95  14.79  11.04  10.88  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28119  Removal of heel spur                              A   5.45   6.32     7.22     3.65     3.58     0.70  12.47  13.37   9.80   9.73  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
28120  Part removal of ankle/heel                        A   5.64   7.69     8.09     4.19     3.97     0.77  14.10  14.50  10.60  10.38  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
28122  Partial removal of foot bone                      A   7.56   7.65     8.47     5.02     4.78     0.98  16.19  17.01  13.56  13.32  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28124  Partial removal of toe                            A   4.88   5.88     6.78     3.56     3.46     0.60  11.36  12.26   9.04   8.94  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
28126  Partial removal of toe                            A   3.56   5.09     5.96     2.83     2.66     0.45   9.10   9.97   6.84   6.67  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28130  Removal of ankle bone                             A   9.30   6.44NA   6.16NA   6.44     6.16     1.26  17.00  16.72  17.00  16.72  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28140  Removal of metatarsal                             A   7.03   7.52     7.82     4.44     4.12     0.92  15.47  15.77  12.39  12.07  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
28150  Removal of toe                                    A   4.14   5.60     6.36     3.13     2.98     0.53  10.27  11.03   7.80   7.65  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28153  Partial removal of toe                            A   3.71   5.26     6.21     2.79     2.89     0.47   9.44  10.39   6.97   7.07  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28160  Partial removal of toe                            A   3.79   5.44     6.31     3.13     2.93     0.49   9.72  10.59   7.41   7.21  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28171  Extensive foot surgery                            A   9.85   5.34NA   5.26NA   5.34     5.26     1.33  16.52  16.44  16.52  16.44  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
28173  Extensive foot surgery                            A   9.05   8.16     8.74     4.91     4.61     1.12  18.33  18.91  15.08  14.78  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
28175  Extensive foot surgery                            A   6.17   6.43     7.14     3.67     3.63     0.73  13.33  14.04  10.57  10.53  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
28190  Removal of foot foreign body                      A   1.98   3.70     4.01     1.41     1.34     0.22   5.90   6.21   3.61   3.54  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
28192  Removal of foot foreign body                      A   4.69   6.10     6.72     3.42     3.19     0.61  11.40  12.02   8.72   8.49  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
28193  Removal of foot foreign body                      A   5.79   6.47     7.34     3.78     3.63     0.73  12.99  13.86  10.30  10.15  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
28200  Repair of foot tendon                             A   4.65   5.99     6.88     3.39     3.23     0.61  11.25  12.14   8.65   8.49  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
28202  Repair/graft of foot tendon                       A   6.96   7.49     7.77     4.21     3.94     0.91  15.36  15.64  12.08  11.81  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
28208  Repair of foot tendon                             A   4.42   5.75     6.70     3.24     3.19     0.58  10.75  11.70   8.24   8.19  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
28210  Repair/graft of foot tendon                       A   6.41   6.92     7.63     3.98     3.93     0.81  14.14  14.85  11.20  11.15  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
28220  Release of foot tendon                            A   4.58   5.54     6.42     3.25     3.08     0.57  10.69  11.57   8.40   8.23  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28222  Release of foot tendons                           A   5.67   6.09     6.93     3.73     3.35     0.69  12.45  13.29  10.09   9.71  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28225  Release of foot tendon                            A   3.70   5.15     6.02     2.81     2.72     0.46   9.31  10.18   6.97   6.88  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
28226  Release of foot tendons                           A   4.58   5.84     6.89     3.50     3.25     0.58  11.00  12.05   8.66   8.41  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28230  Incision of foot tendon(s)                        A   4.28   5.47     6.27     3.27     2.88     0.55  10.30  11.10   8.10   7.71  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28232  Incision of toe tendon                            A   3.43   5.23     5.94     2.99     2.68     0.44   9.10   9.81   6.86   6.55  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28234  Incision of foot tendon                           A   3.43   5.48     6.30     3.21     3.06     0.44   9.35  10.17   7.08   6.93  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28238  Revision of foot tendon                           A   7.85   7.82     8.39     4.65     4.37     1.06  16.73  17.30  13.56  13.28  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28240  Release of big toe                                A   4.40   5.49     6.36     3.22     2.95     0.58  10.47  11.34   8.20   7.93  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
28250  Revision of foot fascia                           A   5.97   6.59     7.56     3.98     3.82     0.82  13.38  14.35  10.77  10.61  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28260  Release of midfoot joint                          A   8.08   7.39     8.45     4.80     4.61     1.14  16.61  17.67  14.02  13.83  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28261  Revision of foot tendon                           A  12.91   9.64    10.68     6.82     6.33     1.57  24.12  25.16  21.30  20.81  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
28262  Revision of foot and ankle                        A  17.01  14.55    15.54    10.33     9.74     2.60  34.16  35.15  29.94  29.35  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28264  Release of midfoot joint                          A  10.53   9.03    10.32     6.62     5.95     1.54  21.10  22.39  18.69  18.02  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
28270  Release of foot contracture                       A   4.82   5.90     6.92     3.59     3.44     0.62  11.34  12.36   9.03   8.88  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
28272  Release of toe joint, each                        A   3.84   5.01     5.84     2.75     2.65     0.46   9.31  10.14   7.05   6.95  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
28280  Fusion of toes                                    A   5.24   6.77     7.29     4.01     3.54     0.73  12.74  13.26   9.98   9.51  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
28285  Repair of hammertoe                               A   4.65   5.79     6.71     3.39     3.35     0.59  11.03  11.95   8.63   8.59  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
28286  Repair of hammertoe                               A   4.61   5.66     6.53     3.16     3.06     0.57  10.84  11.71   8.34   8.24  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28288  Partial removal of foot bone                      A   5.81   7.27     8.60     4.79     4.69     0.65  13.73  15.06  11.25  11.15  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28289  Repair hallux rigidus                             A   8.11   8.71     9.43     5.55     5.34     1.02  17.84  18.56  14.68  14.47  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28290  Correction of bunion                              A   5.72   7.22     8.19     4.34     3.96     0.82  13.76  14.73  10.88  10.50  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
28292  Correction of bunion                              A   8.72   8.91    10.35     5.85     6.16     0.91  18.54  19.98  15.48  15.79  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28293  Correction of bunion                              A  11.10  12.61    14.48     6.51     6.92     1.13  24.84  26.71  18.74  19.15  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28294  Correction of bunion                              A   8.63   8.45     9.46     4.74     4.77     1.09  18.17  19.18  14.46  14.49  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28296  Correction of bunion                              A   9.31   8.87     9.58     5.10     4.79     1.19  19.37  20.08  15.60  15.29  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28297  Correction of bunion                              A   9.31   9.71    10.47     5.80     5.33     1.32  20.34  21.10  16.43  15.96  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28298  Correction of bunion                              A   8.01   8.26     9.30     4.79     4.59     1.05  17.32  18.36  13.85  13.65  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28299  Correction of bunion                              A  11.39   9.66    10.55     5.90     5.73     1.37  22.42  23.31  18.66  18.49  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28300  Incision of heel bone                             A   9.61   6.54NA   6.04NA   6.54     6.04     1.54  17.69  17.19  17.69  17.19  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28302  Incision of ankle bone                            A   9.62   6.55NA   6.21NA   6.55     6.21     1.42  17.59  17.25  17.59  17.25  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28304  Incision of midfoot bones                         A   9.29   8.75     9.56     5.41     5.08     1.27  19.31  20.12  15.97  15.64  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28305  Incise/graft midfoot bones                        A  10.63   6.26NA   5.79NA   6.26     5.79     1.27  18.16  17.69  18.16  17.69  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28306  Incision of metatarsal                            A   5.91   7.63     8.42     4.03     3.89     0.84  14.38  15.17  10.78  10.64  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28307  Incision of metatarsal                            A   6.39  10.15     9.28     4.81     4.33     0.90  17.44  16.57  12.10  11.62  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
28308  Incision of metatarsal                            A   5.36   6.83     7.92     3.75     3.83     0.70  12.89  13.98   9.81   9.89  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28309  Incision of metatarsals                           A  13.96   7.82NA   7.69NA   7.82     7.69     2.05  23.83  23.70  23.83  23.70  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
28310  Revision of big toe                               A   5.48   6.65     7.55     3.49     3.42     0.70  12.83  13.73   9.67   9.60  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
28312  Revision of toe                                   A   4.60   6.41     7.38     3.43     3.23     0.63  11.64  12.61   8.66   8.46  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
28313  Repair deformity of toe                           A   5.06   6.28     7.27     4.22     3.61     0.73  12.07  13.06  10.01   9.40  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28315  Removal of sesamoid bone                          A   4.91   5.79     6.68     3.28     3.22     0.63  11.33  12.22   8.82   8.76  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
28320  Repair of foot bones                              A   9.25   6.20NA   5.69NA   6.20     5.69     1.43  16.88  16.37  16.88  16.37  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
28322  Repair of metatarsals                             A   8.41   9.46     9.75     5.83     5.32     1.27  19.14  19.43  15.51  15.00  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
28340  Resect enlarged toe tissue                        A   7.04   7.27     8.10     4.16     4.08     0.84  15.15  15.98  12.04  11.96  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28341  Resect enlarged toe                               A   8.60   7.77     8.60     4.62     4.42     1.01  17.38  18.21  14.23  14.03  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28344  Repair extra toe(s)                               A   4.31   6.08     6.42     3.28     2.93     0.51  10.90  11.24   8.10   7.75  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
28345  Repair webbed toe(s)                              A   5.98   6.91     7.62     4.23     3.79     0.80  13.69  14.40  11.01  10.57  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28360  Reconstruct cleft foot                            A  14.67   8.42NA   6.35NA   8.42     6.35     2.29  25.38  23.31  25.38  23.31  0090.10.69.2120200             38.0870 090 99     0.00   0.00   0.00
28400  Treatment of heel fracture                        A   2.22   3.50     3.37     2.99     2.92     0.35   6.07   5.94   5.56   5.49  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
28405  Treatment of heel fracture                        A   4.63   4.63     4.43     4.15     3.68     0.73   9.99   9.79   9.51   9.04  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
28406  Treatment of heel fracture                        A   6.44   6.18NA   5.56NA   6.18     5.56     1.11  13.73  13.11  13.73  13.11  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
28415  Treat heel fracture                               A  15.96  11.77NA  10.25NA  11.77    10.25     2.67  30.40  28.88  30.40  28.88  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28420  Treat/graft heel fracture                         A  17.29  11.60NA  10.28NA  11.60    10.28     2.81  31.70  30.38  31.70  30.38  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28430  Treatment of ankle fracture                       A   2.14   3.26     3.12     2.57     2.57     0.31   5.71   5.57   5.02   5.02  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
28435  Treatment of ankle fracture                       A   3.45   3.93     3.99     3.50     3.26     0.55   7.93   7.99   7.50   7.26  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
28436  Treatment of ankle fracture                       A   4.78   5.33NA   4.75NA   5.33     4.75     0.81  10.92  10.34  10.92  10.34  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
28445  Treat ankle fracture                              A  15.53  10.26NA   9.49NA  10.26     9.49     2.59  28.38  27.61  28.38  27.61  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28446  Osteochondral talus autogrft                      A  17.50  10.36NA  10.36NA  10.36    10.36     2.45  30.31  30.31  30.31  30.31  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28450  Treat midfoot fracture, each                      A   1.95   3.02     2.92     2.45     2.42     0.28   5.25   5.15   4.68   4.65  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28455  Treat midfoot fracture, each                      A   3.15   3.58     3.74     3.26     3.10     0.44   7.17   7.33   6.85   6.69  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28456  Treat midfoot fracture                            A   2.75   3.94NA   3.73NA   3.94     3.73     0.44   7.13   6.92   7.13   6.92  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28465  Treat midfoot fracture, each                      A   8.64   6.19NA   6.07NA   6.19     6.07     1.10  15.93  15.81  15.93  15.81  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28470  Treat metatarsal fracture                         A   1.99   2.96     2.80     2.40     2.36     0.30   5.25   5.09   4.69   4.65  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28475  Treat metatarsal fracture                         A   2.97   3.23     3.13     2.86     2.52     0.44   6.64   6.54   6.27   5.93  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28476  Treat metatarsal fracture                         A   3.46   4.65NA   4.33NA   4.65     4.33     0.54   8.65   8.33   8.65   8.33  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28485  Treat metatarsal fracture                         A   7.28   5.51NA   5.56NA   5.51     5.56     0.83  13.62  13.67  13.62  13.67  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
28490  Treat big toe fracture                            A   1.12   2.05     2.09     1.65     1.67     0.14   3.31   3.35   2.91   2.93  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28495  Treat big toe fracture                            A   1.62   2.32     2.46     1.97     1.87     0.20   4.14   4.28   3.79   3.69  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28496  Treat big toe fracture                            A   2.39   7.83     7.42     3.09     2.99     0.36  10.58  10.17   5.84   5.74  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28505  Treat big toe fracture                            A   7.28   8.28     8.46     4.36     4.82     0.56  16.12  16.30  12.20  12.66  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28510  Treatment of toe fracture                         A   1.12   1.61     1.69     1.57     1.61     0.14   2.87   2.95   2.83   2.87  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28515  Treatment of toe fracture                         A   1.50   2.06     2.22     1.86     1.82     0.18   3.74   3.90   3.54   3.50  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28525  Treat toe fracture                                A   5.46   7.82     8.12     3.88     4.32     0.49  13.77  14.07   9.83  10.27  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28530  Treat sesamoid bone fracture                      A   1.08   1.53     1.62     1.39     1.34     0.14   2.75   2.84   2.61   2.56  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28531  Treat sesamoid bone fracture                      A   2.51   6.91     6.55     2.25     2.43     0.34   9.76   9.40   5.10   5.28  0090.10.69.2120120             38.0870 090 99     0.00   0.00   0.00
28540  Treat foot dislocation                            A   2.10   2.58     2.75     2.36     2.31     0.26   4.94   5.11   4.72   4.67  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28545  Treat foot dislocation                            A   2.51   2.89     3.43     2.58     2.81     0.37   5.77   6.31   5.46   5.69  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28546  Treat foot dislocation                            A   3.28   7.49     8.06     4.01     3.64     0.52  11.29  11.86   7.81   7.44  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28555  Repair foot dislocation                           A   9.49  10.36    10.81     5.99     6.29     1.04  20.89  21.34  16.52  16.82  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
28570  Treat foot dislocation                            A   1.70   2.46     2.49     2.12     1.91     0.23   4.39   4.42   4.05   3.84  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28575  Treat foot dislocation                            A   3.38   4.07     4.42     3.72     3.72     0.56   8.01   8.36   7.66   7.66  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28576  Treat foot dislocation                            A   4.48   4.12NA   4.06NA   4.12     4.06     0.69   9.29   9.23   9.29   9.23  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28585  Repair foot dislocation                           A  10.92   9.45    11.57     6.41     6.97     1.25  21.62  23.74  18.58  19.14  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
28600  Treat foot dislocation                            A   1.94   2.92     3.03     2.53     2.37     0.27   5.13   5.24   4.74   4.58  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28605  Treat foot dislocation                            A   2.78   3.51     3.89     3.20     3.27     0.40   6.69   7.07   6.38   6.45  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28606  Treat foot dislocation                            A   4.97   4.40NA   4.12NA   4.40     4.12     0.82  10.19   9.91  10.19   9.91  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28615  Repair foot dislocation                           A  10.46   8.09NA   8.14NA   8.09     8.14     1.30  19.85  19.90  19.85  19.90  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
28630  Treat toe dislocation                             A   1.72   1.71     1.85     0.95     0.91     0.20   3.63   3.77   2.87   2.83  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
28635  Treat toe dislocation                             A   1.93   2.15     2.27     1.43     1.33     0.26   4.34   4.46   3.62   3.52  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
28636  Treat toe dislocation                             A   2.77   4.13     4.39     2.34     2.05     0.43   7.33   7.59   5.54   5.25  0010.10.80.1020120             38.0870 090 99     0.00   0.00   0.00
28645  Repair toe dislocation                            A   7.28   6.65     8.34     3.95     4.62     0.57  14.50  16.19  11.80  12.47  0090.10.69.2120110             38.0870 090 99     0.00   0.00   0.00
28660  Treat toe dislocation                             A   1.25   1.28     1.30     0.79     0.78     0.13   2.66   2.68   2.17   2.16  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
28665  Treat toe dislocation                             A   1.94   1.63     1.82     1.38     1.33     0.26   3.83   4.02   3.58   3.53  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
28666  Treat toe dislocation                             A   2.66   2.21NA   1.83NA   2.21     1.83     0.43   5.30   4.92   5.30   4.92  0010.10.80.1020120             38.0870 090 99     0.00   0.00   0.00
28675  Repair of toe dislocation                         A   5.46   7.69     8.24     3.90     4.45     0.45  13.60  14.15   9.81  10.36  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28705  Fusion of foot bones                              A  20.12  11.55NA  10.66NA  11.55    10.66     3.09  34.76  33.87  34.76  33.87  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
28715  Fusion of foot bones                              A  14.40   9.12NA   8.49NA   9.12     8.49     2.17  25.69  25.06  25.69  25.06  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
28725  Fusion of foot bones                              A  11.97   7.53NA   6.82NA   7.53     6.82     1.87  21.37  20.66  21.37  20.66  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
28730  Fusion of foot bones                              A  12.21   8.12NA   7.76NA   8.12     7.76     1.71  22.04  21.68  22.04  21.68  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
28735  Fusion of foot bones                              A  12.03   7.40NA   6.97NA   7.40     6.97     1.69  21.12  20.69  21.12  20.69  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
28737  Revision of foot bones                            A  10.83   6.44NA   6.07NA   6.44     6.07     1.47  18.74  18.37  18.74  18.37  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
28740  Fusion of foot bones                              A   9.09  10.87    10.87     6.23     5.99     1.22  21.18  21.18  16.54  16.30  0090.10.69.2120210             38.0870 090 99     0.00   0.00   0.00
28750  Fusion of big toe joint                           A   8.37  11.34    10.77     6.27     5.88     1.13  20.84  20.27  15.77  15.38  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
28755  Fusion of big toe joint                           A   4.79   6.68     7.26     3.55     3.35     0.65  12.12  12.70   8.99   8.79  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
28760  Fusion of big toe joint                           A   8.94   8.92     9.87     5.39     5.27     1.05  18.91  19.86  15.38  15.26  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28800  Amputation of midfoot                             A   8.65   5.40NA   5.01NA   5.40     5.01     1.15  15.20  14.81  15.20  14.81  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
28805  Amputation thru metatarsal                        A  12.55   5.77NA   5.90NA   5.77     5.90     1.18  19.50  19.63  19.50  19.63  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
28810  Amputation toe & metatarsal                       A   6.52   4.27NA   4.06NA   4.27     4.06     0.86  11.65  11.44  11.65  11.44  0090.10.69.2120000             38.0870 090 99     0.00   0.00   0.00
28820  Amputation of toe                                 A   4.89   7.60     7.65     3.67     3.55     0.61  13.10  13.15   9.17   9.05  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28825  Partial amputation of toe                         A   3.71   7.06     7.13     3.30     3.13     0.50  11.27  11.34   7.51   7.34  0090.10.69.2120100             38.0870 090 99     0.00   0.00   0.00
28890  High energy eswt, plantar f                       A   3.36   5.14     4.57     2.14     2.20     0.41   8.91   8.34   5.91   5.97  0090.10.69.2121110             38.0870 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             38.0870 090 99     0.00   0.00   0.00
29000  Application of body cast                          A   2.25   3.49     4.01     1.69     1.64     0.41   6.15   6.67   4.35   4.30  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29010  Application of body cast                          A   2.06   3.83     4.38     1.70     1.62     0.45   6.34   6.89   4.21   4.13  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29015  Application of body cast                          A   2.41   3.29     3.61     1.58     1.56     0.28   5.98   6.30   4.27   4.25  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29020  Application of body cast                          A   2.11   3.50     3.81     1.41     1.41     0.28   5.89   6.20   3.80   3.80  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29025  Application of body cast                          A   2.40   3.59     4.04     1.81     1.76     0.44   6.43   6.88   4.65   4.60  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29035  Application of body cast                          A   1.77   3.66     3.70     1.53     1.48     0.28   5.71   5.75   3.58   3.53  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29040  Application of body cast                          A   2.22   2.87     3.28     1.42     1.34     0.36   5.45   5.86   4.00   3.92  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29044  Application of body cast                          A   2.12   3.77     3.58     1.69     1.47     0.35   6.24   6.05   4.16   3.94  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29046  Application of body cast                          A   2.41   3.86     4.49     2.00     1.91     0.42   6.69   7.32   4.83   4.74  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29049  Application of figure eight                       A   0.89   1.21     1.12     0.56     0.59     0.13   2.23   2.14   1.58   1.61  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29055  Application of shoulder cast                      A   1.78   2.90     2.82     1.35     1.23     0.30   4.98   4.90   3.43   3.31  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29058  Application of shoulder cast                      A   1.31   1.41     1.26     0.70     0.67     0.17   2.89   2.74   2.18   2.15  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29065  Application of long arm cast                      A   0.87   1.30     1.28     0.73     0.70     0.15   2.32   2.30   1.75   1.72  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29075  Application of forearm cast                       A   0.77   1.25     1.24     0.67     0.66     0.13   2.15   2.14   1.57   1.56  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29085  Apply hand/wrist cast                             A   0.87   1.27     1.26     0.66     0.68     0.14   2.28   2.27   1.67   1.69  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29086  Apply finger cast                                 A   0.62   1.02     1.08     0.52     0.55     0.07   1.71   1.77   1.21   1.24  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29105  Apply long arm splint                             A   0.87   1.16     1.09     0.52     0.53     0.12   2.15   2.08   1.51   1.52  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29125  Apply forearm splint                              A   0.59   0.99     0.97     0.41     0.42     0.07   1.65   1.63   1.07   1.08  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29126  Apply forearm splint                              A   0.77   1.11     1.01     0.47     0.48     0.07   1.95   1.85   1.31   1.32  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29130  Application of finger splint                      A   0.50   0.45     0.43     0.18     0.18     0.06   1.01   0.99   0.74   0.74  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29131  Application of finger splint                      A   0.55   0.66     0.59     0.24     0.24     0.03   1.24   1.17   0.82   0.82  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29200  Strapping of chest                                A   0.65   0.66     0.61     0.34     0.35     0.04   1.35   1.30   1.03   1.04  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
29220  Strapping of low back                             A   0.64   0.69     0.65     0.38     0.38     0.04   1.37   1.33   1.06   1.06  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
29240  Strapping of shoulder                             A   0.71   0.76     0.68     0.38     0.40     0.06   1.53   1.45   1.15   1.17  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
29260  Strapping of elbow or wrist                       A   0.55   0.71     0.67     0.35     0.37     0.05   1.31   1.27   0.95   0.97  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29280  Strapping of hand or finger                       A   0.51   0.73     0.67     0.35     0.37     0.03   1.27   1.21   0.89   0.91  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29305  Application of hip cast                           A   2.03   3.31     3.29     1.66     1.56     0.35   5.69   5.67   4.04   3.94  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29325  Application of hip casts                          A   2.32   3.43     3.33     1.77     1.58     0.40   6.15   6.05   4.49   4.30  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29345  Application of long leg cast                      A   1.40   1.72     1.66     1.00     0.94     0.24   3.36   3.30   2.64   2.58  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29355  Application of long leg cast                      A   1.53   1.66     1.62     1.03     0.94     0.26   3.45   3.41   2.82   2.73  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29358  Apply long leg cast brace                         A   1.43   2.04     2.01     1.00     0.91     0.25   3.72   3.69   2.68   2.59  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29365  Application of long leg cast                      A   1.18   1.62     1.58     0.90     0.86     0.20   3.00   2.96   2.28   2.24  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29405  Apply short leg cast                              A   0.86   1.21     1.20     0.68     0.65     0.14   2.21   2.20   1.68   1.65  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29425  Apply short leg cast                              A   1.01   1.23     1.22     0.70     0.66     0.15   2.39   2.38   1.86   1.82  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29435  Apply short leg cast                              A   1.18   1.54     1.53     0.87     0.81     0.20   2.92   2.91   2.25   2.19  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29440  Addition of walker to cast                        A   0.57   0.67     0.64     0.26     0.26     0.08   1.32   1.29   0.91   0.91  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29445  Apply rigid leg cast                              A   1.78   1.68     1.56     0.92     0.89     0.27   3.73   3.61   2.97   2.94  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29450  Application of leg cast                           A   2.08   1.53     1.59     0.99     0.90     0.27   3.88   3.94   3.34   3.25  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29505  Application, long leg splint                      A   0.69   1.13     1.07     0.45     0.45     0.08   1.90   1.84   1.22   1.22  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29515  Application lower leg splint                      A   0.73   0.91     0.96     0.46     0.46     0.09   1.73   1.78   1.28   1.28  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29520  Strapping of hip                                  A   0.54   0.75     0.66     0.42     0.37     0.03   1.32   1.23   0.99   0.94  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29530  Strapping of knee                                 A   0.57   0.72     0.66     0.35     0.37     0.05   1.34   1.28   0.97   0.99  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
29540  Strapping of ankle and/or ft                      A   0.51   0.48     0.55     0.31     0.31     0.06   1.05   1.12   0.88   0.88  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
29550  Strapping of toes                                 A   0.47   0.49     0.56     0.29     0.30     0.06   1.02   1.09   0.82   0.83  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
29580  Application of paste boot                         A   0.55   0.68     0.71     0.34     0.33     0.07   1.30   1.33   0.96   0.95  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29590  Application of foot splint                        A   0.76   0.55     0.59     0.27     0.26     0.09   1.40   1.44   1.12   1.11  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
29700  Removal/revision of cast                          A   0.57   0.92     0.95     0.26     0.25     0.08   1.57   1.60   0.91   0.90  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
29705  Removal/revision of cast                          A   0.76   0.79     0.76     0.37     0.36     0.13   1.68   1.65   1.26   1.25  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
29710  Removal/revision of cast                          A   1.34   1.43     1.32     0.63     0.55     0.20   2.97   2.86   2.17   2.09  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
29715  Removal/revision of cast                          A   0.94   1.19     1.20     0.42     0.43     0.09   2.22   2.23   1.45   1.46  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
29720  Repair of body cast                               A   0.68   1.16     1.17     0.37     0.35     0.12   1.96   1.97   1.17   1.15  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
29730  Windowing of cast                                 A   0.75   0.77     0.74     0.34     0.34     0.12   1.64   1.61   1.21   1.21  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
29740  Wedging of cast                                   A   1.12   1.09     1.03     0.48     0.47     0.18   2.39   2.33   1.78   1.77  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
29750  Wedging of clubfoot cast                          A   1.26   1.06     1.07     0.55     0.52     0.21   2.53   2.54   2.02   1.99  0000.00.00.0021000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
29800  Jaw arthroscopy/surgery                           A   6.73   5.80NA   4.63NA   5.80     4.63     0.99  13.52  12.35  13.52  12.35  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
29804  Jaw arthroscopy/surgery                           A   8.71   6.66NA   5.70NA   6.66     5.70     1.38  16.75  15.79  16.75  15.79  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
29805  Shoulder arthroscopy, dx                          A   5.94   5.19NA   4.71NA   5.19     4.71     1.02  12.15  11.67  12.15  11.67  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
29806  Shoulder arthroscopy/surgery                      A  14.95  10.26NA   9.36NA  10.26     9.36     2.50  27.71  26.81  27.71  26.81  0090.10.69.2131110       29805 38.0870 090 99     0.00   0.00   0.00
29807  Shoulder arthroscopy/surgery                      A  14.48  10.10NA   9.20NA  10.10     9.20     2.42  27.00  26.10  27.00  26.10  0090.10.69.2131110       29805 38.0870 090 99     0.00   0.00   0.00
29819  Shoulder arthroscopy/surgery                      A   7.68   6.21NA   5.63NA   6.21     5.63     1.32  15.21  14.63  15.21  14.63  0090.10.69.2131110       29805 38.0870 090 99     0.00   0.00   0.00
29820  Shoulder arthroscopy/surgery                      A   7.12   5.70NA   5.18NA   5.70     5.18     1.22  14.04  13.52  14.04  13.52  0090.10.69.2131210       29805 38.0870 090 99     0.00   0.00   0.00
29821  Shoulder arthroscopy/surgery                      A   7.78   6.23NA   5.66NA   6.23     5.66     1.33  15.34  14.77  15.34  14.77  0090.10.69.2131210       29805 38.0870 090 99     0.00   0.00   0.00
29822  Shoulder arthroscopy/surgery                      A   7.49   6.14NA   5.58NA   6.14     5.58     1.28  14.91  14.35  14.91  14.35  0090.10.69.2131200       29805 38.0870 090 99     0.00   0.00   0.00
29823  Shoulder arthroscopy/surgery                      A   8.24   6.64NA   6.05NA   6.64     6.05     1.41  16.29  15.70  16.29  15.70  0090.10.69.2131210       29805 38.0870 090 99     0.00   0.00   0.00
29824  Shoulder arthroscopy/surgery                      A   8.82   7.03NA   6.54NA   7.03     6.54     1.42  17.27  16.78  17.27  16.78  0090.10.69.2131210       29805 38.0870 090 99     0.00   0.00   0.00
29825  Shoulder arthroscopy/surgery                      A   7.68   6.20NA   5.64NA   6.20     5.64     1.32  15.20  14.64  15.20  14.64  0090.10.69.2131210       29805 38.0870 090 99     0.00   0.00   0.00
29826  Shoulder arthroscopy/surgery                      A   9.05   6.86NA   6.18NA   6.86     6.18     1.55  17.46  16.78  17.46  16.78  0090.10.69.2131210       29805 38.0870 090 99     0.00   0.00   0.00
29827  Arthroscop rotator cuff repr                      A  15.44  10.43NA   9.32NA  10.43     9.32     2.67  28.54  27.43  28.54  27.43  0090.10.69.2131210       29805 38.0870 090 99     0.00   0.00   0.00
29828  Arthroscopy biceps tenodesis                      A  13.00   8.18NA   8.18NA   8.18     8.18     2.17  23.35  23.35  23.35  23.35  0090.10.69.2131210       29805 38.0870 090 99     0.00   0.00   0.00
29830  Elbow arthroscopy                                 A   5.80   4.92NA   4.49NA   4.92     4.49     0.99  11.71  11.28  11.71  11.28  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
29834  Elbow arthroscopy/surgery                         A   6.33   5.35NA   4.86NA   5.35     4.86     1.08  12.76  12.27  12.76  12.27  0090.10.69.2131210       29830 38.0870 090 99     0.00   0.00   0.00
29835  Elbow arthroscopy/surgery                         A   6.53   5.43NA   4.97NA   5.43     4.97     1.13  13.09  12.63  13.09  12.63  0090.10.69.2131210       29830 38.0870 090 99     0.00   0.00   0.00
29836  Elbow arthroscopy/surgery                         A   7.61   6.17NA   5.54NA   6.17     5.54     1.22  15.00  14.37  15.00  14.37  0090.10.69.2131210       29830 38.0870 090 99     0.00   0.00   0.00
29837  Elbow arthroscopy/surgery                         A   6.92   5.60NA   5.07NA   5.60     5.07     1.19  13.71  13.18  13.71  13.18  0090.10.69.2131210       29830 38.0870 090 99     0.00   0.00   0.00
29838  Elbow arthroscopy/surgery                         A   7.77   6.28NA   5.66NA   6.28     5.66     1.30  15.35  14.73  15.35  14.73  0090.10.69.2131000       29830 38.0870 090 99     0.00   0.00   0.00
29840  Wrist arthroscopy                                 A   5.59   4.98NA   4.63NA   4.98     4.63     0.84  11.41  11.06  11.41  11.06  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
29843  Wrist arthroscopy/surgery                         A   6.06   5.22NA   4.81NA   5.22     4.81     0.92  12.20  11.79  12.20  11.79  0090.10.69.2131210       29840 38.0870 090 99     0.00   0.00   0.00
29844  Wrist arthroscopy/surgery                         A   6.42   5.35NA   4.88NA   5.35     4.88     1.04  12.81  12.34  12.81  12.34  0090.10.69.2131200       29840 38.0870 090 99     0.00   0.00   0.00
29845  Wrist arthroscopy/surgery                         A   7.58   6.04NA   5.60NA   6.04     5.60     0.99  14.61  14.17  14.61  14.17  0090.10.69.2131210       29840 38.0870 090 99     0.00   0.00   0.00
29846  Wrist arthroscopy/surgery                         A   6.80   5.59NA   5.11NA   5.59     5.11     1.07  13.46  12.98  13.46  12.98  0090.10.69.2131000       29840 38.0870 090 99     0.00   0.00   0.00
29847  Wrist arthroscopy/surgery                         A   7.13   5.74NA   5.28NA   5.74     5.28     1.08  13.95  13.49  13.95  13.49  0090.10.69.2131200       29840 38.0870 090 99     0.00   0.00   0.00
29848  Wrist endoscopy/surgery                           A   6.24   5.44NA   5.28NA   5.44     5.28     0.86  12.54  12.38  12.54  12.38  0090.10.69.2121100             38.0870 090 99     0.00   0.00   0.00
29850  Knee arthroscopy/surgery                          A   8.18   4.88NA   4.72NA   4.88     4.72     1.25  14.31  14.15  14.31  14.15  0090.10.69.2121020             38.0870 090 99     0.00   0.00   0.00
29851  Knee arthroscopy/surgery                          A  13.08   9.01NA   8.22NA   9.01     8.22     2.35  24.44  23.65  24.44  23.65  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
29855  Tibial arthroscopy/surgery                        A  10.60   8.03NA   7.28NA   8.03     7.28     1.85  20.48  19.73  20.48  19.73  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
29856  Tibial arthroscopy/surgery                        A  14.12   9.69NA   8.70NA   9.69     8.70     2.40  26.21  25.22  26.21  25.22  0090.10.69.2121220             38.0870 090 99     0.00   0.00   0.00
29860  Hip arthroscopy, dx                               A   8.85   6.60NA   6.25NA   6.60     6.25     1.36  16.81  16.46  16.81  16.46  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
29861  Hip arthroscopy/surgery                           A   9.95   6.87NA   6.40NA   6.87     6.40     1.59  18.41  17.94  18.41  17.94  0090.10.69.2131210       29860 38.0870 090 99     0.00   0.00   0.00
29862  Hip arthroscopy/surgery                           A  10.97   8.07NA   7.57NA   8.07     7.57     1.62  20.66  20.16  20.66  20.16  0090.10.69.2131210       29860 38.0870 090 99     0.00   0.00   0.00
29863  Hip arthroscopy/surgery                           A  10.97   8.00NA   7.49NA   8.00     7.49     1.42  20.39  19.88  20.39  19.88  0090.10.69.2131210       29860 38.0870 090 99     0.00   0.00   0.00
29866  Autgrft implnt, knee w/scope                      A  14.48  10.41NA   9.47NA  10.41     9.47     2.40  27.29  26.35  27.29  26.35  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
29867  Allgrft implnt, knee w/scope                      A  18.18  12.13NA  11.04NA  12.13    11.04     2.79  33.10  32.01  33.10  32.01  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
29868  Meniscal trnspl, knee w/scpe                      A  24.89  15.30NA  13.80NA  15.30    13.80     4.36  44.55  43.05  44.55  43.05  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
29870  Knee arthroscopy, dx                              A   5.11   4.53NA   4.18NA   4.53     4.18     0.85  10.49  10.14  10.49  10.14  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
29871  Knee arthroscopy/drainage                         A   6.60   5.47NA   5.06NA   5.47     5.06     1.14  13.21  12.80  13.21  12.80  0090.10.69.2131100       29870 38.0870 090 99     0.00   0.00   0.00
29873  Knee arthroscopy/surgery                          A   6.09   6.09NA   5.60NA   6.09     5.60     1.04  13.22  12.73  13.22  12.73  0090.10.69.2131110       29870 38.0870 090 99     0.00   0.00   0.00
29874  Knee arthroscopy/surgery                          A   7.10   5.58NA   5.09NA   5.58     5.09     1.11  13.79  13.30  13.79  13.30  0090.10.69.2131000       29870 38.0870 090 99     0.00   0.00   0.00
29875  Knee arthroscopy/surgery                          A   6.36   5.37NA   4.89NA   5.37     4.89     1.09  12.82  12.34  12.82  12.34  0090.10.69.2131000       29870 38.0870 090 99     0.00   0.00   0.00
29876  Knee arthroscopy/surgery                          A   8.72   6.61NA   6.19NA   6.61     6.19     1.37  16.70  16.28  16.70  16.28  0090.10.69.2131100       29870 38.0870 090 99     0.00   0.00   0.00
29877  Knee arthroscopy/surgery                          A   8.15   6.36NA   5.98NA   6.36     5.98     1.28  15.79  15.41  15.79  15.41  0090.10.69.2131000       29870 38.0870 090 99     0.00   0.00   0.00
29879  Knee arthroscopy/surgery                          A   8.84   6.68NA   6.23NA   6.68     6.23     1.39  16.91  16.46  16.91  16.46  0090.10.69.2131000       29870 38.0870 090 99     0.00   0.00   0.00
29880  Knee arthroscopy/surgery                          A   9.30   6.90NA   6.43NA   6.90     6.43     1.47  17.67  17.20  17.67  17.20  0090.10.69.2131010       29870 38.0870 090 99     0.00   0.00   0.00
29881  Knee arthroscopy/surgery                          A   8.56   6.55NA   6.14NA   6.55     6.14     1.34  16.45  16.04  16.45  16.04  0090.10.69.2131000       29870 38.0870 090 99     0.00   0.00   0.00
29882  Knee arthroscopy/surgery                          A   9.45   6.85NA   6.46NA   6.85     6.46     1.50  17.80  17.41  17.80  17.41  0090.10.69.2131100       29870 38.0870 090 99     0.00   0.00   0.00
29883  Knee arthroscopy/surgery                          A  11.61   8.33NA   7.59NA   8.33     7.59     1.93  21.87  21.13  21.87  21.13  0090.10.69.2131000       29870 38.0870 090 99     0.00   0.00   0.00
29884  Knee arthroscopy/surgery                          A   8.13   6.33NA   5.96NA   6.33     5.96     1.27  15.73  15.36  15.73  15.36  0090.10.69.2131210       29870 38.0870 090 99     0.00   0.00   0.00
29885  Knee arthroscopy/surgery                          A  10.03   7.50NA   7.03NA   7.50     7.03     1.58  19.11  18.64  19.11  18.64  0090.10.69.2131210       29870 38.0870 090 99     0.00   0.00   0.00
29886  Knee arthroscopy/surgery                          A   8.34   6.45NA   6.04NA   6.45     6.04     1.30  16.09  15.68  16.09  15.68  0090.10.69.2131100       29870 38.0870 090 99     0.00   0.00   0.00
29887  Knee arthroscopy/surgery                          A   9.98   7.45NA   6.97NA   7.45     6.97     1.57  19.00  18.52  19.00  18.52  0090.10.69.2131210       29870 38.0870 090 99     0.00   0.00   0.00
29888  Knee arthroscopy/surgery                          A  14.14   9.24NA   8.27NA   9.24     8.27     2.42  25.80  24.83  25.80  24.83  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
29889  Knee arthroscopy/surgery                          A  17.15  11.53NA  10.62NA  11.53    10.62     2.79  31.47  30.56  31.47  30.56  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
29891  Ankle arthroscopy/surgery                         A   9.47   7.08NA   6.65NA   7.08     6.65     1.39  17.94  17.51  17.94  17.51  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
29892  Ankle arthroscopy/surgery                         A  10.07   7.07NA   6.39NA   7.07     6.39     1.41  18.55  17.87  18.55  17.87  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
29893  Scope, plantar fasciotomy                         A   6.08   7.56     8.84     4.33     4.67     0.63  14.27  15.55  11.04  11.38  0090.10.69.2121110             38.0870 090 99     0.00   0.00   0.00
29894  Ankle arthroscopy/surgery                         A   7.26   5.10NA   4.72NA   5.10     4.72     1.15  13.51  13.13  13.51  13.13  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
29895  Ankle arthroscopy/surgery                         A   7.04   5.00NA   4.52NA   5.00     4.52     1.11  13.15  12.67  13.15  12.67  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
29897  Ankle arthroscopy/surgery                         A   7.23   5.35NA   4.82NA   5.35     4.82     1.17  13.75  13.22  13.75  13.22  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
29898  Ankle arthroscopy/surgery                         A   8.38   5.72NA   5.24NA   5.72     5.24     1.28  15.38  14.90  15.38  14.90  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
29899  Ankle arthroscopy/surgery                         A  15.21   9.88NA   9.21NA   9.88     9.21     2.41  27.50  26.83  27.50  26.83  0090.10.69.2121210             38.0870 090 99     0.00   0.00   0.00
29900  Mcp joint arthroscopy, dx                         A   5.74   5.27NA   4.67NA   5.27     4.67     0.94  11.95  11.35  11.95  11.35  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
29901  Mcp joint arthroscopy, surg                       A   6.45   5.68NA   5.10NA   5.68     5.10     1.06  13.19  12.61  13.19  12.61  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
29902  Mcp joint arthroscopy, surg                       A   7.02   5.63NA   4.71NA   5.63     4.71     1.12  13.77  12.85  13.77  12.85  0090.10.69.2121000             38.0870 090 99     0.00   0.00   0.00
29904  Subtalar arthro w/fb rmvl                         A   8.50   5.89NA   5.89NA   5.89     5.89     1.25  15.64  15.64  15.64  15.64  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
29905  Subtalar arthro w/exc                             A   9.00   6.52NA   6.52NA   6.52     6.52     1.32  16.84  16.84  16.84  16.84  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
29906  Subtalar arthro w/deb                             A   9.47   6.88NA   6.88NA   6.88     6.88     1.39  17.74  17.74  17.74  17.74  0090.10.69.2121200             38.0870 090 99     0.00   0.00   0.00
29907  Subtalar arthro w/fusion                          A  12.00   7.87NA   7.87NA   7.87     7.87     1.90  21.77  21.77  21.77  21.77  0090.10.69.2121200             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30000  Drainage of nose lesion                           A   1.45   4.04     4.02     1.37     1.34     0.12   5.61   5.59   2.94   2.91  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
30020  Drainage of nose lesion                           A   1.45   3.72     4.17     1.43     1.39     0.12   5.29   5.74   3.00   2.96  0010.10.80.1020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30100  Intranasal biopsy                                 A   0.94   2.28     2.58     0.78     0.75     0.07   3.29   3.59   1.79   1.76  0000.00.00.0020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30110  Removal of nose polyp(s)                          A   1.65   3.57     3.90     1.51     1.45     0.14   5.36   5.69   3.30   3.24  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
30115  Removal of nose polyp(s)                          A   4.38   5.88NA   5.99NA   5.88     5.99     0.41  10.67  10.78  10.67  10.78  0090.10.76.1421100             38.0870 090 99     0.00   0.00   0.00
30117  Removal of intranasal lesion                      A   3.20  15.66    18.17     4.77     4.92     0.26  19.12  21.63   8.23   8.38  0090.10.76.1420100             38.0870 090 99     0.00   0.00   0.00
30118  Removal of intranasal lesion                      A   9.81   8.88NA   8.56NA   8.88     8.56     0.78  19.47  19.15  19.47  19.15  0090.10.76.1420110             38.0870 090 99     0.00   0.00   0.00
30120  Revision of nose                                  A   5.31   6.79     7.08     5.55     5.09     0.52  12.62  12.91  11.38  10.92  0090.10.76.1420100             38.0870 090 99     0.00   0.00   0.00
30124  Removal of nose lesion                            A   3.14   3.65NA   3.68NA   3.65     3.68     0.25   7.04   7.07   7.04   7.07  0090.10.76.1420100             38.0870 090 99     0.00   0.00   0.00
30125  Removal of nose lesion                            A   7.21   7.87NA   7.41NA   7.87     7.41     0.63  15.71  15.25  15.71  15.25  0090.10.76.1420200             38.0870 090 99     0.00   0.00   0.00
30130  Excise inferior turbinate                         A   3.41   5.62NA   5.64NA   5.62     5.64     0.31   9.34   9.36   9.34   9.36  0090.10.76.1421100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30140  Resect inferior turbinate                         A   3.48   6.65NA   7.11NA   6.65     7.11     0.35  10.48  10.94  10.48  10.94  0090.10.76.1421100             38.0870 090 99     0.00   0.00   0.00
30150  Partial removal of nose                           A   9.44  10.03NA   9.04NA  10.03     9.04     0.93  20.40  19.41  20.40  19.41  0090.10.76.1420110             38.0870 090 99     0.00   0.00   0.00
30160  Removal of nose                                   A   9.88   9.55NA   8.88NA   9.55     8.88     0.88  20.31  19.64  20.31  19.64  0090.10.76.1420210             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30200  Injection treatment of nose                       A   0.78   1.82     2.02     0.71     0.67     0.06   2.66   2.86   1.55   1.51  0000.00.00.0020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30210  Nasal sinus therapy                               A   1.10   2.31     2.51     1.29     1.27     0.09   3.50   3.70   2.48   2.46  0010.10.80.1020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30220  Insert nasal septal button                        A   1.56   5.03     5.82     1.48     1.43     0.12   6.71   7.50   3.16   3.11  0010.10.80.1020100             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30300  Remove nasal foreign body                         A   1.06   4.46     4.30     1.89     1.87     0.08   5.60   5.44   3.03   3.01  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
30310  Remove nasal foreign body                         A   1.98   3.01NA   2.91NA   3.01     2.91     0.16   5.15   5.05   5.15   5.05  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
30320  Remove nasal foreign body                         A   4.56   6.70NA   6.36NA   6.70     6.36     0.39  11.65  11.31  11.65  11.31  0090.10.76.1420000             38.0870 090 99     0.00   0.00   0.00
3035F  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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30400  Reconstruction of nose                            R  10.58  14.71NA  13.92NA  14.71    13.92     1.04  26.33  25.54  26.33  25.54  0090.10.76.1420000             38.0870 090 99     0.00   0.00   0.00
30410  Reconstruction of nose                            R  13.72  16.86NA  15.34NA  16.86    15.34     1.42  32.00  30.48  32.00  30.48  0090.10.76.1420200             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30420  Reconstruction of nose                            R  16.62  16.88NA  15.84NA  16.88    15.84     1.46  34.96  33.92  34.96  33.92  0090.10.76.1420100             38.0870 090 99     0.00   0.00   0.00
30430  Revision of nose                                  R   7.96  14.64NA  13.25NA  14.64    13.25     0.77  23.37  21.98  23.37  21.98  0090.10.76.1420200             38.0870 090 99     0.00   0.00   0.00
30435  Revision of nose                                  R  12.45  17.40NA  15.43NA  17.40    15.43     1.22  31.07  29.10  31.07  29.10  0090.10.76.1420200             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30450  Revision of nose                                  R  19.38  19.40NA  16.90NA  19.40    16.90     1.97  40.75  38.25  40.75  38.25  0090.10.76.1420200             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30460  Revision of nose                                  A  10.24   8.72NA   7.49NA   8.72     7.49     1.03  19.99  18.76  19.99  18.76  0090.10.76.1420220             38.0870 090 99     0.00   0.00   0.00
30462  Revision of nose                                  A  20.12  17.46NA  14.66NA  17.46    14.66     2.54  40.12  37.32  40.12  37.32  0090.10.76.1420220             38.0870 090 99     0.00   0.00   0.00
30465  Repair nasal stenosis                             A  12.20  11.53NA  11.08NA  11.53    11.08     1.06  24.79  24.34  24.79  24.34  0090.10.76.1420000             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30520  Repair of nasal septum                            A   6.85   7.36NA   8.05NA   7.36     8.05     0.46  14.67  15.36  14.67  15.36  0090.10.76.1420100             38.0870 090 99     0.00   0.00   0.00
30540  Repair nasal defect                               A   7.81   8.92NA   8.55NA   8.92     8.55     0.67  17.40  17.03  17.40  17.03  0090.10.76.1420200             38.0870 090 99     0.00   0.00   0.00
30545  Repair nasal defect                               A  11.50  11.50NA  11.09NA  11.50    11.09     1.71  24.71  24.30  24.71  24.30  0090.10.76.1420200             38.0870 090 99     0.00   0.00   0.00
30560  Release of nasal adhesions                        A   1.28   5.03     5.28     2.08     2.03     0.10   6.41   6.66   3.46   3.41  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
30580  Repair upper jaw fistula                          A   6.76   7.96     8.14     5.24     4.69     0.89  15.61  15.79  12.89  12.34  0090.10.76.1420100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30600  Repair mouth/nose fistula                         A   6.07   7.60     7.68     4.60     4.18     0.70  14.37  14.45  11.37  10.95  0090.10.76.1420000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30620  Intranasal reconstruction                         A   6.04   8.76NA   8.67NA   8.76     8.67     0.57  15.37  15.28  15.37  15.28  0090.10.76.1420100             38.0870 090 99     0.00   0.00   0.00
30630  Repair nasal septum defect                        A   7.18   7.84NA   7.73NA   7.84     7.73     0.61  15.63  15.52  15.63  15.52  0090.10.76.1420000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30801  Ablate inf turbinate, superf                      A   1.11   4.22     4.30     2.02     2.12     0.09   5.42   5.50   3.22   3.32  0010.10.80.1022100             38.0870 090 99     0.00   0.00   0.00
30802  Cauterization, inner nose                         A   2.05   4.79     4.98     2.44     2.51     0.16   7.00   7.19   4.65   4.72  0010.10.80.1022100             38.0870 090 99     0.00   0.00   0.00
3082F  Kt/v lt 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             38.0870 090 99     0.00   0.00   0.00
3083F  Kt/v ge 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             38.0870 090 99     0.00   0.00   0.00
3084F  Kt/v ge 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30901  Control of nosebleed                              A   1.21   1.32     1.27     0.31     0.31     0.11   2.64   2.59   1.63   1.63  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
30903  Control of nosebleed                              A   1.54   3.00     3.28     0.46     0.43     0.13   4.67   4.95   2.13   2.10  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
30905  Control of nosebleed                              A   1.97   3.73     3.94     0.63     0.51     0.17   5.87   6.08   2.77   2.65  0000.00.00.0022100             38.0870 090 99     0.00   0.00   0.00
30906  Repeat control of nosebleed                       A   2.45   4.09     4.29     0.98     0.76     0.20   6.74   6.94   3.63   3.41  0000.00.00.0022100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30915  Ligation, nasal sinus artery                      A   7.36   6.58NA   6.46NA   6.58     6.46     0.58  14.52  14.40  14.52  14.40  0090.10.76.1420100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30920  Ligation, upper jaw artery                        A  11.03   8.97NA   8.97NA   8.97     8.97     0.80  20.80  20.80  20.80  20.80  0090.10.76.1420100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
30930  Ther fx, nasal inf turbinate                      A   1.28   1.63NA   1.64NA   1.63     1.64     0.12   3.03   3.04   3.03   3.04  0010.10.80.1021100             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
31000  Irrigation, maxillary sinus                       A   1.17   3.03     3.22     1.37     1.34     0.09   4.29   4.48   2.63   2.60  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
31002  Irrigation, sphenoid sinus                        A   1.93   2.97NA   2.69NA   2.97     2.69     0.15   5.05   4.77   5.05   4.77  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
31020  Exploration, maxillary sinus                      A   2.99   8.57     8.61     5.37     5.55     0.29  11.85  11.89   8.65   8.83  0090.10.76.1421100             38.0870 090 99     0.00   0.00   0.00
31030  Exploration, maxillary sinus                      A   5.95  10.96    10.41     6.56     6.45     0.60  17.51  16.96  13.11  13.00  0090.10.76.1421100             38.0870 090 99     0.00   0.00   0.00
31032  Explore sinus, remove polyps                      A   6.61   7.12NA   7.00NA   7.12     7.00     0.59  14.32  14.20  14.32  14.20  0090.10.76.1421100             38.0870 090 99     0.00   0.00   0.00
31040  Exploration behind upper jaw                      A   9.66   8.60NA   7.38NA   8.60     7.38     0.87  19.13  17.91  19.13  17.91  0090.10.76.1420110             38.0870 090 99     0.00   0.00   0.00
31050  Exploration, sphenoid sinus                       A   5.31   6.43NA   6.51NA   6.43     6.51     0.49  12.23  12.31  12.23  12.31  0090.10.76.1421100             38.0870 090 99     0.00   0.00   0.00
31051  Sphenoid sinus surgery                            A   7.16   8.31NA   8.37NA   8.31     8.37     0.62  16.09  16.15  16.09  16.15  0090.10.76.1421100             38.0870 090 99     0.00   0.00   0.00
31070  Exploration of frontal sinus                      A   4.32   6.06NA   6.19NA   6.06     6.19     0.38  10.76  10.89  10.76  10.89  0090.10.76.1421100             38.0870 090 99     0.00   0.00   0.00
31075  Exploration of frontal sinus                      A   9.40   9.53NA   9.33NA   9.53     9.33     0.75  19.68  19.48  19.68  19.48  0090.10.76.1421210             38.0870 090 99     0.00   0.00   0.00
31080  Removal of frontal sinus                          A  12.54  12.08NA  10.63NA  12.08    10.63     1.23  25.85  24.40  25.85  24.40  0090.10.76.1421200             38.0870 090 99     0.00   0.00   0.00
31081  Removal of frontal sinus                          A  13.99  14.69NA  15.38NA  14.69    15.38     2.47  31.15  31.84  31.15  31.84  0090.10.76.1421210             38.0870 090 99     0.00   0.00   0.00
31084  Removal of frontal sinus                          A  14.75  13.20NA  12.88NA  13.20    12.88     1.19  29.14  28.82  29.14  28.82  0090.10.76.1421210             38.0870 090 99     0.00   0.00   0.00
31085  Removal of frontal sinus                          A  15.44  14.20NA  14.44NA  14.20    14.44     1.73  31.37  31.61  31.37  31.61  0090.10.76.1421210             38.0870 090 99     0.00   0.00   0.00
31086  Removal of frontal sinus                          A  14.16  13.04NA  12.79NA  13.04    12.79     1.07  28.27  28.02  28.27  28.02  0090.10.76.1421200             38.0870 090 99     0.00   0.00   0.00
31087  Removal of frontal sinus                          A  14.39  12.10NA  11.65NA  12.10    11.65     1.44  27.93  27.48  27.93  27.48  0090.10.76.1421210             38.0870 090 99     0.00   0.00   0.00
31090  Exploration of sinuses                            A  10.88  12.99NA  13.41NA  12.99    13.41     0.94  24.81  25.23  24.81  25.23  0090.10.76.1421100             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
3112F  Ct/mri brain done gt 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
31200  Removal of ethmoid sinus                          A   5.03   8.33NA   7.44NA   8.33     7.44     0.29  13.65  12.76  13.65  12.76  0090.10.76.1421100             38.0870 090 99     0.00   0.00   0.00
31201  Removal of ethmoid sinus                          A   8.49   9.09NA   9.00NA   9.09     9.00     0.82  18.40  18.31  18.40  18.31  0090.10.76.1421100             38.0870 090 99     0.00   0.00   0.00
31205  Removal of ethmoid sinus                          A  10.47  10.70NA   9.52NA  10.70     9.52     0.67  21.84  20.66  21.84  20.66  0090.10.76.1421210             38.0870 090 99     0.00   0.00   0.00
31225  Removal of upper jaw                              A  26.44  17.87NA  17.90NA  17.87    17.90     1.59  45.90  45.93  45.90  45.93  0090.10.76.1421210             38.0870 090 99     0.00   0.00   0.00
31230  Removal of upper jaw                              A  30.56  19.44NA  19.50NA  19.44    19.50     1.78  51.78  51.84  51.78  51.84  0090.10.76.1421210             38.0870 090 99     0.00   0.00   0.00
31231  Nasal endoscopy, dx                               A   1.10   3.49     3.60     0.82     0.77     0.09   4.68   4.79   2.01   1.96  0000.00.00.0022100             38.0870 090 99     0.00   0.00   0.00
31233  Nasal/sinus endoscopy, dx                         A   2.18   4.28     4.27     1.30     1.12     0.20   6.66   6.65   3.68   3.50  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
31235  Nasal/sinus endoscopy, dx                         A   2.64   4.78     4.65     1.49     1.26     0.26   7.68   7.55   4.39   4.16  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
31237  Nasal/sinus endoscopy, surg                       A   2.98   5.05     4.90     1.64     1.39     0.28   8.31   8.16   4.90   4.65  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
31238  Nasal/sinus endoscopy, surg                       A   3.26   5.03     4.83     1.79     1.48     0.27   8.56   8.36   5.32   5.01  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
31239  Nasal/sinus endoscopy, surg                       A   9.23   7.21NA   6.43NA   7.21     6.43     0.62  17.06  16.28  17.06  16.28  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
31240  Nasal/sinus endoscopy, surg                       A   2.61   1.50NA   1.27NA   1.50     1.27     0.24   4.35   4.12   4.35   4.12  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
31254  Revision of ethmoid sinus                         A   4.64   2.39NA   1.94NA   2.39     1.94     0.45   7.48   7.03   7.48   7.03  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
31255  Removal of ethmoid sinus                          A   6.95   3.40NA   2.69NA   3.40     2.69     0.73  11.08  10.37  11.08  10.37  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
31256  Exploration maxillary sinus                       A   3.29   1.80NA   1.49NA   1.80     1.49     0.33   5.42   5.11   5.42   5.11  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
31267  Endoscopy, maxillary sinus                        A   5.45   2.75NA   2.20NA   2.75     2.20     0.55   8.75   8.20   8.75   8.20  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
31276  Sinus endoscopy, surgical                         A   8.84   4.21NA   3.31NA   4.21     3.31     0.92  13.97  13.07  13.97  13.07  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
31287  Nasal/sinus endoscopy, surg                       A   3.91   2.07NA   1.69NA   2.07     1.69     0.39   6.37   5.99   6.37   5.99  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
31288  Nasal/sinus endoscopy, surg                       A   4.57   2.36NA   1.91NA   2.36     1.91     0.46   7.39   6.94   7.39   6.94  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
31290  Nasal/sinus endoscopy, surg                       A  18.50  10.55NA   9.05NA  10.55     9.05     1.40  30.45  28.95  30.45  28.95  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
31291  Nasal/sinus endoscopy, surg                       A  19.45  11.01NA   9.54NA  11.01     9.54     1.69  32.15  30.68  32.15  30.68  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
31292  Nasal/sinus endoscopy, surg                       A  15.79   9.34NA   8.06NA   9.34     8.06     1.21  26.34  25.06  26.34  25.06  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
31293  Nasal/sinus endoscopy, surg                       A  17.36  10.04NA   8.69NA  10.04     8.69     1.28  28.68  27.33  28.68  27.33  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
31294  Nasal/sinus endoscopy, surg                       A  20.20  11.28NA   9.67NA  11.28     9.67     1.53  33.01  31.40  33.01  31.40  0010.10.80.1021000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
31300  Removal of larynx lesion                          A  15.71  14.79NA  14.59NA  14.79    14.59     1.17  31.67  31.47  31.67  31.47  0090.10.76.1420210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
31320  Diagnostic incision, larynx                       A   5.62  10.23NA  10.15NA  10.23    10.15     0.46  16.31  16.23  16.31  16.23  0090.10.76.1420000             38.0870 090 99     0.00   0.00   0.00
31360  Removal of larynx                                 A  29.57  18.41NA  20.08NA  18.41    20.08     1.38  49.36  51.03  49.36  51.03  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31365  Removal of larynx                                 A  38.47  21.69NA  23.00NA  21.69    23.00     1.98  62.14  63.45  62.14  63.45  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31367  Partial removal of larynx                         A  30.23  22.21NA  22.52NA  22.21    22.52     1.79  54.23  54.54  54.23  54.54  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31368  Partial removal of larynx                         A  33.85  25.06NA  24.61NA  25.06    24.61     2.21  61.12  60.67  61.12  60.67  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31370  Partial removal of larynx                         A  27.23  22.22NA  22.16NA  22.22    22.16     1.75  51.20  51.14  51.20  51.14  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31375  Partial removal of larynx                         A  25.73  20.78NA  21.16NA  20.78    21.16     1.63  48.14  48.52  48.14  48.52  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31380  Partial removal of larynx                         A  25.23  20.71NA  20.81NA  20.71    20.81     1.71  47.65  47.75  47.65  47.75  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31382  Partial removal of larynx                         A  28.23  22.17NA  22.71NA  22.17    22.71     1.68  52.08  52.62  52.08  52.62  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31390  Removal of larynx & pharynx                       A  42.17  25.19NA  25.99NA  25.19    25.99     2.24  69.60  70.40  69.60  70.40  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31395  Reconstruct larynx & pharynx                      A  43.46  28.42NA  28.53NA  28.42    28.53     2.49  74.37  74.48  74.37  74.48  0090.10.76.1420210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
31400  Revision of larynx                                A  11.48  13.14NA  12.50NA  13.14    12.50     0.83  25.45  24.81  25.45  24.81  0090.10.76.1420200             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
31420  Removal of epiglottis                             A  11.32   9.07NA   8.59NA   9.07     8.59     0.83  21.22  20.74  21.22  20.74  0090.10.76.1420210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
31500  Insert emergency airway                           A   2.33   0.48NA   0.42NA   0.48     0.42     0.17   2.98   2.92   2.98   2.92  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
31502  Change of windpipe airway                         A   0.65   0.25NA   0.21NA   0.25     0.21     0.05   0.95   0.91   0.95   0.91  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31505  Diagnostic laryngoscopy                           A   0.61   1.44     1.43     0.60     0.59     0.05   2.10   2.09   1.26   1.25  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31510  Laryngoscopy with biopsy                          A   1.92   3.26     3.23     1.13     1.00     0.16   5.34   5.31   3.21   3.08  0000.00.00.0030000       31505 38.0870 090 99     0.00   0.00   0.00
31511  Remove foreign body, larynx                       A   2.16   3.03     2.94     1.04     1.03     0.19   5.38   5.29   3.39   3.38  0000.00.00.0030100       31505 38.0870 090 99     0.00   0.00   0.00
31512  Removal of larynx lesion                          A   2.07   3.09     2.97     1.21     1.06     0.18   5.34   5.22   3.46   3.31  0000.00.00.0030000       31505 38.0870 090 99     0.00   0.00   0.00
31513  Injection into vocal cord                         A   2.10   1.27NA   1.09NA   1.27     1.09     0.17   3.54   3.36   3.54   3.36  0000.00.00.0030000       31505 38.0870 090 99     0.00   0.00   0.00
31515  Laryngoscopy for aspiration                       A   1.80   3.37     3.20     0.97     0.88     0.14   5.31   5.14   2.91   2.82  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31520  Dx laryngoscopy, newborn                          A   2.56   1.38NA   1.21NA   1.38     1.21     0.20   4.14   3.97   4.14   3.97  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
31525  Dx laryngoscopy excl nb                           A   2.63   3.55     3.45     1.44     1.23     0.21   6.39   6.29   4.28   4.07  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31526  Dx laryngoscopy w/oper scope                      A   2.57   1.48NA   1.25NA   1.48     1.25     0.21   4.26   4.03   4.26   4.03  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31527  Laryngoscopy for treatment                        A   3.27   1.64NA   1.40NA   1.64     1.40     0.26   5.17   4.93   5.17   4.93  0000.00.00.0030000       31525 38.0870 090 99     0.00   0.00   0.00
31528  Laryngoscopy and dilation                         A   2.37   1.27NA   1.09NA   1.27     1.09     0.19   3.83   3.65   3.83   3.65  0000.00.00.0030000       31525 38.0870 090 99     0.00   0.00   0.00
31529  Laryngoscopy and dilation                         A   2.68   1.48NA   1.25NA   1.48     1.25     0.22   4.38   4.15   4.38   4.15  0000.00.00.0030000       31525 38.0870 090 99     0.00   0.00   0.00
31530  Laryngoscopy w/fb removal                         A   3.38   1.70NA   1.45NA   1.70     1.45     0.29   5.37   5.12   5.37   5.12  0000.00.00.0030100       31525 38.0870 090 99     0.00   0.00   0.00
31531  Laryngoscopy w/fb & op scope                      A   3.58   1.93NA   1.59NA   1.93     1.59     0.29   5.80   5.46   5.80   5.46  0000.00.00.0030000       31526 38.0870 090 99     0.00   0.00   0.00
31535  Laryngoscopy w/biopsy                             A   3.16   1.72NA   1.44NA   1.72     1.44     0.26   5.14   4.86   5.14   4.86  0000.00.00.0030100       31525 38.0870 090 99     0.00   0.00   0.00
31536  Laryngoscopy w/bx & op scope                      A   3.55   1.91NA   1.57NA   1.91     1.57     0.29   5.75   5.41   5.75   5.41  0000.00.00.0030100       31526 38.0870 090 99     0.00   0.00   0.00
31540  Laryngoscopy w/exc of tumor                       A   4.12   2.15NA   1.76NA   2.15     1.76     0.33   6.60   6.21   6.60   6.21  0000.00.00.0030100       31525 38.0870 090 99     0.00   0.00   0.00
31541  Larynscop w/tumr exc + scope                      A   4.52   2.34NA   1.89NA   2.34     1.89     0.37   7.23   6.78   7.23   6.78  0000.00.00.0030100       31526 38.0870 090 99     0.00   0.00   0.00
31545  Remove vc lesion w/scope                          A   6.30   2.99NA   2.52NA   2.99     2.52     0.37   9.66   9.19   9.66   9.19  0000.00.00.0031100       31526 38.0870 090 99     0.00   0.00   0.00
31546  Remove vc lesion scope/graft                      A   9.73   4.20NA   3.43NA   4.20     3.43     0.78  14.71  13.94  14.71  13.94  0000.00.00.0031100       31526 38.0870 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             38.0870 090 99     0.00   0.00   0.00
31560  Laryngoscop w/arytenoidectom                      A   5.45   2.65NA   2.16NA   2.65     2.16     0.43   8.53   8.04   8.53   8.04  0000.00.00.0030000       31525 38.0870 090 99     0.00   0.00   0.00
31561  Larynscop, remve cart + scop                      A   5.99   2.85NA   2.32NA   2.85     2.32     0.49   9.33   8.80   9.33   8.80  0000.00.00.0030000       31526 38.0870 090 99     0.00   0.00   0.00
31570  Laryngoscope w/vc inj                             A   3.86   4.97     4.26     2.02     1.65     0.31   9.14   8.43   6.19   5.82  0000.00.00.0030100       31525 38.0870 090 99     0.00   0.00   0.00
31571  Laryngoscop w/vc inj + scope                      A   4.26   2.21NA   1.81NA   2.21     1.81     0.35   6.82   6.42   6.82   6.42  0000.00.00.0030100       31526 38.0870 090 99     0.00   0.00   0.00
31575  Diagnostic laryngoscopy                           A   1.10   1.80     1.70     0.83     0.76     0.09   2.99   2.89   2.02   1.95  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31576  Laryngoscopy with biopsy                          A   1.97   3.59     3.52     1.17     1.04     0.14   5.70   5.63   3.28   3.15  0000.00.00.0030100       31575 38.0870 090 99     0.00   0.00   0.00
31577  Remove foreign body, larynx                       A   2.47   3.57     3.38     1.35     1.17     0.21   6.25   6.06   4.03   3.85  0000.00.00.0030000       31575 38.0870 090 99     0.00   0.00   0.00
31578  Removal of larynx lesion                          A   2.84   4.14     4.00     1.43     1.34     0.23   7.21   7.07   4.50   4.41  0000.00.00.0030000       31575 38.0870 090 99     0.00   0.00   0.00
31579  Diagnostic laryngoscopy                           A   2.26   3.32     2.87     1.31     1.15     0.18   5.76   5.31   3.75   3.59  0000.00.00.0030100       31575 38.0870 090 99     0.00   0.00   0.00
31580  Revision of larynx                                A  14.46  14.88NA  13.83NA  14.88    13.83     1.00  30.34  29.29  30.34  29.29  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31582  Revision of larynx                                A  22.87  24.19NA  22.57NA  24.19    22.57     1.76  48.82  47.20  48.82  47.20  0090.10.76.1420110             38.0870 090 99     0.00   0.00   0.00
31584  Treat larynx fracture                             A  20.35  16.72NA  15.28NA  16.72    15.28     1.72  38.79  37.35  38.79  37.35  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31587  Revision of larynx                                A  15.12   8.96NA   8.64NA   8.96     8.64     0.97  25.05  24.73  25.05  24.73  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31588  Revision of larynx                                A  14.62  13.07NA  12.52NA  13.07    12.52     1.06  28.75  28.20  28.75  28.20  0090.10.76.1420200             38.0870 090 99     0.00   0.00   0.00
31590  Reinnervate larynx                                A   7.63  14.17NA  12.80NA  14.17    12.80     0.84  22.64  21.27  22.64  21.27  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31595  Larynx nerve surgery                              A   8.75  10.10NA   9.65NA  10.10     9.65     0.68  19.53  19.08  19.53  19.08  0090.10.76.1420210             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
31600  Incision of windpipe                              A   7.17   2.74NA   2.28NA   2.74     2.28     0.80  10.71  10.25  10.71  10.25  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31601  Incision of windpipe                              A   4.44   2.07NA   1.74NA   2.07     1.74     0.40   6.91   6.58   6.91   6.58  0000.00.00.0020210             38.0870 090 99     0.00   0.00   0.00
31603  Incision of windpipe                              A   4.14   1.45NA   1.19NA   1.45     1.19     0.44   6.03   5.77   6.03   5.77  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31605  Incision of windpipe                              A   3.57   1.00NA   0.82NA   1.00     0.82     0.40   4.97   4.79   4.97   4.79  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31610  Incision of windpipe                              A   9.29   8.00NA   7.73NA   8.00     7.73     0.79  18.08  17.81  18.08  17.81  0090.10.76.1420100             38.0870 090 99     0.00   0.00   0.00
31611  Surgery/speech prosthesis                         A   5.92   7.07NA   7.08NA   7.07     7.08     0.46  13.45  13.46  13.45  13.46  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31612  Puncture/clear windpipe                           A   0.91   1.09     1.09     0.30     0.26     0.08   2.08   2.08   1.29   1.25  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
31613  Repair windpipe opening                           A   4.63   6.07NA   6.14NA   6.07     6.14     0.42  11.12  11.19  11.12  11.19  0090.10.76.1420100             38.0870 090 99     0.00   0.00   0.00
31614  Repair windpipe opening                           A   8.47   9.15NA   9.59NA   9.15     9.59     0.58  18.20  18.64  18.20  18.64  0090.10.76.1420100             38.0870 090 99     0.00   0.00   0.00
31615  Visualization of windpipe                         A   2.09   2.49     2.38     1.12     1.05     0.16   4.74   4.63   3.37   3.30  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31620  Endobronchial us add-on                           A   1.40   5.83     6.02     0.44     0.33     0.11   7.34   7.53   1.95   1.84  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
31622  Dx bronchoscope/wash                              A   2.78   5.45     5.24     0.98     0.90     0.18   8.41   8.20   3.94   3.86  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31623  Dx bronchoscope/brush                             A   2.88   6.20     5.98     0.97     0.89     0.13   9.21   8.99   3.98   3.90  0000.00.00.0030100       31622 38.0870 090 99     0.00   0.00   0.00
31624  Dx bronchoscope/lavage                            A   2.88   5.56     5.34     0.97     0.89     0.13   8.57   8.35   3.98   3.90  0000.00.00.0030100       31622 38.0870 090 99     0.00   0.00   0.00
31625  Bronchoscopy w/biopsy(s)                          A   3.36   5.65     5.48     1.11     1.01     0.18   9.19   9.02   4.65   4.55  0000.00.00.0030100       31622 38.0870 090 99     0.00   0.00   0.00
31628  Bronchoscopy/lung bx, each                        A   3.80   6.99     6.96     1.20     1.10     0.18  10.97  10.94   5.18   5.08  0000.00.00.0030100       31622 38.0870 090 99     0.00   0.00   0.00
31629  Bronchoscopy/needle bx, each                      A   4.09  13.14    12.01     1.28     1.17     0.16  17.39  16.26   5.53   5.42  0000.00.00.0030100       31622 38.0870 090 99     0.00   0.00   0.00
31630  Bronchoscopy dilate/fx repr                       A   3.81   1.49NA   1.27NA   1.49     1.27     0.32   5.62   5.40   5.62   5.40  0000.00.00.0030100       31622 38.0870 090 99     0.00   0.00   0.00
31631  Bronchoscopy, dilate w/stent                      A   4.36   1.59NA   1.42NA   1.59     1.42     0.34   6.29   6.12   6.29   6.12  0000.00.00.0030100       31622 38.0870 090 99     0.00   0.00   0.00
31632  Bronchoscopy/lung bx, addl                       A   1.03   0.83     0.86     0.27     0.24     0.18   2.04   2.07   1.48   1.45  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
31633  Bronchoscopy/needle bx addl                      A   1.32   0.95     0.99     0.35     0.31     0.16   2.43   2.47   1.83   1.79  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
31635  Bronchoscopy w/fb removal                         A   3.67   5.66     5.20     1.28     1.13     0.24   9.57   9.11   5.19   5.04  0000.00.00.0030100       31622 38.0870 090 99     0.00   0.00   0.00
31636  Bronchoscopy, bronch stents                       A   4.30   1.55NA   1.34NA   1.55     1.34     0.31   6.16   5.95   6.16   5.95  0000.00.00.0030100       31622 38.0870 090 99     0.00   0.00   0.00
31637  Bronchoscopy, stent add-on                        A   1.58   0.48NA   0.41NA   0.48     0.41     0.13   2.19   2.12   2.19   2.12  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
31638  Bronchoscopy, revise stent                        A   4.88   1.76NA   1.54NA   1.76     1.54     0.22   6.86   6.64   6.86   6.64  0000.00.00.0030100       31622 38.0870 090 99     0.00   0.00   0.00
31640  Bronchoscopy w/tumor excise                       A   4.93   1.80NA   1.53NA   1.80     1.53     0.46   7.19   6.92   7.19   6.92  0000.00.00.0030100       31622 38.0870 090 99     0.00   0.00   0.00
31641  Bronchoscopy, treat blockage                      A   5.02   1.69NA   1.49NA   1.69     1.49     0.35   7.06   6.86   7.06   6.86  0000.00.00.0030100       31622 38.0870 090 99     0.00   0.00   0.00
31643  Diag bronchoscope/catheter                        A   3.49   1.13NA   1.04NA   1.13     1.04     0.20   4.82   4.73   4.82   4.73  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31645  Bronchoscopy, clear airways                       A   3.16   4.93     4.72     1.04     0.96     0.16   8.25   8.04   4.36   4.28  0000.00.00.0030100       31622 38.0870 090 99     0.00   0.00   0.00
31646  Bronchoscopy, reclear airway                      A   2.72   4.64     4.42     0.92     0.85     0.14   7.50   7.28   3.78   3.71  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31656  Bronchoscopy, inj for x-ray                       A   2.17   6.49     5.69     0.76     0.68     0.15   8.81   8.01   3.08   3.00  0000.00.00.0020000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
31715  Injection for bronchus x-ray                      A   1.11   0.30NA   0.25NA   0.30     0.25     0.07   1.48   1.43   1.48   1.43  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
31717  Bronchial brush biopsy                            A   2.12   7.05     5.84     0.75     0.72     0.14   9.31   8.10   3.01   2.98  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31720  Clearance of airways                              A   1.06   0.30NA   0.27NA   0.30     0.27     0.07   1.43   1.40   1.43   1.40  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31725  Clearance of airways                              A   1.96   0.49NA   0.41NA   0.49     0.41     0.14   2.59   2.51   2.59   2.51  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31730  Intro, windpipe wire/tube                         A   2.85  13.97    25.74     0.87     0.74     0.21  17.03  28.80   3.93   3.80  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
31750  Repair of windpipe                                A  15.19  17.51NA  17.46NA  17.51    17.46     1.05  33.75  33.70  33.75  33.70  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31755  Repair of windpipe                                A  17.19  24.27NA  24.00NA  24.27    24.00     1.29  42.75  42.48  42.75  42.48  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31760  Repair of windpipe                                A  23.36  10.25NA   9.78NA  10.25     9.78     2.95  36.56  36.09  36.56  36.09  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31766  Reconstruction of windpipe                        A  31.58  12.68NA  11.70NA  12.68    11.70     4.53  48.79  47.81  48.79  47.81  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31770  Repair/graft of bronchus                          A  23.48   9.39NA   8.54NA   9.39     8.54     2.84  35.71  34.86  35.71  34.86  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31775  Reconstruct bronchus                              A  24.51  10.66NA   9.52NA  10.66     9.52     3.02  38.19  37.05  38.19  37.05  0090.10.76.1420200             38.0870 090 99     0.00   0.00   0.00
31780  Reconstruct windpipe                              A  19.70   9.93NA   8.80NA   9.93     8.80     1.65  31.28  30.15  31.28  30.15  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31781  Reconstruct windpipe                              A  24.77  10.90NA   9.67NA  10.90     9.67     2.25  37.92  36.69  37.92  36.69  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31785  Remove windpipe lesion                            A  18.29   8.93NA   7.68NA   8.93     7.68     1.59  28.81  27.56  28.81  27.56  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31786  Remove windpipe lesion                            A  25.34  11.36NA   9.62NA  11.36     9.62     3.30  40.00  38.26  40.00  38.26  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31800  Repair of windpipe injury                         A   8.10   8.97NA   8.68NA   8.97     8.68     0.79  17.86  17.57  17.86  17.57  0090.10.76.1420000             38.0870 090 99     0.00   0.00   0.00
31805  Repair of windpipe injury                         A  13.34   6.72NA   6.22NA   6.72     6.22     1.83  21.89  21.39  21.89  21.39  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
31820  Closure of windpipe lesion                        A   4.58   5.76     5.86     3.46     3.26     0.38  10.72  10.82   8.42   8.22  0090.10.76.1420000             38.0870 090 99     0.00   0.00   0.00
31825  Repair of windpipe defect                         A   6.98   7.56     7.45     4.93     4.48     0.53  15.07  14.96  12.44  11.99  0090.10.76.1420000             38.0870 090 99     0.00   0.00   0.00
31830  Revise windpipe scar                              A   4.54   5.85     5.93     3.77     3.56     0.44  10.83  10.91   8.75   8.54  0090.10.76.1420000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
32035  Exploration of chest                              A  11.20   5.97NA   6.09NA   5.97     6.09     1.26  18.43  18.55  18.43  18.55  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32036  Exploration of chest                              A  12.21   6.37NA   6.30NA   6.37     6.30     1.43  20.01  19.94  20.01  19.94  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32095  Biopsy through chest wall                         A  10.06   5.24NA   5.10NA   5.24     5.10     1.22  16.52  16.38  16.52  16.38  0090.10.76.1420210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
32100  Exploration/biopsy of chest                       A  16.08   7.42NA   7.01NA   7.42     7.01     2.24  25.74  25.33  25.74  25.33  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32110  Explore/repair chest                              A  25.15  10.31NA   9.88NA  10.31     9.88     3.22  38.68  38.25  38.68  38.25  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32120  Re-exploration of chest                           A  14.27   6.93NA   6.78NA   6.93     6.78     1.63  22.83  22.68  22.83  22.68  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32124  Explore chest free adhesions                      A  15.33   7.09NA   6.96NA   7.09     6.96     1.90  24.32  24.19  24.32  24.19  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32140  Removal of lung lesion(s)                         A  16.54   7.54NA   7.40NA   7.54     7.40     1.97  26.05  25.91  26.05  25.91  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32141  Remove/treat lung lesions                         A  27.10   8.87NA  10.19NA   8.87    10.19     2.01  37.98  39.30  37.98  39.30  0090.10.76.1420210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
32150  Removal of lung lesion(s)                         A  16.70   7.56NA   7.51NA   7.56     7.51     2.01  26.27  26.22  26.27  26.22  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32151  Remove lung foreign body                          A  16.82   7.96NA   7.92NA   7.96     7.92     2.04  26.82  26.78  26.82  26.78  0090.10.76.1420210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
32160  Open chest heart massage                          A  13.02   5.56NA   5.84NA   5.56     5.84     1.31  19.89  20.17  19.89  20.17  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
3218F  RNA tstng hep C 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
32200  Drain, open, lung lesion                          A  18.48   8.69NA   8.77NA   8.69     8.77     2.14  29.31  29.39  29.31  29.39  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32201  Drain, percut, lung lesion                        A   3.99  20.29    19.87     1.36     1.43     0.24  24.52  24.10   5.59   5.66  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
32215  Treat chest lining                                A  12.93   6.57NA   6.24NA   6.57     6.24     1.69  21.19  20.86  21.19  20.86  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32220  Release of lung                                   A  26.41  12.44NA  11.91NA  12.44    11.91     3.57  42.42  41.89  42.42  41.89  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32225  Partial release of lung                           A  16.63   7.56NA   7.46NA   7.56     7.46     2.07  26.26  26.16  26.26  26.16  0090.10.76.1420210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
32310  Removal of chest lining                           A  15.16   7.16NA   6.93NA   7.16     6.93     2.00  24.32  24.09  24.32  24.09  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32320  Free/remove chest lining                          A  27.04  11.81NA  11.46NA  11.81    11.46     3.52  42.37  42.02  42.37  42.02  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32400  Needle biopsy chest lining                        A   1.76   2.14     2.15     0.56     0.57     0.10   4.00   4.01   2.42   2.43  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
32402  Open biopsy chest lining                          A   8.89   4.90NA   4.69NA   4.90     4.69     1.07  14.86  14.65  14.86  14.65  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32405  Biopsy, lung or mediastinum                       A   1.93   0.68     0.69     0.66     0.69     0.11   2.72   2.73   2.70   2.73  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
32420  Puncture/clear lung                               A   2.18   0.70NA   0.71NA   0.70     0.71     0.12   3.00   3.01   3.00   3.01  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
32421  Thoracentesis for aspiration                      A   1.54   2.73     2.41     0.47     0.47     0.08   4.35   4.03   2.09   2.09  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
32422  Thoracentesis w/tube insert                       A   2.19   3.05     2.88     1.05     1.03     0.12   5.36   5.19   3.36   3.34  0000.00.00.0021110             38.0870 090 99     0.00   0.00   0.00
32440  Removal of lung                                   A  27.17  11.91NA  10.92NA  11.91    10.92     3.69  42.77  41.78  42.77  41.78  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32442  Sleeve pneumonectomy                              A  56.37  16.75NA  18.74NA  16.75    18.74     3.85  76.97  78.96  76.97  78.96  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32445  Removal of lung                                   A  63.60  18.43NA  22.80NA  18.43    22.80     3.72  85.75  90.12  85.75  90.12  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32480  Partial removal of lung                           A  25.71  11.13NA  10.19NA  11.13    10.19     3.50  40.34  39.40  40.34  39.40  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32482  Bilobectomy                                       A  27.28  12.01NA  11.10NA  12.01    11.10     3.67  42.96  42.05  42.96  42.05  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32484  Segmentectomy                                     A  25.30  10.48NA   9.57NA  10.48     9.57     3.04  38.82  37.91  38.82  37.91  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32486  Sleeve lobectomy                                  A  42.80  13.94NA  14.62NA  13.94    14.62     3.52  60.26  60.94  60.26  60.94  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32488  Completion pneumonectomy                          A  42.83  14.68NA  15.58NA  14.68    15.58     3.81  61.32  62.22  61.32  62.22  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32491  Lung volume reduction                             R  25.09  11.53NA  10.43NA  11.53    10.43     2.99  39.61  38.51  39.61  38.51  0090.10.76.1421210             38.0870 090 99     0.00   0.00   0.00
32500  Partial removal of lung                           A  24.48  11.32NA  10.27NA  11.32    10.27     3.26  39.06  38.01  39.06  38.01  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32501  Repair bronchus add-on                            A   4.68   1.44NA   1.34NA   1.44     1.34     0.65   6.77   6.67   6.77   6.67  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
32503  Resect apical lung tumor                          A  31.61  13.58NA  12.09NA  13.58    12.09     4.38  49.57  48.08  49.57  48.08  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32504  Resect apical lung tum/chest                      A  36.41  15.08NA  13.48NA  15.08    13.48     5.09  56.58  54.98  56.58  54.98  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32540  Removal of lung lesion                            A  30.22  10.56NA  11.49NA  10.56    11.49     2.08  42.86  43.79  42.86  43.79  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32550  Insert pleural cath                               A   4.17  17.47    14.97     1.58     1.51     0.42  22.06  19.56   6.17   6.10  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
32551  Insertion of chest tube                           A   3.29   1.16NA   0.97NA   1.16     0.97     0.43   4.88   4.69   4.88   4.69  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
32560  Treat lung lining chemically                      A   2.19   5.76     5.06     0.64     0.58     0.23   8.18   7.48   3.06   3.00  0000.00.00.0020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
32601  Thoracoscopy, diagnostic                          A   5.45   2.21NA   2.07NA   2.21     2.07     0.80   8.46   8.32   8.46   8.32  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
32602  Thoracoscopy, diagnostic                          A   5.95   2.37NA   2.22NA   2.37     2.22     0.87   9.19   9.04   9.19   9.04  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
32603  Thoracoscopy, diagnostic                          A   7.80   2.89NA   2.74NA   2.89     2.74     1.14  11.83  11.68  11.83  11.68  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
32604  Thoracoscopy, diagnostic                          A   8.77   3.25NA   3.05NA   3.25     3.05     1.25  13.27  13.07  13.27  13.07  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
32605  Thoracoscopy, diagnostic                          A   6.92   2.74NA   2.58NA   2.74     2.58     1.00  10.66  10.50  10.66  10.50  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
32606  Thoracoscopy, diagnostic                          A   8.39   3.15NA   2.97NA   3.15     2.97     1.22  12.76  12.58  12.76  12.58  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
3265F  RNA tstng HepC vir ord/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             38.0870 090 99     0.00   0.00   0.00
32650  Thoracoscopy, surgical                            A  10.77   6.00NA   5.24NA   6.00     5.24     1.58  18.35  17.59  18.35  17.59  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32651  Thoracoscopy, surgical                            A  18.70   7.47NA   7.70NA   7.47     7.70     1.87  28.04  28.27  28.04  28.27  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32652  Thoracoscopy, surgical                            A  29.00  10.64NA  11.14NA  10.64    11.14     2.73  42.37  42.87  42.37  42.87  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32653  Thoracoscopy, surgical                            A  18.09   7.22NA   7.46NA   7.22     7.46     1.89  27.20  27.44  27.20  27.44  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32654  Thoracoscopy, surgical                            A  20.44   7.75NA   7.96NA   7.75     7.96     1.63  29.82  30.03  29.82  30.03  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32655  Thoracoscopy, surgical                            A  16.09   7.06NA   6.88NA   7.06     6.88     1.90  25.05  24.87  25.05  24.87  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32656  Thoracoscopy, surgical                            A  13.18   6.95NA   5.96NA   6.95     5.96     1.90  22.03  21.04  22.03  21.04  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32657  Thoracoscopy, surgical                            A  12.85   6.83NA   5.97NA   6.83     5.97     2.00  21.68  20.82  21.68  20.82  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32658  Thoracoscopy, surgical                            A  11.65   6.43NA   5.50NA   6.43     5.50     1.70  19.78  18.85  19.78  18.85  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
32659  Thoracoscopy, surgical                            A  11.86   6.63NA   5.80NA   6.63     5.80     1.62  20.11  19.28  20.11  19.28  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
3266F  HepC gn tstng docd b/4txmnt                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
32660  Thoracoscopy, surgical                            A  17.69   8.54NA   7.59NA   8.54     7.59     2.09  28.32  27.37  28.32  27.37  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
32661  Thoracoscopy, surgical                            A  13.27   6.92NA   6.05NA   6.92     6.05     1.93  22.12  21.25  22.12  21.25  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
32662  Thoracoscopy, surgical                            A  14.91   7.74NA   6.64NA   7.74     6.64     2.18  24.83  23.73  24.83  23.73  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
32663  Thoracoscopy, surgical                            A  24.56  10.08NA   9.40NA  10.08     9.40     2.73  37.37  36.69  37.37  36.69  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
32664  Thoracoscopy, surgical                            A  14.22   6.62NA   5.62NA   6.62     5.62     2.33  23.17  22.17  23.17  22.17  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
32665  Thoracoscopy, surgical                            A  21.45   8.35NA   8.57NA   8.35     8.57     2.16  31.96  32.18  31.96  32.18  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
3268F  PSA/T/G1Sc docd b/4 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             38.0870 090 99     0.00   0.00   0.00
3269F  Bone scn b/4 txmnt/aftr Dx                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
3270F  No bone scn b/4 txmnt/aftrDx                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
3271F  Low risk, prostate cancer                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
3272F  Med. risk, prostate cancer                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
3273F  High risk, prostate cancer                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
3274F  Prost Cncr rsk not lw/md/hgh                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
3278F  Serum lvls CA/iPTH/lpd ord                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
3279F  Hgb lvl >/=13 g/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             38.0870 090 99     0.00   0.00   0.00
3280F  Hgb lvl 11-12.9 g/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             38.0870 090 99     0.00   0.00   0.00
32800  Repair lung hernia                                A  15.59   7.17NA   6.93NA   7.17     6.93     1.99  24.75  24.51  24.75  24.51  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
3281F  Hgb lvl <11 g/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             38.0870 090 99     0.00   0.00   0.00
32810  Close chest after drainage                        A  14.83   7.25NA   6.98NA   7.25     6.98     1.94  24.02  23.75  24.02  23.75  0090.10.76.1420200             38.0870 090 99     0.00   0.00   0.00
32815  Close bronchial fistula                           A  49.79  14.79NA  18.60NA  14.79    18.60     3.28  67.86  71.67  67.86  71.67  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32820  Reconstruct injured chest                         A  22.33  11.37NA  10.57NA  11.37    10.57     2.53  36.23  35.43  36.23  35.43  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
3284F  IOP down >15% of pre-svc lvl                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
3285F  IOP down <15% of pre-svc lvl                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
32851  Lung transplant, single                           A  40.94  23.94NA  20.19NA  23.94    20.19     5.58  70.46  66.71  70.46  66.71  0090.10.76.1420212             38.0870 090 99     0.00   0.00   0.00
32852  Lung transplant with bypass                       A  44.65  27.88NA  22.58NA  27.88    22.58     6.02  78.55  73.25  78.55  73.25  0090.10.76.1420212             38.0870 090 99     0.00   0.00   0.00
32853  Lung transplant, double                           A  50.11  27.29NA  22.80NA  27.29    22.80     7.07  84.47  79.98  84.47  79.98  0090.10.76.1422212             38.0870 090 99     0.00   0.00   0.00
32854  Lung transplant with bypass                       A  53.88  30.27NA  25.79NA  30.27    25.79     7.22  91.37  86.89  91.37  86.89  0090.10.76.1422212             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
3288F  Fall risk assessment docd                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
3290F  Pt=D(Rh)- and unsensitized                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
32900  Removal of rib(s)                                 A  23.69   9.73NA   9.57NA   9.73     9.57     2.94  36.36  36.20  36.36  36.20  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32905  Revise & repair chest wall                        A  23.17   9.84NA   9.53NA   9.84     9.53     3.16  36.17  35.86  36.17  35.86  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32906  Revise & repair chest wall                        A  29.18  11.55NA  11.04NA  11.55    11.04     3.98  44.71  44.20  44.71  44.20  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
3291F  Pt=D(Rh)+or sensitized                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
3292F  HIV tstng asked/docd/revwd                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
32940  Revision of lung                                  A  21.22   8.99NA   8.49NA   8.99     8.49     2.89  33.10  32.60  33.10  32.60  0090.10.76.1420210             38.0870 090 99     0.00   0.00   0.00
32960  Therapeutic pneumothorax                          A   1.84   1.68     1.61     0.62     0.68     0.16   3.68   3.61   2.62   2.68  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
32997  Total lung lavage                                 A   7.31   1.88NA   1.84NA   1.88     1.84     0.55   9.74   9.70   9.74   9.70  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
32998  Perq rf ablate tx, pul tumor                      A   5.68  70.26    70.26     1.99     1.99     0.36  76.30  76.30   8.03   8.03  0000.00.00.0020200             38.0870 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.00.00.0020111             38.0870 090 99     0.00   0.00   0.00
3300F  AJCC stage docd b/4 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             38.0870 090 99     0.00   0.00   0.00
3301F  Cancer stage docd, metast                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
33010  Drainage of heart sac                             A   2.24   0.91NA   1.04NA   0.91     1.04     0.14   3.29   3.42   3.29   3.42  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
33011  Repeat drainage of heart sac                      A   2.24   0.97NA   1.13NA   0.97     1.13     0.15   3.36   3.52   3.36   3.52  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
33015  Incision of heart sac                             A   8.44   5.05NA   5.16NA   5.05     5.16     0.65  14.14  14.25  14.14  14.25  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
3302F  AJCC stage 0 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             38.0870 090 99     0.00   0.00   0.00
33020  Incision of heart sac                             A  14.87   6.58NA   6.37NA   6.58     6.37     1.80  23.25  23.04  23.25  23.04  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33025  Incision of heart sac                             A  13.65   6.10NA   5.85NA   6.10     5.85     1.81  21.56  21.31  21.56  21.31  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
3303F  AJCC stage IA 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             38.0870 090 99     0.00   0.00   0.00
33030  Partial removal of heart sac                      A  22.27   9.33NA   9.12NA   9.33     9.12     2.84  34.44  34.23  34.44  34.23  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33031  Partial removal of heart sac                      A  25.30   9.81NA   9.58NA   9.81     9.58     3.14  38.25  38.02  38.25  38.02  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
3304F  AJCC stage IB 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             38.0870 090 99     0.00   0.00   0.00
3305F  AJCC stage IC 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             38.0870 090 99     0.00   0.00   0.00
33050  Removal of heart sac lesion                       A  16.85   7.61NA   7.37NA   7.61     7.37     2.15  26.61  26.37  26.61  26.37  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
3306F  AJCC stage IIA 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             38.0870 090 99     0.00   0.00   0.00
3307F  AJCC stage IIB 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             38.0870 090 99     0.00   0.00   0.00
3308F  AJCC stage IIC 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             38.0870 090 99     0.00   0.00   0.00
3309F  AJCC stage IIIA 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             38.0870 090 99     0.00   0.00   0.00
3310F  AJCC stage IIIB 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             38.0870 090 99     0.00   0.00   0.00
3311F  AJCC stage IIIC 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             38.0870 090 99     0.00   0.00   0.00
3312F  AJCC stage IVA 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             38.0870 090 99     0.00   0.00   0.00
33120  Removal of heart lesion                           A  27.33  11.08NA  10.57NA  11.08    10.57     3.70  42.11  41.60  42.11  41.60  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
3313F  AJCC stage IVB 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             38.0870 090 99     0.00   0.00   0.00
33130  Removal of heart lesion                           A  24.05   9.75NA   9.37NA   9.75     9.37     3.01  36.81  36.43  36.81  36.43  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
3314F  AJCC stage IVC 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             38.0870 090 99     0.00   0.00   0.00
33140  Heart revascularize (tmr)                         A  28.26  10.60NA  10.31NA  10.60    10.31     2.86  41.72  41.43  41.72  41.43  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33141  Heart tmr w/other procedure                       A   2.54   1.18NA   0.78NA   1.18     0.78     0.69   4.41   4.01   4.41   4.01  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
3315F  ER +or PR +breast cancer                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
3316F  ER- or PR- breast cancer                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
3317F  Path rpt malig cancer 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             38.0870 090 99     0.00   0.00   0.00
3318F  Path rpt malig cancer 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             38.0870 090 99     0.00   0.00   0.00
3319F  X-ray/CT/Ultrsnd et al ordd                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
3320F  No Xray/CT/ et al ordd                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
33202  Insert epicard eltrd, open                        A  13.15   6.08NA   6.08NA   6.08     6.08     1.71  20.94  20.94  20.94  20.94  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33203  Insert epicard eltrd, endo                        A  13.92   6.13NA   6.13NA   6.13     6.13     1.39  21.44  21.44  21.44  21.44  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33206  Insertion of heart pacemaker                      A   7.31   4.79NA   5.13NA   4.79     5.13     0.52  12.62  12.96  12.62  12.96  0090.09.84.0720120             38.0870 090 99     0.00   0.00   0.00
33207  Insertion of heart pacemaker                      A   8.00   4.94NA   5.23NA   4.94     5.23     0.59  13.53  13.82  13.53  13.82  0090.09.84.0720120             38.0870 090 99     0.00   0.00   0.00
33208  Insertion of heart pacemaker                      A   8.72   5.21NA   5.66NA   5.21     5.66     0.56  14.49  14.94  14.49  14.94  0090.09.84.0720120             38.0870 090 99     0.00   0.00   0.00
33210  Insertion of heart electrode                      A   3.30   1.46NA   1.66NA   1.46     1.66     0.18   4.94   5.14   4.94   5.14  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
33211  Insertion of heart electrode                      A   3.39   1.45NA   1.59NA   1.45     1.59     0.21   5.05   5.19   5.05   5.19  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
33212  Insertion of pulse generator                      A   5.51   3.53NA   3.71NA   3.53     3.71     0.43   9.47   9.65   9.47   9.65  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33213  Insertion of pulse generator                      A   6.36   3.97NA   4.21NA   3.97     4.21     0.45  10.78  11.02  10.78  11.02  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33214  Upgrade of pacemaker system                       A   7.78   5.13NA   5.36NA   5.13     5.36     0.58  13.49  13.72  13.49  13.72  0090.09.84.0720020             38.0870 090 99     0.00   0.00   0.00
33215  Reposition pacing-defib lead                      A   4.89   3.33NA   3.49NA   3.33     3.49     0.37   8.59   8.75   8.59   8.75  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33216  Insert lead pace-defib, one                       A   5.81   4.37NA   4.54NA   4.37     4.54     0.36  10.54  10.71  10.54  10.71  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33217  Insert lead pace-defib, dual                      A   5.78   4.33NA   4.43NA   4.33     4.43     0.39  10.50  10.60  10.50  10.60  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33218  Repair lead pace-defib, one                       A   5.97   4.56NA   4.82NA   4.56     4.82     0.37  10.90  11.16  10.90  11.16  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33220  Repair lead pace-defib, dual                      A   6.05   4.53NA   4.78NA   4.53     4.78     0.37  10.95  11.20  10.95  11.20  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33222  Revise pocket, pacemaker                          A   5.01   4.30NA   4.30NA   4.30     4.30     0.42   9.73   9.73   9.73   9.73  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33223  Revise pocket, pacing-defib                       A   6.49   4.74NA   4.88NA   4.74     4.88     0.45  11.68  11.82  11.68  11.82  0090.09.84.0720000             38.0870 090 99     0.00   0.00   0.00
33224  Insert pacing lead & connect                      A   9.04   4.45NA   4.91NA   4.45     4.91     0.54  14.03  14.49  14.03  14.49  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
33225  L ventric pacing lead add-on                      A   8.33   3.80NA   4.35NA   3.80     4.35     0.45  12.58  13.13  12.58  13.13  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
33226  Reposition l ventric lead                         A   8.68   4.28NA   4.74NA   4.28     4.74     0.59  13.55  14.01  13.55  14.01  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
33233  Removal of pacemaker system                       A   3.33   3.27NA   3.27NA   3.27     3.27     0.22   6.82   6.82   6.82   6.82  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33234  Removal of pacemaker system                       A   7.85   5.20NA   5.49NA   5.20     5.49     0.56  13.61  13.90  13.61  13.90  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33235  Removal pacemaker electrode                       A   9.93   7.03NA   7.24NA   7.03     7.24     0.73  17.69  17.90  17.69  17.90  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33236  Remove electrode/thoracotomy                      A  12.64   6.91NA   6.38NA   6.91     6.38     1.69  21.24  20.71  21.24  20.71  0090.09.84.0720020             38.0870 090 99     0.00   0.00   0.00
33237  Remove electrode/thoracotomy                      A  13.75   7.90NA   8.02NA   7.90     8.02     1.59  23.24  23.36  23.24  23.36  0090.09.84.0720020             38.0870 090 99     0.00   0.00   0.00
33238  Remove electrode/thoracotomy                      A  15.28   8.13NA   8.05NA   8.13     8.05     2.03  25.44  25.36  25.44  25.36  0090.09.84.0720020             38.0870 090 99     0.00   0.00   0.00
33240  Insert pulse generator                            A   7.61   4.92NA   5.25NA   4.92     5.25     0.41  12.94  13.27  12.94  13.27  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33241  Remove pulse generator                            A   3.26   2.98NA   3.00NA   2.98     3.00     0.18   6.42   6.44   6.42   6.44  0090.09.84.0720010             38.0870 090 99     0.00   0.00   0.00
33243  Remove eltrd/thoracotomy                          A  23.42  11.20NA  10.94NA  11.20    10.94     2.10  36.72  36.46  36.72  36.46  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33244  Remove eltrd, transven                            A  13.84   9.17NA   9.44NA   9.17     9.44     0.99  24.00  24.27  24.00  24.27  0090.09.84.0720110             38.0870 090 99     0.00   0.00   0.00
33249  Eltrd/insert pace-defib                           A  15.02   9.26NA  10.16NA   9.26    10.16     0.77  25.05  25.95  25.05  25.95  0090.09.84.0720110             38.0870 090 99     0.00   0.00   0.00
3325F  Preop asses 4 cataract 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             38.0870 090 99     0.00   0.00   0.00
33250  Ablate heart dysrhythm focus                      A  25.78  10.96NA  10.89NA  10.96    10.89     3.19  39.93  39.86  39.93  39.86  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33251  Ablate heart dysrhythm focus                      A  28.80  11.32NA  10.97NA  11.32    10.97     3.60  43.72  43.37  43.72  43.37  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33254  Ablate atria, lmtd                                A  23.58   9.77NA   9.77NA   9.77     9.77     3.35  36.70  36.70  36.70  36.70  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33255  Ablate atria w/o bypass, ext                      A  28.91  11.37NA  11.37NA  11.37    11.37     3.94  44.22  44.22  44.22  44.22  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33256  Ablate atria w/bypass, exten                      A  34.77  13.12NA  13.12NA  13.12    13.12     4.95  52.84  52.84  52.84  52.84  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33257  Ablate atria, lmtd, add-on                        A   9.63   5.47NA   5.47NA   5.47     5.47     0.89  15.99  15.99  15.99  15.99  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
33258  Ablate atria, x10sv, add-on                       A  11.00   5.99NA   5.99NA   5.99     5.99     1.09  18.08  18.08  18.08  18.08  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
33259  Ablate atria w/bypass add-on                      A  14.14   7.80NA   7.80NA   7.80     7.80     1.78  23.72  23.72  23.72  23.72  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
33261  Ablate heart dysrhythm focus                      A  28.80  11.73NA  11.69NA  11.73    11.69     3.46  43.99  43.95  43.99  43.95  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33265  Ablate atria,  lmtd,  endo                        A  23.58   9.77NA   9.77NA   9.77     9.77     3.35  36.70  36.70  36.70  36.70  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33266  Ablate atria, x10sv, endo                         A  32.91  12.57NA  12.57NA  12.57    12.57     4.80  50.28  50.28  50.28  50.28  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33282  Implant pat-active ht record                      A   4.70   4.13NA   4.24NA   4.13     4.24     0.23   9.06   9.17   9.06   9.17  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33284  Remove pat-active ht record                       A   3.04   3.45NA   3.38NA   3.45     3.38     0.14   6.63   6.56   6.63   6.56  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33300  Repair of heart wound                             A  44.89  12.15NA  15.06NA  12.15    15.06     2.66  59.70  62.61  59.70  62.61  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33305  Repair of heart wound                             A  76.85  17.88NA  25.14NA  17.88    25.14     3.13  97.86 105.12  97.86 105.12  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33310  Exploratory heart surgery                         A  20.22   8.97NA   8.36NA   8.97     8.36     2.59  31.78  31.17  31.78  31.17  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33315  Exploratory heart surgery                         A  26.05  10.62NA  10.36NA  10.62    10.36     3.28  39.95  39.69  39.95  39.69  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33320  Repair major blood vessel(s)                      A  18.46   8.11NA   8.01NA   8.11     8.01     2.08  28.65  28.55  28.65  28.55  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33321  Repair major vessel                               A  20.71   9.08NA   8.38NA   9.08     8.38     2.91  32.70  32.00  32.70  32.00  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33322  Repair major blood vessel(s)                      A  24.30   9.96NA   9.55NA   9.96     9.55     2.86  37.12  36.71  37.12  36.71  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33330  Insert major vessel graft                         A  25.17   9.89NA   9.50NA   9.89     9.50     2.82  37.88  37.49  37.88  37.49  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33332  Insert major vessel graft                         A  24.46   9.99NA   9.46NA   9.99     9.46     3.03  37.48  36.95  37.48  36.95  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33335  Insert major vessel graft                         A  33.79  12.92NA  12.49NA  12.92    12.49     4.28  50.99  50.56  50.99  50.56  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33400  Repair of aortic valve                            A  41.37  15.13NA  14.58NA  15.13    14.58     4.11  60.61  60.06  60.61  60.06  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33401  Valvuloplasty, open                               A  24.41  11.89NA  10.28NA  11.89    10.28     3.57  39.87  38.26  39.87  38.26  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33403  Valvuloplasty, w/cp bypass                        A  25.39  13.42NA  12.53NA  13.42    12.53     3.55  42.36  41.47  42.36  41.47  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33404  Prepare heart-aorta conduit                       A  31.25  13.28NA  12.02NA  13.28    12.02     4.33  48.86  47.60  48.86  47.60  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33405  Replacement of aortic valve                       A  41.19  16.71NA  15.12NA  16.71    15.12     5.33  63.23  61.64  63.23  61.64  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33406  Replacement of aortic valve                       A  52.55  18.76NA  18.39NA  18.76    18.39     5.45  76.76  76.39  76.76  76.39  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33410  Replacement of aortic valve                       A  46.28  16.56NA  16.53NA  16.56    16.53     4.69  67.53  67.50  67.53  67.50  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33411  Replacement of aortic valve                       A  61.94  19.93NA  21.11NA  19.93    21.11     5.48  87.35  88.53  87.35  88.53  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33412  Replacement of aortic valve                       A  43.77  18.32NA  16.22NA  18.32    16.22     6.39  68.48  66.38  68.48  66.38  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33413  Replacement of aortic valve                       A  59.74  22.19NA  23.55NA  22.19    23.55     6.53  88.46  89.82  88.46  89.82  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33414  Repair of aortic valve                            A  39.29  14.21NA  14.29NA  14.21    14.29     4.57  58.07  58.15  58.07  58.15  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33415  Revision, subvalvular tissue                      A  37.19  12.59NA  13.15NA  12.59    13.15     4.14  53.92  54.48  53.92  54.48  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33416  Revise ventricle muscle                           A  36.43  13.38NA  13.24NA  13.38    13.24     4.57  54.38  54.24  54.38  54.24  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33417  Repair of aortic valve                            A  29.17  12.66NA  11.71NA  12.66    11.71     4.10  45.93  44.98  45.93  44.98  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33420  Revision of mitral valve                          A  25.67   9.53NA   9.50NA   9.53     9.50     1.82  37.02  36.99  37.02  36.99  0090.09.84.0720110             38.0870 090 99     0.00   0.00   0.00
33422  Revision of mitral valve                          A  29.61  12.51NA  11.36NA  12.51    11.36     3.94  46.06  44.91  46.06  44.91  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33425  Repair of mitral valve                            A  49.83  15.34NA  17.61NA  15.34    17.61     4.07  69.24  71.51  69.24  71.51  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33426  Repair of mitral valve                            A  43.15  16.45NA  15.76NA  16.45    15.76     5.03  64.63  63.94  64.63  63.94  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33427  Repair of mitral valve                            A  44.70  17.54NA  15.70NA  17.54    15.70     6.09  68.33  66.49  68.33  66.49  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33430  Replacement of mitral valve                       A  50.75  17.93NA  18.57NA  17.93    18.57     5.10  73.78  74.42  73.78  74.42  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33460  Revision of tricuspid valve                       A  44.62  13.01NA  14.72NA  13.01    14.72     3.45  61.08  62.79  61.08  62.79  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33463  Valvuloplasty, tricuspid                          A  56.95  16.33NA  19.73NA  16.33    19.73     3.87  77.15  80.55  77.15  80.55  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33464  Valvuloplasty, tricuspid                          A  44.49  14.69NA  15.85NA  14.69    15.85     4.15  63.33  64.49  63.33  64.49  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33465  Replace tricuspid valve                           A  50.59  15.31NA  17.65NA  15.31    17.65     4.39  70.29  72.63  70.29  72.63  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33468  Revision of tricuspid valve                       A  32.82  14.45NA  15.25NA  14.45    15.25     4.07  51.34  52.14  51.34  52.14  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33470  Revision of pulmonary valve                       A  21.32   9.31NA   7.93NA   9.31     7.93     1.03  31.66  30.28  31.66  30.28  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33471  Valvotomy, pulmonary valve                        A  22.83  10.68NA  11.60NA  10.68    11.60     3.39  36.90  37.82  36.90  37.82  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33472  Revision of pulmonary valve                       A  22.90  10.33NA   8.79NA  10.33     8.79     3.55  36.78  35.24  36.78  35.24  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33474  Revision of pulmonary valve                       A  39.27  11.92NA  12.95NA  11.92    12.95     3.22  54.41  55.44  54.41  55.44  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33475  Replacement, pulmonary valve                      A  42.27  15.22NA  15.07NA  15.22    15.07     4.93  62.42  62.27  62.42  62.27  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33476  Revision of heart chamber                         A  26.41  11.17NA  10.37NA  11.17    10.37     2.42  40.00  39.20  40.00  39.20  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33478  Revision of heart chamber                         A  27.38  12.04NA  11.02NA  12.04    11.02     3.89  43.31  42.29  43.31  42.29  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33496  Repair, prosth valve clot                         A  29.71  11.93NA  11.10NA  11.93    11.10     4.13  45.77  44.94  45.77  44.94  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33500  Repair heart vessel fistula                       A  27.82  11.25NA  11.04NA  11.25    11.04     3.87  42.94  42.73  42.94  42.73  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33501  Repair heart vessel fistula                       A  19.43   8.14NA   8.00NA   8.14     8.00     1.91  29.48  29.34  29.48  29.34  0090.09.84.0720220             38.0870 090 99     0.00   0.00   0.00
33502  Coronary artery correction                        A  21.69  10.21NA   9.34NA  10.21     9.34     3.00  34.90  34.03  34.90  34.03  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33503  Coronary artery graft                             A  22.29  11.03NA  12.33NA  11.03    12.33     1.78  35.10  36.40  35.10  36.40  0090.09.84.0720010             38.0870 090 99     0.00   0.00   0.00
33504  Coronary artery graft                             A  25.30  11.20NA  10.59NA  11.20    10.59     3.36  39.86  39.25  39.86  39.25  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33505  Repair artery w/tunnel                            A  38.35  14.03NA  15.14NA  14.03    15.14     2.19  54.57  55.68  54.57  55.68  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33506  Repair artery, translocation                      A  37.80  13.64NA  12.71NA  13.64    12.71     4.66  56.10  55.17  56.10  55.17  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33507  Repair art, intramural                            A  31.35  12.37NA  11.10NA  12.37    11.10     4.06  47.78  46.51  47.78  46.51  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33508  Endoscopic vein harvest                           A   0.31   0.10NA   0.09NA   0.10     0.09     0.04   0.45   0.44   0.45   0.44  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
33510  CABG, vein, single                                A  34.87  14.63NA  12.92NA  14.63    12.92     4.41  53.91  52.20  53.91  52.20  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33511  CABG, vein, two                                   A  38.34  15.62NA  14.16NA  15.62    14.16     4.56  58.52  57.06  58.52  57.06  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33512  CABG, vein, three                                 A  43.87  16.78NA  15.95NA  16.78    15.95     4.67  65.32  64.49  65.32  64.49  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33513  CABG, vein, four                                  A  45.26  17.09NA  16.38NA  17.09    16.38     4.88  67.23  66.52  67.23  66.52  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33514  CABG, vein, five                                  A  47.97  17.71NA  17.36NA  17.71    17.36     4.77  70.45  70.10  70.45  70.10  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33516  Cabg, vein, six or more                           A  49.65  18.39NA  17.97NA  18.39    17.97     5.13  73.17  72.75  73.17  72.75  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33517  CABG, artery-vein, single                         A   3.61   0.96NA   1.08NA   0.96     1.08     0.39   4.96   5.08   4.96   5.08  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
33518  CABG, artery-vein, two                            A   7.93   1.97NA   2.37NA   1.97     2.37     0.73  10.63  11.03  10.63  11.03  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
33519  CABG, artery-vein, three                          A  10.49   2.73NA   3.14NA   2.73     3.14     1.04  14.26  14.67  14.26  14.67  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
33521  CABG, artery-vein, four                           A  12.59   3.42NA   3.78NA   3.42     3.78     1.37  17.38  17.74  17.38  17.74  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
33522  CABG, artery-vein, five                           A  14.14   4.02NA   4.24NA   4.02     4.24     1.78  19.94  20.16  19.94  20.16  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
33523  Cabg, art-vein, six or more                       A  16.08   4.66NA   4.78NA   4.66     4.78     2.13  22.87  22.99  22.87  22.99  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
33530  Coronary artery, bypass/reop                      A  10.13   2.43NA   2.95NA   2.43     2.95     0.88  13.44  13.96  13.44  13.96  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
33533  CABG, arterial, single                            A  33.64  14.52NA  12.57NA  14.52    12.57     4.56  52.72  50.77  52.72  50.77  0090.09.82.0920200             38.0870 090 99     0.00   0.00   0.00
33534  CABG, arterial, two                               A  39.77  16.24NA  14.75NA  16.24    14.75     4.70  60.71  59.22  60.71  59.22  0090.09.82.0920200             38.0870 090 99     0.00   0.00   0.00
33535  CABG, arterial, three                             A  44.64  17.22NA  16.31NA  17.22    16.31     5.03  66.89  65.98  66.89  65.98  0090.09.82.0920200             38.0870 090 99     0.00   0.00   0.00
33536  Cabg, arterial, four or more                      A  48.32  17.82NA  17.34NA  17.82    17.34     5.44  71.58  71.10  71.58  71.10  0090.09.82.0920200             38.0870 090 99     0.00   0.00   0.00
33542  Removal of heart lesion                           A  48.08  14.95NA  16.90NA  14.95    16.90     4.38  67.41  69.36  67.41  69.36  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33545  Repair of heart damage                            A  56.93  17.90NA  20.16NA  17.90    20.16     5.21  80.04  82.30  80.04  82.30  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33548  Restore/remodel, ventricle                        A  53.96  19.33NA  19.35NA  19.33    19.35     5.53  78.82  78.84  78.82  78.84  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33572  Open coronary endarterectomy                      A   4.44   1.38NA   1.31NA   1.38     1.31     0.65   6.47   6.40   6.47   6.40  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
33600  Closure of valve                                  A  30.15  12.34NA  12.15NA  12.34    12.15     4.42  46.91  46.72  46.91  46.72  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33602  Closure of valve                                  A  29.18  11.81NA  11.17NA  11.81    11.17     3.82  44.81  44.17  44.81  44.17  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33606  Anastomosis/artery-aorta                          A  31.37  12.80NA  11.92NA  12.80    11.92     4.41  48.58  47.70  48.58  47.70  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33608  Repair anomaly w/conduit                          A  31.72  13.49NA  12.86NA  13.49    12.86     4.74  49.95  49.32  49.95  49.32  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33610  Repair by enlargement                             A  31.24  13.58NA  13.56NA  13.58    13.56     4.56  49.38  49.36  49.38  49.36  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33611  Repair double ventricle                           A  35.49  13.26NA  12.37NA  13.26    12.37     4.37  53.12  52.23  53.12  52.23  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33612  Repair double ventricle                           A  36.49  14.74NA  14.32NA  14.74    14.32     5.30  56.53  56.11  56.53  56.11  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33615  Repair, modified fontan                           A  35.76  13.48NA  13.80NA  13.48    13.80     4.32  53.56  53.88  53.56  53.88  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33617  Repair single ventricle                           A  38.96  14.98NA  13.96NA  14.98    13.96     5.66  59.60  58.58  59.60  58.58  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33619  Repair single ventricle                           A  48.60  19.40NA  17.99NA  19.40    17.99     6.46  74.46  73.05  74.46  73.05  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33641  Repair heart septum defect                        A  29.50  10.24NA  10.89NA  10.24    10.89     3.23  42.97  43.62  42.97  43.62  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33645  Revision of heart veins                           A  27.98  11.23NA  10.68NA  11.23    10.68     3.79  43.00  42.45  43.00  42.45  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33647  Repair heart septum defects                       A  29.37  13.25NA  12.72NA  13.25    12.72     3.32  45.94  45.41  45.94  45.41  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33660  Repair of heart defects                           A  31.75  12.66NA  11.83NA  12.66    11.83     4.49  48.90  48.07  48.90  48.07  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33665  Repair of heart defects                           A  34.77  13.01NA  12.17NA  13.01    12.17     4.00  51.78  50.94  51.78  50.94  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33670  Repair of heart chambers                          A  36.58  14.41NA  15.64NA  14.41    15.64     4.65  55.64  56.87  55.64  56.87  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33675  Close mult vsd                                    A  35.87  15.76NA  15.76NA  15.76    15.76     4.95  56.58  56.58  56.58  56.58  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33676  Close mult vsd w/resection                        A  36.87  16.06NA  16.06NA  16.06    16.06     5.44  58.37  58.37  58.37  58.37  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33677  Cl mult vsd w/rem pul band                        A  38.37  16.63NA  16.63NA  16.63    16.63     5.68  60.68  60.68  60.68  60.68  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33681  Repair heart septum defect                        A  32.16  13.79NA  12.89NA  13.79    12.89     4.45  50.40  49.50  50.40  49.50  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33684  Repair heart septum defect                        A  34.29  13.46NA  13.29NA  13.46    13.29     3.39  51.14  50.97  51.14  50.97  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33688  Repair heart septum defect                        A  34.67  11.05NA  11.63NA  11.05    11.63     4.73  50.45  51.03  50.45  51.03  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33690  Reinforce pulmonary artery                        A  20.20   9.40NA   8.64NA   9.40     8.64     1.97  31.57  30.81  31.57  30.81  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33692  Repair of heart defects                           A  31.38  16.76NA  19.59NA  16.76    19.59     4.58  52.72  55.55  52.72  55.55  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33694  Repair of heart defects                           A  35.49  12.14NA  10.05NA  12.14    10.05     5.28  52.91  50.82  52.91  50.82  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33697  Repair of heart defects                           A  37.49  15.91NA  16.95NA  15.91    16.95     4.09  57.49  58.53  57.49  58.53  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33702  Repair of heart defects                           A  27.11  11.55NA  10.53NA  11.55    10.53     3.68  42.34  41.32  42.34  41.32  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33710  Repair of heart defects                           A  30.28  12.62NA  11.26NA  12.62    11.26     4.43  47.33  45.97  47.33  45.97  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33720  Repair of heart defect                            A  27.13  11.49NA  10.69NA  11.49    10.69     3.84  42.46  41.66  42.46  41.66  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33722  Repair of heart defect                            A  29.05  12.24NA  10.61NA  12.24    10.61     1.30  42.59  40.96  42.59  40.96  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33724  Repair venous anomaly                             A  27.55  10.38NA  10.38NA  10.38    10.38     4.00  41.93  41.93  41.93  41.93  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33726  Repair pul venous stenosis                        A  37.04  13.23NA  13.23NA  13.23    13.23     5.03  55.30  55.30  55.30  55.30  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33730  Repair heart-vein defect(s)                       A  36.01  13.50NA  12.87NA  13.50    12.87     5.03  54.54  53.91  54.54  53.91  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33732  Repair heart-vein defect                          A  28.80  13.03NA  12.66NA  13.03    12.66     3.68  45.51  45.14  45.51  45.14  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33735  Revision of heart chamber                         A  22.04  10.00NA  11.04NA  10.00    11.04     1.92  33.96  35.00  33.96  35.00  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33736  Revision of heart chamber                         A  24.16  11.96NA  12.07NA  11.96    12.07     3.09  39.21  39.32  39.21  39.32  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33737  Revision of heart chamber                         A  22.34  10.03NA   9.13NA  10.03     9.13     3.25  35.62  34.72  35.62  34.72  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33750  Major vessel shunt                                A  22.06   9.82NA   9.43NA   9.82     9.43     1.16  33.04  32.65  33.04  32.65  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33755  Major vessel shunt                                A  22.44   8.30NA   7.80NA   8.30     7.80     3.26  34.00  33.50  34.00  33.50  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33762  Major vessel shunt                                A  22.44   9.43NA   8.69NA   9.43     8.69     3.14  35.01  34.27  35.01  34.27  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33764  Major vessel shunt & graft                        A  22.44   9.59NA   8.95NA   9.59     8.95     3.01  35.04  34.40  35.04  34.40  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33766  Major vessel shunt                                A  23.41  10.08NA   8.48NA  10.08     8.48     3.70  37.19  35.59  37.19  35.59  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33767  Major vessel shunt                                A  25.14  10.12NA   8.51NA  10.12     8.51     3.82  39.08  37.47  39.08  37.47  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33768  Cavopulmonary shunting                            A   8.00   2.25NA   1.84NA   2.25     1.84     1.19  11.44  11.03  11.44  11.03  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
33770  Repair great vessels defect                       A  39.02  13.30NA  11.92NA  13.30    11.92     5.74  58.06  56.68  58.06  56.68  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33771  Repair great vessels defect                       A  40.58  12.74NA  13.09NA  12.74    13.09     5.68  59.00  59.35  59.00  59.35  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33774  Repair great vessels defect                       A  31.54  13.44NA  12.21NA  13.44    12.21     4.81  49.79  48.56  49.79  48.56  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33775  Repair great vessels defect                       A  32.83  12.55NA  10.11NA  12.55    10.11     4.99  50.37  47.93  50.37  47.93  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33776  Repair great vessels defect                       A  34.53  13.03NA  10.25NA  13.03    10.25     5.09  52.65  49.87  52.65  49.87  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33777  Repair great vessels defect                       A  33.95  12.78NA   9.93NA  12.78     9.93     5.49  52.22  49.37  52.22  49.37  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33778  Repair great vessels defect                       A  42.62  15.92NA  14.93NA  15.92    14.93     6.20  64.74  63.75  64.74  63.75  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33779  Repair great vessels defect                       A  43.15  13.92NA  12.46NA  13.92    12.46     2.92  59.99  58.53  59.99  58.53  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33780  Repair great vessels defect                       A  43.85  16.12NA  13.15NA  16.12    13.15     3.68  63.65  60.68  63.65  60.68  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33781  Repair great vessels defect                       A  43.16  12.23NA  11.13NA  12.23    11.13     5.97  61.36  60.26  61.36  60.26  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33786  Repair arterial trunk                             A  41.74  15.41NA  14.10NA  15.41    14.10     5.71  62.86  61.55  62.86  61.55  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33788  Revision of pulmonary artery                      A  27.26  10.10NA   8.25NA  10.10     8.25     4.03  41.39  39.54  41.39  39.54  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33800  Aortic suspension                                 A  17.23   7.47NA   6.82NA   7.47     6.82     2.46  27.16  26.51  27.16  26.51  0090.09.84.0720220             38.0870 090 99     0.00   0.00   0.00
33802  Repair vessel defect                              A  18.24   8.59NA   7.95NA   8.59     7.95     2.27  29.10  28.46  29.10  28.46  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33803  Repair vessel defect                              A  20.18   8.08NA   6.39NA   8.08     6.39     3.20  31.46  29.77  31.46  29.77  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33813  Repair septal defect                              A  21.23   9.87NA   8.82NA   9.87     8.82     3.13  34.23  33.18  34.23  33.18  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33814  Repair septal defect                              A  26.41  11.53NA  10.41NA  11.53    10.41     3.85  41.79  40.67  41.79  40.67  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33820  Revise major vessel                               A  16.61   7.66NA   6.96NA   7.66     6.96     2.35  26.62  25.92  26.62  25.92  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33822  Revise major vessel                               A  17.63   7.45NA   5.94NA   7.45     5.94     2.68  27.76  26.25  27.76  26.25  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33824  Revise major vessel                               A  20.10   9.22NA   8.46NA   9.22     8.46     2.89  32.21  31.45  32.21  31.45  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33840  Remove aorta constriction                         A  21.21   9.82NA   9.34NA   9.82     9.34     2.16  33.19  32.71  33.19  32.71  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33845  Remove aorta constriction                         A  22.77  10.37NA   9.39NA  10.37     9.39     3.22  36.36  35.38  36.36  35.38  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33851  Remove aorta constriction                         A  21.85   9.78NA   8.88NA   9.78     8.88     3.18  34.81  33.91  34.81  33.91  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33852  Repair septal defect                              A  24.28  13.07NA  14.77NA  13.07    14.77     2.16  39.51  41.21  39.51  41.21  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33853  Repair septal defect                              A  32.35  13.54NA  12.26NA  13.54    12.26     4.48  50.37  49.09  50.37  49.09  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33860  Ascending aortic graft                            A  59.33  18.34NA  20.22NA  18.34    20.22     5.76  83.43  85.31  83.43  85.31  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33861  Ascending aortic graft                            A  43.94  16.71NA  15.71NA  16.71    15.71     6.37  67.02  66.02  67.02  66.02  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33863  Ascending aortic graft                            A  58.71  19.15NA  19.61NA  19.15    19.61     6.59  84.45  84.91  84.45  84.91  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33864  Ascending aortic graft                            A  60.00  20.11NA  20.11NA  20.11    20.11     6.73  86.84  86.84  86.84  86.84  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33870  Transverse aortic arch graft                      A  45.93  17.34NA  16.29NA  17.34    16.29     6.62  69.89  68.84  69.89  68.84  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33875  Thoracic aortic graft                             A  35.68  13.51NA  12.92NA  13.51    12.92     4.89  54.08  53.49  54.08  53.49  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33877  Thoracoabdominal graft                            A  68.85  18.68NA  21.03NA  18.68    21.03     5.94  93.47  95.82  93.47  95.82  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33880  Endovasc taa repr incl subcl                      A  34.48  12.20NA  10.93NA  12.20    10.93     2.75  49.43  48.16  49.43  48.16  0090.09.84.0722220             38.0870 090 99     0.00   0.00   0.00
33881  Endovasc taa repr w/o subcl                       A  29.48  10.82NA   9.67NA  10.82     9.67     2.33  42.63  41.48  42.63  41.48  0090.09.84.0722220             38.0870 090 99     0.00   0.00   0.00
33883  Insert endovasc prosth, taa                       A  20.99   8.21NA   7.24NA   8.21     7.24     2.11  31.31  30.34  31.31  30.34  0090.09.84.0720220             38.0870 090 99     0.00   0.00   0.00
33884  Endovasc prosth, taa, add-on                      A   8.20   2.33NA   2.08NA   2.33     2.08     0.86  11.39  11.14  11.39  11.14  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
33886  Endovasc prosth, delayed                          A  17.99   7.29NA   6.34NA   7.29     6.34     1.80  27.08  26.13  27.08  26.13  0090.09.84.0720220             38.0870 090 99     0.00   0.00   0.00
33889  Artery transpose/endovas taa                      A  15.92   4.58NA   3.98NA   4.58     3.98     2.18  22.68  22.08  22.68  22.08  0000.00.00.0021220             38.0870 090 99     0.00   0.00   0.00
33891  Car-car bp grft/endovas taa                       A  20.00   6.39NA   5.82NA   6.39     5.82     2.73  29.12  28.55  29.12  28.55  0000.00.00.0021220             38.0870 090 99     0.00   0.00   0.00
33910  Remove lung artery emboli                         A  29.59  11.39NA  11.35NA  11.39    11.35     3.70  44.68  44.64  44.68  44.64  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33915  Remove lung artery emboli                         A  24.83   9.38NA   9.12NA   9.38     9.12     1.44  35.65  35.39  35.65  35.39  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33916  Surgery of great vessel                           A  28.30  11.09NA  10.83NA  11.09    10.83     3.67  43.06  42.80  43.06  42.80  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33917  Repair pulmonary artery                           A  25.14  11.12NA  10.04NA  11.12    10.04     3.70  39.96  38.88  39.96  38.88  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33920  Repair pulmonary atresia                          A  32.58  11.65NA   9.47NA  11.65     9.47     4.38  48.61  46.43  48.61  46.43  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33922  Transect pulmonary artery                         A  24.09  10.58NA  10.25NA  10.58    10.25     3.10  37.77  37.44  37.77  37.44  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33924  Remove pulmonary shunt                            A   5.49   1.72NA   1.59NA   1.72     1.59     0.82   8.03   7.90   8.03   7.90  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
33925  Rpr pul art unifocal w/o cpb                      A  31.25  15.56NA  16.44NA  15.56    16.44     4.61  51.42  52.30  51.42  52.30  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
33926  Repr pul art, unifocal w/cpb                      A  44.68  16.25NA  14.81NA  16.25    14.81     6.22  67.15  65.71  67.15  65.71  0090.09.84.0720210             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
33935  Transplantation, heart/lung                       R  61.68  25.87NA  22.96NA  25.87    22.96     9.06  96.61  93.70  96.61  93.70  0090.09.84.0720212             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
33945  Transplantation of heart                          R  89.08  25.90NA  30.40NA  25.90    30.40     6.26 121.24 125.74 121.24 125.74  0090.09.84.0720212             38.0870 090 99     0.00   0.00   0.00
33960  External circulation assist                       A  19.33   5.08NA   5.26NA   5.08     5.26     2.67  27.08  27.26  27.08  27.26  0000.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
33961  External circulation assist                       A  10.91   3.30NA   2.99NA   3.30     2.99     0.88  15.09  14.78  15.09  14.78  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
33967  Insert ia percut device                           A   4.84   2.13NA   2.41NA   2.13     2.41     0.35   7.32   7.60   7.32   7.60  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
33968  Remove aortic assist device                       A   0.64   0.24NA   0.26NA   0.24     0.26     0.07   0.95   0.97   0.95   0.97  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
33970  Aortic circulation assist                         A   6.74   2.41NA   2.54NA   2.41     2.54     0.82   9.97  10.10   9.97  10.10  0000.00.00.0020210             38.0870 090 99     0.00   0.00   0.00
33971  Aortic circulation assist                         A  11.91   6.01NA   6.01NA   6.01     6.01     1.25  19.17  19.17  19.17  19.17  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33973  Insert balloon device                             A   9.75   3.63NA   3.94NA   3.63     3.94     1.26  14.64  14.95  14.64  14.95  0000.00.00.0020210             38.0870 090 99     0.00   0.00   0.00
33974  Remove intra-aortic balloon                       A  14.93   7.81NA   7.74NA   7.81     7.74     1.74  24.48  24.41  24.48  24.41  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
33975  Implant ventricular device                        A  20.97   6.29NA   6.30NA   6.29     6.30     3.07  30.33  30.34  30.33  30.34  0XXX.00.00.0020200             38.0870 090 99     0.00   0.00   0.00
33976  Implant ventricular device                        A  22.97   7.61NA   7.67NA   7.61     7.67     3.26  33.84  33.90  33.84  33.90  0XXX.00.00.0022200             38.0870 090 99     0.00   0.00   0.00
33977  Remove ventricular device                         A  20.07  10.25NA   9.42NA  10.25     9.42     2.81  33.13  32.30  33.13  32.30  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
33978  Remove ventricular device                         A  22.51  11.09NA  10.43NA  11.09    10.43     3.31  36.91  36.25  36.91  36.25  0090.09.84.0722200             38.0870 090 99     0.00   0.00   0.00
33979  Insert intracorporeal device                      A  45.93  14.11NA  13.29NA  14.11    13.29     6.97  67.01  66.19  67.01  66.19  0XXX.00.00.0020200             38.0870 090 99     0.00   0.00   0.00
33980  Remove intracorporeal device                      A  64.86  24.17NA  23.09NA  24.17    23.09     8.59  97.62  96.54  97.62  96.54  0090.09.84.0720200             38.0870 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             38.0870 090 99     0.00   0.00   0.00
34001  Removal of artery clot                            A  17.78   6.54NA   6.37NA   6.54     6.37     1.85  26.17  26.00  26.17  26.00  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
34051  Removal of artery clot                            A  16.91   7.61NA   7.44NA   7.61     7.44     2.21  26.73  26.56  26.73  26.56  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
34101  Removal of artery clot                            A  10.85   4.83NA   4.30NA   4.83     4.30     1.41  17.09  16.56  17.09  16.56  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
34111  Removal of arm artery clot                        A  10.85   4.82NA   4.28NA   4.82     4.28     1.40  17.07  16.53  17.07  16.53  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
34151  Removal of artery clot                            A  26.41   9.53NA   8.66NA   9.53     8.66     3.56  39.50  38.63  39.50  38.63  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
34201  Removal of artery clot                            A  19.38   5.98NA   6.55NA   5.98     6.55     1.45  26.81  27.38  26.81  27.38  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
34203  Removal of leg artery clot                        A  17.73   7.22NA   6.38NA   7.22     6.38     2.36  27.31  26.47  27.31  26.47  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
34401  Removal of vein clot                              A  26.41   9.97NA   9.27NA   9.97     9.27     3.10  39.48  38.78  39.48  38.78  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
34421  Removal of vein clot                              A  13.29   5.75NA   5.20NA   5.75     5.20     1.55  20.59  20.04  20.59  20.04  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
34451  Removal of vein clot                              A  28.41  10.42NA   9.39NA  10.42     9.39     3.84  42.67  41.64  42.67  41.64  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
34471  Removal of vein clot                              A  21.00   6.59NA   7.87NA   6.59     7.87     1.18  28.77  30.05  28.77  30.05  0090.09.84.0721110             38.0870 090 99     0.00   0.00   0.00
34490  Removal of vein clot                              A  10.83   4.89NA   4.35NA   4.89     4.35     1.41  17.13  16.59  17.13  16.59  0090.09.84.0721100             38.0870 090 99     0.00   0.00   0.00
34501  Repair valve, femoral vein                        A  16.74   7.46NA   6.43NA   7.46     6.43     2.35  26.55  25.52  26.55  25.52  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
34502  Reconstruct vena cava                             A  27.86  11.39NA  10.49NA  11.39    10.49     3.63  42.88  41.98  42.88  41.98  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
34510  Transposition of vein valve                       A  19.80   8.47NA   7.53NA   8.47     7.53     2.33  30.60  29.66  30.60  29.66  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
34520  Cross-over vein graft                             A  19.05   7.74NA   7.02NA   7.74     7.02     2.29  29.08  28.36  29.08  28.36  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
34530  Leg vein fusion                                   A  17.77   7.69NA   6.77NA   7.69     6.77     1.74  27.20  26.28  27.20  26.28  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
34800  Endovas aaa repr w/sm tube                        A  21.46   8.21NA   7.25NA   8.21     7.25     2.46  32.13  31.17  32.13  31.17  0090.09.84.0720220             38.0870 090 99     0.00   0.00   0.00
34802  Endovas aaa repr w/2-p part                       A  23.71   8.99NA   8.18NA   8.99     8.18     2.33  35.03  34.22  35.03  34.22  0090.09.84.0720220             38.0870 090 99     0.00   0.00   0.00
34803  Endovas aaa repr w/3-p part                       A  24.74   9.12NA   8.02NA   9.12     8.02     2.01  35.87  34.77  35.87  34.77  0090.09.84.0722220             38.0870 090 99     0.00   0.00   0.00
34804  Endovas aaa repr w/1-p part                       A  23.71   8.94NA   8.07NA   8.94     8.07     2.30  34.95  34.08  34.95  34.08  0090.09.84.0720220             38.0870 090 99     0.00   0.00   0.00
34805  Endovas aaa repr w/long tube                      A  22.59   8.46NA   7.27NA   8.46     7.27     2.01  33.06  31.87  33.06  31.87  0090.09.84.0720220             38.0870 090 99     0.00   0.00   0.00
34806  Aneurysm press sensor add-on                      A   2.06   0.51     0.51     0.51     0.51     0.30   2.87   2.87   2.87   2.87  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
34808  Endovas iliac a device addon                      A   4.12   1.21NA   1.05NA   1.21     1.05     0.59   5.92   5.76   5.92   5.76  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
34812  Xpose for endoprosth, femorl                      A   6.74   1.95NA   1.67NA   1.95     1.67     1.18   9.87   9.59   9.87   9.59  0000.00.00.0021220             38.0870 090 99     0.00   0.00   0.00
34813  Femoral endovas graft add-on                      A   4.79   1.36NA   1.16NA   1.36     1.16     0.67   6.82   6.62   6.82   6.62  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
34820  Xpose for endoprosth, iliac                       A   9.74   2.84NA   2.45NA   2.84     2.45     1.50  14.08  13.69  14.08  13.69  0000.00.00.0021220             38.0870 090 99     0.00   0.00   0.00
34825  Endovasc extend prosth, init                      A  12.72   5.65NA   5.15NA   5.65     5.15     1.28  19.65  19.15  19.65  19.15  0090.09.84.0720220             38.0870 090 99     0.00   0.00   0.00
34826  Endovasc exten prosth, addl                      A   4.12   1.25NA   1.14NA   1.25     1.14     0.44   5.81   5.70   5.81   5.70  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
34830  Open aortic tube prosth repr                      A  35.10  12.02NA  10.34NA  12.02    10.34     4.55  51.67  49.99  51.67  49.99  0090.09.84.0720020             38.0870 090 99     0.00   0.00   0.00
34831  Open aortoiliac prosth repr                       A  37.85  11.51NA  11.28NA  11.51    11.28     4.89  54.25  54.02  54.25  54.02  0090.09.84.0720020             38.0870 090 99     0.00   0.00   0.00
34832  Open aortofemor prosth repr                       A  37.85  13.22NA  11.81NA  13.22    11.81     4.85  55.92  54.51  55.92  54.51  0090.09.84.0720020             38.0870 090 99     0.00   0.00   0.00
34833  Xpose for endoprosth, iliac                       A  11.98   3.86NA   3.29NA   3.86     3.29     1.70  17.54  16.97  17.54  16.97  0000.00.00.0021220             38.0870 090 99     0.00   0.00   0.00
34834  Xpose, endoprosth, brachial                       A   5.34   1.88NA   1.57NA   1.88     1.57     0.76   7.98   7.67   7.98   7.67  0000.00.00.0021220             38.0870 090 99     0.00   0.00   0.00
34900  Endovasc iliac repr w/graft                       A  16.77   6.82NA   6.06NA   6.82     6.06     2.00  25.59  24.83  25.59  24.83  0090.09.84.0721220             38.0870 090 99     0.00   0.00   0.00
35001  Repair defect of artery                           A  20.70   8.63NA   7.71NA   8.63     7.71     2.81  32.14  31.22  32.14  31.22  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35002  Repair artery rupture, neck                       A  22.12   8.61NA   7.52NA   8.61     7.52     3.00  33.73  32.64  33.73  32.64  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35005  Repair defect of artery                           A  19.18   8.69NA   8.53NA   8.69     8.53     1.77  29.64  29.48  29.64  29.48  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35011  Repair defect of artery                           A  18.50   7.14NA   6.30NA   7.14     6.30     2.55  28.19  27.35  28.19  27.35  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35013  Repair artery rupture, arm                        A  23.10   8.72NA   7.77NA   8.72     7.77     3.10  34.92  33.97  34.92  33.97  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35021  Repair defect of artery                           A  22.09   8.94NA   8.47NA   8.94     8.47     2.87  33.90  33.43  33.90  33.43  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35022  Repair artery rupture, chest                      A  25.62  10.22NA  10.59NA  10.22    10.59     3.17  39.01  39.38  39.01  39.38  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35045  Repair defect of arm artery                       A  17.94   6.89NA   6.28NA   6.89     6.28     2.45  27.28  26.67  27.28  26.67  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35081  Repair defect of artery                           A  33.37  11.09NA  10.71NA  11.09    10.71     4.01  48.47  48.09  48.47  48.09  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35082  Repair artery rupture, aorta                      A  41.93  14.04NA  12.78NA  14.04    12.78     5.44  61.41  60.15  61.41  60.15  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35091  Repair defect of artery                           A  35.35  11.79NA  10.00NA  11.79    10.00     5.14  52.28  50.49  52.28  50.49  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35092  Repair artery rupture, aorta                      A  50.81  16.08NA  14.51NA  16.08    14.51     6.40  73.29  71.72  73.29  71.72  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35102  Repair defect of artery                           A  36.37  11.83NA  11.30NA  11.83    11.30     4.48  52.68  52.15  52.68  52.15  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35103  Repair artery rupture, groin                      A  43.49  14.25NA  12.64NA  14.25    12.64     5.76  63.50  61.89  63.50  61.89  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35111  Repair defect of artery                           A  26.17   9.49NA   8.51NA   9.49     8.51     3.47  39.13  38.15  39.13  38.15  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35112  Repair artery rupture,spleen                      A  32.44  11.02NA  10.08NA  11.02    10.08     4.08  47.54  46.60  47.54  46.60  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35121  Repair defect of artery                           A  31.41  11.17NA   9.98NA  11.17     9.98     4.30  46.88  45.69  46.88  45.69  0090.09.84.0721200             38.0870 090 99     0.00   0.00   0.00
35122  Repair artery rupture, belly                      A  37.76  12.66NA  11.52NA  12.66    11.52     4.75  55.17  54.03  55.17  54.03  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35131  Repair defect of artery                           A  26.29   9.69NA   8.64NA   9.69     8.64     3.80  39.78  38.73  39.78  38.73  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35132  Repair artery rupture, groin                      A  32.44  11.34NA  10.29NA  11.34    10.29     4.30  48.08  47.03  48.08  47.03  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35141  Repair defect of artery                           A  20.83   7.93NA   6.94NA   7.93     6.94     2.90  31.66  30.67  31.66  30.67  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35142  Repair artery rupture, thigh                      A  25.03   9.31NA   8.25NA   9.31     8.25     3.36  37.70  36.64  37.70  36.64  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35151  Repair defect of artery                           A  23.61   8.82NA   7.65NA   8.82     7.65     3.24  35.67  34.50  35.67  34.50  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35152  Repair artery rupture, knee                       A  27.53  10.25NA   9.12NA  10.25     9.12     3.61  41.39  40.26  41.39  40.26  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35180  Repair blood vessel lesion                        A  15.01   6.60NA   6.26NA   6.60     6.26     1.00  22.61  22.27  22.61  22.27  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35182  Repair blood vessel lesion                        A  31.58  11.82NA  10.84NA  11.82    10.84     4.36  47.76  46.78  47.76  46.78  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35184  Repair blood vessel lesion                        A  18.72   7.40NA   6.51NA   7.40     6.51     2.53  28.65  27.76  28.65  27.76  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35188  Repair blood vessel lesion                        A  15.05   6.96NA   6.29NA   6.96     6.29     2.16  24.17  23.50  24.17  23.50  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35189  Repair blood vessel lesion                        A  29.85  11.32NA  10.68NA  11.32    10.68     4.01  45.18  44.54  45.18  44.54  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35190  Repair blood vessel lesion                        A  13.33   5.86NA   5.24NA   5.86     5.24     1.80  20.99  20.37  20.99  20.37  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35201  Repair blood vessel lesion                        A  16.84   7.16NA   6.32NA   7.16     6.32     2.34  26.34  25.50  26.34  25.50  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35206  Repair blood vessel lesion                        A  13.76   5.93NA   5.30NA   5.93     5.30     1.87  21.56  20.93  21.56  20.93  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35207  Repair blood vessel lesion                        A  10.85   7.00NA   6.64NA   7.00     6.64     1.48  19.33  18.97  19.33  18.97  0090.09.84.0721110             38.0870 090 99     0.00   0.00   0.00
35211  Repair blood vessel lesion                        A  24.50  10.17NA   9.72NA  10.17     9.72     3.20  37.87  37.42  37.87  37.42  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35216  Repair blood vessel lesion                        A  36.47  11.28NA  13.58NA  11.28    13.58     2.65  50.40  52.70  50.40  52.70  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35221  Repair blood vessel lesion                        A  26.54   9.14NA   8.34NA   9.14     8.34     3.37  39.05  38.25  39.05  38.25  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35226  Repair blood vessel lesion                        A  15.22   6.62NA   5.80NA   6.62     5.80     2.02  23.86  23.04  23.86  23.04  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35231  Repair blood vessel lesion                        A  21.08   8.75NA   7.73NA   8.75     7.73     2.89  32.72  31.70  32.72  31.70  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35236  Repair blood vessel lesion                        A  17.94   7.09NA   6.30NA   7.09     6.30     2.43  27.46  26.67  27.46  26.67  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35241  Repair blood vessel lesion                        A  25.50  10.58NA  10.03NA  10.58    10.03     3.53  39.61  39.06  39.61  39.06  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35246  Repair blood vessel lesion                        A  28.15  10.77NA  10.11NA  10.77    10.11     3.86  42.78  42.12  42.78  42.12  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35251  Repair blood vessel lesion                        A  31.83  10.63NA   9.46NA  10.63     9.46     4.13  46.59  45.42  46.59  45.42  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35256  Repair blood vessel lesion                        A  18.98   7.36NA   6.38NA   7.36     6.38     2.63  28.97  27.99  28.97  27.99  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35261  Repair blood vessel lesion                        A  18.88   7.50NA   6.98NA   7.50     6.98     2.61  28.99  28.47  28.99  28.47  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35266  Repair blood vessel lesion                        A  15.75   6.24NA   5.47NA   6.24     5.47     2.10  24.09  23.32  24.09  23.32  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35271  Repair blood vessel lesion                        A  24.50  10.10NA   9.69NA  10.10     9.69     3.16  37.76  37.35  37.76  37.35  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35276  Repair blood vessel lesion                        A  25.72  10.50NA   9.79NA  10.50     9.79     3.49  39.71  39.00  39.71  39.00  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35281  Repair blood vessel lesion                        A  29.93  10.50NA   9.29NA  10.50     9.29     3.97  44.40  43.19  44.40  43.19  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35286  Repair blood vessel lesion                        A  17.06   7.18NA   6.31NA   7.18     6.31     2.35  26.59  25.72  26.59  25.72  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35301  Rechanneling of artery                            A  19.53   7.56NA   6.69NA   7.56     6.69     2.68  29.77  28.90  29.77  28.90  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35302  Rechanneling of artery                            A  21.27   6.91NA   6.91NA   6.91     6.91     2.98  31.16  31.16  31.16  31.16  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35303  Rechanneling of artery                            A  23.52   7.46NA   7.46NA   7.46     7.46     3.26  34.24  34.24  34.24  34.24  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35304  Rechanneling of artery                            A  24.52   7.71NA   7.71NA   7.71     7.71     3.41  35.64  35.64  35.64  35.64  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35305  Rechanneling of artery                            A  23.52   7.46NA   7.46NA   7.46     7.46     3.26  34.24  34.24  34.24  34.24  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35306  Rechanneling of artery                            A   9.25   2.28NA   2.28NA   2.28     2.28     1.34  12.87  12.87  12.87  12.87  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
35311  Rechanneling of artery                            A  28.52  10.69NA   9.64NA  10.69     9.64     3.42  42.63  41.58  42.63  41.58  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35321  Rechanneling of artery                            A  16.51   6.58NA   5.78NA   6.58     5.78     2.25  25.34  24.54  25.34  24.54  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35331  Rechanneling of artery                            A  27.61  10.03NA   8.82NA  10.03     8.82     3.83  41.47  40.26  41.47  40.26  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35341  Rechanneling of artery                            A  26.10   9.56NA   8.25NA   9.56     8.25     3.78  39.44  38.13  39.44  38.13  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35351  Rechanneling of artery                            A  24.53   8.62NA   7.65NA   8.62     7.65     3.35  36.50  35.53  36.50  35.53  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35355  Rechanneling of artery                            A  19.78   7.22NA   6.36NA   7.22     6.36     2.67  29.67  28.81  29.67  28.81  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35361  Rechanneling of artery                            A  30.11  10.65NA   9.60NA  10.65     9.60     4.15  44.91  43.86  44.91  43.86  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35363  Rechanneling of artery                            A  32.22  11.52NA  10.44NA  11.52    10.44     4.33  48.07  46.99  48.07  46.99  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35371  Rechanneling of artery                            A  15.23   6.14NA   5.33NA   6.14     5.33     2.14  23.51  22.70  23.51  22.70  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35372  Rechanneling of artery                            A  18.50   7.09NA   6.13NA   7.09     6.13     2.63  28.22  27.26  28.22  27.26  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35390  Reoperation, carotid add-on                       A   3.19   0.94NA   0.82NA   0.94     0.82     0.46   4.59   4.47   4.59   4.47  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
35400  Angioscopy                                        A   3.00   0.91NA   0.72NA   0.91     0.72     0.43   4.34   4.15   4.34   4.15  0ZZZ.00.00.0000010             38.0870 090 99     0.00   0.00   0.00
35450  Repair arterial blockage                          A  10.05   3.27NA   2.97NA   3.27     2.97     1.25  14.57  14.27  14.57  14.27  0000.00.00.0021210             38.0870 090 99     0.00   0.00   0.00
35452  Repair arterial blockage                          A   6.90   2.33NA   2.06NA   2.33     2.06     0.94  10.17   9.90  10.17   9.90  0000.00.00.0021210             38.0870 090 99     0.00   0.00   0.00
35454  Repair arterial blockage                          A   6.03   2.04NA   1.76NA   2.04     1.76     0.87   8.94   8.66   8.94   8.66  0000.00.00.0021210             38.0870 090 99     0.00   0.00   0.00
35456  Repair arterial blockage                          A   7.34   2.44NA   2.12NA   2.44     2.12     1.04  10.82  10.50  10.82  10.50  0000.00.00.0021210             38.0870 090 99     0.00   0.00   0.00
35458  Repair arterial blockage                          A   9.48   3.14NA   2.80NA   3.14     2.80     1.26  13.88  13.54  13.88  13.54  0000.00.00.0021210             38.0870 090 99     0.00   0.00   0.00
35459  Repair arterial blockage                          A   8.62   2.91NA   2.65NA   2.91     2.65     1.21  12.74  12.48  12.74  12.48  0000.00.00.0021210             38.0870 090 99     0.00   0.00   0.00
35460  Repair venous blockage                            A   6.03   2.01NA   1.75NA   2.01     1.75     0.83   8.87   8.61   8.87   8.61  0000.00.00.0021110             38.0870 090 99     0.00   0.00   0.00
35470  Repair arterial blockage                          A   8.62  75.06    61.19     3.40     3.44     0.69  84.37  70.50  12.71  12.75  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
35471  Repair arterial blockage                          A  10.05  83.19    66.05     4.32     4.69     0.67  93.91  76.77  15.04  15.41  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
35472  Repair arterial blockage                          A   6.90  55.97    47.53     2.78     2.81     0.58  63.45  55.01  10.26  10.29  0000.00.00.0021010             38.0870 090 99     0.00   0.00   0.00
35473  Repair arterial blockage                          A   6.03  53.22    46.56     2.46     2.50     0.51  59.76  53.10   9.00   9.04  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
35474  Repair arterial blockage                          A   7.35  74.11    60.44     2.94     2.98     0.57  82.03  68.36  10.86  10.90  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
35475  Repair arterial blockage                          R   9.48  52.41    48.69     3.47     3.39     0.62  62.51  58.79  13.57  13.49  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
35476  Repair venous blockage                            A   6.03  40.96    37.15     2.29     2.23     0.34  47.33  43.52   8.66   8.60  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
35480  Atherectomy, open                                 A  11.06   4.04NA   4.05NA   4.04     4.05     1.28  16.38  16.39  16.38  16.39  0000.00.00.0020220             38.0870 090 99     0.00   0.00   0.00
35481  Atherectomy, open                                 A   7.60   2.72NA   2.57NA   2.72     2.57     1.13  11.45  11.30  11.45  11.30  0000.00.00.0020220             38.0870 090 99     0.00   0.00   0.00
35482  Atherectomy, open                                 A   6.64   2.29NA   2.01NA   2.29     2.01     0.89   9.82   9.54   9.82   9.54  0000.00.00.0020220             38.0870 090 99     0.00   0.00   0.00
35483  Atherectomy, open                                 A   8.09   2.79NA   2.57NA   2.79     2.57     1.15  12.03  11.81  12.03  11.81  0000.00.00.0020220             38.0870 090 99     0.00   0.00   0.00
35484  Atherectomy, open                                 A  10.42   3.34NA   2.90NA   3.34     2.90     1.27  15.03  14.59  15.03  14.59  0000.00.00.0020220             38.0870 090 99     0.00   0.00   0.00
35485  Atherectomy, open                                 A   9.48   3.20NA   2.87NA   3.20     2.87     1.35  14.03  13.70  14.03  13.70  0000.00.00.0020220             38.0870 090 99     0.00   0.00   0.00
35490  Atherectomy, percutaneous                         A  11.06   4.94NA   5.18NA   4.94     5.18     0.71  16.71  16.95  16.71  16.95  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
35491  Atherectomy, percutaneous                         A   7.60   3.57NA   3.86NA   3.57     3.86     0.74  11.91  12.20  11.91  12.20  0000.00.00.0020200             38.0870 090 99     0.00   0.00   0.00
35492  Atherectomy, percutaneous                         A   6.64   3.34NA   3.49NA   3.34     3.49     0.43  10.41  10.56  10.41  10.56  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
35493  Atherectomy, percutaneous                         A   8.09   3.88NA   3.97NA   3.88     3.97     0.56  12.53  12.62  12.53  12.62  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
35494  Atherectomy, percutaneous                         A  10.42   4.81NA   5.15NA   4.81     5.15     0.59  15.82  16.16  15.82  16.16  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
35495  Atherectomy, percutaneous                         A   9.48   4.42NA   4.45NA   4.42     4.45     0.69  14.59  14.62  14.59  14.62  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
35500  Harvest vein for bypass                           A   6.44   1.81NA   1.60NA   1.81     1.60     0.93   9.18   8.97   9.18   8.97  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
35501  Artery bypass graft                               A  28.99   9.77NA  11.07NA   9.77    11.07     4.10  42.86  44.16  42.86  44.16  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35506  Artery bypass graft                               A  25.23   8.89NA   8.32NA   8.89     8.32     2.87  36.99  36.42  36.99  36.42  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35508  Artery bypass graft                               A  25.99   9.11NA   8.77NA   9.11     8.77     2.78  37.88  37.54  37.88  37.54  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35509  Artery bypass graft                               A  27.99   9.78NA  10.79NA   9.78    10.79     3.92  41.69  42.70  41.69  42.70  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35510  Artery bypass graft                               A  24.29   8.94NA   7.70NA   8.94     7.70     2.12  35.35  34.11  35.35  34.11  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35511  Artery bypass graft                               A  22.12   8.51NA   7.66NA   8.51     7.66     2.91  33.54  32.69  33.54  32.69  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35512  Artery bypass graft                               A  23.79   8.74NA   7.48NA   8.74     7.48     2.12  34.65  33.39  34.65  33.39  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35515  Artery bypass graft                               A  25.99   9.19NA   9.09NA   9.19     9.09     2.78  37.96  37.86  37.96  37.86  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35516  Artery bypass graft                               A  24.11   7.13NA   7.46NA   7.13     7.46     2.34  33.58  33.91  33.58  33.91  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35518  Artery bypass graft                               A  22.57   8.15NA   7.33NA   8.15     7.33     3.03  33.75  32.93  33.75  32.93  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35521  Artery bypass graft                               A  24.00   8.89NA   7.95NA   8.89     7.95     3.13  36.02  35.08  36.02  35.08  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35522  Artery bypass graft                               A  23.05   8.58NA   7.40NA   8.58     7.40     2.12  33.75  32.57  33.75  32.57  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35523  Artery bypass graft                               A  24.00   9.22NA   9.22NA   9.22     9.22     2.14  35.36  35.36  35.36  35.36  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35525  Artery bypass graft                               A  21.59   8.21NA   7.04NA   8.21     7.04     2.12  31.92  30.75  31.92  30.75  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35526  Artery bypass graft                               A  31.47  13.28NA  14.04NA  13.28    14.04     3.63  48.38  49.14  48.38  49.14  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35531  Artery bypass graft                               A  38.98  12.98NA  11.48NA  12.98    11.48     5.18  57.14  55.64  57.14  55.64  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35533  Artery bypass graft                               A  29.79  10.61NA   9.50NA  10.61     9.50     3.85  44.25  43.14  44.25  43.14  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35536  Artery bypass graft                               A  33.60  11.23NA   9.51NA  11.23     9.51     4.62  49.45  47.73  49.45  47.73  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35537  Artery bypass graft                               A  41.75  13.10NA  13.10NA  13.10    13.10     5.72  60.57  60.57  60.57  60.57  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35538  Artery bypass graft                               A  46.82  14.45NA  14.45NA  14.45    14.45     6.39  67.66  67.66  67.66  67.66  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35539  Artery bypass graft                               A  43.98  13.47NA  13.47NA  13.47    13.47     6.02  63.47  63.47  63.47  63.47  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35540  Artery bypass graft                               A  49.20  14.82NA  14.82NA  14.82    14.82     6.76  70.78  70.78  70.78  70.78  0090.09.84.0721110             38.0870 090 99     0.00   0.00   0.00
35548  Artery bypass graft                               A  22.57   8.58NA   7.74NA   8.58     7.74     2.98  34.13  33.29  34.13  33.29  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35549  Artery bypass graft                               A  24.34   9.56NA   8.74NA   9.56     8.74     3.30  37.20  36.38  37.20  36.38  0090.09.84.0722210             38.0870 090 99     0.00   0.00   0.00
35551  Artery bypass graft                               A  27.72  10.44NA   9.38NA  10.44     9.38     3.75  41.91  40.85  41.91  40.85  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35556  Artery bypass graft                               A  26.62   9.18NA   8.64NA   9.18     8.64     3.10  38.90  38.36  38.90  38.36  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35558  Artery bypass graft                               A  23.00   8.71NA   7.87NA   8.71     7.87     3.00  34.71  33.87  34.71  33.87  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35560  Artery bypass graft                               A  33.90  11.97NA  10.63NA  11.97    10.63     4.75  50.62  49.28  50.62  49.28  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35563  Artery bypass graft                               A  25.99   9.70NA   8.88NA   9.70     8.88     3.52  39.21  38.39  39.21  38.39  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35565  Artery bypass graft                               A  25.00   9.15NA   8.17NA   9.15     8.17     3.30  37.45  36.47  37.45  36.47  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35566  Artery bypass graft                               A  32.22  10.62NA   9.85NA  10.62     9.85     3.83  46.67  45.90  46.67  45.90  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35571  Artery bypass graft                               A  25.39   9.47NA   8.09NA   9.47     8.09     3.43  38.29  36.91  38.29  36.91  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35572  Harvest femoropopliteal vein                      A   6.81   2.08NA   1.92NA   2.08     1.92     0.99   9.88   9.72   9.88   9.72  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
35583  Vein bypass graft                                 A  27.62   9.40NA   8.64NA   9.40     8.64     3.17  40.19  39.43  40.19  39.43  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35585  Vein bypass graft                                 A  32.22  11.17NA  10.11NA  11.17    10.11     4.02  47.41  46.35  47.41  46.35  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35587  Vein bypass graft                                 A  26.08   9.98NA   8.51NA   9.98     8.51     3.52  39.58  38.11  39.58  38.11  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35600  Harvest art for cabg add-on                       A   4.94   1.57NA   1.52NA   1.57     1.52     0.73   7.24   7.19   7.24   7.19  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
35601  Artery bypass graft                               A  26.99   9.53NA  10.43NA   9.53    10.43     3.72  40.24  41.14  40.24  41.14  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35606  Artery bypass graft                               A  22.36   8.16NA   7.30NA   8.16     7.30     2.70  33.22  32.36  33.22  32.36  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35612  Artery bypass graft                               A  16.71   7.10NA   6.31NA   7.10     6.31     2.09  25.90  25.11  25.90  25.11  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35616  Artery bypass graft                               A  21.74   7.62NA   7.13NA   7.62     7.13     2.20  31.56  31.07  31.56  31.07  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35621  Artery bypass graft                               A  20.95   7.73NA   6.78NA   7.73     6.78     2.92  31.60  30.65  31.60  30.65  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35623  Bypass graft, not vein                            A  25.79   9.47NA   8.44NA   9.47     8.44     3.46  38.72  37.69  38.72  37.69  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35626  Artery bypass graft                               A  29.06  11.13NA  10.28NA  11.13    10.28     4.08  44.27  43.42  44.27  43.42  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35631  Artery bypass graft                               A  35.90  12.20NA  10.56NA  12.20    10.56     4.96  53.06  51.42  53.06  51.42  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35636  Artery bypass graft                               A  31.62  11.01NA   9.72NA  11.01     9.72     4.10  46.73  45.44  46.73  45.44  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35637  Artery bypass graft                               A  32.92  10.65NA  10.65NA  10.65    10.65     4.44  48.01  48.01  48.01  48.01  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35638  Artery bypass graft                               A  33.47  10.79NA  10.79NA  10.79    10.79     4.52  48.78  48.78  48.78  48.78  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35642  Artery bypass graft                               A  18.85   7.45NA   6.22NA   7.45     6.22     2.28  28.58  27.35  28.58  27.35  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35645  Artery bypass graft                               A  18.34   8.13NA   7.98NA   8.13     7.98     2.50  28.97  28.82  28.97  28.82  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35646  Artery bypass graft                               A  32.84  11.78NA  10.45NA  11.78    10.45     4.44  49.06  47.73  49.06  47.73  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35647  Artery bypass graft                               A  29.62  10.72NA   9.66NA  10.72     9.66     3.99  44.33  43.27  44.33  43.27  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35650  Artery bypass graft                               A  20.08   7.65NA   6.93NA   7.65     6.93     2.72  30.45  29.73  30.45  29.73  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35651  Artery bypass graft                               A  25.97   9.72NA   8.71NA   9.72     8.71     3.36  39.05  38.04  39.05  38.04  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35654  Artery bypass graft                               A  26.17   9.51NA   8.36NA   9.51     8.36     3.53  39.21  38.06  39.21  38.06  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35656  Artery bypass graft                               A  20.39   7.72NA   6.84NA   7.72     6.84     2.80  30.91  30.03  30.91  30.03  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35661  Artery bypass graft                               A  20.22   7.99NA   7.04NA   7.99     7.04     2.72  30.93  29.98  30.93  29.98  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35663  Artery bypass graft                               A  23.80   8.94NA   7.90NA   8.94     7.90     3.11  35.85  34.81  35.85  34.81  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35665  Artery bypass graft                               A  22.22   8.41NA   7.36NA   8.41     7.36     3.01  33.64  32.59  33.64  32.59  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35666  Artery bypass graft                               A  23.53   9.58NA   8.51NA   9.58     8.51     3.16  36.27  35.20  36.27  35.20  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35671  Artery bypass graft                               A  20.64   8.50NA   7.63NA   8.50     7.63     2.78  31.92  31.05  31.92  31.05  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35681  Composite bypass graft                            A   1.60   0.47NA   0.40NA   0.47     0.40     0.23   2.30   2.23   2.30   2.23  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
35682  Composite bypass graft                            A   7.19   2.04NA   1.70NA   2.04     1.70     1.03  10.26   9.92  10.26   9.92  0ZZZ.00.00.0000010             38.0870 090 99     0.00   0.00   0.00
35683  Composite bypass graft                            A   8.49   2.39NA   1.96NA   2.39     1.96     1.20  12.08  11.65  12.08  11.65  0ZZZ.00.00.0000010             38.0870 090 99     0.00   0.00   0.00
35685  Bypass graft patency/patch                        A   4.04   1.15NA   0.96NA   1.15     0.96     0.58   5.77   5.58   5.77   5.58  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
35686  Bypass graft/av fist patency                      A   3.34   0.99NA   0.85NA   0.99     0.85     0.47   4.80   4.66   4.80   4.66  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
35691  Arterial transposition                            A  18.32   7.18NA   5.95NA   7.18     5.95     2.59  28.09  26.86  28.09  26.86  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35693  Arterial transposition                            A  15.64   6.92NA   6.12NA   6.92     6.12     2.22  24.78  23.98  24.78  23.98  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35694  Arterial transposition                            A  19.19   7.46NA   6.32NA   7.46     6.32     2.70  29.35  28.21  29.35  28.21  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35695  Arterial transposition                            A  19.97   7.63NA   6.71NA   7.63     6.71     2.74  30.34  29.42  30.34  29.42  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35697  Reimplant artery each                             A   3.00   0.88NA   0.74NA   0.88     0.74     0.41   4.29   4.15   4.29   4.15  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
35700  Reoperation, bypass graft                         A   3.08   0.89NA   0.77NA   0.89     0.77     0.44   4.41   4.29   4.41   4.29  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
35701  Exploration, carotid artery                       A   9.11   4.73NA   4.32NA   4.73     4.32     1.12  14.96  14.55  14.96  14.55  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35721  Exploration, femoral artery                       A   7.66   4.13NA   3.83NA   4.13     3.83     1.03  12.82  12.52  12.82  12.52  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35741  Exploration popliteal artery                      A   8.61   4.26NA   3.87NA   4.26     3.87     1.12  13.99  13.60  13.99  13.60  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35761  Exploration of artery/vein                        A   5.84   3.72NA   3.44NA   3.72     3.44     0.75  10.31  10.03  10.31  10.03  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35800  Explore neck vessels                              A   7.99   4.30NA   3.95NA   4.30     3.95     0.95  13.24  12.89  13.24  12.89  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35820  Explore chest vessels                             A  36.81  10.06NA  12.91NA  10.06    12.91     1.95  48.82  51.67  48.82  51.67  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35840  Explore abdominal vessels                         A  10.87   5.05NA   4.81NA   5.05     4.81     1.34  17.26  17.02  17.26  17.02  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35860  Explore limb vessels                              A   6.72   3.71NA   3.38NA   3.71     3.38     0.78  11.21  10.88  11.21  10.88  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35870  Repair vessel graft defect                        A  24.39   8.85NA   7.92NA   8.85     7.92     3.01  36.25  35.32  36.25  35.32  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35875  Removal of clot in graft                          A  10.64   4.74NA   4.29NA   4.74     4.29     1.41  16.79  16.34  16.79  16.34  0090.09.84.0720110             38.0870 090 99     0.00   0.00   0.00
35876  Removal of clot in graft                          A  17.74   6.73NA   5.95NA   6.73     5.95     2.40  26.87  26.09  26.87  26.09  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35879  Revise graft w/vein                               A  17.28   6.83NA   5.98NA   6.83     5.98     2.28  26.39  25.54  26.39  25.54  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35881  Revise graft w/vein                               A  19.22   7.57NA   6.46NA   7.57     6.46     2.56  29.35  28.24  29.35  28.24  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35883  Revise graft w/nonauto graft                      A  23.07   8.50NA   8.50NA   8.50     8.50     3.19  34.76  34.76  34.76  34.76  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35884  Revise graft w/vein                               A  24.57   8.94NA   8.94NA   8.94     8.94     3.41  36.92  36.92  36.92  36.92  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
35901  Excision, graft, neck                             A   8.26   4.77NA   4.24NA   4.77     4.24     1.15  14.18  13.65  14.18  13.65  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35903  Excision, graft, extremity                        A   9.44   5.38NA   4.60NA   5.38     4.60     1.30  16.12  15.34  16.12  15.34  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35905  Excision, graft, thorax                           A  33.39  11.92NA  10.66NA  11.92    10.66     4.44  49.75  48.49  49.75  48.49  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
35907  Excision, graft, abdomen                          A  37.14  12.53NA  10.89NA  12.53    10.89     4.92  54.59  52.95  54.59  52.95  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
36000  Place needle in vein                              A   0.18   0.51     0.46     0.06     0.06     0.01   0.70   0.65   0.25   0.25  0XXX.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
36002  Pseudoaneurysm injection trt                      A   1.96   2.55     2.24     0.91     0.86     0.17   4.68   4.37   3.04   2.99  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
36005  Injection ext venography                          A   0.95   8.06     8.47     0.35     0.39     0.05   9.06   9.47   1.35   1.39  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
36010  Place catheter in vein                            A   2.43  15.21    11.10     0.79     0.78     0.20  17.84  13.73   3.42   3.41  0XXX.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
36011  Place catheter in vein                            A   3.14  23.73    19.63     1.03     1.01     0.27  27.14  23.04   4.44   4.42  0XXX.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
36012  Place catheter in vein                            A   3.51  19.61    20.26     1.23     1.28     0.23  23.35  24.00   4.97   5.02  0XXX.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
36013  Place catheter in artery                          A   2.52  20.08    18.79     0.81     0.93     0.25  22.85  21.56   3.58   3.70  0XXX.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36014  Place catheter in artery                          A   3.02  19.55    18.96     1.07     1.11     0.19  22.76  22.17   4.28   4.32  0XXX.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
36015  Place catheter in artery                          A   3.51  21.12    18.56     1.12     1.05     0.21  24.84  22.28   4.84   4.77  0XXX.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
36100  Establish access to artery                        A   3.02  11.66    11.25     1.16     1.21     0.26  14.94  14.53   4.44   4.49  0XXX.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
36120  Establish access to artery                        A   2.01   9.96     9.21     0.62     0.59     0.14  12.11  11.36   2.77   2.74  0XXX.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36140  Establish access to artery                        A   2.01  11.63    10.49     0.67     0.71     0.16  13.80  12.66   2.84   2.88  0XXX.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36145  Artery to vein shunt                              A   2.01  11.43    10.29     0.66     0.66     0.11  13.55  12.41   2.78   2.78  0XXX.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36160  Establish access to aorta                         A   2.52  12.52    11.55     0.95     1.05     0.26  15.30  14.33   3.73   3.83  0XXX.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36200  Place catheter in aorta                           A   3.02  15.10    13.67     1.01     1.02     0.24  18.36  16.93   4.27   4.28  0XXX.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
36215  Place catheter in artery                          A   4.67  26.51    25.97     1.75     1.89     0.27  31.45  30.91   6.69   6.83  0XXX.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36216  Place catheter in artery                          A   5.27  28.58    28.06     1.94     2.09     0.31  34.16  33.64   7.52   7.67  0XXX.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36217  Place catheter in artery                          A   6.29  50.69    45.91     2.30     2.43     0.44  57.42  52.64   9.03   9.16  0XXX.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36218  Place catheter in artery                          A   1.01   4.43     3.77     0.36     0.39     0.07   5.51   4.85   1.44   1.47  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
36245  Place catheter in artery                          A   4.67  30.46    28.80     1.90     2.12     0.31  35.44  33.78   6.88   7.10  0XXX.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
36246  Place catheter in artery                          A   5.27  28.72    27.45     1.91     1.99     0.38  34.37  33.10   7.56   7.64  0XXX.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
36247  Place catheter in artery                          A   6.29  47.37    45.20     2.25     2.36     0.47  54.13  51.96   9.01   9.12  0XXX.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
36248  Place catheter in artery                          A   1.01   3.61     3.18     0.36     0.38     0.07   4.69   4.26   1.44   1.46  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
36260  Insertion of infusion pump                        A   9.82   4.76NA   4.65NA   4.76     4.65     1.29  15.87  15.76  15.87  15.76  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
36261  Revision of infusion pump                         A   5.55   3.36NA   3.06NA   3.36     3.06     0.70   9.61   9.31   9.61   9.31  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
36262  Removal of infusion pump                          A   4.05   2.73NA   2.71NA   2.73     2.71     0.54   7.32   7.30   7.32   7.30  0090.09.84.0720100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
36400  Bl draw < 3 yrs fem/jugular                       A   0.38   0.28     0.28     0.09     0.09     0.03   0.69   0.69   0.50   0.50  0XXX.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36405  Bl draw < 3 yrs scalp vein                        A   0.31   0.27     0.27     0.08     0.08     0.03   0.61   0.61   0.42   0.42  0XXX.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36406  Bl draw < 3 yrs other vein                        A   0.18   0.26     0.25     0.05     0.04     0.01   0.45   0.44   0.24   0.23  0XXX.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36410  Non-routine bl draw > 3 yrs                       A   0.18   0.30     0.32     0.05     0.05     0.01   0.49   0.51   0.24   0.24  0XXX.00.00.0020100             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
36420  Vein access cutdown < 1 yr                        A   1.01   0.24NA   0.21NA   0.24     0.21     0.07   1.32   1.29   1.32   1.29  0XXX.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
36425  Vein access cutdown > 1 yr                        A   0.76   0.21NA   0.21NA   0.21     0.21     0.06   1.03   1.03   1.03   1.03  0XXX.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36430  Blood transfusion service                         A   0.00   0.97     0.94     0.97NA   0.94 NA  0.06   1.03   1.00   1.03   1.00  5XXX.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
36440  Bl push transfuse, 2 yr or <                      A   1.03   0.27NA   0.25NA   0.27     0.25     0.10   1.40   1.38   1.40   1.38  0XXX.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
36450  Bl exchange/transfuse, nb                         A   2.23   0.74NA   0.77NA   0.74     0.77     0.21   3.18   3.21   3.18   3.21  0XXX.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
36455  Bl exchange/transfuse non-nb                      A   2.43   0.84NA   0.67NA   0.84     0.67     0.15   3.42   3.25   3.42   3.25  0XXX.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36460  Transfusion service, fetal                        A   6.58   2.03NA   1.81NA   2.03     1.81     0.79   9.40   9.18   9.40   9.18  0XXX.00.00.0020200             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
36470  Injection therapy of vein                         A   1.09   2.55     2.41     0.69     0.64     0.12   3.76   3.62   1.90   1.85  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
36471  Injection therapy of veins                        A   1.60   2.82     2.56     0.88     0.79     0.19   4.61   4.35   2.67   2.58  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
36475  Endovenous rf, 1st vein                           A   6.72  43.60    35.78     2.21     1.88     0.37  50.69  42.87   9.30   8.97  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
36476  Endovenous rf, vein add-on                        A   3.38   7.01     6.14     0.98     0.83     0.18  10.57   9.70   4.54   4.39  0ZZZ.00.00.0001100             38.0870 090 99     0.00   0.00   0.00
36478  Endovenous laser, 1st vein                        A   6.72  36.90    26.98     2.29     2.04     0.37  43.99  34.07   9.38   9.13  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
36479  Endovenous laser vein addon                       A   3.38   7.18     6.36     1.04     0.95     0.18  10.74   9.92   4.60   4.51  0ZZZ.00.00.0001100             38.0870 090 99     0.00   0.00   0.00
36481  Insertion of catheter, vein                       A   6.98   2.48NA   2.36NA   2.48     2.36     0.55  10.01   9.89  10.01   9.89  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36500  Insertion of catheter, vein                       A   3.51   1.31NA   1.25NA   1.31     1.25     0.20   5.02   4.96   5.02   4.96  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36510  Insertion of catheter, vein                       A   1.09   2.48     1.08     0.45     0.30     0.10   3.67   2.27   1.64   1.49  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
36511  Apheresis wbc                                     A   1.74   0.65NA   0.58NA   0.65     0.58     0.08   2.47   2.40   2.47   2.40  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36512  Apheresis rbc                                     A   1.74   0.67NA   0.60NA   0.67     0.60     0.08   2.49   2.42   2.49   2.42  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36513  Apheresis platelets                               A   1.74   0.64NA   0.55NA   0.64     0.55     0.17   2.55   2.46   2.55   2.46  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36514  Apheresis plasma                                  A   1.74  13.74    10.51     0.62     0.53     0.08  15.56  12.33   2.44   2.35  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36515  Apheresis, adsorp/reinfuse                        A   1.74  55.93    45.51     0.57     0.48     0.08  57.75  47.33   2.39   2.30  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36516  Apheresis, selective                              A   1.22  66.85    49.59     0.43     0.39     0.08  68.15  50.89   1.73   1.69  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36522  Photopheresis                                     A   1.67  34.92    37.44     0.95     0.94     0.13  36.72  39.24   2.75   2.74  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36555  Insert non-tunnel cv cath                         A   2.68   4.78     3.81     0.69     0.59     0.11   7.57   6.60   3.48   3.38  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
36556  Insert non-tunnel cv cath                         A   2.50   4.24     2.86     0.65     0.55     0.19   6.93   5.55   3.34   3.24  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
36557  Insert tunneled cv cath                           A   5.11  18.13    15.11     2.47     2.29     0.57  23.81  20.79   8.15   7.97  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
36558  Insert tunneled cv cath                           A   4.81  17.95    14.85     2.46     2.36     0.57  23.33  20.23   7.84   7.74  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
36560  Insert tunneled cv cath                           A   6.26  25.51    21.33     2.88     2.72     0.57  32.34  28.16   9.71   9.55  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
36561  Insert tunneled cv cath                           A   6.01  25.94    22.27     2.80     2.64     0.57  32.52  28.85   9.38   9.22  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
36563  Insert tunneled cv cath                           A   6.21  24.94    23.11     2.79     2.60     0.84  31.99  30.16   9.84   9.65  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
36565  Insert tunneled cv cath                           A   6.01  21.12    17.53     2.71     2.47     0.57  27.70  24.11   9.29   9.05  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
36566  Insert tunneled cv cath                           A   6.51  68.73   111.95     2.86     2.60     0.57  75.81 119.03   9.94   9.68  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
36568  Insert picc cath                                  A   1.92   6.70     5.88     0.59     0.59     0.11   8.73   7.91   2.62   2.62  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
36569  Insert picc cath                                  A   1.82   5.91     4.47     0.62     0.67     0.19   7.92   6.48   2.63   2.68  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
36570  Insert picvad cath                                A   5.33  27.22    21.25     2.41     2.10     0.57  33.12  27.15   8.31   8.00  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
36571  Insert picvad cath                                A   5.31  28.90    24.53     2.58     2.45     0.57  34.78  30.41   8.46   8.33  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
36575  Repair tunneled cv cath                           A   0.67   3.68     3.31     0.25     0.23     0.20   4.55   4.18   1.12   1.10  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
36576  Repair tunneled cv cath                           A   3.21   6.43     5.91     1.71     1.57     0.19   9.83   9.31   5.11   4.97  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
36578  Replace tunneled cv cath                          A   3.51  10.16     9.18     2.15     2.00     0.19  13.86  12.88   5.85   5.70  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
36580  Replace cvad cath                                 A   1.31   5.45     3.96     0.42     0.43     0.19   6.95   5.46   1.92   1.93  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
36581  Replace tunneled cv cath                          A   3.45  17.51    15.51     1.83     1.74     0.19  21.15  19.15   5.47   5.38  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
36582  Replace tunneled cv cath                          A   5.21  23.79    21.55     2.66     2.46     0.19  29.19  26.95   8.06   7.86  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
36583  Replace tunneled cv cath                          A   5.26  23.82    21.60     2.68     2.49     0.19  29.27  27.05   8.13   7.94  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
36584  Replace picc cath                                 A   1.20   5.47     3.97     0.58     0.61     0.19   6.86   5.36   1.97   2.00  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
36585  Replace picvad cath                               A   4.81  25.20    22.57     2.58     2.43     0.19  30.20  27.57   7.58   7.43  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
36589  Removal tunneled cv cath                          A   2.27   2.05     1.86     1.31     1.23     0.24   4.56   4.37   3.82   3.74  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
36590  Removal tunneled cv cath                          A   3.32   3.50     3.62     1.66     1.60     0.44   7.26   7.38   5.42   5.36  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
36591  Draw blood off venous device                      T   0.00   0.54     0.54     0.54NA   0.54 NA  0.01   0.55   0.55   0.55   0.55  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
36592  Collect blood from picc                           T   0.00   0.67     0.67     0.67NA   0.67 NA  0.01   0.68   0.68   0.68   0.68  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
36593  Declot vascular device                            A   0.00   0.60     0.82     0.60NA   0.82 NA  0.37   0.97   1.19   0.97   1.19  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
36595  Mech remov tunneled cv cath                       A   3.59  14.05    10.84     1.41     1.38     0.21  17.85  14.64   5.21   5.18  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36596  Mech remov tunneled cv cath                       A   0.75   3.13     2.58     0.47     0.43     0.05   3.93   3.38   1.27   1.23  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36597  Reposition venous catheter                        A   1.21   2.22     2.04     0.45     0.46     0.07   3.50   3.32   1.73   1.74  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36598  Inj w/fluor, eval cv device                       T   0.74   2.43     2.22     1.46     0.27     0.05   3.22   3.01   2.25   1.06  9000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
36600  Withdrawal of arterial blood                      A   0.32   0.49     0.50     0.08     0.07     0.02   0.83   0.84   0.42   0.41  0XXX.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36620  Insertion catheter, artery                        A   1.15   0.19NA   0.15NA   0.19     0.15     0.07   1.41   1.37   1.41   1.37  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
36625  Insertion catheter, artery                        A   2.11   0.52NA   0.50NA   0.52     0.50     0.26   2.89   2.87   2.89   2.87  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
36640  Insertion catheter, artery                        A   2.10   0.97NA   0.91NA   0.97     0.91     0.21   3.28   3.22   3.28   3.22  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36660  Insertion catheter, artery                        A   1.40   0.42NA   0.41NA   0.42     0.41     0.14   1.96   1.95   1.96   1.95  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
36680  Insert needle, bone cavity                        A   1.20   0.39NA   0.28NA   0.39     0.28     0.11   1.70   1.59   1.70   1.59  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
36800  Insertion of cannula                              A   2.43   1.67NA   1.53NA   1.67     1.53     0.25   4.35   4.21   4.35   4.21  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36810  Insertion of cannula                              A   3.96   1.50NA   1.32NA   1.50     1.32     0.45   5.91   5.73   5.91   5.73  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36815  Insertion of cannula                              A   2.62   1.10NA   1.04NA   1.10     1.04     0.35   4.07   4.01   4.07   4.01  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36818  Av fuse, uppr arm, cephalic                       A  11.81   5.26NA   4.49NA   5.26     4.49     1.90  18.97  18.20  18.97  18.20  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
36819  Av fuse, uppr arm, basilic                        A  14.39   5.75NA   5.12NA   5.75     5.12     1.96  22.10  21.47  22.10  21.47  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
36820  Av fusion/forearm vein                            A  14.39   5.82NA   5.24NA   5.82     5.24     1.95  22.16  21.58  22.16  21.58  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
36821  Av fusion direct any site                         A   9.15   4.30NA   3.94NA   4.30     3.94     1.23  14.68  14.32  14.68  14.32  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
36822  Insertion of cannula(s)                           A   5.51   4.06NA   3.75NA   4.06     3.75     0.79  10.36  10.05  10.36  10.05  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
36823  Insertion of cannula(s)                           A  22.82   9.01NA   8.64NA   9.01     8.64     2.89  34.72  34.35  34.72  34.35  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
36825  Artery-vein autograft                             A  10.00   4.64NA   4.23NA   4.64     4.23     1.35  15.99  15.58  15.99  15.58  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
36830  Artery-vein nonautograft                          A  12.00   4.68NA   4.13NA   4.68     4.13     1.66  18.34  17.79  18.34  17.79  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
36831  Open thrombect av fistula                         A   8.01   3.57NA   3.19NA   3.57     3.19     1.09  12.67  12.29  12.67  12.29  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
36832  Av fistula revision, open                         A  10.50   4.23NA   3.75NA   4.23     3.75     1.44  16.17  15.69  16.17  15.69  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
36833  Av fistula revision                               A  11.95   4.66NA   4.12NA   4.66     4.12     1.65  18.26  17.72  18.26  17.72  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
36834  Repair A-V aneurysm                               A  11.11   4.50NA   4.22NA   4.50     4.22     1.37  16.98  16.70  16.98  16.70  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
36835  Artery to vein shunt                              A   7.43   4.03NA   3.74NA   4.03     3.74     0.98  12.44  12.15  12.44  12.15  0090.09.84.0720100             38.0870 090 99     0.00   0.00   0.00
36838  Dist revas ligation, hemo                         A  21.59   8.22NA   7.05NA   8.22     7.05     3.02  32.83  31.66  32.83  31.66  0090.09.84.0721210             38.0870 090 99     0.00   0.00   0.00
36860  External cannula declotting                       A   2.01   2.57     3.36     0.65     0.63     0.11   4.69   5.48   2.77   2.75  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36861  Cannula declotting                                A   2.52   1.35NA   1.22NA   1.35     1.22     0.27   4.14   4.01   4.14   4.01  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
36870  Percut thrombect av fistula                       A   5.17  46.94    40.83     2.96     2.76     0.29  52.40  46.29   8.42   8.22  0090.09.84.0721120             38.0870 090 99     0.00   0.00   0.00
37140  Revision of circulation                           A  25.12   9.71NA   8.93NA   9.71     8.93     2.02  36.85  36.07  36.85  36.07  0090.09.84.0720110             38.0870 090 99     0.00   0.00   0.00
37145  Revision of circulation                           A  26.13  10.66NA  10.46NA  10.66    10.46     3.26  40.05  39.85  40.05  39.85  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
37160  Revision of circulation                           A  23.13   8.60NA   7.93NA   8.60     7.93     2.82  34.55  33.88  34.55  33.88  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
37180  Revision of circulation                           A  26.13   9.79NA   9.28NA   9.79     9.28     3.35  39.27  38.76  39.27  38.76  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
37181  Splice spleen/kidney veins                        A  28.26   9.92NA   8.84NA   9.92     8.84     3.41  41.59  40.51  41.59  40.51  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
37182  Insert hepatic shunt (tips)                       A  16.97   6.20NA   6.33NA   6.20     6.33     1.00  24.17  24.30  24.17  24.30  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
37183  Remove hepatic shunt (tips)                       A   7.99   3.05NA   3.09NA   3.05     3.09     0.47  11.51  11.55  11.51  11.55  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
37184  Prim art mech thrombectomy                        A   8.66  60.86    49.97     3.29     3.24     0.55  70.07  59.18  12.50  12.45  0000.00.00.0021120             38.0870 090 99     0.00   0.00   0.00
37185  Prim art m-thrombect add-on                       A   3.28  19.65    16.39     1.12     1.12     0.21  23.14  19.88   4.61   4.61  0ZZZ.00.00.0002120             38.0870 090 99     0.00   0.00   0.00
37186  Sec art m-thrombect add-on                        A   4.92  42.18    34.94     1.72     1.79     0.32  47.42  40.18   6.96   7.03  0ZZZ.00.00.0002120             38.0870 090 99     0.00   0.00   0.00
37187  Venous mech thrombectomy                          A   8.03  59.25    48.27     3.07     2.99     0.51  67.79  56.81  11.61  11.53  0000.00.00.0021120             38.0870 090 99     0.00   0.00   0.00
37188  Venous m-thrombectomy add-on                      A   5.71  52.14    42.27     2.27     2.18     0.37  58.22  48.35   8.35   8.26  0000.00.00.0021120             38.0870 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             38.0870 090 99     0.00   0.00   0.00
37200  Transcatheter biopsy                              A   4.55   1.58NA   1.65NA   1.58     1.65     0.27   6.40   6.47   6.40   6.47  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
37201  Transcatheter therapy infuse                      A   4.99   2.44NA   2.33NA   2.44     2.33     0.33   7.76   7.65   7.76   7.65  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
37202  Transcatheter therapy infuse                      A   5.67   3.19NA   3.34NA   3.19     3.34     0.43   9.29   9.44   9.29   9.44  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
37203  Transcatheter retrieval                           A   5.02  31.52    30.14     2.06     2.07     0.29  36.83  35.45   7.37   7.38  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
37204  Transcatheter occlusion                           A  18.11   6.07NA   6.24NA   6.07     6.24     1.48  25.66  25.83  25.66  25.83  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
37205  Transcath iv stent, percut                        A   8.27  56.26   108.78     3.50     3.25     0.60  65.13 117.65  12.37  12.12  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
37206  Transcath iv stent/perc addl                      A   4.12  33.98    66.53     1.50     1.58     0.31  38.41  70.96   5.93   6.01  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
37207  Transcath iv stent, open                          A   8.27   2.77NA   2.38NA   2.77     2.38     1.17  12.21  11.82  12.21  11.82  0000.00.00.0021220             38.0870 090 99     0.00   0.00   0.00
37208  Transcath iv stent/open addl                      A   4.12   1.19NA   1.01NA   1.19     1.01     0.59   5.90   5.72   5.90   5.72  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
37209  Change iv cath at thromb tx                       A   2.27   0.75NA   0.77NA   0.75     0.77     0.15   3.17   3.19   3.17   3.19  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
37210  Embolization uterine fibroid                      A  10.60  83.31    83.31     3.68     3.68     0.60  94.51  94.51  14.88  14.88  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
37215  Transcath stent, cca w/eps                        R  19.58   9.52NA   9.94NA   9.52     9.94     1.09  30.19  30.61  30.19  30.61  0090.09.84.0720000             38.0870 090 99     0.00   0.00   0.00
37216  Transcath stent, cca w/o eps                      N+ 18.85   7.29NA   5.76NA   7.29     5.76     1.04  27.18  25.65  27.18  25.65  9090.09.84.0799999             38.0870 090 99     0.00   0.00   0.00
37250  Iv us first vessel add-on                         A   2.10   0.76NA   0.77NA   0.76     0.77     0.21   3.07   3.08   3.07   3.08  0ZZZ.00.00.0000010             38.0870 090 99     0.00   0.00   0.00
37251  Iv us each add vessel add-on                      A   1.60   0.52NA   0.50NA   0.52     0.50     0.19   2.31   2.29   2.31   2.29  0ZZZ.00.00.0000010             38.0870 090 99     0.00   0.00   0.00
37500  Endoscopy ligate perf veins                       A  11.54   6.10NA   5.35NA   6.10     5.35     1.54  19.18  18.43  19.18  18.43  0090.09.84.0721110             38.0870 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             38.0870 090 99     0.00   0.00   0.00
37565  Ligation of neck vein                             A  11.97   5.38NA   5.14NA   5.38     5.14     1.33  18.68  18.44  18.68  18.44  0090.09.84.0720010             38.0870 090 99     0.00   0.00   0.00
37600  Ligation of neck artery                           A  12.34   5.78NA   4.92NA   5.78     4.92     1.41  19.53  18.67  19.53  18.67  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
37605  Ligation of neck artery                           A  14.20   6.18NA   5.45NA   6.18     5.45     1.99  22.37  21.64  22.37  21.64  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
37606  Ligation of neck artery                           A   8.72   4.71NA   4.86NA   4.71     4.86     1.23  14.66  14.81  14.66  14.81  0090.09.84.0720200             38.0870 090 99     0.00   0.00   0.00
37607  Ligation of a-v fistula                           A   6.19   3.29NA   3.03NA   3.29     3.03     0.85  10.33  10.07  10.33  10.07  0090.09.84.0720110             38.0870 090 99     0.00   0.00   0.00
37609  Temporal artery procedure                         A   3.02   4.35     4.20     1.89     1.82     0.36   7.73   7.58   5.27   5.20  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
37615  Ligation of neck artery                           A   7.72   4.10NA   4.09NA   4.10     4.09     0.68  12.50  12.49  12.50  12.49  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
37616  Ligation of chest artery                          A  18.89   8.01NA   7.93NA   8.01     7.93     2.33  29.23  29.15  29.23  29.15  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
37617  Ligation of abdomen artery                        A  23.71   8.53NA   7.89NA   8.53     7.89     2.98  35.22  34.58  35.22  34.58  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
37618  Ligation of extremity artery                      A   5.95   3.49NA   3.37NA   3.49     3.37     0.67  10.11   9.99  10.11   9.99  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
37620  Revision of major vein                            A  11.49   5.58NA   5.45NA   5.58     5.45     0.91  17.98  17.85  17.98  17.85  0090.09.84.0720110             38.0870 090 99     0.00   0.00   0.00
37650  Revision of major vein                            A   8.41   4.46NA   4.23NA   4.46     4.23     1.01  13.88  13.65  13.88  13.65  0090.09.84.0721110             38.0870 090 99     0.00   0.00   0.00
37660  Revision of major vein                            A  22.20   8.33NA   7.59NA   8.33     7.59     2.49  33.02  32.28  33.02  32.28  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
37700  Revise leg vein                                   A   3.76   2.59NA   2.39NA   2.59     2.39     0.53   6.88   6.68   6.88   6.68  0090.09.84.0721100             38.0870 090 99     0.00   0.00   0.00
37718  Ligate/strip short leg vein                       A   7.05   3.77NA   3.48NA   3.77     3.48     0.14  10.96  10.67  10.96  10.67  0090.09.84.0721110             38.0870 090 99     0.00   0.00   0.00
37722  Ligate/strip long leg vein                        A   8.08   4.05NA   3.69NA   4.05     3.69     0.86  12.99  12.63  12.99  12.63  0090.09.84.0721110             38.0870 090 99     0.00   0.00   0.00
37735  Removal of leg veins/lesion                       A  10.81   5.10NA   4.69NA   5.10     4.69     1.48  17.39  16.98  17.39  16.98  0090.09.84.0721110             38.0870 090 99     0.00   0.00   0.00
37760  Ligation, leg veins, open                         A  10.69   4.91NA   4.48NA   4.91     4.48     1.44  17.04  16.61  17.04  16.61  0090.09.84.0720110             38.0870 090 99     0.00   0.00   0.00
37765  Phleb veins extrem 10-20                          A   7.63   4.09NA   3.57NA   4.09     3.57     0.48  12.20  11.68  12.20  11.68  0090.09.84.0721110             38.0870 090 99     0.00   0.00   0.00
37766  Phleb veins extrem 20+                            A   9.58   4.73NA   4.13NA   4.73     4.13     0.48  14.79  14.19  14.79  14.19  0090.09.84.0721110             38.0870 090 99     0.00   0.00   0.00
37780  Revision of leg vein                              A   3.87   2.62NA   2.39NA   2.62     2.39     0.53   7.02   6.79   7.02   6.79  0090.09.84.0721110             38.0870 090 99     0.00   0.00   0.00
37785  Ligate/divide/excise vein                         A   3.87   5.06     4.92     2.65     2.58     0.54   9.47   9.33   7.06   6.99  0090.09.84.0721100             38.0870 090 99     0.00   0.00   0.00
37788  Revascularization, penis                          A  23.21  10.57NA  12.05NA  10.57    12.05     2.26  36.04  37.52  36.04  37.52  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
37790  Penile venous occlusion                           A   8.37   4.76NA   5.15NA   4.76     5.15     0.59  13.72  14.11  13.72  14.11  0090.08.83.0920000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
38100  Removal of spleen, total                          A  19.47   6.51NA   6.85NA   6.51     6.85     1.92  27.90  28.24  27.90  28.24  0090.11.73.1620210             38.0870 090 99     0.00   0.00   0.00
38101  Removal of spleen, partial                        A  19.47   6.72NA   6.92NA   6.72     6.92     2.05  28.24  28.44  28.24  28.44  0090.11.73.1620210             38.0870 090 99     0.00   0.00   0.00
38102  Removal of spleen, total                          A   4.79   1.43NA   1.23NA   1.43     1.23     0.63   6.85   6.65   6.85   6.65  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
38115  Repair of ruptured spleen                         A  21.80   7.04NA   7.44NA   7.04     7.44     2.09  30.93  31.33  30.93  31.33  0090.11.73.1620210             38.0870 090 99     0.00   0.00   0.00
38120  Laparoscopy, splenectomy                          A  16.97   7.16NA   6.93NA   7.16     6.93     2.25  26.38  26.15  26.38  26.15  0090.09.84.0720210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
38200  Injection for spleen x-ray                        A   2.64   0.99NA   1.09NA   0.99     1.09     0.14   3.77   3.87   3.77   3.87  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
38204  Bl donor search management                        B+  2.00   0.46     0.46     0.46     0.46     0.06   2.52   2.52   2.52   2.52  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
38205  Harvest allogenic stem cells                      R   1.50   0.60NA   0.53NA   0.60     0.53     0.07   2.17   2.10   2.17   2.10  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
38206  Harvest auto stem cells                           R   1.50   0.61NA   0.55NA   0.61     0.55     0.07   2.18   2.12   2.18   2.12  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
38207  Cryopreserve stem cells                           I+  0.89   0.40     0.40     0.40     0.40     0.01   1.30   1.30   1.30   1.30  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
38210  T-cell depletion of harvest                       I+  1.57   0.71     0.71     0.71     0.71     0.03   2.31   2.31   2.31   2.31  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
38211  Tumor cell deplete of harvst                      I+  1.42   0.64     0.64     0.64     0.64     0.02   2.08   2.08   2.08   2.08  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
38212  Rbc depletion of harvest                          I+  0.94   0.42     0.42     0.42     0.42     0.02   1.38   1.38   1.38   1.38  9XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
38214  Volume deplete of harvest                         I+  0.81   0.36     0.36     0.36     0.36     0.01   1.18   1.18   1.18   1.18  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
38215  Harvest stem cell concentrte                      I+  0.94   0.42     0.42     0.42     0.42     0.02   1.38   1.38   1.38   1.38  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
38220  Bone marrow aspiration                            A   1.08   3.20     2.68     0.48     0.45     0.05   4.33   3.81   1.61   1.58  0XXX.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
38221  Bone marrow biopsy                                A   1.37   3.36     2.79     0.61     0.57     0.07   4.80   4.23   2.05   2.01  0XXX.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
38230  Bone marrow collection                            R   4.80   3.18NA   3.13NA   3.18     3.13     0.48   8.46   8.41   8.46   8.41  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
38240  Bone marrow/stem transplant                       R   2.24   0.98NA   0.94NA   0.98     0.94     0.11   3.33   3.29   3.33   3.29  0XXX.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
38241  Bone marrow/stem transplant                       R   2.24   0.99NA   0.94NA   0.99     0.94     0.11   3.34   3.29   3.34   3.29  0XXX.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
38242  Lymphocyte infuse transplant                      A   1.71   0.73NA   0.67NA   0.73     0.67     0.08   2.52   2.46   2.52   2.46  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
38300  Drainage, lymph node lesion                       A   2.28   4.26     4.22     2.05     2.04     0.25   6.79   6.75   4.58   4.57  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
38305  Drainage, lymph node lesion                       A   6.55   4.32NA   4.20NA   4.32     4.20     0.88  11.75  11.63  11.75  11.63  0090.11.73.1620100             38.0870 090 99     0.00   0.00   0.00
38308  Incision of lymph channels                        A   6.73   3.64NA   3.54NA   3.64     3.54     0.85  11.22  11.12  11.22  11.12  0090.11.73.1620210             38.0870 090 99     0.00   0.00   0.00
38380  Thoracic duct procedure                           A   8.34   5.37NA   5.06NA   5.37     5.06     0.74  14.45  14.14  14.45  14.14  0090.11.73.1620210             38.0870 090 99     0.00   0.00   0.00
38381  Thoracic duct procedure                           A  13.32   6.48NA   6.08NA   6.48     6.08     1.85  21.65  21.25  21.65  21.25  0090.11.73.1620210             38.0870 090 99     0.00   0.00   0.00
38382  Thoracic duct procedure                           A  10.51   5.60NA   5.43NA   5.60     5.43     1.37  17.48  17.31  17.48  17.31  0090.11.73.1620210             38.0870 090 99     0.00   0.00   0.00
38500  Biopsy/removal, lymph nodes                       A   3.76   3.72     3.75     2.06     2.03     0.49   7.97   8.00   6.31   6.28  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
38505  Needle biopsy, lymph nodes                        A   1.14   2.08     2.11     0.76     0.74     0.09   3.31   3.34   1.99   1.97  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
38510  Biopsy/removal, lymph nodes                       A   6.69   5.47     5.38     3.29     3.09     0.72  12.88  12.79  10.70  10.50  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
38520  Biopsy/removal, lymph nodes                       A   6.95   3.90NA   3.75NA   3.90     3.75     0.84  11.69  11.54  11.69  11.54  0090.11.73.1621100             38.0870 090 99     0.00   0.00   0.00
38525  Biopsy/removal, lymph nodes                       A   6.35   3.38NA   3.47NA   3.38     3.47     0.80  10.53  10.62  10.53  10.62  0090.11.73.1621100             38.0870 090 99     0.00   0.00   0.00
38530  Biopsy/removal, lymph nodes                       A   8.26   4.26NA   4.12NA   4.26     4.12     1.12  13.64  13.50  13.64  13.50  0090.11.73.1621210             38.0870 090 99     0.00   0.00   0.00
38542  Explore deep node(s), neck                        A   6.08   4.22NA   3.97NA   4.22     3.97     0.60  10.90  10.65  10.90  10.65  0090.11.73.1621210             38.0870 090 99     0.00   0.00   0.00
38550  Removal, neck/armpit lesion                       A   6.99   4.10NA   4.28NA   4.10     4.28     0.88  11.97  12.15  11.97  12.15  0090.11.73.1620000             38.0870 090 99     0.00   0.00   0.00
38555  Removal, neck/armpit lesion                       A  15.42   7.99NA   7.45NA   7.99     7.45     1.76  25.17  24.63  25.17  24.63  0090.11.73.1620210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
38564  Removal, abdomen lymph nodes                      A  11.29   5.23NA   5.21NA   5.23     5.21     1.32  17.84  17.82  17.84  17.82  0090.11.73.1620210             38.0870 090 99     0.00   0.00   0.00
38570  Laparoscopy, lymph node biop                      A   9.28   4.00NA   4.04NA   4.00     4.04     1.13  14.41  14.45  14.41  14.45  0010.10.80.1030220       49320 38.0870 090 99     0.00   0.00   0.00
38571  Laparoscopy, lymphadenectomy                      A  14.70   6.22NA   6.80NA   6.22     6.80     1.15  22.07  22.65  22.07  22.65  0010.10.80.1022220             38.0870 090 99     0.00   0.00   0.00
38572  Laparoscopy, lymphadenectomy                      A  16.86   6.51NA   5.94NA   6.51     5.94     1.91  25.28  24.71  25.28  24.71  0010.10.80.1022220             38.0870 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             38.0870 090 99     0.00   0.00   0.00
38700  Removal of lymph nodes, neck                      A  12.68   6.38NA   6.51NA   6.38     6.51     0.72  19.78  19.91  19.78  19.91  0090.11.73.1621210             38.0870 090 99     0.00   0.00   0.00
38720  Removal of lymph nodes, neck                      A  21.72   9.77NA  10.18NA   9.77    10.18     1.20  32.69  33.10  32.69  33.10  0090.11.73.1621210             38.0870 090 99     0.00   0.00   0.00
38724  Removal of lymph nodes, neck                      A  23.72  10.38NA  10.93NA  10.38    10.93     1.28  35.38  35.93  35.38  35.93  0090.11.73.1621210             38.0870 090 99     0.00   0.00   0.00
38740  Remove armpit lymph nodes                         A  10.57   4.97NA   5.00NA   4.97     5.00     1.32  16.86  16.89  16.86  16.89  0090.11.73.1621210             38.0870 090 99     0.00   0.00   0.00
38745  Remove armpit lymph nodes                         A  13.71   6.06NA   6.05NA   6.06     6.05     1.74  21.51  21.50  21.51  21.50  0090.11.73.1621210             38.0870 090 99     0.00   0.00   0.00
38746  Remove thoracic lymph nodes                       A   4.88   1.51NA   1.42NA   1.51     1.42     0.72   7.11   7.02   7.11   7.02  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
38747  Remove abdominal lymph nodes                      A   4.88   1.47NA   1.27NA   1.47     1.27     0.64   6.99   6.79   6.99   6.79  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
38760  Remove groin lymph nodes                          A  13.49   6.02NA   5.92NA   6.02     5.92     1.72  21.23  21.13  21.23  21.13  0090.11.73.1621210             38.0870 090 99     0.00   0.00   0.00
38765  Remove groin lymph nodes                          A  21.78   8.58NA   8.35NA   8.58     8.35     2.48  32.84  32.61  32.84  32.61  0090.11.73.1621210             38.0870 090 99     0.00   0.00   0.00
38770  Remove pelvis lymph nodes                         A  13.98   6.23NA   6.72NA   6.23     6.72     1.40  21.61  22.10  21.61  22.10  0090.11.73.1621210             38.0870 090 99     0.00   0.00   0.00
38780  Remove abdomen lymph nodes                        A  17.56   8.09NA   7.99NA   8.09     7.99     1.89  27.54  27.44  27.54  27.44  0090.11.73.1620210             38.0870 090 99     0.00   0.00   0.00
38790  Inject for lymphatic x-ray                        A   1.29   0.75NA   0.75NA   0.75     0.75     0.13   2.17   2.17   2.17   2.17  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
38792  Identify sentinel node                            A   0.52   0.46NA   0.49NA   0.46     0.49     0.06   1.04   1.07   1.04   1.07  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
38794  Access thoracic lymph duct                        A   4.51   3.31NA   3.18NA   3.31     3.18     0.32   8.14   8.01   8.14   8.01  0090.11.73.1620000             38.0870 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.00.00.0020111             38.0870 090 99     0.00   0.00   0.00
39000  Exploration of chest                              A   7.49   4.46NA   4.27NA   4.46     4.27     0.89  12.84  12.65  12.84  12.65  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
39010  Exploration of chest                              A  13.11   6.94NA   6.34NA   6.94     6.34     1.76  21.81  21.21  21.81  21.21  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
39200  Removal chest lesion                              A  15.04   6.87NA   6.20NA   6.87     6.20     2.03  23.94  23.27  23.94  23.27  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
39220  Removal chest lesion                              A  19.47   8.68NA   8.00NA   8.68     8.00     2.46  30.61  29.93  30.61  29.93  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
39400  Visualization of chest                            A   8.00   4.50NA   4.15NA   4.50     4.15     0.82  13.32  12.97  13.32  12.97  0010.10.80.1020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
39501  Repair diaphragm laceration                       A  13.89   6.14NA   5.82NA   6.14     5.82     1.78  21.81  21.49  21.81  21.49  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
39502  Repair paraesophageal hernia                      A  17.09   6.87NA   6.59NA   6.87     6.59     2.17  26.13  25.85  26.13  25.85  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
39503  Repair of diaphragm hernia                        A 108.67  30.40NA  27.41NA  30.40    27.41    10.98 150.05 147.06 150.05 147.06  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
39520  Repair of diaphragm hernia                        A  16.63   7.42NA   6.80NA   7.42     6.80     2.24  26.29  25.67  26.29  25.67  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
39530  Repair of diaphragm hernia                        A  16.22   6.68NA   6.23NA   6.68     6.23     2.11  25.01  24.56  25.01  24.56  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
39531  Repair of diaphragm hernia                        A  17.23   6.98NA   6.58NA   6.98     6.58     2.22  26.43  26.03  26.43  26.03  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
39540  Repair of diaphragm hernia                        A  14.51   5.96NA   5.70NA   5.96     5.70     1.80  22.27  22.01  22.27  22.01  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
39541  Repair of diaphragm hernia                        A  15.67   6.33NA   6.07NA   6.33     6.07     1.93  23.93  23.67  23.93  23.67  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
39545  Revision of diaphragm                             A  14.58   7.24NA   6.93NA   7.24     6.93     1.84  23.66  23.35  23.66  23.35  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
39560  Resect diaphragm, simple                          A  12.97   5.90NA   5.52NA   5.90     5.52     1.59  20.46  20.08  20.46  20.08  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
39561  Resect diaphragm, complex                         A  19.75   9.33NA   9.32NA   9.33     9.32     2.45  31.53  31.52  31.53  31.52  0090.09.84.0720210             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
40490  Biopsy of lip                                     A   1.22   1.85     2.08     0.59     0.58     0.05   3.12   3.35   1.86   1.85  0000.00.00.0020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
40500  Partial excision of lip                           A   4.35   7.40     7.91     4.35     4.36     0.38  12.13  12.64   9.08   9.09  0090.09.81.1020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
40510  Partial excision of lip                           A   4.74   6.68     6.74     3.82     3.62     0.49  11.91  11.97   9.05   8.85  0090.09.81.1020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
40520  Partial excision of lip                           A   4.71   7.27     7.00     3.97     3.82     0.52  12.50  12.23   9.20   9.05  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
40525  Reconstruct lip with flap                         A   7.61   5.82NA   5.33NA   5.82     5.33     0.85  14.28  13.79  14.28  13.79  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
40527  Reconstruct lip with flap                         A   9.20   6.75NA   6.14NA   6.75     6.14     0.97  16.92  16.31  16.92  16.31  0090.09.81.1020000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
40530  Partial removal of lip                            A   5.45   7.70     7.59     4.42     4.27     0.55  13.70  13.59  10.42  10.27  0090.09.81.1020100             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
40650  Repair lip                                        A   3.69   6.39     5.99     3.23     3.17     0.38  10.46  10.06   7.30   7.24  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
40652  Repair lip                                        A   4.32   7.50     7.26     4.19     4.12     0.52  12.34  12.10   9.03   8.96  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
40654  Repair lip                                        A   5.37   8.35     8.09     4.81     4.68     0.60  14.32  14.06  10.78  10.65  0090.09.81.1020100             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
40700  Repair cleft lip/nasal                            A  13.97   8.87NA   8.66NA   8.87     8.66     0.95  23.79  23.58  23.79  23.58  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
40701  Repair cleft lip/nasal                            A  17.03   9.58NA   7.82NA   9.58     7.82     1.65  28.26  26.50  28.26  26.50  0090.09.81.1022200             38.0870 090 99     0.00   0.00   0.00
40702  Repair cleft lip/nasal                            A  14.09   7.03NA   5.82NA   7.03     5.82     1.23  22.35  21.14  22.35  21.14  0090.09.81.1022200             38.0870 090 99     0.00   0.00   0.00
40720  Repair cleft lip/nasal                            A  14.54   9.71NA   9.53NA   9.71     9.53     1.80  26.05  25.87  26.05  25.87  0090.09.81.1021000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
40761  Repair cleft lip/nasal                            A  15.69   9.79NA   9.29NA   9.79     9.29     1.94  27.42  26.92  27.42  26.92  0090.09.81.1020100             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
40800  Drainage of mouth lesion                          A   1.19   3.40     3.84     1.83     1.88     0.13   4.72   5.16   3.15   3.20  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
40801  Drainage of mouth lesion                          A   2.57   4.45     4.88     2.66     2.58     0.31   7.33   7.76   5.54   5.46  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
40804  Removal, foreign body, mouth                      A   1.26   3.59     3.79     1.85     1.83     0.11   4.96   5.16   3.22   3.20  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
40805  Removal, foreign body, mouth                      A   2.73   4.81     5.14     2.74     2.66     0.32   7.86   8.19   5.79   5.71  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
40806  Incision of lip fold                              A   0.31   2.13     2.43     0.50     0.51     0.04   2.48   2.78   0.85   0.86  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
40808  Biopsy of mouth lesion                            A   0.98   3.13     3.61     1.55     1.62     0.10   4.21   4.69   2.63   2.70  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
40810  Excision of mouth lesion                          A   1.33   3.29     3.69     1.69     1.72     0.13   4.75   5.15   3.15   3.18  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
40812  Excise/repair mouth lesion                        A   2.33   4.13     4.54     2.34     2.28     0.28   6.74   7.15   4.95   4.89  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
40814  Excise/repair mouth lesion                        A   3.45   5.32     5.69     3.79     3.70     0.41   9.18   9.55   7.65   7.56  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
40816  Excision of mouth lesion                          A   3.70   5.54     5.91     3.89     3.77     0.40   9.64  10.01   7.99   7.87  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
40818  Excise oral mucosa for graft                      A   2.72   5.50     5.83     3.86     3.75     0.21   8.43   8.76   6.79   6.68  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
40819  Excise lip or cheek fold                          A   2.45   4.51     4.93     3.10     3.11     0.29   7.25   7.67   5.84   5.85  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
40820  Treatment of mouth lesion                         A   1.30   4.62     5.30     2.69     2.94     0.11   6.03   6.71   4.10   4.35  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
40830  Repair mouth laceration                           A   1.78   3.88     4.04     2.05     2.00     0.19   5.85   6.01   4.02   3.97  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
40831  Repair mouth laceration                           A   2.50   4.95     5.24     2.88     2.70     0.30   7.75   8.04   5.68   5.50  0010.10.80.1020000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
40840  Reconstruction of mouth                           R   9.03   9.91    10.03     6.28     5.59     1.08  20.02  20.14  16.39  15.70  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
40842  Reconstruction of mouth                           R   9.03  10.14    10.22     6.25     5.72     1.08  20.25  20.33  16.36  15.83  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
40843  Reconstruction of mouth                           R  12.62  11.65    11.34     6.78     5.75     1.39  25.66  25.35  20.79  19.76  0090.09.81.1022200             38.0870 090 99     0.00   0.00   0.00
40844  Reconstruction of mouth                           R  16.57  15.50    15.23    10.34     9.12     2.00  34.07  33.80  28.91  27.69  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
40845  Reconstruction of mouth                           R  19.13  16.55    16.04    11.72    10.22     2.01  37.69  37.18  32.86  31.36  0090.09.81.1020000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
41000  Drainage of mouth lesion                          A   1.32   2.44     2.56     1.37     1.33     0.12   3.88   4.00   2.81   2.77  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
41005  Drainage of mouth lesion                          A   1.28   3.83     4.33     1.75     1.77     0.12   5.23   5.73   3.15   3.17  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
41006  Drainage of mouth lesion                          A   3.28   5.11     5.44     3.00     2.82     0.35   8.74   9.07   6.63   6.45  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
41007  Drainage of mouth lesion                          A   3.14   5.24     5.35     2.87     2.72     0.31   8.69   8.80   6.32   6.17  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
41008  Drainage of mouth lesion                          A   3.40   5.10     5.52     3.02     2.85     0.42   8.92   9.34   6.84   6.67  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
41009  Drainage of mouth lesion                          A   3.63   5.40     5.83     3.36     3.15     0.47   9.50   9.93   7.46   7.25  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
41010  Incision of tongue fold                           A   1.08   3.66     3.90     1.58     1.56     0.07   4.81   5.05   2.73   2.71  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
41015  Drainage of mouth lesion                          A   4.00   5.85     6.29     4.06     3.98     0.46  10.31  10.75   8.52   8.44  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
41016  Drainage of mouth lesion                          A   4.11   5.92     6.23     4.15     4.07     0.53  10.56  10.87   8.79   8.71  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
41017  Drainage of mouth lesion                          A   4.11   6.01     6.37     4.21     4.12     0.53  10.65  11.01   8.85   8.76  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
41018  Drainage of mouth lesion                          A   5.14   6.45     6.76     4.53     4.48     0.68  12.27  12.58  10.35  10.30  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
41019  Place needles h&n for rt                          A   8.84   3.28NA   3.28NA   3.28     3.28     0.59  12.71  12.71  12.71  12.71  0000.00.00.0020011             38.0870 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             38.0870 090 99     0.00   0.00   0.00
41100  Biopsy of tongue                                  A   1.39   2.55     2.68     1.29     1.17     0.15   4.09   4.22   2.83   2.71  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
41105  Biopsy of tongue                                  A   1.44   2.49     2.68     1.26     1.20     0.13   4.06   4.25   2.83   2.77  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
41108  Biopsy of floor of mouth                          A   1.07   2.30     2.52     1.11     1.08     0.10   3.47   3.69   2.28   2.25  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
41110  Excision of tongue lesion                         A   1.53   3.32     3.66     1.64     1.65     0.13   4.98   5.32   3.30   3.31  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
41112  Excision of tongue lesion                         A   2.77   4.87     5.26     3.23     3.24     0.28   7.92   8.31   6.28   6.29  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
41113  Excision of tongue lesion                         A   3.23   5.13     5.52     3.43     3.39     0.34   8.70   9.09   7.00   6.96  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
41114  Excision of tongue lesion                         A   8.71   6.75NA   6.30NA   6.75     6.30     0.83  16.29  15.84  16.29  15.84  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
41115  Excision of tongue fold                           A   1.76   3.74     4.19     1.79     1.72     0.18   5.68   6.13   3.73   3.66  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
41116  Excision of mouth lesion                          A   2.47   4.96     5.56     2.80     2.80     0.23   7.66   8.26   5.50   5.50  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
41120  Partial removal of tongue                         A  10.91  14.83NA  14.34NA  14.83    14.34     0.79  26.53  26.04  26.53  26.04  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
41130  Partial removal of tongue                         A  15.51  16.05NA  15.89NA  16.05    15.89     0.93  32.49  32.33  32.49  32.33  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
41135  Tongue and neck surgery                           A  29.83  22.55NA  21.87NA  22.55    21.87     1.89  54.27  53.59  54.27  53.59  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
41140  Removal of tongue                                 A  28.81  25.14NA  23.59NA  25.14    23.59     2.27  56.22  54.67  56.22  54.67  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
41145  Tongue removal, neck surgery                      A  37.59  29.70NA  28.83NA  29.70    28.83     2.55  69.84  68.97  69.84  68.97  0090.09.81.1020210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
41150  Tongue, mouth, jaw surgery                        A  29.52  23.89NA  23.05NA  23.89    23.05     1.95  55.36  54.52  55.36  54.52  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
41153  Tongue, mouth, neck surgery                       A  33.28  24.49NA  23.95NA  24.49    23.95     2.01  59.78  59.24  59.78  59.24  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
41155  Tongue, jaw, & neck surgery                       A  43.96  27.22NA  27.62NA  27.22    27.62     2.34  73.52  73.92  73.52  73.92  0090.09.81.1020210             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
41250  Repair tongue laceration                          A   1.93   3.30     3.86     1.39     1.61     0.18   5.41   5.97   3.50   3.72  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
41251  Repair tongue laceration                          A   2.29   3.38     3.49     1.66     1.78     0.22   5.89   6.00   4.17   4.29  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
41252  Repair tongue laceration                          A   2.99   4.24     4.60     2.19     2.12     0.29   7.52   7.88   5.47   5.40  0010.10.80.1020000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
41500  Fixation of tongue                                A   3.74   7.49NA   7.53NA   7.49     7.53     0.30  11.53  11.57  11.53  11.57  0090.09.81.1020000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
41510  Tongue to lip surgery                             A   3.45   7.21NA   6.48NA   7.21     6.48     0.20  10.86  10.13  10.86  10.13  0090.09.81.1020000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
41520  Reconstruction, tongue fold                       A   2.77   5.22     5.81     3.44     3.26     0.27   8.26   8.85   6.48   6.30  0090.09.81.1020000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
4163F  Pt couns. 4 txmnt opt, prost                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
4164F  Adjv hrmnl thxpy 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             38.0870 090 99     0.00   0.00   0.00
4165F  3D-CRT/IMRT received                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
4167F  Hd Bed tilted, 1st day vent                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
4168F  Pt care, ICU&vent 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             38.0870 090 99     0.00   0.00   0.00
4169F  No pt care ICU/vent 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             38.0870 090 99     0.00   0.00   0.00
4171F  Pt. rcvng ESA 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             38.0870 090 99     0.00   0.00   0.00
4172F  Pt. not rcvng ESA 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             38.0870 090 99     0.00   0.00   0.00
4174F  Couns., potent. Glauc impct                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
4175F  Vis of >=20/40 w/in 90 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             38.0870 090 99     0.00   0.00   0.00
4176F  Talk re UV light, pt/crgvr                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
4177F  Talk pt/crgvr re: AREDS,prev                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
4178F  AntiD glbln rcvd w/in 26wks                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
4179F  Tamoxifen/AI prescribed                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
4180F  Adjv thxpyRxd/rcvd Stg3A-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             38.0870 090 99     0.00   0.00   0.00
41800  Drainage of gum lesion                            A   1.21   3.70     4.80     1.70     2.12     0.12   5.03   6.13   3.03   3.45  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
41805  Removal foreign body, gum                         A   1.28   3.66     4.64     2.46     2.70     0.13   5.07   6.05   3.87   4.11  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
41806  Removal foreign body,jawbone                      A   2.73   4.71     5.83     3.19     3.34     0.37   7.81   8.93   6.29   6.44  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
4181F  Conformal radn thxpy rcvd                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
4182F  No conformal radn 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
41822  Excision of gum lesion                            R   2.35   4.35     4.80     1.86     1.85     0.31   7.01   7.46   4.52   4.51  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
41823  Excision of gum lesion                            R   3.63   6.01     6.46     3.87     3.73     0.47  10.11  10.56   7.97   7.83  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
41825  Excision of gum lesion                            A   1.35   3.38     3.69     1.86     1.47     0.15   4.88   5.19   3.36   2.97  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
41826  Excision of gum lesion                            A   2.35   3.76     5.09     2.34     2.58     0.30   6.41   7.74   4.99   5.23  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
41827  Excision of gum lesion                            A   3.72   6.08     6.65     3.52     3.38     0.35  10.15  10.72   7.59   7.45  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
41828  Excision of gum lesion                            R   3.11   3.95     4.09     2.30     1.64     0.44   7.50   7.64   5.85   5.19  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
41830  Removal of gum tissue                             R   3.38   5.47     5.99     3.37     3.12     0.44   9.29   9.81   7.19   6.94  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
4185F  Continuous PPI or H2RA rcvd                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
4186F  No Cont. PPI or H2RA rcvd                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
4187F  Anti rheum DrugthxpyRxd/gvn                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
41872  Repair gum                                        R   2.90   5.53     6.05     3.38     3.31     0.30   8.73   9.25   6.58   6.51  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
41874  Repair tooth socket                               R   3.13   5.25     5.67     2.95     2.72     0.45   8.83   9.25   6.53   6.30  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
4188F  Approp ACE/ARB tstng 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             38.0870 090 99     0.00   0.00   0.00
4189F  Approp dogoxin tstng 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
4190F  Approp diuretic tstng 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             38.0870 090 99     0.00   0.00   0.00
4191F  Approp anticonvuls tstng                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
4200F  External beam to prost only                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
42000  Drainage mouth roof lesion                        A   1.25   2.52     2.48     1.23     1.21     0.12   3.89   3.85   2.60   2.58  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
4201F  Extrnl beam other than prost                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
4210F  ACE/ARB thxpy for >= 6 mons                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
42100  Biopsy roof of mouth                              A   1.33   2.18     2.27     1.31     1.26     0.13   3.64   3.73   2.77   2.72  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
42104  Excision lesion, mouth roof                       A   1.66   3.06     3.58     1.61     1.67     0.16   4.88   5.40   3.43   3.49  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
42106  Excision lesion, mouth roof                       A   2.12   3.84     4.45     2.26     2.07     0.25   6.21   6.82   4.63   4.44  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
42107  Excision lesion, mouth roof                       A   4.48   6.13     6.54     3.82     3.69     0.44  11.05  11.46   8.74   8.61  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
42120  Remove palate/lesion                              A  11.70  12.03NA  12.29NA  12.03    12.29     0.52  24.25  24.51  24.25  24.51  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
42140  Excision of uvula                                 A   1.65   4.15     4.58     2.11     2.12     0.13   5.93   6.36   3.89   3.90  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
42145  Repair palate, pharynx/uvula                      A   9.63   7.49NA   7.49NA   7.49     7.49     0.65  17.77  17.77  17.77  17.77  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
42160  Treatment mouth roof lesion                       A   1.82   4.01     3.78     1.99     1.69     0.17   6.00   5.77   3.98   3.68  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
42180  Repair palate                                     A   2.52   3.22     3.38     1.98     1.86     0.21   5.95   6.11   4.71   4.59  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
42182  Repair palate                                     A   3.84   3.93     3.99     2.71     2.40     0.40   8.17   8.23   6.95   6.64  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
4220F  Digoxin thxpy for >= 6 mons                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
42200  Reconstruct cleft palate                          A  12.41   9.42NA   8.63NA   9.42     8.63     1.27  23.10  22.31  23.10  22.31  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
42205  Reconstruct cleft palate                          A  13.57   8.72NA   7.37NA   8.72     7.37     1.58  23.87  22.52  23.87  22.52  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
4221F  Diuretic thxpy for >= 6 mons                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
42210  Reconstruct cleft palate                          A  14.91  10.86NA  10.25NA  10.86    10.25     2.17  27.94  27.33  27.94  27.33  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
42215  Reconstruct cleft palate                          A   8.88   8.25NA   7.42NA   8.25     7.42     1.31  18.44  17.61  18.44  17.61  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
42220  Reconstruct cleft palate                          A   7.07   7.00NA   7.22NA   7.00     7.22     0.73  14.80  15.02  14.80  15.02  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
42225  Reconstruct cleft palate                          A   9.66  14.66NA  12.25NA  14.66    12.25     0.86  25.18  22.77  25.18  22.77  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
42226  Lengthening of palate                             A  10.24  13.31NA  11.91NA  13.31    11.91     1.01  24.56  23.16  24.56  23.16  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
42227  Lengthening of palate                             A   9.81  13.39NA  11.22NA  13.39    11.22     0.98  24.18  22.01  24.18  22.01  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
42235  Repair palate                                     A   7.92  11.11NA  10.35NA  11.11    10.35     0.72  19.75  18.99  19.75  18.99  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
42260  Repair nose to lip fistula                        A  10.10   9.97     9.74     6.55     6.03     1.26  21.33  21.10  17.91  17.39  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
42280  Preparation, palate mold                          A   1.56   2.10     2.23     0.99     0.83     0.19   3.85   3.98   2.74   2.58  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
42281  Insertion, palate prosthesis                      A   1.95   2.83     3.03     1.78     1.69     0.17   4.95   5.15   3.90   3.81  0010.10.80.1020000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
4230F  Anticonv thxpy for >= 6 mons                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
42300  Drainage of salivary gland                        A   1.95   2.98     3.14     1.78     1.74     0.16   5.09   5.25   3.89   3.85  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
42305  Drainage of salivary gland                        A   6.23   4.36NA   3.99NA   4.36     3.99     0.51  11.10  10.73  11.10  10.73  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42310  Drainage of salivary gland                        A   1.58   2.28     2.29     1.46     1.39     0.13   3.99   4.00   3.17   3.10  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
42320  Drainage of salivary gland                        A   2.37   3.51     3.74     1.99     1.88     0.21   6.09   6.32   4.57   4.46  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
42330  Removal of salivary stone                         A   2.23   3.28     3.41     1.79     1.73     0.19   5.70   5.83   4.21   4.15  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
42335  Removal of salivary stone                         A   3.35   5.34     5.77     3.00     2.85     0.29   8.98   9.41   6.64   6.49  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
42340  Removal of salivary stone                         A   4.64   6.38     6.71     3.71     3.48     0.42  11.44  11.77   8.77   8.54  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42400  Biopsy of salivary gland                          A   0.78   1.82     2.00     0.68     0.65     0.06   2.66   2.84   1.52   1.49  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
42405  Biopsy of salivary gland                          A   3.31   3.98     3.97     2.30     2.15     0.28   7.57   7.56   5.89   5.74  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
42408  Excision of salivary cyst                         A   4.58   6.17     6.42     3.44     3.27     0.45  11.20  11.45   8.47   8.30  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42409  Drainage of salivary cyst                         A   2.85   4.92     5.32     2.65     2.53     0.27   8.04   8.44   5.77   5.65  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
42410  Excise parotid gland/lesion                       A   9.46   5.80NA   5.37NA   5.80     5.37     0.91  16.17  15.74  16.17  15.74  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
42415  Excise parotid gland/lesion                       A  17.99   9.75NA   8.63NA   9.75     8.63     1.43  29.17  28.05  29.17  28.05  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
42420  Excise parotid gland/lesion                       A  20.87  10.98NA   9.58NA  10.98     9.58     1.65  33.50  32.10  33.50  32.10  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
42425  Excise parotid gland/lesion                       A  13.31   7.72NA   6.84NA   7.72     6.84     1.05  22.08  21.20  22.08  21.20  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
42426  Excise parotid gland/lesion                       A  22.54  11.52NA  10.01NA  11.52    10.01     1.81  35.87  34.36  35.87  34.36  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
42440  Excise submaxillary gland                         A   7.05   4.33NA   3.86NA   4.33     3.86     0.59  11.97  11.50  11.97  11.50  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
42450  Excise sublingual gland                           A   4.66   6.14     6.38     4.14     4.03     0.42  11.22  11.46   9.22   9.11  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42500  Repair salivary duct                              A   4.34   5.90     6.12     4.02     3.86     0.41  10.65  10.87   8.77   8.61  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42505  Repair salivary duct                              A   6.23   7.20     7.28     5.04     4.71     0.55  13.98  14.06  11.82  11.49  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
42507  Parotid duct diversion                            A   6.16   6.44NA   6.34NA   6.44     6.34     0.49  13.09  12.99  13.09  12.99  0090.09.81.1022200             38.0870 090 99     0.00   0.00   0.00
42508  Parotid duct diversion                            A   9.22   8.21NA   8.08NA   8.21     8.08     1.04  18.47  18.34  18.47  18.34  0090.09.81.1022200             38.0870 090 99     0.00   0.00   0.00
42509  Parotid duct diversion                            A  11.65   9.56NA   8.92NA   9.56     8.92     0.93  22.14  21.50  22.14  21.50  0090.09.81.1022000             38.0870 090 99     0.00   0.00   0.00
42510  Parotid duct diversion                            A   8.26   7.35NA   6.90NA   7.35     6.90     0.66  16.27  15.82  16.27  15.82  0090.09.81.1022210             38.0870 090 99     0.00   0.00   0.00
42550  Injection for salivary x-ray                      A   1.25   2.75     2.28     0.43     0.44     0.07   4.07   3.60   1.75   1.76  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
42600  Closure of salivary fistula                       A   4.86   6.58     6.57     3.77     3.43     0.43  11.87  11.86   9.06   8.72  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42650  Dilation of salivary duct                         A   0.77   1.19     1.29     0.68     0.66     0.07   2.03   2.13   1.52   1.50  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
42660  Dilation of salivary duct                         A   1.13   1.40     1.46     0.80     0.75     0.09   2.62   2.68   2.02   1.97  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
42665  Ligation of salivary duct                         A   2.57   4.59     5.00     2.50     2.40     0.23   7.39   7.80   5.30   5.20  0090.09.81.1020000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
42700  Drainage of tonsil abscess                        A   1.64   2.81     2.97     1.67     1.65     0.13   4.58   4.74   3.44   3.42  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
42720  Drainage of throat abscess                        A   6.31   4.76     4.70     3.48     3.17     0.44  11.51  11.45  10.23   9.92  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
42725  Drainage of throat abscess                        A  12.28   7.65NA   7.09NA   7.65     7.09     0.91  20.84  20.28  20.84  20.28  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
42800  Biopsy of throat                                  A   1.41   2.33     2.47     1.35     1.30     0.11   3.85   3.99   2.87   2.82  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
42802  Biopsy of throat                                  A   1.56   4.45     4.14     1.87     1.67     0.12   6.13   5.82   3.55   3.35  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
42804  Biopsy of upper nose/throat                       A   1.26   3.66     3.59     1.62     1.50     0.10   5.02   4.95   2.98   2.86  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
42806  Biopsy of upper nose/throat                       A   1.60   3.95     3.83     1.77     1.61     0.13   5.68   5.56   3.50   3.34  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
42808  Excise pharynx lesion                             A   2.32   3.16     3.22     1.77     1.60     0.19   5.67   5.73   4.28   4.11  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
42809  Remove pharynx foreign body                       A   1.83   2.28     2.23     1.32     1.32     0.16   4.27   4.22   3.31   3.31  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
42810  Excision of neck cyst                             A   3.30   5.97     6.23     3.64     3.73     0.29   9.56   9.82   7.23   7.32  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
42815  Excision of neck cyst                             A   7.23   6.34NA   6.26NA   6.34     6.26     0.61  14.18  14.10  14.18  14.10  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
42820  Remove tonsils and adenoids                       A   4.17   3.07NA   2.85NA   3.07     2.85     0.31   7.55   7.33   7.55   7.33  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42821  Remove tonsils and adenoids                       A   4.31   3.25NA   2.99NA   3.25     2.99     0.35   7.91   7.65   7.91   7.65  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42825  Removal of tonsils                                A   3.45   3.04NA   2.90NA   3.04     2.90     0.25   6.74   6.60   6.74   6.60  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42826  Removal of tonsils                                A   3.40   2.86NA   2.69NA   2.86     2.69     0.27   6.53   6.36   6.53   6.36  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
42830  Removal of adenoids                               A   2.60   2.50NA   2.43NA   2.50     2.43     0.20   5.30   5.23   5.30   5.23  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42831  Removal of adenoids                               A   2.75   2.75NA   2.66NA   2.75     2.66     0.22   5.72   5.63   5.72   5.63  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42835  Removal of adenoids                               A   2.33   2.12NA   1.78NA   2.12     1.78     0.21   4.66   4.32   4.66   4.32  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42836  Removal of adenoids                               A   3.21   2.81NA   2.65NA   2.81     2.65     0.26   6.28   6.12   6.28   6.12  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42842  Extensive surgery of throat                       A  12.02  11.52NA  12.05NA  11.52    12.05     0.71  24.25  24.78  24.25  24.78  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42844  Extensive surgery of throat                       A  17.57  15.86NA  15.48NA  15.86    15.48     1.16  34.59  34.21  34.59  34.21  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
42845  Extensive surgery of throat                       A  32.35  22.18NA  21.17NA  22.18    21.17     1.99  56.52  55.51  56.52  55.51  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
42860  Excision of tonsil tags                           A   2.25   2.35NA   2.30NA   2.35     2.30     0.18   4.78   4.73   4.78   4.73  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42870  Excision of lingual tonsil                        A   5.44   8.64NA   8.71NA   8.64     8.71     0.44  14.52  14.59  14.52  14.59  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
42890  Partial removal of pharynx                        A  18.92  14.71NA  15.26NA  14.71    15.26     1.05  34.68  35.23  34.68  35.23  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
42892  Revision of pharyngeal walls                      A  25.77  18.20NA  19.22NA  18.20    19.22     1.28  45.25  46.27  45.25  46.27  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
42894  Revision of pharyngeal walls                      A  33.61  22.79NA  23.55NA  22.79    23.55     1.87  58.27  59.03  58.27  59.03  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
42900  Repair throat wound                               A   5.26   3.31NA   2.96NA   3.31     2.96     0.50   9.07   8.72   9.07   8.72  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
42950  Reconstruction of throat                          A   8.16  11.47NA  11.08NA  11.47    11.08     0.72  20.35  19.96  20.35  19.96  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
42953  Repair throat, esophagus                          A   9.33  15.56NA  13.79NA  15.56    13.79     0.88  25.77  24.00  25.77  24.00  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
42955  Surgical opening of throat                        A   7.92  10.39NA  10.11NA  10.39    10.11     0.80  19.11  18.83  19.11  18.83  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
42960  Control throat bleeding                           A   2.35   1.84NA   1.72NA   1.84     1.72     0.19   4.38   4.26   4.38   4.26  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
42961  Control throat bleeding                           A   5.69   4.72NA   4.49NA   4.72     4.49     0.45  10.86  10.63  10.86  10.63  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
42962  Control throat bleeding                           A   7.31   5.55NA   5.19NA   5.55     5.19     0.58  13.44  13.08  13.44  13.08  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
42970  Control nose/throat bleeding                      A   5.76   3.88NA   3.59NA   3.88     3.59     0.39  10.03   9.74  10.03   9.74  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
42971  Control nose/throat bleeding                      A   6.54   4.81NA   4.51NA   4.81     4.51     0.51  11.86  11.56  11.86  11.56  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
42972  Control nose/throat bleeding                      A   7.53   5.35NA   4.99NA   5.35     4.99     0.62  13.50  13.14  13.50  13.14  0090.09.81.1020200             38.0870 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             38.0870 090 99     0.00   0.00   0.00
43020  Incision of esophagus                             A   8.14   5.00NA   4.58NA   5.00     4.58     0.87  14.01  13.59  14.01  13.59  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43030  Throat muscle surgery                             A   7.91   5.01NA   4.52NA   5.01     4.52     0.70  13.62  13.13  13.62  13.13  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43045  Incision of esophagus                             A  21.70  10.01NA   9.31NA  10.01     9.31     2.59  34.30  33.60  34.30  33.60  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43100  Excision of esophagus lesion                      A   9.55   5.72NA   5.21NA   5.72     5.21     0.93  16.20  15.69  16.20  15.69  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43101  Excision of esophagus lesion                      A  16.99   7.53NA   7.17NA   7.53     7.17     2.32  26.84  26.48  26.84  26.48  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43107  Removal of esophagus                              A  43.97  17.27NA  16.27NA  17.27    16.27     5.24  66.48  65.48  66.48  65.48  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43108  Removal of esophagus                              A  82.66  19.35NA  24.49NA  19.35    24.49     4.08 106.09 111.23 106.09 111.23  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43112  Removal of esophagus                              A  47.27  18.20NA  17.02NA  18.20    17.02     5.81  71.28  70.10  71.28  70.10  0090.09.81.1020220             38.0870 090 99     0.00   0.00   0.00
43113  Removal of esophagus                              A  79.85  20.24NA  25.37NA  20.24    25.37     4.43 104.52 109.65 104.52 109.65  0090.09.81.1020220             38.0870 090 99     0.00   0.00   0.00
43116  Partial removal of esophagus                      A  92.78  23.52NA  30.34NA  23.52    30.34     3.06 119.36 126.18 119.36 126.18  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43117  Partial removal of esophagus                      A  43.52  16.22NA  15.16NA  16.22    15.16     5.19  64.93  63.87  64.93  63.87  0090.09.81.1020220             38.0870 090 99     0.00   0.00   0.00
43118  Partial removal of esophagus                      A  66.86  17.66NA  21.53NA  17.66    21.53     4.11  88.63  92.50  88.63  92.50  0090.09.81.1020220             38.0870 090 99     0.00   0.00   0.00
43121  Partial removal of esophagus                      A  51.22  15.98NA  18.29NA  15.98    18.29     3.91  71.11  73.42  71.11  73.42  0090.09.81.1020220             38.0870 090 99     0.00   0.00   0.00
43122  Partial removal of esophagus                      A  43.97  16.51NA  15.62NA  16.51    15.62     5.42  65.90  65.01  65.90  65.01  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43123  Partial removal of esophagus                      A  82.91  19.95NA  25.78NA  19.95    25.78     4.16 107.02 112.85 107.02 112.85  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43124  Removal of esophagus                              A  68.83  18.73NA  24.37NA  18.73    24.37     3.74  91.30  96.94  91.30  96.94  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43130  Removal of esophagus pouch                        A  12.41   6.97NA   6.38NA   6.97     6.38     1.16  20.54  19.95  20.54  19.95  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43135  Removal of esophagus pouch                        A  26.09   9.01NA   9.93NA   9.01     9.93     2.34  37.44  38.36  37.44  38.36  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43200  Esophagus endoscopy                               A   1.59   3.93     3.73     1.02     0.98     0.13   5.65   5.45   2.74   2.70  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
43201  Esoph scope w/submucous inj                       A   2.09   5.13     5.63     1.15     1.19     0.15   7.37   7.87   3.39   3.43  0000.00.00.0030100       43200 38.0870 090 99     0.00   0.00   0.00
43202  Esophagus endoscopy, biopsy                       A   1.89   5.36     5.17     0.96     0.98     0.15   7.40   7.21   3.00   3.02  0000.00.00.0030100       43200 38.0870 090 99     0.00   0.00   0.00
43204  Esoph scope w/sclerosis inj                       A   3.76   1.76NA   2.01NA   1.76     2.01     0.30   5.82   6.07   5.82   6.07  0000.00.00.0030100       43200 38.0870 090 99     0.00   0.00   0.00
43205  Esophagus endoscopy/ligation                      A   3.78   1.79NA   2.06NA   1.79     2.06     0.28   5.85   6.12   5.85   6.12  0000.00.00.0030000       43200 38.0870 090 99     0.00   0.00   0.00
43215  Esophagus endoscopy                               A   2.60   1.24NA   1.29NA   1.24     1.29     0.22   4.06   4.11   4.06   4.11  0000.00.00.0030100       43200 38.0870 090 99     0.00   0.00   0.00
43216  Esophagus endoscopy/lesion                        A   2.40   2.07     3.08     1.16     1.26     0.20   4.67   5.68   3.76   3.86  0000.00.00.0030000       43200 38.0870 090 99     0.00   0.00   0.00
43217  Esophagus endoscopy                               A   2.90   6.77     6.58     1.28     1.38     0.26   9.93   9.74   4.44   4.54  0000.00.00.0030100       43200 38.0870 090 99     0.00   0.00   0.00
43219  Esophagus endoscopy                               A   2.80   1.45NA   1.55NA   1.45     1.55     0.24   4.49   4.59   4.49   4.59  0000.00.00.0030100       43200 38.0870 090 99     0.00   0.00   0.00
43220  Esoph endoscopy, dilation                         A   2.10   1.05NA   1.13NA   1.05     1.13     0.17   3.32   3.40   3.32   3.40  0000.00.00.0030100       43200 38.0870 090 99     0.00   0.00   0.00
43226  Esoph endoscopy, dilation                         A   2.34   1.16NA   1.29NA   1.16     1.29     0.19   3.69   3.82   3.69   3.82  0000.00.00.0030100       43200 38.0870 090 99     0.00   0.00   0.00
43227  Esoph endoscopy, repair                           A   3.59   1.61NA   1.77NA   1.61     1.77     0.28   5.48   5.64   5.48   5.64  0000.00.00.0030100       43200 38.0870 090 99     0.00   0.00   0.00
43228  Esoph endoscopy, ablation                         A   3.76   1.72NA   1.89NA   1.72     1.89     0.34   5.82   5.99   5.82   5.99  0000.00.00.0030100       43200 38.0870 090 99     0.00   0.00   0.00
43231  Esoph endoscopy w/us exam                         A   3.19   1.53NA   1.76NA   1.53     1.76     0.23   4.95   5.18   4.95   5.18  0000.00.00.0030020       43235 38.0870 090 99     0.00   0.00   0.00
43232  Esoph endoscopy w/us fn bx                        A   4.47   2.10NA   2.39NA   2.10     2.39     0.34   6.91   7.20   6.91   7.20  0000.00.00.0030020       43235 38.0870 090 99     0.00   0.00   0.00
43234  Upper GI endoscopy, exam                          A   2.01   5.16     4.98     0.94     1.02     0.17   7.34   7.16   3.12   3.20  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
43235  Uppr gi endoscopy, diagnosis                      A   2.39   5.23     5.29     1.18     1.35     0.19   7.81   7.87   3.76   3.93  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
43236  Uppr gi scope w/submuc inj                        A   2.92   6.56     6.72     1.43     1.65     0.21   9.69   9.85   4.56   4.78  0000.00.00.0030100       43235 38.0870 090 99     0.00   0.00   0.00
43237  Endoscopic us exam, esoph                         A   3.98   1.88NA   2.16NA   1.88     2.16     0.43   6.29   6.57   6.29   6.57  0000.00.00.0030000       43235 38.0870 090 99     0.00   0.00   0.00
43238  Uppr gi endoscopy w/us fn bx                      A   5.02   2.27NA   2.57NA   2.27     2.57     0.43   7.72   8.02   7.72   8.02  0000.00.00.0030000       43235 38.0870 090 99     0.00   0.00   0.00
43239  Upper GI endoscopy, biopsy                        A   2.87   5.89     6.06     1.37     1.56     0.22   8.98   9.15   4.46   4.65  0000.00.00.0030100       43235 38.0870 090 99     0.00   0.00   0.00
43240  Esoph endoscope w/drain cyst                      A   6.85   2.95NA   3.29NA   2.95     3.29     0.56  10.36  10.70  10.36  10.70  0000.00.00.0030100       43235 38.0870 090 99     0.00   0.00   0.00
43241  Upper GI endoscopy with tube                      A   2.59   1.25NA   1.40NA   1.25     1.40     0.21   4.05   4.20   4.05   4.20  0000.00.00.0030100       43235 38.0870 090 99     0.00   0.00   0.00
43242  Uppr gi endoscopy w/us fn bx                      A   7.30   3.21NA   3.68NA   3.21     3.68     0.53  11.04  11.51  11.04  11.51  0000.00.00.0030000       43235 38.0870 090 99     0.00   0.00   0.00
43243  Upper gi endoscopy & inject                       A   4.56   2.08NA   2.36NA   2.08     2.36     0.33   6.97   7.25   6.97   7.25  0000.00.00.0030100       43235 38.0870 090 99     0.00   0.00   0.00
43244  Upper GI endoscopy/ligation                       A   5.04   2.31NA   2.65NA   2.31     2.65     0.37   7.72   8.06   7.72   8.06  0000.00.00.0030000       43235 38.0870 090 99     0.00   0.00   0.00
43245  Uppr gi scope dilate strictr                      A   3.18   1.46NA   1.63NA   1.46     1.63     0.26   4.90   5.07   4.90   5.07  0000.00.00.0030100       43235 38.0870 090 99     0.00   0.00   0.00
43246  Place gastrostomy tube                            A   4.32   1.90NA   2.11NA   1.90     2.11     0.34   6.56   6.77   6.56   6.77  0000.00.00.0030020       43235 38.0870 090 99     0.00   0.00   0.00
43247  Operative upper GI endoscopy                      A   3.38   1.58NA   1.79NA   1.58     1.79     0.27   5.23   5.44   5.23   5.44  0000.00.00.0030100       43235 38.0870 090 99     0.00   0.00   0.00
43248  Uppr gi endoscopy/guide wire                      A   3.15   1.54NA   1.77NA   1.54     1.77     0.23   4.92   5.15   4.92   5.15  0000.00.00.0030100       43235 38.0870 090 99     0.00   0.00   0.00
43249  Esoph endoscopy, dilation                         A   2.90   1.41NA   1.62NA   1.41     1.62     0.22   4.53   4.74   4.53   4.74  0000.00.00.0030100       43235 38.0870 090 99     0.00   0.00   0.00
43250  Upper GI endoscopy/tumor                          A   3.20   1.46NA   1.61NA   1.46     1.61     0.26   4.92   5.07   4.92   5.07  0000.00.00.0030100       43235 38.0870 090 99     0.00   0.00   0.00
43251  Operative upper GI endoscopy                      A   3.69   1.70NA   1.92NA   1.70     1.92     0.29   5.68   5.90   5.68   5.90  0000.00.00.0030100       43235 38.0870 090 99     0.00   0.00   0.00
43255  Operative upper GI endoscopy                      A   4.81   2.21NA   2.53NA   2.21     2.53     0.35   7.37   7.69   7.37   7.69  0000.00.00.0030100       43235 38.0870 090 99     0.00   0.00   0.00
43256  Uppr gi endoscopy w/stent                         A   4.34   1.98NA   2.25NA   1.98     2.25     0.32   6.64   6.91   6.64   6.91  0000.00.00.0030100       43235 38.0870 090 99     0.00   0.00   0.00
43257  Uppr gi scope w/thrml txmnt                       A   5.50   2.17NA   2.14NA   2.17     2.14     0.36   8.03   8.00   8.03   8.00  0000.00.00.0030100       43235 38.0870 090 99     0.00   0.00   0.00
43258  Operative upper GI endoscopy                      A   4.54   2.08NA   2.37NA   2.08     2.37     0.33   6.95   7.24   6.95   7.24  0000.00.00.0030100       43235 38.0870 090 99     0.00   0.00   0.00
43259  Endoscopic ultrasound exam                        A   5.19   2.34NA   2.69NA   2.34     2.69     0.35   7.88   8.23   7.88   8.23  0000.00.00.0030000       43235 38.0870 090 99     0.00   0.00   0.00
43260  Endo cholangiopancreatograph                      A   5.95   2.67NA   3.06NA   2.67     3.06     0.43   9.05   9.44   9.05   9.44  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
43261  Endo cholangiopancreatograph                      A   6.26   2.80NA   3.20NA   2.80     3.20     0.46   9.52   9.92   9.52   9.92  0000.00.00.0030100       43260 38.0870 090 99     0.00   0.00   0.00
43262  Endo cholangiopancreatograph                      A   7.38   3.26NA   3.73NA   3.26     3.73     0.54  11.18  11.65  11.18  11.65  0000.00.00.0030100       43260 38.0870 090 99     0.00   0.00   0.00
43263  Endo cholangiopancreatograph                      A   7.28   3.20NA   3.64NA   3.20     3.64     0.54  11.02  11.46  11.02  11.46  0000.00.00.0030100       43260 38.0870 090 99     0.00   0.00   0.00
43264  Endo cholangiopancreatograph                      A   8.89   3.88NA   4.44NA   3.88     4.44     0.65  13.42  13.98  13.42  13.98  0000.00.00.0030100       43260 38.0870 090 99     0.00   0.00   0.00
43265  Endo cholangiopancreatograph                      A  10.00   4.34NA   4.99NA   4.34     4.99     0.73  15.07  15.72  15.07  15.72  0000.00.00.0030100       43260 38.0870 090 99     0.00   0.00   0.00
43267  Endo cholangiopancreatograph                      A   7.38   3.09NA   3.39NA   3.09     3.39     0.54  11.01  11.31  11.01  11.31  0000.00.00.0030100       43260 38.0870 090 99     0.00   0.00   0.00
43268  Endo cholangiopancreatograph                      A   7.38   3.39NA   3.89NA   3.39     3.89     0.54  11.31  11.81  11.31  11.81  0000.00.00.0030100       43260 38.0870 090 99     0.00   0.00   0.00
43269  Endo cholangiopancreatograph                      A   8.20   3.59NA   4.10NA   3.59     4.10     0.60  12.39  12.90  12.39  12.90  0000.00.00.0030100       43260 38.0870 090 99     0.00   0.00   0.00
43271  Endo cholangiopancreatograph                      A   7.38   3.25NA   3.71NA   3.25     3.71     0.54  11.17  11.63  11.17  11.63  0000.00.00.0030100       43260 38.0870 090 99     0.00   0.00   0.00
43272  Endo cholangiopancreatograph                      A   7.38   3.28NA   3.78NA   3.28     3.78     0.54  11.20  11.70  11.20  11.70  0000.00.00.0030000       43260 38.0870 090 99     0.00   0.00   0.00
43280  Laparoscopy, fundoplasty                          A  18.00   6.96NA   6.66NA   6.96     6.66     2.28  27.24  26.94  27.24  26.94  0090.09.81.1020210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
43300  Repair of esophagus                               A   9.21   5.90NA   5.41NA   5.90     5.41     1.12  16.23  15.74  16.23  15.74  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43305  Repair esophagus and fistula                      A  17.98   9.52NA   8.34NA   9.52     8.34     1.54  29.04  27.86  29.04  27.86  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43310  Repair of esophagus                               A  26.18  10.44NA   9.82NA  10.44     9.82     3.61  40.23  39.61  40.23  39.61  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43312  Repair esophagus and fistula                      A  29.23  11.09NA  10.28NA  11.09    10.28     4.01  44.33  43.52  44.33  43.52  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43313  Esophagoplasty congenital                         A  48.17  18.15NA  17.48NA  18.15    17.48     5.47  71.79  71.12  71.79  71.12  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43314  Tracheo-esophagoplasty cong                       A  53.15  17.15NA  15.11NA  17.15    15.11     6.65  76.95  74.91  76.95  74.91  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43320  Fuse esophagus & stomach                          A  23.18   8.91NA   8.61NA   8.91     8.61     2.74  34.83  34.53  34.83  34.53  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43324  Revise esophagus & stomach                        A  22.86   8.56NA   8.35NA   8.56     8.35     2.76  34.18  33.97  34.18  33.97  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43325  Revise esophagus & stomach                        A  22.47   8.59NA   8.39NA   8.59     8.39     2.60  33.66  33.46  33.66  33.46  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43326  Revise esophagus & stomach                        A  22.15   9.25NA   9.21NA   9.25     9.21     2.85  34.25  34.21  34.25  34.21  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43330  Repair of esophagus                               A  22.06   8.32NA   8.10NA   8.32     8.10     2.63  33.01  32.79  33.01  32.79  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43331  Repair of esophagus                               A  22.93   9.81NA   9.83NA   9.81     9.83     2.94  35.68  35.70  35.68  35.70  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43340  Fuse esophagus & intestine                        A  22.86   9.13NA   9.28NA   9.13     9.28     2.46  34.45  34.60  34.45  34.60  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43341  Fuse esophagus & intestine                        A  24.10   9.84NA   9.66NA   9.84     9.66     2.92  36.86  36.68  36.86  36.68  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43350  Surgical opening, esophagus                       A  19.31   8.60NA   8.76NA   8.60     8.76     1.42  29.33  29.49  29.33  29.49  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43351  Surgical opening, esophagus                       A  21.87  10.33NA  10.87NA  10.33    10.87     2.47  34.67  35.21  34.67  35.21  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43352  Surgical opening, esophagus                       A  17.68   8.17NA   7.95NA   8.17     7.95     2.06  27.91  27.69  27.91  27.69  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43360  Gastrointestinal repair                           A  39.90  14.99NA  14.90NA  14.99    14.90     4.97  59.86  59.77  59.86  59.77  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43361  Gastrointestinal repair                           A  45.50  17.52NA  18.15NA  17.52    18.15     4.50  67.52  68.15  67.52  68.15  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43400  Ligate esophagus veins                            A  25.47  11.52NA  13.60NA  11.52    13.60     1.96  38.95  41.03  38.95  41.03  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43401  Esophagus surgery for veins                       A  26.36   9.52NA   9.55NA   9.52     9.55     3.05  38.93  38.96  38.93  38.96  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43405  Ligate/staple esophagus                           A  24.55  10.13NA  10.68NA  10.13    10.68     2.84  37.52  38.07  37.52  38.07  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43410  Repair esophagus wound                            A  16.28   7.65NA   7.67NA   7.65     7.67     1.72  25.65  25.67  25.65  25.67  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43415  Repair esophagus wound                            A  28.70  11.79NA  11.84NA  11.79    11.84     3.53  44.02  44.07  44.02  44.07  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43420  Repair esophagus opening                          A  16.65   7.44NA   7.48NA   7.44     7.48     1.43  25.52  25.56  25.52  25.56  0090.09.81.1020010             38.0870 090 99     0.00   0.00   0.00
43425  Repair esophagus opening                          A  24.91  10.22NA  10.46NA  10.22    10.46     3.03  38.16  38.40  38.16  38.40  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43450  Dilate esophagus                                  A   1.38   2.66     2.68     0.81     0.93     0.11   4.15   4.17   2.30   2.42  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
43453  Dilate esophagus                                  A   1.51   6.19     6.31     0.87     1.01     0.11   7.81   7.93   2.49   2.63  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
43456  Dilate esophagus                                  A   2.57  13.39    13.02     1.27     1.45     0.20  16.16  15.79   4.04   4.22  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
43458  Dilate esophagus                                  A   3.06   6.79     6.93     1.44     1.59     0.24  10.09  10.23   4.74   4.89  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
43460  Pressure treatment esophagus                      A   3.79   1.62NA   1.76NA   1.62     1.76     0.31   5.72   5.86   5.72   5.86  0000.00.00.0020100             38.0870 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             38.0870 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.00.00.0020111             38.0870 090 99     0.00   0.00   0.00
43500  Surgical opening of stomach                       A  12.71   5.13NA   5.29NA   5.13     5.29     1.45  19.29  19.45  19.29  19.45  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43501  Surgical repair of stomach                        A  22.47   8.20NA   8.10NA   8.20     8.10     2.65  33.32  33.22  33.32  33.22  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43502  Surgical repair of stomach                        A  25.56   9.22NA   8.97NA   9.22     8.97     3.10  37.88  37.63  37.88  37.63  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43510  Surgical opening of stomach                       A  15.01   7.86NA   9.14NA   7.86     9.14     1.48  24.35  25.63  24.35  25.63  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43520  Incision of pyloric muscle                        A  11.21   5.04NA   4.82NA   5.04     4.82     1.36  17.61  17.39  17.61  17.39  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43600  Biopsy of stomach                                 A   1.91   0.71NA   0.77NA   0.71     0.77     0.14   2.76   2.82   2.76   2.82  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
43605  Biopsy of stomach                                 A  13.64   5.32NA   5.36NA   5.32     5.36     1.58  20.54  20.58  20.54  20.58  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43610  Excision of stomach lesion                        A  16.26   6.09NA   6.03NA   6.09     6.03     1.94  24.29  24.23  24.29  24.23  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43611  Excision of stomach lesion                        A  20.25   7.53NA   7.49NA   7.53     7.49     2.36  30.14  30.10  30.14  30.10  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43620  Removal of stomach                                A  33.91  11.45NA  11.10NA  11.45    11.10     3.96  49.32  48.97  49.32  48.97  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43621  Removal of stomach                                A  39.40  12.19NA  12.41NA  12.19    12.41     4.04  55.63  55.85  55.63  55.85  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43622  Removal of stomach                                A  39.90  12.55NA  12.51NA  12.55    12.51     4.30  56.75  56.71  56.75  56.71  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43631  Removal of stomach, partial                       A  24.38   8.88NA   8.59NA   8.88     8.59     2.99  36.25  35.96  36.25  35.96  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43632  Removal of stomach, partial                       A  35.01  10.22NA  11.28NA  10.22    11.28     2.99  48.22  49.28  48.22  49.28  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43633  Removal of stomach, partial                       A  33.01  10.04NA  10.76NA  10.04    10.76     3.06  46.11  46.83  46.11  46.83  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43634  Removal of stomach, partial                       A  36.51  10.94NA  11.79NA  10.94    11.79     3.33  50.78  51.63  50.78  51.63  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43635  Removal of stomach, partial                       A   2.06   0.61NA   0.52NA   0.61     0.52     0.27   2.94   2.85   2.94   2.85  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
43640  Vagotomy & pylorus repair                         A  19.43   7.30NA   7.34NA   7.30     7.34     2.26  28.99  29.03  28.99  29.03  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43641  Vagotomy & pylorus repair                         A  19.68   7.50NA   7.63NA   7.50     7.63     2.25  29.43  29.56  29.43  29.56  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43644  Lap gastric bypass/roux-en-y                      A  29.24  10.66NA  10.11NA  10.66    10.11     3.16  43.06  42.51  43.06  42.51  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43645  Lap gastr bypass incl smll i                      A  31.37  11.25NA  10.49NA  11.25    10.49     3.54  46.16  45.40  46.16  45.40  0090.09.81.1020210             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
43651  Laparoscopy, vagus nerve                          A  10.13   4.69NA   4.62NA   4.69     4.62     1.33  16.15  16.08  16.15  16.08  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
43652  Laparoscopy, vagus nerve                          A  12.13   5.49NA   5.23NA   5.49     5.23     1.55  19.17  18.91  19.17  18.91  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
43653  Laparoscopy, gastrostomy                          A   8.38   4.32NA   4.47NA   4.32     4.47     1.01  13.71  13.86  13.71  13.86  0090.09.81.1020210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
43752  Nasal/orogastric w/stent                          A   0.81   0.26NA   0.27NA   0.26     0.27     0.02   1.09   1.10   1.09   1.10  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
43760  Change gastrostomy tube                           A   0.90   4.04     5.99     0.39     0.33     0.09   5.03   6.98   1.38   1.32  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
43761  Reposition gastrostomy tube                       A   2.01   1.10     1.04     0.68     0.70     0.13   3.24   3.18   2.82   2.84  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
43770  Lap place gastr adj device                        A  17.85   7.56NA   7.40NA   7.56     7.40     2.19  27.60  27.44  27.60  27.44  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43771  Lap revise gastr adj device                       A  20.64   8.36NA   8.13NA   8.36     8.13     2.55  31.55  31.32  31.55  31.32  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
43772  Lap rmvl gastr adj device                         A  15.62   6.21NA   6.00NA   6.21     6.00     1.93  23.76  23.55  23.76  23.55  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43773  Lap replace gastr adj device                      A  20.64   8.35NA   8.11NA   8.35     8.11     2.56  31.55  31.31  31.55  31.31  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43774  Lap rmvl gastr adj all parts                      A  15.66   6.37NA   6.18NA   6.37     6.18     1.85  23.88  23.69  23.88  23.69  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
43800  Reconstruction of pylorus                         A  15.35   5.86NA   5.82NA   5.86     5.82     1.82  23.03  22.99  23.03  22.99  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43810  Fusion of stomach and bowel                       A  16.80   6.16NA   6.14NA   6.16     6.14     1.94  24.90  24.88  24.90  24.88  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43820  Fusion of stomach and bowel                       A  22.40   7.24NA   8.08NA   7.24     8.08     2.04  31.68  32.52  31.68  32.52  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43825  Fusion of stomach and bowel                       A  21.63   7.96NA   7.90NA   7.96     7.90     2.54  32.13  32.07  32.13  32.07  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43830  Place gastrostomy tube                            A  10.75   5.01NA   5.17NA   5.01     5.17     1.25  17.01  17.17  17.01  17.17  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43831  Place gastrostomy tube                            A   8.38   4.72NA   4.93NA   4.72     4.93     1.03  14.13  14.34  14.13  14.34  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43832  Place gastrostomy tube                            A  17.26   6.96NA   7.07NA   6.96     7.07     1.98  26.20  26.31  26.20  26.31  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43840  Repair of stomach lesion                          A  22.70   7.46NA   8.15NA   7.46     8.15     2.06  32.22  32.91  32.22  32.91  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43842  V-band gastroplasty                               N+ 20.90   7.27NA   6.75NA   7.27     6.75     2.45  30.62  30.10  30.62  30.10  9090.09.81.1099999             38.0870 090 99     0.00   0.00   0.00
43843  Gastroplasty w/o v-band                           A  21.08   7.80NA   7.85NA   7.80     7.85     2.46  31.34  31.39  31.34  31.39  0090.09.81.1020220             38.0870 090 99     0.00   0.00   0.00
43845  Gastroplasty duodenal switch                      A  33.12  11.83NA  12.89NA  11.83    12.89     4.06  49.01  50.07  49.01  50.07  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43846  Gastric bypass for obesity                        A  27.23  10.01NA   9.98NA  10.01     9.98     3.19  40.43  40.40  40.43  40.40  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43847  Gastric bypass incl small i                       A  30.10  10.71NA  10.52NA  10.71    10.52     3.56  44.37  44.18  44.37  44.18  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43848  Revision gastroplasty                             A  32.57  11.56NA  11.31NA  11.56    11.31     3.88  48.01  47.76  48.01  47.76  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43850  Revise stomach-bowel fusion                       A  27.45   9.66NA   9.50NA   9.66     9.50     3.28  40.39  40.23  40.39  40.23  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43855  Revise stomach-bowel fusion                       A  28.56  10.02NA   9.71NA  10.02     9.71     3.47  42.05  41.74  42.05  41.74  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43860  Revise stomach-bowel fusion                       A  27.76   9.73NA   9.48NA   9.73     9.48     3.31  40.80  40.55  40.80  40.55  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43865  Revise stomach-bowel fusion                       A  28.92  10.12NA   9.74NA  10.12     9.74     3.51  42.55  42.17  42.55  42.17  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43870  Repair stomach opening                            A  11.36   4.73NA   4.95NA   4.73     4.95     1.27  17.36  17.58  17.36  17.58  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
43880  Repair stomach-bowel fistula                      A  27.05   9.59NA   9.28NA   9.59     9.28     3.27  39.91  39.60  39.91  39.60  0090.09.81.1020210             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
43886  Revise gastric port, open                         A   4.54   3.29NA   3.45NA   3.29     3.45     0.25   8.08   8.24   8.08   8.24  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
43887  Remove gastric port, open                         A   4.24   2.91NA   3.06NA   2.91     3.06     0.51   7.66   7.81   7.66   7.81  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
43888  Change gastric port, open                         A   6.34   3.89NA   4.01NA   3.89     4.01     0.70  10.93  11.05  10.93  11.05  0090.09.81.1020210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
44005  Freeing of bowel adhesion                         A  18.38   6.65NA   6.59NA   6.65     6.59     2.15  27.18  27.12  27.18  27.12  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44010  Incision of small bowel                           A  14.18   5.49NA   5.53NA   5.49     5.53     1.64  21.31  21.35  21.31  21.35  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44015  Insert needle cath bowel                          A   2.62   0.78NA   0.68NA   0.78     0.68     0.35   3.75   3.65   3.75   3.65  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
44020  Explore small intestine                           A  16.14   5.97NA   6.01NA   5.97     6.01     1.86  23.97  24.01  23.97  24.01  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44021  Decompress small bowel                            A  16.23   6.06NA   6.15NA   6.06     6.15     1.87  24.16  24.25  24.16  24.25  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44025  Incision of large bowel                           A  16.43   6.04NA   6.06NA   6.04     6.06     1.90  24.37  24.39  24.37  24.39  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44050  Reduce bowel obstruction                          A  15.44   5.89NA   5.83NA   5.89     5.83     1.86  23.19  23.13  23.19  23.13  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44055  Correct malrotation of bowel                      A  25.53   8.61NA   8.49NA   8.61     8.49     2.91  37.05  36.93  37.05  36.93  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44100  Biopsy of bowel                                   A   2.01   0.81NA   0.91NA   0.81     0.91     0.17   2.99   3.09   2.99   3.09  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
44110  Excise intestine lesion(s)                        A  13.96   5.37NA   5.51NA   5.37     5.51     1.55  20.88  21.02  20.88  21.02  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44111  Excision of bowel lesion(s)                       A  16.44   6.10NA   6.10NA   6.10     6.10     1.87  24.41  24.41  24.41  24.41  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44120  Removal of small intestine                        A  20.74   7.11NA   7.15NA   7.11     7.15     2.25  30.10  30.14  30.10  30.14  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44121  Removal of small intestine                        A   4.44   1.32NA   1.12NA   1.32     1.12     0.58   6.34   6.14   6.34   6.14  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
44125  Removal of small intestine                        A  19.93   7.14NA   7.03NA   7.14     7.03     2.27  29.34  29.23  29.34  29.23  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44126  Enterectomy w/o taper, cong                       A  42.02  13.86NA  13.61NA  13.86    13.61     4.69  60.57  60.32  60.57  60.32  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44127  Enterectomy w/taper, cong                         A  49.09  15.69NA  15.65NA  15.69    15.65     5.77  70.55  70.51  70.55  70.51  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44128  Enterectomy cong, add-on                          A   4.44   1.37NA   1.22NA   1.37     1.22     0.61   6.42   6.27   6.42   6.27  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
44130  Bowel to bowel fusion                             A  21.98   7.10NA   7.98NA   7.10     7.98     1.88  30.96  31.84  30.96  31.84  0090.09.81.1020210             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
44139  Mobilization of colon                             A   2.23   0.66NA   0.56NA   0.66     0.56     0.28   3.17   3.07   3.17   3.07  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
44140  Partial removal of colon                          A  22.46   8.36NA   8.07NA   8.36     8.07     2.71  33.53  33.24  33.53  33.24  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44141  Partial removal of colon                          A  29.75  10.95NA  11.85NA  10.95    11.85     2.53  43.23  44.13  43.23  44.13  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44143  Partial removal of colon                          A  27.63  10.49NA  10.29NA  10.49    10.29     3.05  41.17  40.97  41.17  40.97  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44144  Partial removal of colon                          A  29.75  10.12NA  10.63NA  10.12    10.63     2.86  42.73  43.24  42.73  43.24  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44145  Partial removal of colon                          A  28.45  10.15NA   9.49NA  10.15     9.49     3.29  41.89  41.23  41.89  41.23  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44146  Partial removal of colon                          A  35.14  13.12NA  13.37NA  13.12    13.37     3.41  51.67  51.92  51.67  51.92  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44147  Partial removal of colon                          A  33.56   9.74NA  10.79NA   9.74    10.79     2.56  45.86  46.91  45.86  46.91  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44150  Removal of colon                                  A  29.99  12.32NA  12.62NA  12.32    12.62     3.04  45.35  45.65  45.35  45.65  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44151  Removal of colon/ileostomy                        A  34.73  13.67NA  13.93NA  13.67    13.93     3.49  51.89  52.15  51.89  52.15  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44155  Removal of colon/ileostomy                        A  34.23  13.38NA  13.46NA  13.38    13.46     3.28  50.89  50.97  50.89  50.97  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44156  Removal of colon/ileostomy                        A  37.23  14.76NA  14.49NA  14.76    14.49     3.95  55.94  55.67  55.94  55.67  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44157  Colectomy w/ileoanal anast                        A  35.49  17.10NA  17.10NA  17.10    17.10     3.93  56.52  56.52  56.52  56.52  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44158  Colectomy w/neo-rectum pouch                      A  36.49  17.44NA  17.44NA  17.44    17.44     4.06  57.99  57.99  57.99  57.99  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44160  Removal of colon                                  A  20.78   7.63NA   7.52NA   7.63     7.52     2.37  30.78  30.67  30.78  30.67  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44180  Lap, enterolysis                                  A  15.19   6.02NA   5.81NA   6.02     5.81     1.86  23.07  22.86  23.07  22.86  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44186  Lap, jejunostomy                                  A  10.30   4.69NA   4.59NA   4.69     4.59     1.27  16.26  16.16  16.26  16.16  0090.09.84.0720210             38.0870 090 99     0.00   0.00   0.00
44187  Lap, ileo/jejuno-stomy                            A  17.27   8.20NA   8.13NA   8.20     8.13     1.96  27.43  27.36  27.43  27.36  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44188  Lap, colostomy                                    A  19.20   8.76NA   8.68NA   8.76     8.68     2.24  30.20  30.12  30.20  30.12  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44202  Lap, enterectomy                                  A  23.26   8.62NA   8.32NA   8.62     8.32     2.85  34.73  34.43  34.73  34.43  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44203  Lap resect s/intestine, addl                      A   4.44   1.31NA   1.12NA   1.31     1.12     0.57   6.32   6.13   6.32   6.13  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
44204  Laparo partial colectomy                          A  26.29   9.42NA   8.89NA   9.42     8.89     3.11  38.82  38.29  38.82  38.29  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44205  Lap colectomy part w/ileum                        A  22.86   8.33NA   7.81NA   8.33     7.81     2.75  33.94  33.42  33.94  33.42  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44206  Lap part colectomy w/stoma                        A  29.63  10.87NA  10.48NA  10.87    10.48     3.46  43.96  43.57  43.96  43.57  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44207  L colectomy/coloproctostomy                       A  31.79  10.80NA  10.11NA  10.80    10.11     3.67  46.26  45.57  46.26  45.57  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44208  L colectomy/coloproctostomy                       A  33.86  12.58NA  12.02NA  12.58    12.02     3.88  50.32  49.76  50.32  49.76  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44210  Laparo total proctocolectomy                      A  29.88  11.53NA  11.19NA  11.53    11.19     3.42  44.83  44.49  44.83  44.49  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44211  Lap colectomy w/proctectomy                       A  36.87  14.14NA  13.60NA  14.14    13.60     4.17  55.18  54.64  55.18  54.64  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44212  Laparo total proctocolectomy                      A  34.37  13.37NA  13.05NA  13.37    13.05     3.78  51.52  51.20  51.52  51.20  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44213  Lap, mobil splenic fl add-on                      A   3.50   1.04NA   0.86NA   1.04     0.86     0.44   4.98   4.80   4.98   4.80  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
44227  Lap, close enterostomy                            A  28.49  10.06NA   9.49NA  10.06     9.49     3.38  41.93  41.36  41.93  41.36  0090.09.81.1020210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
44300  Open bowel to skin                                A  13.65   5.52NA   5.56NA   5.52     5.56     1.60  20.77  20.81  20.77  20.81  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44310  Ileostomy/jejunostomy                             A  17.49   6.55NA   6.40NA   6.55     6.40     1.99  26.03  25.88  26.03  25.88  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44312  Revision of ileostomy                             A   9.33   4.32NA   4.66NA   4.32     4.66     0.92  14.57  14.91  14.57  14.91  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
44314  Revision of ileostomy                             A  16.61   6.67NA   6.78NA   6.67     6.78     1.75  25.03  25.14  25.03  25.14  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44316  Devise bowel pouch                                A  23.46   8.71NA   8.88NA   8.71     8.88     2.38  34.55  34.72  34.55  34.72  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44320  Colostomy                                         A  19.75   7.63NA   7.60NA   7.63     7.60     2.26  29.64  29.61  29.64  29.61  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44322  Colostomy with biopsies                           A  13.15   8.84NA   9.11NA   8.84     9.11     1.54  23.53  23.80  23.53  23.80  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44340  Revision of colostomy                             A   9.12   4.60NA   4.94NA   4.60     4.94     0.99  14.71  15.05  14.71  15.05  0090.09.81.1020110             38.0870 090 99     0.00   0.00   0.00
44345  Revision of colostomy                             A  17.06   6.90NA   6.92NA   6.90     6.92     1.97  25.93  25.95  25.93  25.95  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44346  Revision of colostomy                             A  19.47   7.46NA   7.53NA   7.46     7.53     2.13  29.06  29.13  29.06  29.13  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44360  Small bowel endoscopy                             A   2.59   1.30NA   1.50NA   1.30     1.50     0.19   4.08   4.28   4.08   4.28  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
44361  Small bowel endoscopy/biopsy                      A   2.87   1.41NA   1.63NA   1.41     1.63     0.21   4.49   4.71   4.49   4.71  0000.00.00.0030100       44360 38.0870 090 99     0.00   0.00   0.00
44363  Small bowel endoscopy                             A   3.49   1.61NA   1.85NA   1.61     1.85     0.27   5.37   5.61   5.37   5.61  0000.00.00.0030000       44360 38.0870 090 99     0.00   0.00   0.00
44364  Small bowel endoscopy                             A   3.73   1.73NA   1.98NA   1.73     1.98     0.27   5.73   5.98   5.73   5.98  0000.00.00.0030000       44360 38.0870 090 99     0.00   0.00   0.00
44365  Small bowel endoscopy                             A   3.31   1.55NA   1.74NA   1.55     1.74     0.24   5.10   5.29   5.10   5.29  0000.00.00.0030000       44360 38.0870 090 99     0.00   0.00   0.00
44366  Small bowel endoscopy                             A   4.40   2.05NA   2.37NA   2.05     2.37     0.32   6.77   7.09   6.77   7.09  0000.00.00.0030100       44360 38.0870 090 99     0.00   0.00   0.00
44369  Small bowel endoscopy                             A   4.51   2.05NA   2.36NA   2.05     2.36     0.33   6.89   7.20   6.89   7.20  0000.00.00.0030000       44360 38.0870 090 99     0.00   0.00   0.00
44370  Small bowel endoscopy/stent                       A   4.79   2.27NA   2.56NA   2.27     2.56     0.37   7.43   7.72   7.43   7.72  0000.00.00.0030000       44360 38.0870 090 99     0.00   0.00   0.00
44372  Small bowel endoscopy                             A   4.40   1.93NA   2.12NA   1.93     2.12     0.35   6.68   6.87   6.68   6.87  0000.00.00.0030100       44360 38.0870 090 99     0.00   0.00   0.00
44373  Small bowel endoscopy                             A   3.49   1.59NA   1.77NA   1.59     1.77     0.27   5.35   5.53   5.35   5.53  0000.00.00.0030100       44360 38.0870 090 99     0.00   0.00   0.00
44376  Small bowel endoscopy                             A   5.25   2.25NA   2.47NA   2.25     2.47     0.42   7.92   8.14   7.92   8.14  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
44377  Small bowel endoscopy/biopsy                      A   5.52   2.45NA   2.76NA   2.45     2.76     0.40   8.37   8.68   8.37   8.68  0000.00.00.0030000       44376 38.0870 090 99     0.00   0.00   0.00
44378  Small bowel endoscopy                             A   7.12   3.14NA   3.58NA   3.14     3.58     0.52  10.78  11.22  10.78  11.22  0000.00.00.0030000       44376 38.0870 090 99     0.00   0.00   0.00
44379  S bowel endoscope w/stent                         A   7.46   3.42NA   3.93NA   3.42     3.93     0.62  11.50  12.01  11.50  12.01  0000.00.00.0030000       44376 38.0870 090 99     0.00   0.00   0.00
44380  Small bowel endoscopy                             A   1.05   0.65NA   0.74NA   0.65     0.74     0.08   1.78   1.87   1.78   1.87  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
44382  Small bowel endoscopy                             A   1.27   0.73NA   0.84NA   0.73     0.84     0.12   2.12   2.23   2.12   2.23  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
44383  Ileoscopy w/stent                                 A   2.94   1.44NA   1.61NA   1.44     1.61     0.21   4.59   4.76   4.59   4.76  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
44385  Endoscopy of bowel pouch                          A   1.82   4.13     4.90     0.82     0.89     0.15   6.10   6.87   2.79   2.86  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
44386  Endoscopy, bowel pouch/biop                       A   2.12   6.65     6.65     0.95     1.02     0.20   8.97   8.97   3.27   3.34  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
44388  Colonoscopy                                       A   2.82   5.60     6.12     1.25     1.35     0.26   8.68   9.20   4.33   4.43  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
44389  Colonoscopy with biopsy                           A   3.13   6.87     7.11     1.42     1.58     0.27  10.27  10.51   4.82   4.98  0000.00.00.0030100       44388 38.0870 090 99     0.00   0.00   0.00
44390  Colonoscopy for foreign body                      A   3.82   7.73     8.34     1.70     1.92     0.32  11.87  12.48   5.84   6.06  0000.00.00.0030000       44388 38.0870 090 99     0.00   0.00   0.00
44391  Colonoscopy for bleeding                          A   4.31   8.84     8.94     1.95     2.22     0.34  13.49  13.59   6.60   6.87  0000.00.00.0030000       44388 38.0870 090 99     0.00   0.00   0.00
44392  Colonoscopy & polypectomy                         A   3.81   6.98     7.37     1.60     1.72     0.34  11.13  11.52   5.75   5.87  0000.00.00.0030100       44388 38.0870 090 99     0.00   0.00   0.00
44393  Colonoscopy, lesion removal                       A   4.83   7.47     8.04     2.00     2.13     0.42  12.72  13.29   7.25   7.38  0000.00.00.0030100       44388 38.0870 090 99     0.00   0.00   0.00
44394  Colonoscopy w/snare                               A   4.42   8.16     8.51     1.89     2.07     0.38  12.96  13.31   6.69   6.87  0000.00.00.0030100       44388 38.0870 090 99     0.00   0.00   0.00
44397  Colonoscopy w/stent                               A   4.70   1.98NA   2.16NA   1.98     2.16     0.39   7.07   7.25   7.07   7.25  0000.00.00.0030100       44388 38.0870 090 99     0.00   0.00   0.00
44500  Intro, gastrointestinal tube                      A   0.49   0.17NA   0.17NA   0.17     0.17     0.03   0.69   0.69   0.69   0.69  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
44602  Suture, small intestine                           A  24.64   7.01NA   7.62NA   7.01     7.62     2.12  33.77  34.38  33.77  34.38  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44603  Suture, small intestine                           A  28.03   8.12NA   8.97NA   8.12     8.97     2.42  38.57  39.42  38.57  39.42  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44604  Suture, large intestine                           A  18.06   6.26NA   6.07NA   6.26     6.07     2.12  26.44  26.25  26.44  26.25  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44605  Repair of bowel lesion                            A  22.00   8.11NA   7.83NA   8.11     7.83     2.52  32.63  32.35  32.63  32.35  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44615  Intestinal stricturoplasty                        A  18.08   6.61NA   6.54NA   6.61     6.54     2.07  26.76  26.69  26.76  26.69  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44620  Repair bowel opening                              A  14.35   5.42NA   5.51NA   5.42     5.51     1.51  21.28  21.37  21.28  21.37  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44625  Repair bowel opening                              A  17.20   6.23NA   6.15NA   6.23     6.15     1.86  25.29  25.21  25.29  25.21  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44626  Repair bowel opening                              A  27.82   9.35NA   8.89NA   9.35     8.89     3.27  40.44  39.98  40.44  39.98  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44640  Repair bowel-skin fistula                         A  24.12   8.30NA   8.02NA   8.30     8.02     2.78  35.20  34.92  35.20  34.92  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44650  Repair bowel fistula                              A  25.04   8.60NA   8.31NA   8.60     8.31     2.93  36.57  36.28  36.57  36.28  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44660  Repair bowel-bladder fistula                      A  23.83   9.05NA   9.76NA   9.05     9.76     2.14  35.02  35.73  35.02  35.73  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44661  Repair bowel-bladder fistula                      A  27.27   9.48NA   9.40NA   9.48     9.40     2.81  39.56  39.48  39.56  39.48  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44680  Surgical revision, intestine                      A  17.88   6.57NA   6.69NA   6.57     6.69     2.00  26.45  26.57  26.45  26.57  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44700  Suspend bowel w/prosthesis                        A  17.40   6.41NA   6.16NA   6.41     6.16     1.84  25.65  25.40  25.65  25.40  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44701  Intraop colon lavage add-on                       A   3.10   0.91NA   0.76NA   0.91     0.76     0.37   4.38   4.23   4.38   4.23  0ZZZ.00.00.0000210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
44720  Prep donor intestine/venous                       A   5.00   1.49NA   1.27NA   1.49     1.27     0.37   6.86   6.64   6.86   6.64  0XXX.00.00.0020210             38.0870 090 99     0.00   0.00   0.00
44721  Prep donor intestine/artery                       A   7.00   2.09NA   1.78NA   2.09     1.78     0.97  10.06   9.75  10.06   9.75  0XXX.00.00.0020210             38.0870 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.00.00.0020111             38.0870 090 99     0.00   0.00   0.00
44800  Excision of bowel pouch                           A  11.94   5.44NA   5.49NA   5.44     5.49     1.47  18.85  18.90  18.85  18.90  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44820  Excision of mesentery lesion                      A  13.63   5.53NA   5.56NA   5.53     5.56     1.59  20.75  20.78  20.75  20.78  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44850  Repair of mesentery                               A  12.03   5.01NA   5.01NA   5.01     5.01     1.39  18.43  18.43  18.43  18.43  0090.09.81.1020210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
44900  Drain app abscess, open                           A  12.44   4.86NA   5.03NA   4.86     5.03     1.33  18.63  18.80  18.63  18.80  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44901  Drain app abscess, percut                         A   3.37  23.86    19.81     1.15     1.20     0.22  27.45  23.40   4.74   4.79  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
44950  Appendectomy                                      A  10.52   4.18NA   4.05NA   4.18     4.05     1.31  16.01  15.88  16.01  15.88  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44955  Appendectomy add-on                               A   1.53   0.47NA   0.40NA   0.47     0.40     0.20   2.20   2.13   2.20   2.13  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
44960  Appendectomy                                      A  14.39   5.37NA   5.40NA   5.37     5.40     1.63  21.39  21.42  21.39  21.42  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
44970  Laparoscopy, appendectomy                         A   9.35   4.14NA   4.19NA   4.14     4.19     1.14  14.63  14.68  14.63  14.68  0090.09.81.1020220             38.0870 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             38.0870 090 99     0.00   0.00   0.00
45000  Drainage of pelvic abscess                        A   6.20   3.27NA   3.57NA   3.27     3.57     0.52   9.99  10.29   9.99  10.29  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
45005  Drainage of rectal abscess                        A   2.00   4.02     3.99     1.58     1.59     0.25   6.27   6.24   3.83   3.84  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
45020  Drainage of rectal abscess                        A   8.43   3.91NA   4.55NA   3.91     4.55     0.55  12.89  13.53  12.89  13.53  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
45100  Biopsy of rectum                                  A   3.96   2.59NA   2.81NA   2.59     2.81     0.44   6.99   7.21   6.99   7.21  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
45108  Removal of anorectal lesion                       A   5.04   2.94NA   3.10NA   2.94     3.10     0.59   8.57   8.73   8.57   8.73  0090.09.81.1020110             38.0870 090 99     0.00   0.00   0.00
45110  Removal of rectum                                 A  30.57  12.13NA  11.86NA  12.13    11.86     3.36  46.06  45.79  46.06  45.79  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45111  Partial removal of rectum                         A  17.89   7.08NA   7.00NA   7.08     7.00     2.07  27.04  26.96  27.04  26.96  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45112  Removal of rectum                                 A  33.05  11.04NA  10.31NA  11.04    10.31     3.43  47.52  46.79  47.52  46.79  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45113  Partial proctectomy                               A  33.09  12.09NA  11.59NA  12.09    11.59     3.49  48.67  48.17  48.67  48.17  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45114  Partial removal of rectum                         A  30.63  10.59NA  10.30NA  10.59    10.30     3.36  44.58  44.29  44.58  44.29  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45116  Partial removal of rectum                         A  27.56   9.84NA   9.65NA   9.84     9.65     2.88  40.28  40.09  40.28  40.09  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45119  Remove rectum w/reservoir                         A  33.35  12.00NA  11.54NA  12.00    11.54     3.36  48.71  48.25  48.71  48.25  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45120  Removal of rectum                                 A  26.25   9.70NA   9.27NA   9.70     9.27     2.90  38.85  38.42  38.85  38.42  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45121  Removal of rectum and colon                       A  28.93  10.57NA  10.04NA  10.57    10.04     3.25  42.75  42.22  42.75  42.22  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45123  Partial proctectomy                               A  18.70   6.90NA   6.94NA   6.90     6.94     1.86  27.46  27.50  27.46  27.50  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45126  Pelvic exenteration                               A  48.89  18.55NA  17.89NA  18.55    17.89     4.33  71.77  71.11  71.77  71.11  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
45130  Excision of rectal prolapse                       A  18.37   6.72NA   6.67NA   6.72     6.67     1.80  26.89  26.84  26.89  26.84  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45135  Excision of rectal prolapse                       A  22.15   8.51NA   8.61NA   8.51     8.61     2.36  33.02  33.12  33.02  33.12  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45136  Excise ileoanal reservior                         A  30.63  12.24NA  11.96NA  12.24    11.96     2.82  45.69  45.41  45.69  45.41  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45150  Excision of rectal stricture                      A   5.77   3.15NA   3.34NA   3.15     3.34     0.61   9.53   9.72   9.53   9.72  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
45160  Excision of rectal lesion                         A  16.17   6.54NA   6.44NA   6.54     6.44     1.68  24.39  24.29  24.39  24.29  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45170  Excision of rectal lesion                         A  12.48   5.30NA   5.36NA   5.30     5.36     1.35  19.13  19.19  19.13  19.19  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45190  Destruction, rectal tumor                         A  10.29   5.07NA   5.52NA   5.07     5.52     1.13  16.49  16.94  16.49  16.94  0090.09.81.1020110             38.0870 090 99     0.00   0.00   0.00
45300  Proctosigmoidoscopy dx                            A   0.80   1.74     1.96     0.37     0.45     0.04   2.58   2.80   1.21   1.29  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
45303  Proctosigmoidoscopy dilate                        A   1.50  19.31    19.93     0.49     0.66     0.05  20.86  21.48   2.04   2.21  0000.00.00.0030100       45300 38.0870 090 99     0.00   0.00   0.00
45305  Proctosigmoidoscopy w/bx                          A   1.25   2.91     3.19     0.55     0.59     0.11   4.27   4.55   1.91   1.95  0000.00.00.0030100       45300 38.0870 090 99     0.00   0.00   0.00
45307  Proctosigmoidoscopy fb                            A   1.70   3.14     3.25     0.59     0.70     0.11   4.95   5.06   2.40   2.51  0000.00.00.0030000       45300 38.0870 090 99     0.00   0.00   0.00
45308  Proctosigmoidoscopy removal                       A   1.40   2.70     3.41     0.53     0.63     0.09   4.19   4.90   2.02   2.12  0000.00.00.0030100       45300 38.0870 090 99     0.00   0.00   0.00
45309  Proctosigmoidoscopy removal                       A   1.50   3.17     3.53     0.75     0.67     0.22   4.89   5.25   2.47   2.39  0000.00.00.0030100       45300 38.0870 090 99     0.00   0.00   0.00
45315  Proctosigmoidoscopy removal                       A   1.80   3.34     3.82     0.75     0.88     0.15   5.29   5.77   2.70   2.83  0000.00.00.0030100       45300 38.0870 090 99     0.00   0.00   0.00
45317  Proctosigmoidoscopy bleed                         A   2.00   2.90     3.37     0.71     0.77     0.15   5.05   5.52   2.86   2.92  0000.00.00.0030100       45300 38.0870 090 99     0.00   0.00   0.00
45320  Proctosigmoidoscopy ablate                        A   1.78   3.16     3.40     0.75     0.80     0.16   5.10   5.34   2.69   2.74  0000.00.00.0030100       45300 38.0870 090 99     0.00   0.00   0.00
45321  Proctosigmoidoscopy volvul                        A   1.75   0.71NA   0.86NA   0.71     0.86     0.13   2.59   2.74   2.59   2.74  0000.00.00.0030100       45300 38.0870 090 99     0.00   0.00   0.00
45327  Proctosigmoidoscopy w/stent                       A   2.00   0.80NA   0.91NA   0.80     0.91     0.16   2.96   3.07   2.96   3.07  0000.00.00.0030100       45300 38.0870 090 99     0.00   0.00   0.00
45330  Diagnostic sigmoidoscopy                          A   0.96   2.40     2.52     0.56     0.62     0.08   3.44   3.56   1.60   1.66  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
45331  Sigmoidoscopy and biopsy                          A   1.15   3.18     3.28     0.69     0.79     0.09   4.42   4.52   1.93   2.03  0000.00.00.0030100       45330 38.0870 090 99     0.00   0.00   0.00
45332  Sigmoidoscopy w/fb removal                        A   1.79   5.27     5.54     0.90     0.99     0.16   7.22   7.49   2.85   2.94  0000.00.00.0030100       45330 38.0870 090 99     0.00   0.00   0.00
45333  Sigmoidoscopy & polypectomy                       A   1.79   5.27     5.67     0.89     0.99     0.15   7.21   7.61   2.83   2.93  0000.00.00.0030100       45330 38.0870 090 99     0.00   0.00   0.00
45334  Sigmoidoscopy for bleeding                        A   2.73   1.34NA   1.54NA   1.34     1.54     0.20   4.27   4.47   4.27   4.47  0000.00.00.0030100       45330 38.0870 090 99     0.00   0.00   0.00
45335  Sigmoidoscopy w/submuc inj                        A   1.46   4.28     5.34     0.79     0.90     0.11   5.85   6.91   2.36   2.47  0000.00.00.0030100       45330 38.0870 090 99     0.00   0.00   0.00
45337  Sigmoidoscopy & decompress                        A   2.36   1.12NA   1.25NA   1.12     1.25     0.21   3.69   3.82   3.69   3.82  0000.00.00.0030100       45330 38.0870 090 99     0.00   0.00   0.00
45338  Sigmoidoscopy w/tumr remove                       A   2.34   5.57     5.91     1.14     1.28     0.19   8.10   8.44   3.67   3.81  0000.00.00.0030100       45330 38.0870 090 99     0.00   0.00   0.00
45339  Sigmoidoscopy w/ablate tumr                       A   3.14   4.60     5.73     1.47     1.66     0.26   8.00   9.13   4.87   5.06  0000.00.00.0030100       45330 38.0870 090 99     0.00   0.00   0.00
45340  Sig w/balloon dilation                            A   1.89   8.22    10.27     0.93     1.03     0.15  10.26  12.31   2.97   3.07  0000.00.00.0030100       45330 38.0870 090 99     0.00   0.00   0.00
45341  Sigmoidoscopy w/ultrasound                        A   2.60   1.27NA   1.47NA   1.27     1.47     0.19   4.06   4.26   4.06   4.26  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
45342  Sigmoidoscopy w/us guide bx                       A   4.05   1.85NA   2.17NA   1.85     2.17     0.30   6.20   6.52   6.20   6.52  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
45345  Sigmoidoscopy w/stent                             A   2.92   1.33NA   1.50NA   1.33     1.50     0.23   4.48   4.65   4.48   4.65  0000.00.00.0030100       45330 38.0870 090 99     0.00   0.00   0.00
45355  Surgical colonoscopy                              A   3.51   1.48NA   1.58NA   1.48     1.58     0.36   5.35   5.45   5.35   5.45  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
45378  Diagnostic colonoscopy                            A   3.69   6.27     6.39     1.65     1.82     0.30  10.26  10.38   5.64   5.81  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
4537853Diagnostic colonoscopy                            A   0.96   2.40     2.52     0.56     0.62     0.08   3.44   3.56   1.60   1.66  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
45379  Colonoscopy w/fb removal                          A   4.68   7.87     8.08     1.99     2.17     0.39  12.94  13.15   7.06   7.24  0000.00.00.0030100       45378 38.0870 090 99     0.00   0.00   0.00
45380  Colonoscopy and biopsy                            A   4.43   7.48     7.76     1.99     2.24     0.35  12.26  12.54   6.77   7.02  0000.00.00.0030100       45378 38.0870 090 99     0.00   0.00   0.00
45381  Colonoscopy, submucous inj                        A   4.19   7.42     7.73     1.90     2.16     0.30  11.91  12.22   6.39   6.65  0000.00.00.0030100       45378 38.0870 090 99     0.00   0.00   0.00
45382  Colonoscopy/control bleeding                      A   5.68  10.15    10.36     2.54     2.89     0.41  16.24  16.45   8.63   8.98  0000.00.00.0030100       45378 38.0870 090 99     0.00   0.00   0.00
45383  Lesion removal colonoscopy                        A   5.86   8.24     8.56     2.43     2.63     0.48  14.58  14.90   8.77   8.97  0000.00.00.0030100       45378 38.0870 090 99     0.00   0.00   0.00
45384  Lesion remove colonoscopy                         A   4.69   7.00     7.20     2.01     2.18     0.38  12.07  12.27   7.08   7.25  0000.00.00.0030100       45378 38.0870 090 99     0.00   0.00   0.00
45385  Lesion removal colonoscopy                        A   5.30   8.09     8.38     2.31     2.59     0.42  13.81  14.10   8.03   8.31  0000.00.00.0030100       45378 38.0870 090 99     0.00   0.00   0.00
45386  Colonoscopy dilate stricture                      A   4.57  12.39    12.37     1.98     2.18     0.39  17.35  17.33   6.94   7.14  0000.00.00.0030100       45378 38.0870 090 99     0.00   0.00   0.00
45387  Colonoscopy w/stent                               A   5.90   2.57NA   2.80NA   2.57     2.80     0.48   8.95   9.18   8.95   9.18  0000.00.00.0030100       45378 38.0870 090 99     0.00   0.00   0.00
45391  Colonoscopy w/endoscope us                        A   5.09   2.29NA   2.60NA   2.29     2.60     0.42   7.80   8.11   7.80   8.11  0000.00.00.0030100       45378 38.0870 090 99     0.00   0.00   0.00
45392  Colonoscopy w/endoscopic fnb                      A   6.54   2.85NA   3.21NA   2.85     3.21     0.42   9.81  10.17   9.81  10.17  0000.00.00.0030100       45378 38.0870 090 99     0.00   0.00   0.00
45395  Lap, removal of rectum                            A  32.79  13.32NA  12.96NA  13.32    12.96     3.63  49.74  49.38  49.74  49.38  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45397  Lap, remove rectum w/pouch                        A  36.29  13.83NA  13.40NA  13.83    13.40     3.67  53.79  53.36  53.79  53.36  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45400  Laparoscopic proc                                 A  19.31   7.46NA   7.08NA   7.46     7.08     2.03  28.80  28.42  28.80  28.42  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45402  Lap proctopexy w/sig resect                       A  26.38   9.37NA   8.74NA   9.37     8.74     2.82  38.57  37.94  38.57  37.94  0090.09.81.1020210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
45500  Repair of rectum                                  A   7.64   4.00NA   4.46NA   4.00     4.46     0.75  12.39  12.85  12.39  12.85  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
45505  Repair of rectum                                  A   8.20   4.45NA   5.04NA   4.45     5.04     0.86  13.51  14.10  13.51  14.10  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
45520  Treatment of rectal prolapse                      A   0.55   2.25     2.86     0.38     0.38     0.05   2.85   3.46   0.98   0.98  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
45540  Correct rectal prolapse                           A  18.02   6.32NA   5.84NA   6.32     5.84     1.85  26.19  25.71  26.19  25.71  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45541  Correct rectal prolapse                           A  14.72   6.27NA   6.59NA   6.27     6.59     1.55  22.54  22.86  22.54  22.86  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45550  Repair rectum/remove sigmoid                      A  24.67   9.09NA   8.96NA   9.09     8.96     2.62  36.38  36.25  36.38  36.25  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45560  Repair of rectocele                               A  11.42   5.29NA   5.52NA   5.29     5.52     1.13  17.84  18.07  17.84  18.07  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45562  Exploration/repair of rectum                      A  17.82   7.55NA   8.11NA   7.55     8.11     1.84  27.21  27.77  27.21  27.77  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45563  Exploration/repair of rectum                      A  26.22  10.64NA  10.76NA  10.64    10.76     3.11  39.97  40.09  39.97  40.09  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45800  Repair rect/bladder fistula                       A  20.18   8.29NA   9.15NA   8.29     9.15     1.86  30.33  31.19  30.33  31.19  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45805  Repair fistula w/colostomy                        A  23.19   9.72NA   9.93NA   9.72     9.93     2.03  34.94  35.15  34.94  35.15  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45820  Repair rectourethral fistula                      A  20.24   8.36NA   9.10NA   8.36     9.10     1.58  30.18  30.92  30.18  30.92  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45825  Repair fistula w/colostomy                        A  24.01   9.64NA   9.47NA   9.64     9.47     2.32  35.97  35.80  35.97  35.80  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
45900  Reduction of rectal prolapse                      A   2.96   1.58NA   1.66NA   1.58     1.66     0.30   4.84   4.92   4.84   4.92  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
45905  Dilation of anal sphincter                        A   2.32   1.51NA   1.60NA   1.51     1.60     0.27   4.10   4.19   4.10   4.19  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
45910  Dilation of rectal narrowing                      A   2.82   1.75NA   1.85NA   1.75     1.85     0.30   4.87   4.97   4.87   4.97  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
45915  Remove rectal obstruction                         A   3.16   4.26     4.21     2.06     2.02     0.30   7.72   7.67   5.52   5.48  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
45990  Surg dx exam, anorectal                           A   1.80   0.76NA   0.72NA   0.76     0.72     0.17   2.73   2.69   2.73   2.69  0000.00.00.0020011             38.0870 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             38.0870 090 99     0.00   0.00   0.00
46020  Placement of seton                                A   2.94   2.80     3.26     2.10     2.35     0.31   6.05   6.51   5.35   5.60  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46030  Removal of rectal marker                          A   1.24   1.62     1.89     0.76     0.81     0.14   3.00   3.27   2.14   2.19  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
46040  Incision of rectal abscess                        A   5.26   6.02     6.54     3.78     3.99     0.62  11.90  12.42   9.66   9.87  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46045  Incision of rectal abscess                        A   5.79   3.42NA   3.94NA   3.42     3.94     0.54   9.75  10.27   9.75  10.27  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46050  Incision of anal abscess                          A   1.21   2.87     3.20     0.91     0.98     0.14   4.22   4.55   2.26   2.33  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46060  Incision of rectal abscess                        A   6.24   3.83NA   4.42NA   3.83     4.42     0.67  10.74  11.33  10.74  11.33  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46070  Incision of anal septum                           A   2.74   2.09NA   2.35NA   2.09     2.35     0.36   5.19   5.45   5.19   5.45  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
46080  Incision of anal sphincter                        A   2.50   2.72     3.07     1.13     1.12     0.30   5.52   5.87   3.93   3.92  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46083  Incise external hemorrhoid                        A   1.42   2.44     2.37     0.94     0.96     0.15   4.01   3.94   2.51   2.53  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46200  Removal of anal fissure                           A   3.48   5.07     6.29     3.30     3.73     0.39   8.94  10.16   7.17   7.60  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46210  Removal of anal crypt                             A   2.73   5.47     5.83     2.96     3.30     0.31   8.51   8.87   6.00   6.34  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
46211  Removal of anal crypts                            A   4.31   6.63     7.85     4.09     4.67     0.48  11.42  12.64   8.88   9.46  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
46220  Removal of anal tag                               A   1.58   2.66     3.02     1.02     1.10     0.17   4.41   4.77   2.77   2.85  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46221  Ligation of hemorrhoid(s)                         A   2.31   3.19     3.73     1.87     2.00     0.23   5.73   6.27   4.41   4.54  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46230  Removal of anal tags                              A   2.59   3.29     3.51     1.31     1.33     0.30   6.18   6.40   4.20   4.22  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46250  Hemorrhoidectomy                                  A   4.17   5.63     5.96     2.72     2.83     0.48  10.28  10.61   7.37   7.48  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46255  Hemorrhoidectomy                                  A   4.88   6.09     6.34     2.95     3.07     0.58  11.55  11.80   8.41   8.53  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46257  Remove hemorrhoids & fissure                      A   5.68   3.36NA   3.85NA   3.36     3.85     0.64   9.68  10.17   9.68  10.17  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46258  Remove hemorrhoids & fistula                      A   6.28   3.61NA   3.96NA   3.61     3.96     0.68  10.57  10.92  10.57  10.92  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
46260  Hemorrhoidectomy                                  A   6.65   3.63NA   4.07NA   3.63     4.07     0.76  11.04  11.48  11.04  11.48  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46261  Remove hemorrhoids & fissure                      A   7.63   3.95NA   4.30NA   3.95     4.30     0.79  12.37  12.72  12.37  12.72  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46262  Remove hemorrhoids & fistula                      A   7.80   4.20NA   4.66NA   4.20     4.66     0.83  12.83  13.29  12.83  13.29  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46270  Removal of anal fistula                           A   4.81   5.69     6.39     3.37     3.92     0.46  10.96  11.66   8.64   9.19  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46275  Removal of anal fistula                           A   5.31   5.63     6.63     3.47     3.97     0.52  11.46  12.46   9.30   9.80  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46280  Removal of anal fistula                           A   6.28   3.76NA   4.27NA   3.76     4.27     0.66  10.70  11.21  10.70  11.21  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46285  Removal of anal fistula                           A   5.31   5.15     6.53     3.35     3.96     0.44  10.90  12.28   9.10   9.71  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46288  Repair anal fistula                               A   7.68   4.17NA   4.68NA   4.17     4.68     0.79  12.64  13.15  12.64  13.15  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46320  Removal of hemorrhoid clot                        A   1.62   2.27     2.41     0.86     0.88     0.18   4.07   4.21   2.66   2.68  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46500  Injection into hemorrhoid(s)                      A   1.64   2.86     3.61     1.20     1.25     0.16   4.66   5.41   3.00   3.05  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46505  Chemodenervation anal musc                        A   3.13   3.16     3.28     2.12     2.28     0.14   6.43   6.55   5.39   5.55  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
46600  Diagnostic anoscopy                               A   0.55   1.47     1.37     0.36     0.38     0.05   2.07   1.97   0.96   0.98  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
46604  Anoscopy and dilation                             A   1.03  10.83    12.52     0.56     0.51     0.12  11.98  13.67   1.71   1.66  0000.00.00.0030100       46600 38.0870 090 99     0.00   0.00   0.00
46606  Anoscopy and biopsy                               A   1.20   3.83     3.88     0.50     0.58     0.09   5.12   5.17   1.79   1.87  0000.00.00.0030100       46600 38.0870 090 99     0.00   0.00   0.00
46608  Anoscopy, remove for body                         A   1.30   4.08     3.76     0.61     0.58     0.16   5.54   5.22   2.07   2.04  0000.00.00.0030000       46600 38.0870 090 99     0.00   0.00   0.00
46610  Anoscopy, remove lesion                           A   1.28   3.91     3.80     0.60     0.59     0.15   5.34   5.23   2.03   2.02  0000.00.00.0030100       46600 38.0870 090 99     0.00   0.00   0.00
46611  Anoscopy                                          A   1.30   2.93     2.53     0.67     0.57     0.19   4.42   4.02   2.16   2.06  0000.00.00.0030000       46600 38.0870 090 99     0.00   0.00   0.00
46612  Anoscopy, remove lesions                          A   1.50   4.94     4.70     0.85     0.72     0.28   6.72   6.48   2.63   2.50  0000.00.00.0030000       46600 38.0870 090 99     0.00   0.00   0.00
46614  Anoscopy, control bleeding                        A   1.00   2.13     1.93     0.68     0.52     0.20   3.33   3.13   1.88   1.72  0000.00.00.0030100       46600 38.0870 090 99     0.00   0.00   0.00
46615  Anoscopy                                          A   1.50   2.11     1.74     0.85     0.64     0.33   3.94   3.57   2.68   2.47  0000.00.00.0030000       46600 38.0870 090 99     0.00   0.00   0.00
46700  Repair of anal stricture                          A   9.68   4.68NA   5.16NA   4.68     5.16     0.94  15.30  15.78  15.30  15.78  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46705  Repair of anal stricture                          A   7.32   3.87NA   4.07NA   3.87     4.07     0.91  12.10  12.30  12.10  12.30  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46706  Repr of anal fistula w/glue                       A   2.41   1.37NA   1.49NA   1.37     1.49     0.28   4.06   4.18   4.06   4.18  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46710  Repr per/vag pouch sngl proc                      A  17.01   7.65NA   7.55NA   7.65     7.55     1.38  26.04  25.94  26.04  25.94  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46712  Repr per/vag pouch dbl proc                       A  36.32  14.53NA  14.02NA  14.53    14.02     3.67  54.52  54.01  54.52  54.01  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46715  Rep perf anoper fistu                             A   7.54   3.66NA   3.76NA   3.66     3.76     0.92  12.12  12.22  12.12  12.22  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
46716  Rep perf anoper/vestib fistu                      A  17.14   8.79NA   9.60NA   8.79     9.60     1.58  27.51  28.32  27.51  28.32  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46730  Construction of absent anus                       A  30.17  12.26NA  12.50NA  12.26    12.50     2.47  44.90  45.14  44.90  45.14  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46735  Construction of absent anus                       A  35.66  14.28NA  15.02NA  14.28    15.02     3.21  53.15  53.89  53.15  53.89  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46740  Construction of absent anus                       A  33.42  14.26NA  15.30NA  14.26    15.30     2.42  50.10  51.14  50.10  51.14  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46742  Repair of imperforated anus                       A  39.66  15.58NA  13.76NA  15.58    13.76     3.20  58.44  56.62  58.44  56.62  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46744  Repair of cloacal anomaly                         A  58.46  19.64NA  18.15NA  19.64    18.15     6.40  84.50  83.01  84.50  83.01  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46746  Repair of cloacal anomaly                         A  64.93  22.42NA  19.69NA  22.42    19.69     7.70  95.05  92.32  95.05  92.32  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46748  Repair of cloacal anomaly                         A  70.91  22.35NA  21.06NA  22.35    21.06     3.37  96.63  95.34  96.63  95.34  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46750  Repair of anal sphincter                          A  12.02   5.41NA   5.77NA   5.41     5.77     1.10  18.53  18.89  18.53  18.89  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46751  Repair of anal sphincter                          A   9.19   5.22NA   5.02NA   5.22     5.02     0.94  15.35  15.15  15.35  15.15  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46753  Reconstruction of anus                            A   8.81   4.22NA   4.59NA   4.22     4.59     0.94  13.97  14.34  13.97  14.34  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46754  Removal of suture from anus                       A   2.88   3.61     3.64     1.94     2.21     0.19   6.68   6.71   5.01   5.28  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
46760  Repair of anal sphincter                          A  17.21   7.57NA   8.06NA   7.57     8.06     1.59  26.37  26.86  26.37  26.86  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46761  Repair of anal sphincter                          A  15.16   6.24NA   6.47NA   6.24     6.47     1.43  22.83  23.06  22.83  23.06  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46762  Implant artificial sphincter                      A  14.66   6.30NA   7.08NA   6.30     7.08     1.24  22.20  22.98  22.20  22.98  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
46900  Destruction, anal lesion(s)                       A   1.91   3.12     3.66     1.29     1.31     0.17   5.20   5.74   3.37   3.39  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46910  Destruction, anal lesion(s)                       A   1.88   3.39     3.88     1.13     1.20     0.19   5.46   5.95   3.20   3.27  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46916  Cryosurgery, anal lesion(s)                       A   1.88   3.46     3.77     1.48     1.58     0.11   5.45   5.76   3.47   3.57  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46917  Laser surgery, anal lesions                       A   1.88   8.96     8.79     1.17     1.22     0.21  11.05  10.88   3.26   3.31  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46922  Excision of anal lesion(s)                        A   1.88   3.71     4.14     1.13     1.20     0.22   5.81   6.24   3.23   3.30  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46924  Destruction, anal lesion(s)                       A   2.78   9.14     9.58     1.43     1.52     0.26  12.18  12.62   4.47   4.56  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46934  Destruction of hemorrhoids                        A   3.79   5.32     5.57     2.91     2.88     0.32   9.43   9.68   7.02   6.99  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46935  Destruction of hemorrhoids                        A   2.44   3.66     3.86     1.16     1.11     0.23   6.33   6.53   3.83   3.78  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46936  Destruction of hemorrhoids                        A   3.70   5.56     6.24     2.57     2.66     0.34   9.60  10.28   6.61   6.70  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46937  Cryotherapy of rectal lesion                      A   2.70   3.09     3.41     1.32     1.43     0.14   5.93   6.25   4.16   4.27  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
46938  Cryotherapy of rectal lesion                      A   4.70   4.81     5.63     3.30     3.55     0.58  10.09  10.91   8.58   8.83  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
46940  Treatment of anal fissure                         A   2.33   2.42     2.85     1.07     1.04     0.23   4.98   5.41   3.63   3.60  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
46942  Treatment of anal fissure                         A   2.05   2.32     2.80     0.99     0.96     0.19   4.56   5.04   3.23   3.20  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
46945  Ligation of hemorrhoids                           A   2.13   4.03     4.80     2.73     2.98     0.19   6.35   7.12   5.05   5.30  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46946  Ligation of hemorrhoids                           A   2.60   4.18     4.64     2.52     2.65     0.27   7.05   7.51   5.39   5.52  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
46947  Hemorrhoidopexy by stapling                       A   5.49   2.91NA   3.11NA   2.91     3.11     0.75   9.15   9.35   9.15   9.35  0090.09.81.1020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
47000  Needle biopsy of liver                            A   1.90   5.37     7.67     0.66     0.70     0.12   7.39   9.69   2.68   2.72  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
47001  Needle biopsy, liver add-on                       A   1.90   0.57NA   0.48NA   0.57     0.48     0.25   2.72   2.63   2.72   2.63  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
47010  Open drainage, liver lesion                       A  19.27   8.36NA   8.32NA   8.36     8.32     1.81  29.44  29.40  29.44  29.40  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47011  Percut drain, liver lesion                        A   3.69   1.26NA   1.32NA   1.26     1.32     0.22   5.17   5.23   5.17   5.23  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
47015  Inject/aspirate liver cyst                        A  18.37   7.83NA   8.17NA   7.83     8.17     1.84  28.04  28.38  28.04  28.38  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47100  Wedge biopsy of liver                             A  12.78   6.18NA   6.32NA   6.18     6.32     1.53  20.49  20.63  20.49  20.63  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47120  Partial removal of liver                          A  38.82  14.61NA  14.08NA  14.61    14.08     4.66  58.09  57.56  58.09  57.56  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47122  Extensive removal of liver                        A  59.35  20.11NA  18.76NA  20.11    18.76     7.21  86.67  85.32  86.67  85.32  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47125  Partial removal of liver                          A  52.91  18.35NA  17.18NA  18.35    17.18     6.47  77.73  76.56  77.73  76.56  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47130  Partial removal of liver                          A  57.06  19.55NA  18.12NA  19.55    18.12     6.96  83.57  82.14  83.57  82.14  0090.09.81.1020210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
47135  Transplantation of liver                          R  83.29  29.64NA  27.76NA  29.64    27.76     9.96 122.89 121.01 122.89 121.01  0090.09.81.1020212             38.0870 090 99     0.00   0.00   0.00
47136  Transplantation of liver                          R  70.39  25.80NA  24.56NA  25.80    24.56     8.44 104.63 103.39 104.63 103.39  0090.09.81.1020212             38.0870 090 99     0.00   0.00   0.00
47140  Partial removal, donor liver                      A  59.22  21.95NA  21.63NA  21.95    21.63     5.19  86.36  86.04  86.36  86.04  0090.09.81.1020212             38.0870 090 99     0.00   0.00   0.00
47141  Partial removal, donor liver                      A  71.27  26.14NA  25.36NA  26.14    25.36     5.19 102.60 101.82 102.60 101.82  0090.09.81.1020212             38.0870 090 99     0.00   0.00   0.00
47142  Partial removal, donor liver                      A  79.21  28.43NA  27.37NA  28.43    27.37     5.19 112.83 111.77 112.83 111.77  0090.09.81.1020210             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
47146  Prep donor liver/venous                           A   6.00   1.79NA   1.52NA   1.79     1.52     0.83   8.62   8.35   8.62   8.35  0XXX.00.00.0020210             38.0870 090 99     0.00   0.00   0.00
47147  Prep donor liver/arterial                         A   7.00   2.08NA   1.77NA   2.08     1.77     0.97  10.05   9.74  10.05   9.74  0XXX.00.00.0020210             38.0870 090 99     0.00   0.00   0.00
47300  Surgery for liver lesion                          A  18.01   7.49NA   7.75NA   7.49     7.75     1.99  27.49  27.75  27.49  27.75  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47350  Repair liver wound                                A  22.36   8.82NA   8.78NA   8.82     8.78     2.59  33.77  33.73  33.77  33.73  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47360  Repair liver wound                                A  31.18  11.41NA  11.25NA  11.41    11.25     3.38  45.97  45.81  45.97  45.81  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47361  Repair liver wound                                A  52.47  17.96NA  17.40NA  17.96    17.40     5.87  76.30  75.74  76.30  75.74  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47362  Repair liver wound                                A  23.41   9.01NA   9.31NA   9.01     9.31     2.51  34.93  35.23  34.93  35.23  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47370  Laparo ablate liver tumor rf                      A  20.67   7.91NA   7.70NA   7.91     7.70     2.56  31.14  30.93  31.14  30.93  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47371  Laparo ablate liver cryosurg                      A  20.67   8.02NA   7.90NA   8.02     7.90     2.61  31.30  31.18  31.30  31.18  0090.09.81.1020210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
47380  Open ablate liver tumor rf                        A  24.43   8.98NA   8.61NA   8.98     8.61     2.87  36.28  35.91  36.28  35.91  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47381  Open ablate liver tumor cryo                      A  24.72   9.46NA   9.32NA   9.46     9.32     2.85  37.03  36.89  37.03  36.89  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47382  Percut ablate liver rf                            A  15.19   6.14NA   6.21NA   6.14     6.21     0.96  22.29  22.36  22.29  22.36  0010.10.80.1020100             38.0870 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.00.00.0020111             38.0870 090 99     0.00   0.00   0.00
47400  Incision of liver duct                            A  36.23  13.23NA  13.02NA  13.23    13.02     3.08  52.54  52.33  52.54  52.33  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47420  Incision of bile duct                             A  21.92   8.66NA   8.55NA   8.66     8.55     2.63  33.21  33.10  33.21  33.10  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47425  Incision of bile duct                             A  22.20   8.73NA   8.65NA   8.73     8.65     2.62  33.55  33.47  33.55  33.47  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47460  Incise bile duct sphincter                        A  20.41   8.75NA   9.14NA   8.75     9.14     2.21  31.37  31.76  31.37  31.76  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47480  Incision of gallbladder                           A  13.12   6.28NA   6.64NA   6.28     6.64     1.42  20.82  21.18  20.82  21.18  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47490  Incision of gallbladder                           A   8.05   5.43NA   5.30NA   5.43     5.30     0.43  13.91  13.78  13.91  13.78  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
47500  Injection for liver x-rays                        A   1.96   0.67NA   0.71NA   0.67     0.71     0.12   2.75   2.79   2.75   2.79  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
47505  Injection for liver x-rays                        A   0.76   0.26NA   0.27NA   0.26     0.27     0.04   1.06   1.07   1.06   1.07  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
47510  Insert catheter, bile duct                        A   7.94   4.82NA   4.63NA   4.82     4.63     0.46  13.22  13.03  13.22  13.03  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
47511  Insert bile duct drain                            A  10.74   5.06NA   5.05NA   5.06     5.05     0.62  16.42  16.41  16.42  16.41  0090.09.81.1021100             38.0870 090 99     0.00   0.00   0.00
47525  Change bile duct catheter                         A   5.55  14.98    14.87     2.75     2.69     0.33  20.86  20.75   8.63   8.57  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
47530  Revise/reinsert bile tube                         A   5.96  32.20    30.60     3.58     3.45     0.37  38.53  36.93   9.91   9.78  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
47550  Bile duct endoscopy add-on                        A   3.02   0.90NA   0.78NA   0.90     0.78     0.40   4.32   4.20   4.32   4.20  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
47552  Biliary endoscopy thru skin                       A   6.03   2.43NA   2.48NA   2.43     2.48     0.42   8.88   8.93   8.88   8.93  0000.00.00.0020110             38.0870 090 99     0.00   0.00   0.00
47553  Biliary endoscopy thru skin                       A   6.34   2.16NA   2.25NA   2.16     2.25     0.37   8.87   8.96   8.87   8.96  0000.00.00.0030100       47552 38.0870 090 99     0.00   0.00   0.00
47554  Biliary endoscopy thru skin                       A   9.05   3.32NA   3.30NA   3.32     3.30     0.96  13.33  13.31  13.33  13.31  0000.00.00.0030110       47552 38.0870 090 99     0.00   0.00   0.00
47555  Biliary endoscopy thru skin                       A   7.55   2.61NA   2.75NA   2.61     2.75     0.45  10.61  10.75  10.61  10.75  0000.00.00.0030100       47552 38.0870 090 99     0.00   0.00   0.00
47556  Biliary endoscopy thru skin                       A   8.55   2.94NA   3.09NA   2.94     3.09     0.50  11.99  12.14  11.99  12.14  0000.00.00.0030100       47552 38.0870 090 99     0.00   0.00   0.00
47560  Laparoscopy w/cholangio                           A   4.88   1.45NA   1.24NA   1.45     1.24     0.65   6.98   6.77   6.98   6.77  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
47561  Laparo w/cholangio/biopsy                         A   5.17   1.75NA   1.58NA   1.75     1.58     0.66   7.58   7.41   7.58   7.41  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
47562  Laparoscopic cholecystectomy                      A  11.63   5.13NA   5.27NA   5.13     5.27     1.46  18.22  18.36  18.22  18.36  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47563  Laparo cholecystectomy/graph                      A  12.03   5.18NA   5.07NA   5.18     5.07     1.58  18.79  18.68  18.79  18.68  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47564  Laparo cholecystectomy/explr                      A  14.21   5.68NA   5.42NA   5.68     5.42     1.89  21.78  21.52  21.78  21.52  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47570  Laparo cholecystoenterostomy                      A  12.56   5.17NA   4.97NA   5.17     4.97     1.65  19.38  19.18  19.38  19.18  0090.09.81.1020210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
47600  Removal of gallbladder                            A  17.35   6.68NA   7.22NA   6.68     7.22     1.80  25.83  26.37  25.83  26.37  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47605  Removal of gallbladder                            A  15.90   6.44NA   6.39NA   6.44     6.39     1.95  24.29  24.24  24.29  24.24  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47610  Removal of gallbladder                            A  20.84   7.79NA   7.66NA   7.79     7.66     2.49  31.12  30.99  31.12  30.99  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47612  Removal of gallbladder                            A  21.13   7.78NA   7.68NA   7.78     7.68     2.48  31.39  31.29  31.39  31.29  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47620  Removal of gallbladder                            A  22.99   8.34NA   8.16NA   8.34     8.16     2.74  34.07  33.89  34.07  33.89  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47630  Remove bile duct stone                            A   9.57   4.81NA   4.73NA   4.81     4.73     0.65  15.03  14.95  15.03  14.95  0090.09.81.1020110             38.0870 090 99     0.00   0.00   0.00
47700  Exploration of bile ducts                         A  16.39   7.36NA   7.31NA   7.36     7.31     2.07  25.82  25.77  25.82  25.77  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47701  Bile duct revision                                A  28.62  11.06NA  10.65NA  11.06    10.65     3.68  43.36  42.95  43.36  42.95  0090.09.81.1020000             38.0870 090 99     0.00   0.00   0.00
47711  Excision of bile duct tumor                       A  25.77   9.78NA   9.65NA   9.78     9.65     3.05  38.60  38.47  38.60  38.47  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47712  Excision of bile duct tumor                       A  33.59  12.04NA  11.66NA  12.04    11.66     3.93  49.56  49.18  49.56  49.18  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47715  Excision of bile duct cyst                        A  21.42   8.52NA   8.61NA   8.52     8.61     2.49  32.43  32.52  32.43  32.52  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47720  Fuse gallbladder & bowel                          A  18.21   7.59NA   7.71NA   7.59     7.71     2.11  27.91  28.03  27.91  28.03  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47721  Fuse upper gi structures                          A  21.86   8.55NA   8.55NA   8.55     8.55     2.53  32.94  32.94  32.94  32.94  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47740  Fuse gallbladder & bowel                          A  21.10   8.35NA   8.34NA   8.35     8.34     2.42  31.87  31.86  31.87  31.86  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47741  Fuse gallbladder & bowel                          A  24.08   9.27NA   9.26NA   9.27     9.26     2.83  36.18  36.17  36.18  36.17  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47760  Fuse bile ducts and bowel                         A  38.14  11.94NA  13.05NA  11.94    13.05     3.42  53.50  54.61  53.50  54.61  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47765  Fuse liver ducts & bowel                          A  52.01  13.87NA  16.96NA  13.87    16.96     3.30  69.18  72.27  69.18  72.27  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47780  Fuse bile ducts and bowel                         A  42.14  12.66NA  14.13NA  12.66    14.13     3.50  58.30  59.77  58.30  59.77  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47785  Fuse bile ducts and bowel                         A  56.01  15.38NA  17.86NA  15.38    17.86     4.10  75.49  77.97  75.49  77.97  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47800  Reconstruction of bile ducts                      A  26.04   9.91NA   9.78NA   9.91     9.78     3.08  39.03  38.90  39.03  38.90  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47801  Placement, bile duct support                      A  17.47   8.29NA   8.44NA   8.29     8.44     1.16  26.92  27.07  26.92  27.07  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47802  Fuse liver duct & intestine                       A  24.80   9.68NA   9.69NA   9.68     9.69     2.86  37.34  37.35  37.34  37.35  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
47900  Suture bile duct injury                           A  22.31   8.86NA   8.86NA   8.86     8.86     2.65  33.82  33.82  33.82  33.82  0090.09.81.1020210             38.0870 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.00.00.0020111             38.0870 090 99     0.00   0.00   0.00
48000  Drainage of abdomen                               A  31.82  11.18NA  10.87NA  11.18    10.87     3.48  46.48  46.17  46.48  46.17  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48001  Placement of drain, pancreas                      A  39.56  13.32NA  12.77NA  13.32    12.77     4.69  57.57  57.02  57.57  57.02  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48020  Removal of pancreatic stone                       A  18.96   7.45NA   7.60NA   7.45     7.60     2.13  28.54  28.69  28.54  28.69  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48100  Biopsy of pancreas, open                          A  14.38   5.77NA   5.96NA   5.77     5.96     1.62  21.77  21.96  21.77  21.96  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48102  Needle biopsy, pancreas                           A   4.68   8.78     9.62     1.93     1.91     0.28  13.74  14.58   6.89   6.87  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
48105  Resect/debride pancreas                           A  49.05  16.17NA  15.78NA  16.17    15.78     5.56  70.78  70.39  70.78  70.39  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48120  Removal of pancreas lesion                        A  18.33   6.85NA   6.86NA   6.85     6.86     2.10  27.28  27.29  27.28  27.29  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48140  Partial removal of pancreas                       A  26.19   9.46NA   9.38NA   9.46     9.38     3.03  38.68  38.60  38.68  38.60  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48145  Partial removal of pancreas                       A  27.26   9.69NA   9.56NA   9.69     9.56     3.18  40.13  40.00  40.13  40.00  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48146  Pancreatectomy                                    A  30.42  11.96NA  11.94NA  11.96    11.94     3.50  45.88  45.86  45.88  45.86  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48148  Removal of pancreatic duct                        A  20.26   7.90NA   8.21NA   7.90     8.21     2.30  30.46  30.77  30.46  30.77  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48150  Partial removal of pancreas                       A  52.63  18.77NA  18.03NA  18.77    18.03     6.32  77.72  76.98  77.72  76.98  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48152  Pancreatectomy                                    A  48.47  17.52NA  16.84NA  17.52    16.84     5.80  71.79  71.11  71.79  71.11  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48153  Pancreatectomy                                    A  52.61  18.73NA  17.92NA  18.73    17.92     6.31  77.65  76.84  77.65  76.84  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48154  Pancreatectomy                                    A  48.70  17.64NA  17.07NA  17.64    17.07     5.84  72.18  71.61  72.18  71.61  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48155  Removal of pancreas                               A  29.27  11.81NA  11.97NA  11.81    11.97     3.27  44.35  44.51  44.35  44.51  0090.09.81.1020210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
48400  Injection, intraop add-on                         A   1.95   0.65NA   0.66NA   0.65     0.66     0.15   2.75   2.76   2.75   2.76  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
48500  Surgery of pancreatic cyst                        A  18.03   7.50NA   7.67NA   7.50     7.67     2.03  27.56  27.73  27.56  27.73  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48510  Drain pancreatic pseudocyst                       A  17.06   7.52NA   7.61NA   7.52     7.61     1.83  26.41  26.50  26.41  26.50  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48511  Drain pancreatic pseudocyst                       A   3.99  20.55    20.20     1.37     1.43     0.24  24.78  24.43   5.60   5.66  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
48520  Fuse pancreas cyst and bowel                      A  18.07   6.76NA   6.83NA   6.76     6.83     2.06  26.89  26.96  26.89  26.96  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48540  Fuse pancreas cyst and bowel                      A  21.86   7.95NA   7.80NA   7.95     7.80     2.61  32.42  32.27  32.42  32.27  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48545  Pancreatorrhaphy                                  A  22.10   8.20NA   8.42NA   8.20     8.42     2.38  32.68  32.90  32.68  32.90  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48547  Duodenal exclusion                                A  30.25  10.38NA  10.29NA  10.38    10.29     3.42  44.05  43.96  44.05  43.96  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
48548  Fuse pancreas and bowel                           A  27.96  10.02NA   9.89NA  10.02     9.89     3.28  41.26  41.13  41.26  41.13  0090.09.81.1020210             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
48552  Prep donor pancreas/venous                        A   4.30   1.30NA   1.14NA   1.30     1.14     0.31   5.91   5.75   5.91   5.75  0XXX.00.00.0020210             38.0870 090 99     0.00   0.00   0.00
48554  Transpl allograft pancreas                        R  37.03  19.40NA  20.53NA  19.40    20.53     4.19  60.62  61.75  60.62  61.75  0090.09.81.1020222             38.0870 090 99     0.00   0.00   0.00
48556  Removal, allograft pancreas                       A  19.24   8.65NA   9.23NA   8.65     9.23     2.08  29.97  30.55  29.97  30.55  0090.09.81.1020222             38.0870 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             38.0870 090 99     0.00   0.00   0.00
49000  Exploration of abdomen                            A  12.44   5.29NA   5.21NA   5.29     5.21     1.52  19.25  19.17  19.25  19.17  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49002  Reopening of abdomen                              A  17.55   5.70NA   6.39NA   5.70     6.39     1.37  24.62  25.31  24.62  25.31  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49010  Exploration behind abdomen                        A  15.98   6.05NA   6.20NA   6.05     6.20     1.51  23.54  23.69  23.54  23.69  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49020  Drain abdominal abscess                           A  26.46  10.04NA   9.89NA  10.04     9.89     2.85  39.35  39.20  39.35  39.20  0090.09.81.1020200             38.0870 090 99     0.00   0.00   0.00
49021  Drain abdominal abscess                           A   3.37  20.36    19.65     1.16     1.21     0.20  23.93  23.22   4.73   4.78  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
49040  Drain, open, abdom abscess                        A  16.41   6.47NA   6.52NA   6.47     6.52     1.70  24.58  24.63  24.58  24.63  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49041  Drain, percut, abdom abscess                      A   3.99  19.73    19.93     1.37     1.43     0.24  23.96  24.16   5.60   5.66  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
49060  Drain, open, retrop abscess                       A  18.42   7.34NA   7.25NA   7.34     7.25     1.75  27.51  27.42  27.51  27.42  0090.09.81.1020110             38.0870 090 99     0.00   0.00   0.00
49061  Drain, percut, retroper absc                      A   3.69  19.70    19.76     1.27     1.33     0.22  23.61  23.67   5.18   5.24  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
49062  Drain to peritoneal cavity                        A  12.12   5.27NA   5.12NA   5.27     5.12     1.39  18.78  18.63  18.78  18.63  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49080  Puncture, peritoneal cavity                       A   1.35   3.36     2.73     0.47     0.48     0.08   4.79   4.16   1.90   1.91  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
49081  Removal of abdominal fluid                        A   1.26   2.76     2.94     0.45     0.47     0.09   4.11   4.29   1.80   1.82  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
49180  Biopsy, abdominal mass                            A   1.73   2.79     2.48     0.59     0.62     0.10   4.62   4.31   2.42   2.45  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
49203  Exc abd tum 5 cm or less                          A  20.00   7.66NA   7.66NA   7.66     7.66     2.27  29.93  29.93  29.93  29.93  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49204  Exc abd tum over 5 cm                             A  26.00   9.27NA   9.27NA   9.27     9.27     2.94  38.21  38.21  38.21  38.21  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49205  Exc abd tum over 10 cm                            A  30.00  10.35NA  10.35NA  10.35    10.35     3.40  43.75  43.75  43.75  43.75  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49215  Excise sacral spine tumor                         A  37.66  13.37NA  12.69NA  13.37    12.69     4.38  55.41  54.73  55.41  54.73  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49220  Multiple surgery, abdomen                         A  15.70   6.54NA   6.46NA   6.54     6.46     1.89  24.13  24.05  24.13  24.05  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49250  Excision of umbilicus                             A   8.93   4.30NA   4.34NA   4.30     4.34     1.08  14.31  14.35  14.31  14.35  0090.09.81.1020110             38.0870 090 99     0.00   0.00   0.00
49255  Removal of omentum                                A  12.41   5.62NA   5.63NA   5.62     5.63     1.43  19.46  19.47  19.46  19.47  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49320  Diag laparo separate proc                         A   5.09   2.54NA   2.44NA   2.54     2.44     0.65   8.28   8.18   8.28   8.18  0010.10.80.1020200             38.0870 090 99     0.00   0.00   0.00
49321  Laparoscopy, biopsy                               A   5.39   2.60NA   2.56NA   2.60     2.56     0.70   8.69   8.65   8.69   8.65  0010.10.80.1030220       49320 38.0870 090 99     0.00   0.00   0.00
49322  Laparoscopy, aspiration                           A   5.96   2.81NA   2.63NA   2.81     2.63     0.71   9.48   9.30   9.48   9.30  0010.10.80.1030220       49320 38.0870 090 99     0.00   0.00   0.00
49323  Laparo drain lymphocele                           A  10.13   4.59NA   4.69NA   4.59     4.69     1.20  15.92  16.02  15.92  16.02  0090.10.80.1030220       49320 38.0870 090 99     0.00   0.00   0.00
49324  Lap insertion perm ip cath                        A   6.27   2.79NA   2.79NA   2.79     2.79     0.73   9.79   9.79   9.79   9.79  0010.10.80.1030220       49320 38.0870 090 99     0.00   0.00   0.00
49325  Lap revision perm ip cath                         A   6.77   2.91NA   2.91NA   2.91     2.91     0.86  10.54  10.54  10.54  10.54  0010.10.80.1030220       49320 38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
49400  Air injection into abdomen                        A   1.88   2.77     2.47     0.62     0.62     0.15   4.80   4.50   2.65   2.65  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
49402  Remove foreign body, adbomen                      A  14.01   5.51NA   5.52NA   5.51     5.52     1.62  21.14  21.15  21.14  21.15  0090.09.81.1020110             38.0870 090 99     0.00   0.00   0.00
49419  Insrt abdom cath for chemotx                      A   7.03   3.50NA   3.43NA   3.50     3.43     0.81  11.34  11.27  11.34  11.27  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
49420  Insert abdom drain, temp                          A   2.22   1.13NA   1.18NA   1.13     1.18     0.21   3.56   3.61   3.56   3.61  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
49421  Insert abdom drain, perm                          A   5.87   3.14NA   3.12NA   3.14     3.12     0.74   9.75   9.73   9.75   9.73  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
49422  Remove perm cannula/catheter                      A   6.26   2.75NA   2.61NA   2.75     2.61     0.83   9.84   9.70   9.84   9.70  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
49423  Exchange drainage catheter                        A   1.46  13.59    13.10     0.54     0.56     0.09  15.14  14.65   2.09   2.11  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
49424  Assess cyst, contrast inject                      A   0.76   3.40     3.08     0.30     0.30     0.04   4.20   3.88   1.10   1.10  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
49425  Insert abdomen-venous drain                       A  12.13   5.44NA   5.29NA   5.44     5.29     1.54  19.11  18.96  19.11  18.96  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49426  Revise abdomen-venous shunt                       A  10.33   4.66NA   4.56NA   4.66     4.56     1.28  16.27  16.17  16.27  16.17  0090.09.81.1020100             38.0870 090 99     0.00   0.00   0.00
49427  Injection, abdominal shunt                        A   0.89   0.31NA   0.32NA   0.31     0.32     0.07   1.27   1.28   1.27   1.28  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
49428  Ligation of shunt                                 A   6.79   3.46NA   3.00NA   3.46     3.00     0.80  11.05  10.59  11.05  10.59  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
49429  Removal of shunt                                  A   7.41   3.21NA   2.99NA   3.21     2.99     1.02  11.64  11.42  11.64  11.42  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
49435  Insert subq exten to ip cath                      A   2.25   0.62NA   0.62NA   0.62     0.62     0.28   3.15   3.15   3.15   3.15  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
49436  Embedded ip cath exit-site                        A   2.69   1.66NA   1.66NA   1.66     1.66     0.28   4.63   4.63   4.63   4.63  0010.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
49440  Place gastrostomy tube perc                       A   4.18  25.06    25.06     1.81     1.81     0.49  29.73  29.73   6.48   6.48  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
49441  Place duod/jej tube perc                          A   4.77  30.13    30.13     2.01     2.01     0.29  35.19  35.19   7.07   7.07  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
49442  Place cecostomy tube perc                         A   4.00  24.46    24.46     1.63     1.63     0.24  28.70  28.70   5.87   5.87  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
49446  Change g-tube to g-j perc                         A   3.31  25.78    25.78     1.15     1.15     0.18  29.27  29.27   4.64   4.64  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
49450  Replace g/c tube perc                             A   1.36  18.97    18.97     0.44     0.44     0.08  20.41  20.41   1.88   1.88  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
49451  Replace duod/jej tube perc                        A   1.84  19.71    19.71     0.64     0.64     0.11  21.66  21.66   2.59   2.59  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
49452  Replace g-j tube perc                             A   2.86  23.51    23.51     1.00     1.00     0.18  26.55  26.55   4.04   4.04  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
49460  Fix g/colon tube w/device                         A   0.96  20.59    20.59     0.31     0.31     0.05  21.60  21.60   1.32   1.32  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
49465  Fluoro exam of g/colon tube                       A   0.62   3.89     3.89     0.22     0.22     0.03   4.54   4.54   0.87   0.87  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
49491  Rpr hern preemie reduc                            A  12.42   4.83NA   4.62NA   4.83     4.62     1.40  18.65  18.44  18.65  18.44  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49492  Rpr ing hern premie, blocked                      A  15.32   6.17NA   6.23NA   6.17     6.23     1.81  23.30  23.36  23.30  23.36  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49495  Rpr ing hernia baby, reduc                        A   6.15   3.01NA   3.06NA   3.01     3.06     0.74   9.90   9.95   9.90   9.95  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49496  Rpr ing hernia baby, blocked                      A   9.32   4.36NA   4.45NA   4.36     4.45     1.07  14.75  14.84  14.75  14.84  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49500  Rpr ing hernia, init, reduce                      A   5.76   3.38NA   3.65NA   3.38     3.65     0.71   9.85  10.12   9.85  10.12  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49501  Rpr ing hernia, init blocked                      A   9.28   4.23NA   4.27NA   4.23     4.27     1.12  14.63  14.67  14.63  14.67  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49505  Prp i/hern init reduc >5 yr                       A   7.88   3.81NA   3.88NA   3.81     3.88     1.03  12.72  12.79  12.72  12.79  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49507  Prp i/hern init block >5 yr                       A   9.97   4.45NA   4.45NA   4.45     4.45     1.27  15.69  15.69  15.69  15.69  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49520  Rerepair ing hernia, reduce                       A   9.91   4.40NA   4.38NA   4.40     4.38     1.28  15.59  15.57  15.59  15.57  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49521  Rerepair ing hernia, blocked                      A  12.36   5.11NA   4.98NA   5.11     4.98     1.59  19.06  18.93  19.06  18.93  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49525  Repair ing hernia, sliding                        A   8.85   4.10NA   4.12NA   4.10     4.12     1.13  14.08  14.10  14.08  14.10  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49540  Repair lumbar hernia                              A  10.66   4.66NA   4.58NA   4.66     4.58     1.37  16.69  16.61  16.69  16.61  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49550  Rpr rem hernia, init, reduce                      A   8.91   4.12NA   4.11NA   4.12     4.11     1.14  14.17  14.16  14.17  14.16  0090.09.81.1021210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
49555  Rerepair fem hernia, reduce                       A   9.31   4.23NA   4.20NA   4.23     4.20     1.20  14.74  14.71  14.74  14.71  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49557  Rerepair fem hernia, blocked                      A  11.54   4.91NA   4.83NA   4.91     4.83     1.47  17.92  17.84  17.92  17.84  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49560  Rpr ventral hern init, reduc                      A  11.84   5.01NA   4.88NA   5.01     4.88     1.52  18.37  18.24  18.37  18.24  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49561  Rpr ventral hern init, block                      A  15.30   5.93NA   5.80NA   5.93     5.80     1.89  23.12  22.99  23.12  22.99  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49565  Rerepair ventrl hern, reduce                      A  12.29   5.15NA   5.08NA   5.15     5.08     1.52  18.96  18.89  18.96  18.89  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49566  Rerepair ventrl hern, block                       A  15.45   5.99NA   5.85NA   5.99     5.85     1.91  23.35  23.21  23.35  23.21  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49568  Hernia repair w/mesh                              A   4.88   1.45NA   1.24NA   1.45     1.24     0.64   6.97   6.76   6.97   6.76  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
49570  Rpr epigastric hern, reduce                       A   5.97   3.27NA   3.38NA   3.27     3.38     0.75   9.99  10.10   9.99  10.10  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49572  Rpr epigastric hern, blocked                      A   7.79   3.64NA   3.83NA   3.64     3.83     0.88  12.31  12.50  12.31  12.50  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49580  Rpr umbil hern, reduc < 5 yr                      A   4.39   2.77NA   2.95NA   2.77     2.95     0.54   7.70   7.88   7.70   7.88  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49582  Rpr umbil hern, block < 5 yr                      A   7.05   3.58NA   3.69NA   3.58     3.69     0.88  11.51  11.62  11.51  11.62  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49585  Rpr umbil hern, reduc > 5 yr                      A   6.51   3.40NA   3.51NA   3.40     3.51     0.82  10.73  10.84  10.73  10.84  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49587  Rpr umbil hern, block > 5 yr                      A   7.96   3.80NA   3.86NA   3.80     3.86     0.99  12.75  12.81  12.75  12.81  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49590  Repair spigelian hernia                           A   8.82   4.08NA   4.09NA   4.08     4.09     1.13  14.03  14.04  14.03  14.04  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49600  Repair umbilical lesion                           A  11.47   5.35NA   5.38NA   5.35     5.38     1.32  18.14  18.17  18.14  18.17  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49605  Repair umbilical lesion                           A  86.85  28.05NA  27.59NA  28.05    27.59     9.39 124.29 123.83 124.29 123.83  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49606  Repair umbilical lesion                           A  18.92   7.23NA   6.78NA   7.23     6.78     2.46  28.61  28.16  28.61  28.16  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49610  Repair umbilical lesion                           A  10.83   5.24NA   5.29NA   5.24     5.29     1.07  17.14  17.19  17.14  17.19  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49611  Repair umbilical lesion                           A   9.26   5.59NA   4.21NA   5.59     4.21     0.78  15.63  14.25  15.63  14.25  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49650  Laparo hernia repair initial                      A   6.30   3.27NA   3.35NA   3.27     3.35     0.93  10.50  10.58  10.50  10.58  0090.09.81.1021210             38.0870 090 99     0.00   0.00   0.00
49651  Laparo hernia repair recur                        A   8.29   4.13NA   4.23NA   4.13     4.23     1.14  13.56  13.66  13.56  13.66  0090.09.81.1021210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
49900  Repair of abdominal wall                          A  12.26   6.26NA   6.29NA   6.26     6.29     1.62  20.14  20.17  20.14  20.17  0090.09.81.1020210             38.0870 090 99     0.00   0.00   0.00
49904  Omental flap, extra-abdom                         A  22.16  13.55NA  11.89NA  13.55    11.89     2.70  38.41  36.75  38.41  36.75  0090.10.80.1020111             38.0870 090 99     0.00   0.00   0.00
49905  Omental flap, intra-abdom                         A   6.54   1.99NA   1.69NA   1.99     1.69     0.75   9.28   8.98   9.28   8.98  0ZZZ.00.00.0000220             38.0870 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             38.0870 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.00.00.0020111             38.0870 090 99     0.00   0.00   0.00
50010  Exploration of kidney                             A  12.13   5.98NA   6.73NA   5.98     6.73     0.93  19.04  19.79  19.04  19.79  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50020  Renal abscess, open drain                         A  17.88   8.12NA   8.49NA   8.12     8.49     1.34  27.34  27.71  27.34  27.71  0090.08.83.0920110             38.0870 090 99     0.00   0.00   0.00
50021  Renal abscess, percut drain                       A   3.37  21.39    21.11     1.16     1.22     0.20  24.96  24.68   4.73   4.79  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
50040  Drainage of kidney                                A  16.48   7.82NA   8.83NA   7.82     8.83     1.03  25.33  26.34  25.33  26.34  0090.08.83.0920110             38.0870 090 99     0.00   0.00   0.00
50045  Exploration of kidney                             A  16.67   7.37NA   8.15NA   7.37     8.15     1.24  25.28  26.06  25.28  26.06  0090.08.83.0920210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
50060  Removal of kidney stone                           A  20.80   9.33NA  10.83NA   9.33    10.83     1.36  31.49  32.99  31.49  32.99  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50065  Incision of kidney                                A  22.17   8.80NA  11.53NA   8.80    11.53     1.59  32.56  35.29  32.56  35.29  0090.08.83.0920200             38.0870 090 99     0.00   0.00   0.00
50070  Incision of kidney                                A  21.70   9.77NA  11.34NA   9.77    11.34     1.44  32.91  34.48  32.91  34.48  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50075  Removal of kidney stone                           A  26.91  11.70NA  13.51NA  11.70    13.51     1.81  40.42  42.23  40.42  42.23  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50080  Removal of kidney stone                           A  15.61   7.42NA   8.56NA   7.42     8.56     1.04  24.07  25.21  24.07  25.21  0090.08.83.0921100             38.0870 090 99     0.00   0.00   0.00
50081  Removal of kidney stone                           A  23.32  10.47NA  12.18NA  10.47    12.18     1.54  35.33  37.04  35.33  37.04  0090.08.83.0921210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
50100  Revise kidney blood vessels                       A  17.30   7.15NA   6.52NA   7.15     6.52     2.07  26.52  25.89  26.52  25.89  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50120  Exploration of kidney                             A  17.06   7.94NA   9.12NA   7.94     9.12     1.21  26.21  27.39  26.21  27.39  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50125  Explore and drain kidney                          A  17.67   8.34NA   9.72NA   8.34     9.72     1.43  27.44  28.82  27.44  28.82  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50130  Removal of kidney stone                           A  18.67   8.61NA  10.06NA   8.61    10.06     1.22  28.50  29.95  28.50  29.95  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50135  Exploration of kidney                             A  20.44   9.24NA  10.70NA   9.24    10.70     1.33  31.01  32.47  31.01  32.47  0090.08.83.0921210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
5020F  Txmnts 2 main Dr by 1 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             38.0870 090 99     0.00   0.00   0.00
50200  Biopsy of kidney                                  A   2.63   1.24NA   1.19NA   1.24     1.19     0.16   4.03   3.98   4.03   3.98  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
50205  Biopsy of kidney                                  A  12.19   5.26NA   5.51NA   5.26     5.51     1.30  18.75  19.00  18.75  19.00  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50220  Remove kidney, open                               A  18.53   8.38NA   9.52NA   8.38     9.52     1.35  28.26  29.40  28.26  29.40  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50225  Removal kidney open, complex                      A  21.73   9.58NA  11.02NA   9.58    11.02     1.50  32.81  34.25  32.81  34.25  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50230  Removal kidney open, radical                      A  23.68  10.11NA  11.65NA  10.11    11.65     1.55  35.34  36.88  35.34  36.88  0090.08.83.0921220             38.0870 090 99     0.00   0.00   0.00
50234  Removal of kidney & ureter                        A  23.90  10.44NA  12.04NA  10.44    12.04     1.59  35.93  37.53  35.93  37.53  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50236  Removal of kidney & ureter                        A  26.74  12.08NA  13.92NA  12.08    13.92     1.77  40.59  42.43  40.59  42.43  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50240  Partial removal of kidney                         A  24.01  10.81NA  12.61NA  10.81    12.61     1.55  36.37  38.17  36.37  38.17  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50250  Cryoablate renal mass open                        A  22.06  10.33NA  11.49NA  10.33    11.49     1.39  33.78  34.94  33.78  34.94  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50280  Removal of kidney lesion                          A  16.94   7.88NA   9.07NA   7.88     9.07     1.19  26.01  27.20  26.01  27.20  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50290  Removal of kidney lesion                          A  16.00   7.10NA   7.74NA   7.10     7.74     1.41  24.51  25.15  24.51  25.15  0090.08.83.0920210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
50320  Remove kidney, living donor                       A  22.28  11.48NA  12.31NA  11.48    12.31     2.36  36.12  36.95  36.12  36.95  0090.08.83.0921210             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
50327  Prep renal graft/venous                           A   4.00   1.22NA   1.10NA   1.22     1.10     0.29   5.51   5.39   5.51   5.39  0XXX.00.00.0020210             38.0870 090 99     0.00   0.00   0.00
50328  Prep renal graft/arterial                         A   3.50   1.08NA   0.98NA   1.08     0.98     0.26   4.84   4.74   4.84   4.74  0XXX.00.00.0020210             38.0870 090 99     0.00   0.00   0.00
50329  Prep renal graft/ureteral                         A   3.34   1.09NA   1.05NA   1.09     1.05     0.25   4.68   4.64   4.68   4.64  0XXX.00.00.0020210             38.0870 090 99     0.00   0.00   0.00
50340  Removal of kidney                                 A  13.86   7.15NA   7.81NA   7.15     7.81     1.65  22.66  23.32  22.66  23.32  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50360  Transplantation of kidney                         A  40.45  17.08NA  18.68NA  17.08    18.68     3.82  61.35  62.95  61.35  62.95  0090.08.83.0920222             38.0870 090 99     0.00   0.00   0.00
50365  Transplantation of kidney                         A  45.68  18.81NA  19.42NA  18.81    19.42     4.43  68.92  69.53  68.92  69.53  0090.08.83.0921222             38.0870 090 99     0.00   0.00   0.00
50370  Remove transplanted kidney                        A  18.68   8.17NA   9.19NA   8.17     9.19     1.68  28.53  29.55  28.53  29.55  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50380  Reimplantation of kidney                          A  29.66  14.12NA  16.21NA  14.12    16.21     2.51  46.29  48.38  46.29  48.38  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50382  Change ureter stent, percut                       A   5.50  31.26    26.38     1.96     2.05     0.34  37.10  32.22   7.80   7.89  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
50384  Remove ureter stent, percut                       A   5.00  27.96    20.68     1.78     1.86     0.31  33.27  25.99   7.09   7.17  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
50385  Change stent via transureth                       A   4.44  30.64    30.64     2.05     2.05     0.27  35.35  35.35   6.76   6.76  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
50386  Remove stent via transureth                       A   3.30  19.38    19.38     1.61     1.61     0.20  22.88  22.88   5.11   5.11  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
50387  Change ext/int ureter stent                       A   2.00  15.42    12.61     0.70     0.73     0.12  17.54  14.73   2.82   2.85  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
50389  Remove renal tube w/fluoro                        A   1.10   9.72     6.68     0.39     0.40     0.07  10.89   7.85   1.56   1.57  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
50390  Drainage of kidney lesion                         A   1.96   0.67NA   0.71NA   0.67     0.71     0.12   2.75   2.79   2.75   2.79  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
50391  Instll rx agnt into rnal tub                      A   1.96   1.48     1.38     0.67     0.72     0.14   3.58   3.48   2.77   2.82  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
50392  Insert kidney drain                               A   3.37   1.52NA   1.52NA   1.52     1.52     0.20   5.09   5.09   5.09   5.09  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
50393  Insert ureteral tube                              A   4.15   1.80NA   1.80NA   1.80     1.80     0.25   6.20   6.20   6.20   6.20  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
50394  Injection for kidney x-ray                        A   0.76   2.28     1.87     0.62     0.58     0.05   3.09   2.68   1.43   1.39  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
50395  Create passage to kidney                          A   3.37   1.53NA   1.57NA   1.53     1.57     0.21   5.11   5.15   5.11   5.15  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
50396  Measure kidney pressure                           A   2.09   1.08NA   1.08NA   1.08     1.08     0.13   3.30   3.30   3.30   3.30  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
50398  Change kidney tube                                A   1.46  14.08    11.85     0.54     0.57     0.09  15.63  13.40   2.09   2.12  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
50400  Revision of kidney/ureter                         A  21.12   9.41NA  10.95NA   9.41    10.95     1.38  31.91  33.45  31.91  33.45  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50405  Revision of kidney/ureter                         A  25.68  10.97NA  12.91NA  10.97    12.91     1.79  38.44  40.38  38.44  40.38  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
5050F  Plan 2 main Dr. by 1 month                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
50500  Repair of kidney wound                            A  21.07   8.54NA   8.70NA   8.54     8.70     2.02  31.63  31.79  31.63  31.79  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50520  Close kidney-skin fistula                         A  18.73   8.34NA   9.25NA   8.34     9.25     1.49  28.56  29.47  28.56  29.47  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50525  Repair renal-abdomen fistula                      A  24.21  10.40NA  11.80NA  10.40    11.80     1.84  36.45  37.85  36.45  37.85  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50526  Repair renal-abdomen fistula                      A  26.13   9.01NA   8.16NA   9.01     8.16     1.97  37.11  36.26  37.11  36.26  0090.08.83.0920200             38.0870 090 99     0.00   0.00   0.00
50540  Revision of horseshoe kidney                      A  20.95   9.47NA  10.62NA   9.47    10.62     1.36  31.78  32.93  31.78  32.93  0090.08.83.0922210             38.0870 090 99     0.00   0.00   0.00
50541  Laparo ablate renal cyst                          A  16.76   7.59NA   8.70NA   7.59     8.70     1.13  25.48  26.59  25.48  26.59  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50542  Laparo ablate renal mass                          A  21.18   9.66NA  11.18NA   9.66    11.18     1.39  32.23  33.75  32.23  33.75  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50543  Laparo partial nephrectomy                        A  27.18  12.15NA  14.10NA  12.15    14.10     1.81  41.14  43.09  41.14  43.09  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50544  Laparoscopy, pyeloplasty                          A  23.27   9.98NA  11.44NA   9.98    11.44     1.58  34.83  36.29  34.83  36.29  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50545  Laparo radical nephrectomy                        A  24.93  10.67NA  12.15NA  10.67    12.15     1.71  37.31  38.79  37.31  38.79  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50546  Laparoscopic nephrectomy                          A  21.69   9.83NA  11.29NA   9.83    11.29     1.57  33.09  34.55  33.09  34.55  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50547  Laparo removal donor kidney                       A  26.24  11.79NA  12.48NA  11.79    12.48     2.77  40.80  41.49  40.80  41.49  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50548  Laparo remove w/ureter                            A  25.26  10.65NA  12.12NA  10.65    12.12     1.73  37.64  39.11  37.64  39.11  0090.08.83.0920210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
50551  Kidney endoscopy                                  A   5.59   4.37     4.60     2.31     2.65     0.40  10.36  10.59   8.30   8.64  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
50553  Kidney endoscopy                                  A   5.98   4.43     4.50     2.40     2.63     0.39  10.80  10.87   8.77   9.00  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
50555  Kidney endoscopy & biopsy                         A   6.52   4.95     5.10     2.68     3.02     0.45  11.92  12.07   9.65   9.99  0000.00.00.0031000       50551 38.0870 090 99     0.00   0.00   0.00
50557  Kidney endoscopy & treatment                      A   6.61   4.92     5.27     2.68     3.07     0.47  12.00  12.35   9.76  10.15  0000.00.00.0031000       50551 38.0870 090 99     0.00   0.00   0.00
50561  Kidney endoscopy & treatment                      A   7.58   5.45     5.81     3.03     3.41     0.54  13.57  13.93  11.15  11.53  0000.00.00.0031000       50551 38.0870 090 99     0.00   0.00   0.00
50562  Renal scope w/tumor resect                        A  10.90   4.84NA   5.36NA   4.84     5.36     0.73  16.47  16.99  16.47  16.99  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50570  Kidney endoscopy                                  A   9.53   3.68NA   4.15NA   3.68     4.15     0.68  13.89  14.36  13.89  14.36  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
50572  Kidney endoscopy                                  A  10.33   3.91NA   4.32NA   3.91     4.32     0.85  15.09  15.50  15.09  15.50  0000.00.00.0031000       50570 38.0870 090 99     0.00   0.00   0.00
50574  Kidney endoscopy & biopsy                         A  11.00   4.27NA   4.79NA   4.27     4.79     0.77  16.04  16.56  16.04  16.56  0000.00.00.0031000       50570 38.0870 090 99     0.00   0.00   0.00
50575  Kidney endoscopy                                  A  13.96   5.29NA   5.96NA   5.29     5.96     0.99  20.24  20.91  20.24  20.91  0000.00.00.0031100       50570 38.0870 090 99     0.00   0.00   0.00
50576  Kidney endoscopy & treatment                      A  10.97   4.22NA   4.78NA   4.22     4.78     0.78  15.97  16.53  15.97  16.53  0000.00.00.0031000       50570 38.0870 090 99     0.00   0.00   0.00
50580  Kidney endoscopy & treatment                      A  11.84   4.53NA   5.10NA   4.53     5.10     0.83  17.20  17.77  17.20  17.77  0000.00.00.0031000       50570 38.0870 090 99     0.00   0.00   0.00
50590  Fragmenting of kidney stone                       A   9.64  14.75    17.10     5.12     6.13     0.65  25.04  27.39  15.41  16.42  0090.08.83.0921100             38.0870 090 99     0.00   0.00   0.00
50592  Perc rf ablate renal tumor                        A   6.77 112.31    75.49     2.99     3.00     0.43 119.51  82.69  10.19  10.20  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
50593  Perc cryo ablate renal tum                        A   9.08 114.62   114.62     3.45     3.45     0.58 124.28 124.28  13.11  13.11  0010.10.80.1020200             38.0870 090 99     0.00   0.00   0.00
50600  Exploration of ureter                             A  17.04   7.59NA   8.51NA   7.59     8.51     1.13  25.76  26.68  25.76  26.68  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50605  Insert ureteral support                           A  16.66   7.31NA   7.89NA   7.31     7.89     1.45  25.42  26.00  25.42  26.00  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50610  Removal of ureter stone                           A  17.12   7.97NA   8.98NA   7.97     8.98     1.43  26.52  27.53  26.52  27.53  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50620  Removal of ureter stone                           A  16.30   7.61NA   8.88NA   7.61     8.88     1.07  24.98  26.25  24.98  26.25  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50630  Removal of ureter stone                           A  16.08   7.24NA   8.20NA   7.24     8.20     1.09  24.41  25.37  24.41  25.37  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50650  Removal of ureter                                 A  18.67   8.59NA   9.96NA   8.59     9.96     1.23  28.49  29.86  28.49  29.86  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50660  Removal of ureter                                 A  20.87   9.34NA  10.73NA   9.34    10.73     1.38  31.59  32.98  31.59  32.98  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50684  Injection for ureter x-ray                        A   0.76   4.47     3.97     0.55     0.63     0.05   5.28   4.78   1.36   1.44  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
50686  Measure ureter pressure                           A   1.51   2.87     2.30     0.82     0.81     0.11   4.49   3.92   2.44   2.43  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
50688  Change of ureter tube/stent                       A   1.18   1.01NA   0.95NA   1.01     0.95     0.07   2.26   2.20   2.26   2.20  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
50690  Injection for ureter x-ray                        A   1.16   1.64     1.45     0.73     0.75     0.07   2.87   2.68   1.96   1.98  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
50700  Revision of ureter                                A  16.54   7.94NA   8.76NA   7.94     8.76     1.27  25.75  26.57  25.75  26.57  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50715  Release of ureter                                 A  20.49   8.64NA   8.54NA   8.64     8.54     2.14  31.27  31.17  31.27  31.17  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50722  Release of ureter                                 A  17.80   7.54NA   7.27NA   7.54     7.27     1.91  27.25  26.98  27.25  26.98  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50725  Release/revise ureter                             A  20.05   8.43NA   8.82NA   8.43     8.82     1.52  30.00  30.39  30.00  30.39  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50727  Revise ureter                                     A   8.17   5.00NA   5.73NA   5.00     5.73     0.61  13.78  14.51  13.78  14.51  0090.08.83.0920220             38.0870 090 99     0.00   0.00   0.00
50728  Revise ureter                                     A  12.00   6.15NA   6.75NA   6.15     6.75     1.00  19.15  19.75  19.15  19.75  0090.08.83.0920220             38.0870 090 99     0.00   0.00   0.00
50740  Fusion of ureter & kidney                         A  19.92   8.35NA   8.98NA   8.35     8.98     1.97  30.24  30.87  30.24  30.87  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50750  Fusion of ureter & kidney                         A  21.07   9.53NA  11.08NA   9.53    11.08     1.38  31.98  33.53  31.98  33.53  0090.08.83.0920200             38.0870 090 99     0.00   0.00   0.00
50760  Fusion of ureters                                 A  19.92   8.78NA   9.90NA   8.78     9.90     1.55  30.25  31.37  30.25  31.37  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50770  Splicing of ureters                               A  21.07   9.43NA  10.88NA   9.43    10.88     1.45  31.95  33.40  31.95  33.40  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50780  Reimplant ureter in bladder                       A  19.80   8.85NA  10.11NA   8.85    10.11     1.51  30.16  31.42  30.16  31.42  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50782  Reimplant ureter in bladder                       A  19.51   9.33NA   9.89NA   9.33     9.89     1.61  30.45  31.01  30.45  31.01  0090.08.83.0921220             38.0870 090 99     0.00   0.00   0.00
50783  Reimplant ureter in bladder                       A  20.52   9.17NA  10.12NA   9.17    10.12     1.99  31.68  32.63  31.68  32.63  0090.08.83.0921220             38.0870 090 99     0.00   0.00   0.00
50785  Reimplant ureter in bladder                       A  22.08   9.74NA  11.20NA   9.74    11.20     1.45  33.27  34.73  33.27  34.73  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50800  Implant ureter in bowel                           A  16.23   7.82NA   9.17NA   7.82     9.17     1.19  25.24  26.59  25.24  26.59  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50810  Fusion of ureter & bowel                          A  22.38   9.83NA  10.58NA   9.83    10.58     2.32  34.53  35.28  34.53  35.28  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50815  Urine shunt to intestine                          A  22.06   9.95NA  11.47NA   9.95    11.47     1.54  33.55  35.07  33.55  35.07  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50820  Construct bowel bladder                           A  23.89  10.25NA  11.86NA  10.25    11.86     1.90  36.04  37.65  36.04  37.65  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50825  Construct bowel bladder                           A  30.48  13.02NA  14.91NA  13.02    14.91     2.08  45.58  47.47  45.58  47.47  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50830  Revise urine flow                                 A  33.57  13.90NA  15.62NA  13.90    15.62     2.38  49.85  51.57  49.85  51.57  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50840  Replace ureter by bowel                           A  22.19  10.18NA  11.93NA  10.18    11.93     1.47  33.84  35.59  33.84  35.59  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50845  Appendico-vesicostomy                             A  22.21  10.48NA  12.07NA  10.48    12.07     1.57  34.26  35.85  34.26  35.85  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50860  Transplant ureter to skin                         A  16.93   7.92NA   9.22NA   7.92     9.22     1.29  26.14  27.44  26.14  27.44  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50900  Repair of ureter                                  A  14.89   7.06NA   7.99NA   7.06     7.99     1.14  23.09  24.02  23.09  24.02  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50920  Closure ureter/skin fistula                       A  15.66   7.54NA   8.52NA   7.54     8.52     1.01  24.21  25.19  24.21  25.19  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50930  Closure ureter/bowel fistula                      A  20.04   8.73NA   9.49NA   8.73     9.49     1.28  30.05  30.81  30.05  30.81  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
50940  Release of ureter                                 A  15.78   7.09NA   7.79NA   7.09     7.79     1.26  24.13  24.83  24.13  24.83  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50945  Laparoscopy ureterolithotomy                      A  17.87   8.16NA   9.29NA   8.16     9.29     1.36  27.39  28.52  27.39  28.52  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50947  Laparo new ureter/bladder                         A  25.63  10.99NA  12.29NA  10.99    12.29     2.17  38.79  40.09  38.79  40.09  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
50948  Laparo new ureter/bladder                         A  23.69   9.94NA  11.19NA   9.94    11.19     1.71  35.34  36.59  35.34  36.59  0090.08.83.0921210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
50951  Endoscopy of ureter                               A   5.83   4.56     4.82     2.41     2.76     0.41  10.80  11.06   8.65   9.00  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
50953  Endoscopy of ureter                               A   6.23   4.67     4.93     2.79     3.22     0.43  11.33  11.59   9.45   9.88  0000.00.00.0031000       50951 38.0870 090 99     0.00   0.00   0.00
50955  Ureter endoscopy & biopsy                         A   6.74   5.78     5.15     3.07     3.45     0.48  13.00  12.37  10.29  10.67  0000.00.00.0031000       50951 38.0870 090 99     0.00   0.00   0.00
50957  Ureter endoscopy & treatment                      A   6.78   4.97     5.38     2.76     3.14     0.48  12.23  12.64  10.02  10.40  0000.00.00.0031000       50951 38.0870 090 99     0.00   0.00   0.00
50961  Ureter endoscopy & treatment                      A   6.04   4.55     4.75     2.49     2.79     0.41  11.00  11.20   8.94   9.24  0000.00.00.0031000       50951 38.0870 090 99     0.00   0.00   0.00
50970  Ureter endoscopy                                  A   7.13   2.85NA   3.24NA   2.85     3.24     0.52  10.50  10.89  10.50  10.89  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
50972  Ureter endoscopy & catheter                       A   6.88   2.76NA   3.05NA   2.76     3.05     0.49  10.13  10.42  10.13  10.42  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
50974  Ureter endoscopy & biopsy                         A   9.16   3.44NA   3.77NA   3.44     3.77     0.64  13.24  13.57  13.24  13.57  0000.00.00.0031000       50970 38.0870 090 99     0.00   0.00   0.00
50976  Ureter endoscopy & treatment                      A   9.03   3.46NA   3.85NA   3.46     3.85     0.66  13.15  13.54  13.15  13.54  0000.00.00.0031000       50970 38.0870 090 99     0.00   0.00   0.00
50980  Ureter endoscopy & treatment                      A   6.84   2.75NA   3.12NA   2.75     3.12     0.48  10.07  10.44  10.07  10.44  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
51020  Incise & treat bladder                            A   7.56   4.62NA   5.39NA   4.62     5.39     0.47  12.65  13.42  12.65  13.42  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51030  Incise & treat bladder                            A   7.68   4.43NA   4.90NA   4.43     4.90     0.58  12.69  13.16  12.69  13.16  0090.08.83.0920000             38.0870 090 99     0.00   0.00   0.00
51040  Incise & drain bladder                            A   4.43   3.23NA   3.69NA   3.23     3.69     0.31   7.97   8.43   7.97   8.43  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51045  Incise bladder/drain ureter                       A   7.68   4.54NA   5.15NA   4.54     5.15     0.52  12.74  13.35  12.74  13.35  0090.08.83.0920200             38.0870 090 99     0.00   0.00   0.00
51050  Removal of bladder stone                          A   7.87   4.48NA   5.33NA   4.48     5.33     0.49  12.84  13.69  12.84  13.69  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51060  Removal of ureter stone                           A   9.82   5.46NA   6.42NA   5.46     6.42     0.62  15.90  16.86  15.90  16.86  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51065  Remove ureter calculus                            A   9.82   5.30NA   6.25NA   5.30     6.25     0.63  15.75  16.70  15.75  16.70  0090.08.83.0920000             38.0870 090 99     0.00   0.00   0.00
51080  Drainage of bladder abscess                       A   6.61   4.07NA   4.61NA   4.07     4.61     0.43  11.11  11.65  11.11  11.65  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51100  Drain bladder by needle                           A   0.78   0.92     0.92     0.27     0.27     0.05   1.75   1.75   1.10   1.10  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51101  Drain bladder by trocar/cath                      A   1.02   2.41     2.41     0.34     0.34     0.10   3.53   3.53   1.46   1.46  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51102  Drain bl w/cath insertion                         A   4.27   4.75     4.75     2.37     2.37     0.28   9.30   9.30   6.92   6.92  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
51500  Removal of bladder cyst                           A  10.92   5.38NA   5.76NA   5.38     5.76     1.03  17.33  17.71  17.33  17.71  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51520  Removal of bladder lesion                         A  10.08   5.49NA   6.31NA   5.49     6.31     0.69  16.26  17.08  16.26  17.08  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51525  Removal of bladder lesion                         A  15.29   7.30NA   8.47NA   7.30     8.47     0.99  23.58  24.75  23.58  24.75  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51530  Removal of bladder lesion                         A  13.58   6.57NA   7.38NA   6.57     7.38     1.05  21.20  22.01  21.20  22.01  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51535  Repair of ureter lesion                           A  13.77   6.74NA   7.38NA   6.74     7.38     1.23  21.74  22.38  21.74  22.38  0090.08.83.0921210             38.0870 090 99     0.00   0.00   0.00
51550  Partial removal of bladder                        A  17.10   7.72NA   8.71NA   7.72     8.71     1.31  26.13  27.12  26.13  27.12  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51555  Partial removal of bladder                        A  23.03  10.01NA  11.36NA  10.01    11.36     1.70  34.74  36.09  34.74  36.09  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51565  Revise bladder & ureter(s)                        A  23.50  10.54NA  12.12NA  10.54    12.12     1.63  35.67  37.25  35.67  37.25  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51570  Removal of bladder                                A  27.31  11.62NA  13.49NA  11.62    13.49     1.72  40.65  42.52  40.65  42.52  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51575  Removal of bladder & nodes                        A  34.00  14.24NA  16.45NA  14.24    16.45     2.17  50.41  52.62  50.41  52.62  0090.08.83.0922210             38.0870 090 99     0.00   0.00   0.00
51580  Remove bladder/revise tract                       A  35.14  15.04NA  17.59NA  15.04    17.59     2.25  52.43  54.98  52.43  54.98  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51585  Removal of bladder & nodes                        A  39.41  16.48NA  19.26NA  16.48    19.26     2.49  58.38  61.16  58.38  61.16  0090.08.83.0922210             38.0870 090 99     0.00   0.00   0.00
51590  Remove bladder/revise tract                       A  36.15  14.93NA  17.25NA  14.93    17.25     2.28  53.36  55.68  53.36  55.68  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51595  Remove bladder/revise tract                       A  41.12  16.85NA  19.58NA  16.85    19.58     2.60  60.57  63.30  60.57  63.30  0090.08.83.0922210             38.0870 090 99     0.00   0.00   0.00
51596  Remove bladder/create pouch                       A  44.01  18.21NA  21.20NA  18.21    21.20     2.78  65.00  67.99  65.00  67.99  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51597  Removal of pelvic structures                      A  42.61  17.51NA  20.19NA  17.51    20.19     2.82  62.94  65.62  62.94  65.62  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51600  Injection for bladder x-ray                       A   0.88   4.64     4.23     0.31     0.33     0.06   5.58   5.17   1.25   1.27  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51605  Preparation for bladder xray                      A   0.64   0.39NA   0.43NA   0.39     0.43     0.04   1.07   1.11   1.07   1.11  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51610  Injection for bladder x-ray                       A   1.05   2.10     1.91     0.65     0.71     0.07   3.22   3.03   1.77   1.83  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51700  Irrigation of bladder                             A   0.88   1.55     1.50     0.31     0.34     0.06   2.49   2.44   1.25   1.28  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51701  Insert bladder catheter                           A   0.50   1.31     1.04     0.22     0.24     0.04   1.85   1.58   0.76   0.78  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51702  Insert temp bladder cath                          A   0.50   1.81     1.53     0.29     0.33     0.04   2.35   2.07   0.83   0.87  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51703  Insert bladder cath, complex                      A   1.47   2.50     2.26     0.68     0.80     0.10   4.07   3.83   2.25   2.37  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51705  Change of bladder tube                            A   1.03   2.15     2.02     0.73     0.85     0.07   3.25   3.12   1.83   1.95  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
51710  Change of bladder tube                            A   1.50   3.03     2.73     0.97     1.18     0.11   4.64   4.34   2.58   2.79  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
51715  Endoscopic injection/implant                      A   3.73   4.16     4.41     1.54     1.73     0.29   8.18   8.43   5.56   5.75  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
51720  Treatment of bladder lesion                       A   1.50   1.68     1.62     0.71     0.74     0.14   3.32   3.26   2.35   2.38  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51725  Simple cystometrogram                             A   1.51   4.91     4.23     4.91NA   4.23 NA  0.16   6.58   5.90   6.58   5.90  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
51725TCSimple cystometrogram                             A   0.00   4.39     3.68     4.39NA   3.68 NA  0.04   4.43   3.72   4.43   3.72  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
5172526Simple cystometrogram                             A   1.51   0.52     0.55     0.52     0.55     0.12   2.15   2.18   2.15   2.18  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
51726  Complex cystometrogram                            A   1.71   7.31     7.11     7.31NA   7.11 NA  0.18   9.20   9.00   9.20   9.00  1000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51726TCComplex cystometrogram                            A   0.00   6.71     6.47     6.71NA   6.47 NA  0.05   6.76   6.52   6.76   6.52  1000.00.00.0000100             38.0870 020 99     0.00   0.00   0.00
5172626Complex cystometrogram                            A   1.71   0.60     0.64     0.60     0.64     0.13   2.44   2.48   2.44   2.48  1000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51736  Urine flow measurement                            A   0.61   0.76     0.94     0.76NA   0.94 NA  0.06   1.43   1.61   1.43   1.61  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
51736TCUrine flow measurement                            A   0.00   0.54     0.70     0.54NA   0.70 NA  0.01   0.55   0.71   0.55   0.71  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
5173626Urine flow measurement                            A   0.61   0.22     0.24     0.22     0.24     0.05   0.88   0.90   0.88   0.90  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
51741  Electro-uroflowmetry, first                       A   1.14   1.03     1.27     1.03NA   1.27 NA  0.11   2.28   2.52   2.28   2.52  1000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51741TCElectro-uroflowmetry, first                       A   0.00   0.62     0.83     0.62NA   0.83 NA  0.02   0.64   0.85   0.64   0.85  1000.00.00.0000100             38.0870 020 99     0.00   0.00   0.00
5174126Electro-uroflowmetry, first                       A   1.14   0.41     0.44     0.41     0.44     0.09   1.64   1.67   1.64   1.67  1000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51772  Urethra pressure profile                          A   1.61   5.32     5.06     5.32NA   5.06 NA  0.20   7.13   6.87   7.13   6.87  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
51772TCUrethra pressure profile                          A   0.00   4.77     4.51     4.77NA   4.51 NA  0.05   4.82   4.56   4.82   4.56  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
5177226Urethra pressure profile                          A   1.61   0.55     0.55     0.55     0.55     0.15   2.31   2.31   2.31   2.31  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
51784  Anal/urinary muscle study                         A   1.53   4.05     4.12     4.05NA   4.12 NA  0.16   5.74   5.81   5.74   5.81  1000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51784TCAnal/urinary muscle study                         A   0.00   3.52     3.56     3.52NA   3.56 NA  0.04   3.56   3.60   3.56   3.60  1000.00.00.0000100             38.0870 020 99     0.00   0.00   0.00
5178426Anal/urinary muscle study                         A   1.53   0.53     0.56     0.53     0.56     0.12   2.18   2.21   2.18   2.21  1000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
51785  Anal/urinary muscle study                         A   1.53   4.50     4.55     4.50NA   4.55 NA  0.15   6.18   6.23   6.18   6.23  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
51785TCAnal/urinary muscle study                         A   0.00   3.97     3.99     3.97NA   3.99 NA  0.04   4.01   4.03   4.01   4.03  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
5178526Anal/urinary muscle study                         A   1.53   0.53     0.56     0.53     0.56     0.11   2.17   2.20   2.17   2.20  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
51792  Urinary reflex study                              A   1.10   5.52     5.05     5.52NA   5.05 NA  0.20   6.82   6.35   6.82   6.35  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
51792TCUrinary reflex study                              A   0.00   5.12     4.66     5.12NA   4.66 NA  0.13   5.25   4.79   5.25   4.79  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
5179226Urinary reflex study                              A   1.10   0.40     0.39     0.40     0.39     0.07   1.57   1.56   1.57   1.56  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
51795  Urine voiding pressure study                      A   1.53   7.00     6.72     7.00NA   6.72 NA  0.22   8.75   8.47   8.75   8.47  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
51795TCUrine voiding pressure study                      A   0.00   6.47     6.15     6.47NA   6.15 NA  0.10   6.57   6.25   6.57   6.25  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
5179526Urine voiding pressure study                      A   1.53   0.53     0.57     0.53     0.57     0.12   2.18   2.22   2.18   2.22  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
51797  Intraabdominal pressure test                      A   0.80   4.11     2.44     4.11NA   2.44 NA  0.17   5.08   3.41   5.08   3.41  1ZZZ.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
51797TCIntraabdominal pressure test                      A   0.00   3.70     2.14     3.70NA   2.14 NA  0.05   3.75   2.19   3.75   2.19  1ZZZ.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
5179726Intraabdominal pressure test                      A   0.80   0.41     0.30     0.41     0.30     0.12   1.33   1.22   1.33   1.22  1ZZZ.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
51798  Us urine capacity measure                         A   0.00   0.47     0.59     0.47NA   0.59 NA  0.08   0.55   0.67   0.55   0.67  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
51800  Revision of bladder/urethra                       A  18.74   8.64NA   9.72NA   8.64     9.72     1.32  28.70  29.78  28.70  29.78  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51820  Revision of urinary tract                         A  19.41   9.02NA   9.75NA   9.02     9.75     1.75  30.18  30.91  30.18  30.91  0090.08.83.0922210             38.0870 090 99     0.00   0.00   0.00
51840  Attach bladder/urethra                            A  11.28   5.66NA   5.76NA   5.66     5.76     1.06  18.00  18.10  18.00  18.10  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51841  Attach bladder/urethra                            A  13.60   6.62NA   6.86NA   6.62     6.86     1.24  21.46  21.70  21.46  21.70  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51845  Repair bladder neck                               A  10.07   5.31NA   5.89NA   5.31     5.89     0.79  16.17  16.75  16.17  16.75  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51860  Repair of bladder wound                           A  12.49   6.25NA   6.73NA   6.25     6.73     1.16  19.90  20.38  19.90  20.38  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51865  Repair of bladder wound                           A  15.69   7.50NA   8.33NA   7.50     8.33     1.23  24.42  25.25  24.42  25.25  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51880  Repair of bladder opening                         A   7.81   4.34NA   4.73NA   4.34     4.73     0.72  12.87  13.26  12.87  13.26  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51900  Repair bladder/vagina lesion                      A  14.48   7.02NA   7.98NA   7.02     7.98     1.21  22.71  23.67  22.71  23.67  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51920  Close bladder-uterus fistula                      A  13.26   6.84NA   8.04NA   6.84     8.04     1.18  21.28  22.48  21.28  22.48  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51925  Hysterectomy/bladder repair                       A  17.35  10.51NA  12.42NA  10.51    12.42     2.04  29.90  31.81  29.90  31.81  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51940  Correction of bladder defect                      A  30.48  11.91NA  11.73NA  11.91    11.73     2.15  44.54  44.36  44.54  44.36  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51960  Revision of bladder & bowel                       A  25.20  11.27NA  12.89NA  11.27    12.89     1.63  38.10  39.72  38.10  39.72  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51980  Construct bladder opening                         A  12.44   6.22NA   7.07NA   6.22     7.07     0.86  19.52  20.37  19.52  20.37  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51990  Laparo urethral suspension                        A  13.26   6.04NA   5.93NA   6.04     5.93     1.39  20.69  20.58  20.69  20.58  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
51992  Laparo sling operation                            A  14.77   6.36NA   6.51NA   6.36     6.51     1.41  22.54  22.69  22.54  22.69  0090.08.83.0920210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
52000  Cystoscopy                                        A   2.23   3.48     3.66     1.03     1.31     0.14   5.85   6.03   3.40   3.68  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
52001  Cystoscopy, removal of clots                      A   5.44   5.06     5.05     2.22     2.57     0.39  10.89  10.88   8.05   8.40  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52005  Cystoscopy & ureter catheter                      A   2.37   5.65     5.73     1.13     1.37     0.17   8.19   8.27   3.67   3.91  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52007  Cystoscopy and biopsy                             A   3.02  13.58    10.71     1.38     1.62     0.22  16.82  13.95   4.62   4.86  0000.00.00.0031100       52000 38.0870 090 99     0.00   0.00   0.00
52010  Cystoscopy & duct catheter                        A   3.02   9.42     8.08     1.38     1.62     0.21  12.65  11.31   4.61   4.85  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52204  Cystoscopy w/biopsy(s)                            A   2.59  11.41     8.31     1.14     1.38     0.17  14.17  11.07   3.90   4.14  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52214  Cystoscopy and treatment                          A   3.70  29.01    19.89     1.58     1.83     0.26  32.97  23.85   5.54   5.79  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52224  Cystoscopy and treatment                          A   3.14  27.77    19.07     1.38     1.60     0.22  31.13  22.43   4.74   4.96  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52234  Cystoscopy and treatment                          A   4.62   1.96NA   2.27NA   1.96     2.27     0.33   6.91   7.22   6.91   7.22  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52235  Cystoscopy and treatment                          A   5.44   2.29NA   2.64NA   2.29     2.64     0.39   8.12   8.47   8.12   8.47  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52240  Cystoscopy and treatment                          A   9.71   3.82NA   4.34NA   3.82     4.34     0.69  14.22  14.74  14.22  14.74  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52250  Cystoscopy and radiotracer                        A   4.49   1.97NA   2.30NA   1.97     2.30     0.32   6.78   7.11   6.78   7.11  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52260  Cystoscopy and treatment                          A   3.91   1.67NA   1.93NA   1.67     1.93     0.28   5.86   6.12   5.86   6.12  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52265  Cystoscopy and treatment                          A   2.94  10.42     7.49     1.29     1.47     0.22  13.58  10.65   4.45   4.63  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52270  Cystoscopy & revise urethra                       A   3.36   9.03     7.02     1.49     1.74     0.24  12.63  10.62   5.09   5.34  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52275  Cystoscopy & revise urethra                       A   4.69  12.43     9.30     1.96     2.27     0.33  17.45  14.32   6.98   7.29  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52276  Cystoscopy and treatment                          A   4.99   2.11NA   2.44NA   2.11     2.44     0.35   7.45   7.78   7.45   7.78  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52277  Cystoscopy and treatment                          A   6.16   2.56NA   2.90NA   2.56     2.90     0.44   9.16   9.50   9.16   9.50  0000.00.00.0030000       52000 38.0870 090 99     0.00   0.00   0.00
52281  Cystoscopy and treatment                          A   2.80   6.19     5.29     1.31     1.54     0.20   9.19   8.29   4.31   4.54  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52282  Cystoscopy, implant stent                         A   6.39   2.60NA   2.96NA   2.60     2.96     0.45   9.44   9.80   9.44   9.80  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52283  Cystoscopy and treatment                          A   3.73   4.00     4.06     1.62     1.86     0.26   7.99   8.05   5.61   5.85  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52285  Cystoscopy and treatment                          A   3.60   4.17     4.33     1.58     1.83     0.26   8.03   8.19   5.44   5.69  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52290  Cystoscopy and treatment                          A   4.58   1.95NA   2.26NA   1.95     2.26     0.32   6.85   7.16   6.85   7.16  0000.00.00.0032100       52000 38.0870 090 99     0.00   0.00   0.00
52300  Cystoscopy and treatment                          A   5.30   2.23NA   2.56NA   2.23     2.56     0.38   7.91   8.24   7.91   8.24  0000.00.00.0032000       52000 38.0870 090 99     0.00   0.00   0.00
52301  Cystoscopy and treatment                          A   5.50   2.33NA   2.68NA   2.33     2.68     0.46   8.29   8.64   8.29   8.64  0000.00.00.0032000       52000 38.0870 090 99     0.00   0.00   0.00
52305  Cystoscopy and treatment                          A   5.30   2.17NA   2.49NA   2.17     2.49     0.38   7.85   8.17   7.85   8.17  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52310  Cystoscopy and treatment                          A   2.81   4.35     4.00     1.23     1.43     0.20   7.36   7.01   4.24   4.44  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52315  Cystoscopy and treatment                          A   5.20   7.65     6.63     2.15     2.47     0.37  13.22  12.20   7.72   8.04  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52317  Remove bladder stone                              A   6.71  23.01    17.07     2.64     2.99     0.48  30.20  24.26   9.83  10.18  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52318  Remove bladder stone                              A   9.18   3.57NA   4.04NA   3.57     4.04     0.65  13.40  13.87  13.40  13.87  0000.00.00.0030100       52000 38.0870 090 99     0.00   0.00   0.00
52320  Cystoscopy and treatment                          A   4.69   1.92NA   2.21NA   1.92     2.21     0.33   6.94   7.23   6.94   7.23  0000.00.00.0031100       52000 38.0870 090 99     0.00   0.00   0.00
52325  Cystoscopy, stone removal                         A   6.15   2.45NA   2.78NA   2.45     2.78     0.44   9.04   9.37   9.04   9.37  0000.00.00.0031100       52000 38.0870 090 99     0.00   0.00   0.00
52327  Cystoscopy, inject material                       A   5.18  16.94     2.04     1.93     2.04     0.37  22.49   7.59   7.48   7.59  0000.00.00.0031100       52000 38.0870 090 99     0.00   0.00   0.00
52330  Cystoscopy and treatment                          A   5.03  29.63    20.41     2.05     2.35     0.36  35.02  25.80   7.44   7.74  0000.00.00.0031100       52000 38.0870 090 99     0.00   0.00   0.00
52332  Cystoscopy and treatment                          A   2.83   9.08    12.42     1.30     1.55     0.21  12.12  15.46   4.34   4.59  0000.00.00.0031100       52000 38.0870 090 99     0.00   0.00   0.00
52334  Create passage to kidney                          A   4.82   2.03NA   2.33NA   2.03     2.33     0.35   7.20   7.50   7.20   7.50  0000.00.00.0031100       52000 38.0870 090 99     0.00   0.00   0.00
52341  Cysto w/ureter stricture tx                       A   6.11   2.63NA   3.04NA   2.63     3.04     0.43   9.17   9.58   9.17   9.58  0000.00.00.0031100       52000 38.0870 090 99     0.00   0.00   0.00
52342  Cysto w/up stricture tx                           A   6.61   2.80NA   3.25NA   2.80     3.25     0.46   9.87  10.32   9.87  10.32  0000.00.00.0031100       52000 38.0870 090 99     0.00   0.00   0.00
52343  Cysto w/renal stricture tx                        A   7.31   3.04NA   3.49NA   3.04     3.49     0.51  10.86  11.31  10.86  11.31  0000.00.00.0031100       52000 38.0870 090 99     0.00   0.00   0.00
52344  Cysto/uretero, stricture tx                       A   7.81   3.35NA   3.90NA   3.35     3.90     0.55  11.71  12.26  11.71  12.26  0000.00.00.0031100       52000 38.0870 090 99     0.00   0.00   0.00
52345  Cysto/uretero w/up stricture                      A   8.31   3.53NA   4.11NA   3.53     4.11     0.58  12.42  13.00  12.42  13.00  0000.00.00.0030000       52351 38.0870 090 99     0.00   0.00   0.00
52346  Cystouretero w/renal strict                       A   9.34   3.90NA   4.51NA   3.90     4.51     0.65  13.89  14.50  13.89  14.50  0000.00.00.0030000       52351 38.0870 090 99     0.00   0.00   0.00
52351  Cystouretero & or pyeloscope                      A   5.85   2.55NA   2.95NA   2.55     2.95     0.41   8.81   9.21   8.81   9.21  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
52352  Cystouretero w/stone remove                       A   6.87   2.98NA   3.46NA   2.98     3.46     0.49  10.34  10.82  10.34  10.82  0000.00.00.0031100       52351 38.0870 090 99     0.00   0.00   0.00
52353  Cystouretero w/lithotripsy                        A   7.96   3.38NA   3.90NA   3.38     3.90     0.57  11.91  12.43  11.91  12.43  0000.00.00.0031100       52351 38.0870 090 99     0.00   0.00   0.00
52354  Cystouretero w/biopsy                             A   7.33   3.16NA   3.64NA   3.16     3.64     0.52  11.01  11.49  11.01  11.49  0000.00.00.0031100       52351 38.0870 090 99     0.00   0.00   0.00
52355  Cystouretero w/excise tumor                       A   8.81   3.69NA   4.24NA   3.69     4.24     0.63  13.13  13.68  13.13  13.68  0000.00.00.0031100       52351 38.0870 090 99     0.00   0.00   0.00
52400  Cystouretero w/congen repr                        A  10.06   4.56NA   5.39NA   4.56     5.39     0.68  15.30  16.13  15.30  16.13  0090.08.83.0930100       52000 38.0870 090 99     0.00   0.00   0.00
52402  Cystourethro cut ejacul duct                      A   5.27   1.92NA   2.15NA   1.92     2.15     0.40   7.59   7.82   7.59   7.82  0000.00.00.0030000       52000 38.0870 090 99     0.00   0.00   0.00
52450  Incision of prostate                              A   7.63   4.58NA   5.48NA   4.58     5.48     0.54  12.75  13.65  12.75  13.65  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
52500  Revision of bladder neck                          A   9.39   5.05NA   6.18NA   5.05     6.18     0.60  15.04  16.17  15.04  16.17  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
52601  Prostatectomy (TURP)                              A  15.13   6.76NA   8.43NA   6.76     8.43     0.87  22.76  24.43  22.76  24.43  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
52606  Control postop bleeding                           A   8.84   4.52NA   5.48NA   4.52     5.48     0.57  13.93  14.89  13.93  14.89  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
52612  Prostatectomy, first stage                        A   9.07   4.81NA   5.88NA   4.81     5.88     0.56  14.44  15.51  14.44  15.51  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
52614  Prostatectomy, second stage                       A   7.81   4.36NA   5.37NA   4.36     5.37     0.48  12.65  13.66  12.65  13.66  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
52620  Remove residual prostate                          A   7.19   3.80NA   4.61NA   3.80     4.61     0.47  11.46  12.27  11.46  12.27  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
52630  Remove prostate regrowth                          A   7.65   3.99NA   4.80NA   3.99     4.80     0.51  12.15  12.96  12.15  12.96  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
52640  Relieve bladder contracture                       A   6.89   3.69NA   4.41NA   3.69     4.41     0.47  11.05  11.77  11.05  11.77  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
52647  Laser surgery of prostate                         A  11.15  57.97    41.95     5.71     6.89     0.73  69.85  53.83  17.59  18.77  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
52648  Laser surgery of prostate                         A  12.00  58.24    42.49     6.00     7.22     0.79  71.03  55.28  18.79  20.01  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
52649  2Prostate laser enucleation                       A  17.16   9.32NA   9.32NA   9.32     9.32     1.11  27.59  27.59  27.59  27.59  0090.08.83.0920000             38.0870 090 99     0.00   0.00   0.00
52700  Drainage of prostate abscess                      A   7.39   4.04NA   4.90NA   4.04     4.90     0.48  11.91  12.77  11.91  12.77  0090.08.83.0920000             38.0870 090 99     0.00   0.00   0.00
53000  Incision of urethra                               A   2.30   1.66NA   1.78NA   1.66     1.78     0.16   4.12   4.24   4.12   4.24  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
53010  Incision of urethra                               A   4.35   3.37NA   3.83NA   3.37     3.83     0.24   7.96   8.42   7.96   8.42  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
53020  Incision of urethra                               A   1.77   0.81NA   0.95NA   0.81     0.95     0.13   2.71   2.85   2.71   2.85  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
53025  Incision of urethra                               A   1.13   0.66NA   0.82NA   0.66     0.82     0.08   1.87   2.03   1.87   2.03  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
53040  Drainage of urethra abscess                       A   6.49   3.92NA   4.40NA   3.92     4.40     0.45  10.86  11.34  10.86  11.34  0090.08.83.0920000             38.0870 090 99     0.00   0.00   0.00
53060  Drainage of urethra abscess                       A   2.65   2.09     2.09     1.45     1.54     0.28   5.02   5.02   4.38   4.47  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
53080  Drainage of urinary leakage                       A   6.82   5.46NA   4.97NA   5.46     4.97     0.52  12.80  12.31  12.80  12.31  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
53085  Drainage of urinary leakage                       A  11.05   5.91NA   4.41NA   5.91     4.41     0.92  17.88  16.38  17.88  16.38  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53200  Biopsy of urethra                                 A   2.59   1.51     1.70     1.14     1.29     0.20   4.30   4.49   3.93   4.08  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
53210  Removal of urethra                                A  13.59   6.80NA   7.76NA   6.80     7.76     0.89  21.28  22.24  21.28  22.24  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53215  Removal of urethra                                A  16.72   7.88NA   9.12NA   7.88     9.12     1.10  25.70  26.94  25.70  26.94  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53220  Treatment of urethra lesion                       A   7.53   4.35NA   4.98NA   4.35     4.98     0.49  12.37  13.00  12.37  13.00  0090.08.83.0920000             38.0870 090 99     0.00   0.00   0.00
53230  Removal of urethra lesion                         A  10.31   5.54NA   6.37NA   5.54     6.37     0.73  16.58  17.41  16.58  17.41  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53235  Removal of urethra lesion                         A  10.86   5.91NA   6.92NA   5.91     6.92     0.72  17.49  18.50  17.49  18.50  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53240  Surgery for urethra pouch                         A   6.98   4.20NA   4.87NA   4.20     4.87     0.52  11.70  12.37  11.70  12.37  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
53250  Removal of urethra gland                          A   6.42   3.84NA   4.38NA   3.84     4.38     0.49  10.75  11.29  10.75  11.29  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
53260  Treatment of urethra lesion                       A   3.00   2.35     2.45     1.63     1.84     0.25   5.60   5.70   4.88   5.09  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
53265  Treatment of urethra lesion                       A   3.14   2.82     2.94     1.70     1.98     0.24   6.20   6.32   5.08   5.36  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
53270  Removal of urethra gland                          A   3.11   2.33     2.46     1.69     1.84     0.30   5.74   5.87   5.10   5.25  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
53275  Repair of urethra defect                          A   4.54   2.51NA   2.77NA   2.51     2.77     0.32   7.37   7.63   7.37   7.63  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
53400  Revise urethra, stage 1                           A  13.98   7.10NA   8.17NA   7.10     8.17     0.98  22.06  23.13  22.06  23.13  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53405  Revise urethra, stage 2                           A  15.51   7.50NA   8.69NA   7.50     8.69     1.10  24.11  25.30  24.11  25.30  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53410  Reconstruction of urethra                         A  17.53   8.36NA   9.68NA   8.36     9.68     1.16  27.05  28.37  27.05  28.37  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53415  Reconstruction of urethra                         A  20.55   9.01NA  10.70NA   9.01    10.70     1.37  30.93  32.62  30.93  32.62  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53420  Reconstruct urethra, stage 1                      A  15.04   6.70NA   7.12NA   6.70     7.12     0.96  22.70  23.12  22.70  23.12  0090.08.83.0920110             38.0870 090 99     0.00   0.00   0.00
53425  Reconstruct urethra, stage 2                      A  16.94   7.94NA   9.00NA   7.94     9.00     1.13  26.01  27.07  26.01  27.07  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53430  Reconstruction of urethra                         A  17.30   7.90NA   8.81NA   7.90     8.81     1.15  26.35  27.26  26.35  27.26  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53431  Reconstruct urethra/bladder                       A  21.03   9.52NA  10.98NA   9.52    10.98     1.41  31.96  33.42  31.96  33.42  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53440  Male sling procedure                              A  15.34   7.58NA   9.19NA   7.58     9.19     0.96  23.88  25.49  23.88  25.49  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53442  Remove/revise male sling                          A  13.29   6.90NA   8.36NA   6.90     8.36     0.82  21.01  22.47  21.01  22.47  0090.08.83.0920200             38.0870 090 99     0.00   0.00   0.00
53444  Insert tandem cuff                                A  14.06   6.95NA   8.02NA   6.95     8.02     0.94  21.95  23.02  21.95  23.02  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53445  Insert uro/ves nck sphincter                      A  15.21   7.92NA   8.75NA   7.92     8.75     0.99  24.12  24.95  24.12  24.95  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53446  Remove uro sphincter                              A  10.89   6.11NA   7.00NA   6.11     7.00     0.72  17.72  18.61  17.72  18.61  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53447  Remove/replace ur sphincter                       A  14.15   7.40NA   8.38NA   7.40     8.38     0.95  22.50  23.48  22.50  23.48  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53448  Remov/replc ur sphinctr comp                      A  23.26  10.69NA  12.33NA  10.69    12.33     1.50  35.45  37.09  35.45  37.09  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53449  Repair uro sphincter                              A  10.43   5.66NA   6.61NA   5.66     6.61     0.68  16.77  17.72  16.77  17.72  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53450  Revision of urethra                               A   6.67   4.02NA   4.75NA   4.02     4.75     0.43  11.12  11.85  11.12  11.85  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
53460  Revision of urethra                               A   7.65   4.37NA   5.05NA   4.37     5.05     0.50  12.52  13.20  12.52  13.20  0090.08.83.0920000             38.0870 090 99     0.00   0.00   0.00
53500  Urethrlys, transvag w/ scope                      A  12.87   6.81NA   7.41NA   6.81     7.41     0.90  20.58  21.18  20.58  21.18  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
53502  Repair of urethra injury                          A   8.16   4.54NA   5.10NA   4.54     5.10     0.62  13.32  13.88  13.32  13.88  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
53505  Repair of urethra injury                          A   8.16   4.62NA   5.38NA   4.62     5.38     0.54  13.32  14.08  13.32  14.08  0090.08.83.0920200             38.0870 090 99     0.00   0.00   0.00
53510  Repair of urethra injury                          A  10.83   6.00NA   6.83NA   6.00     6.83     0.74  17.57  18.40  17.57  18.40  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53515  Repair of urethra injury                          A  14.09   6.95NA   7.96NA   6.95     7.96     1.05  22.09  23.10  22.09  23.10  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
53520  Repair of urethra defect                          A   9.35   5.34NA   6.20NA   5.34     6.20     0.61  15.30  16.16  15.30  16.16  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
53600  Dilate urethra stricture                          A   1.21   1.14     1.15     0.50     0.57     0.09   2.44   2.45   1.80   1.87  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
53601  Dilate urethra stricture                          A   0.98   1.32     1.36     0.44     0.52     0.07   2.37   2.41   1.49   1.57  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
53605  Dilate urethra stricture                          A   1.28   0.46NA   0.51NA   0.46     0.51     0.09   1.83   1.88   1.83   1.88  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
53620  Dilate urethra stricture                          A   1.62   1.85     1.70     0.71     0.83     0.11   3.58   3.43   2.44   2.56  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
53621  Dilate urethra stricture                          A   1.35   1.94     1.81     0.58     0.67     0.10   3.39   3.26   2.03   2.12  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
53660  Dilation of urethra                               A   0.71   1.31     1.32     0.38     0.45     0.05   2.07   2.08   1.14   1.21  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
53661  Dilation of urethra                               A   0.72   1.30     1.29     0.35     0.41     0.05   2.07   2.06   1.12   1.18  0000.00.00.0020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
53850  Prostatic microwave thermotx                      A   9.98  71.68    49.25     4.90     5.86     0.67  82.33  59.90  15.55  16.51  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
53852  Prostatic rf thermotx                             A  10.68  67.60    46.37     5.51     6.66     0.70  78.98  57.75  16.89  18.04  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
53853  Prostatic water thermother                        A   5.54  42.24    29.10     3.60     4.35     0.37  48.15  35.01   9.51  10.26  0090.08.83.0920100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
54000  Slitting of prepuce                               A   1.56   2.80     2.70     1.20     1.48     0.11   4.47   4.37   2.87   3.15  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
54001  Slitting of prepuce                               A   2.21   3.12     3.06     1.39     1.67     0.15   5.48   5.42   3.75   4.03  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54015  Drain penis lesion                                A   5.33   2.88NA   3.21NA   2.88     3.21     0.38   8.59   8.92   8.59   8.92  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
54050  Destruction, penis lesion(s)                      A   1.26   1.88     2.10     1.21     1.39     0.08   3.22   3.44   2.55   2.73  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54055  Destruction, penis lesion(s)                      A   1.23   1.77     1.97     1.02     1.23     0.08   3.08   3.28   2.33   2.54  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54056  Cryosurgery, penis lesion(s)                      A   1.26   2.03     2.37     1.33     1.53     0.06   3.35   3.69   2.65   2.85  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54057  Laser surg, penis lesion(s)                       A   1.26   2.42     2.63     1.10     1.37     0.09   3.77   3.98   2.45   2.72  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54060  Excision of penis lesion(s)                       A   1.95   3.10     3.09     1.35     1.64     0.13   5.18   5.17   3.43   3.72  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54065  Destruction, penis lesion(s)                      A   2.44   2.97     3.30     1.61     2.00     0.13   5.54   5.87   4.18   4.57  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54100  Biopsy of penis                                   A   1.90   3.08     3.35     1.09     1.36     0.10   5.08   5.35   3.09   3.36  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
54105  Biopsy of penis                                   A   3.51   4.13     3.98     2.18     2.43     0.25   7.89   7.74   5.94   6.19  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54110  Treatment of penis lesion                         A  10.79   5.74NA   6.72NA   5.74     6.72     0.72  17.25  18.23  17.25  18.23  0090.10.80.1020200             38.0870 090 99     0.00   0.00   0.00
54111  Treat penis lesion, graft                         A  14.29   6.90NA   8.03NA   6.90     8.03     0.96  22.15  23.28  22.15  23.28  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54112  Treat penis lesion, graft                         A  16.83   8.05NA   9.31NA   8.05     9.31     1.11  25.99  27.25  25.99  27.25  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54115  Treatment of penis lesion                         A   6.82   5.07     5.76     4.20     4.94     0.43  12.32  13.01  11.45  12.19  0090.10.80.1020200             38.0870 090 99     0.00   0.00   0.00
54120  Partial removal of penis                          A  10.88   5.70NA   6.72NA   5.70     6.72     0.68  17.26  18.28  17.26  18.28  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54125  Removal of penis                                  A  14.43   6.95NA   8.07NA   6.95     8.07     0.95  22.33  23.45  22.33  23.45  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54130  Remove penis & nodes                              A  21.66   9.87NA  11.58NA   9.87    11.58     1.52  33.05  34.76  33.05  34.76  0090.10.80.1022210             38.0870 090 99     0.00   0.00   0.00
54135  Remove penis & nodes                              A  27.99  12.14NA  14.11NA  12.14    14.11     1.88  42.01  43.98  42.01  43.98  0090.10.80.1022200             38.0870 090 99     0.00   0.00   0.00
54150  Circumcision w/regionl block                      A   1.90   3.13     2.40     0.73     0.73     0.16   5.19   4.46   2.79   2.79  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
54160  Circumcision, neonate                             A   2.50   3.97     3.80     1.28     1.48     0.19   6.66   6.49   3.97   4.17  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54161  Circum 28 days or older                           A   3.29   1.88NA   2.20NA   1.88     2.20     0.23   5.40   5.72   5.40   5.72  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54162  Lysis penil circumic lesion                       A   3.27   4.33     4.01     1.85     2.26     0.21   7.81   7.49   5.33   5.74  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54163  Repair of circumcision                            A   3.27   2.43NA   2.85NA   2.43     2.85     0.21   5.91   6.33   5.91   6.33  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54164  Frenulotomy of penis                              A   2.77   2.25NA   2.66NA   2.25     2.66     0.18   5.20   5.61   5.20   5.61  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54200  Treatment of penis lesion                         A   1.08   1.91     2.02     1.14     1.30     0.08   3.07   3.18   2.30   2.46  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54205  Treatment of penis lesion                         A   8.84   5.37NA   6.06NA   5.37     6.06     0.56  14.77  15.46  14.77  15.46  0090.10.80.1020200             38.0870 090 99     0.00   0.00   0.00
54220  Treatment of penis lesion                         A   2.42   3.58     3.32     1.15     1.35     0.17   6.17   5.91   3.74   3.94  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
54230  Prepare penis study                               A   1.34   1.24     1.40     0.77     0.91     0.09   2.67   2.83   2.20   2.34  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
54231  Dynamic cavernosometry                            A   2.04   1.67     1.97     1.06     1.24     0.16   3.87   4.17   3.26   3.44  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
54235  Penile injection                                  A   1.19   1.17     1.39     0.73     0.89     0.08   2.44   2.66   2.00   2.16  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
54240  Penis study                                       A   1.31   1.26     1.51     1.26NA   1.51 NA  0.17   2.74   2.99   2.74   2.99  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
54240TCPenis study                                       A   0.00   0.81     1.03     0.81NA   1.03 NA  0.06   0.87   1.09   0.87   1.09  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
5424026Penis study                                       A   1.31   0.45     0.48     0.45     0.48     0.11   1.87   1.90   1.87   1.90  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
54250  Penis study                                       A   2.22   1.06     1.22     1.06NA   1.22 NA  0.18   3.46   3.62   3.46   3.62  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
54250TCPenis study                                       A   0.00   0.28     0.37     0.28NA   0.37 NA  0.02   0.30   0.39   0.30   0.39  1000.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
5425026Penis study                                       A   2.22   0.78     0.85     0.78     0.85     0.16   3.16   3.23   3.16   3.23  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
54300  Revision of penis                                 A  11.07   6.14NA   6.70NA   6.14     6.70     0.76  17.97  18.53  17.97  18.53  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54304  Revision of penis                                 A  13.15   7.06NA   7.80NA   7.06     7.80     0.88  21.09  21.83  21.09  21.83  0090.10.80.1020200             38.0870 090 99     0.00   0.00   0.00
54308  Reconstruction of urethra                         A  12.49   5.36NA   4.76NA   5.36     4.76     0.84  18.69  18.09  18.69  18.09  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54312  Reconstruction of urethra                         A  14.36   7.93NA   8.87NA   7.93     8.87     1.24  23.53  24.47  23.53  24.47  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54316  Reconstruction of urethra                         A  17.90   8.94NA   9.94NA   8.94     9.94     1.21  28.05  29.05  28.05  29.05  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54318  Reconstruction of urethra                         A  12.28   5.31NA   4.83NA   5.31     4.83     1.39  18.98  18.50  18.98  18.50  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54322  Reconstruction of urethra                         A  13.85   7.20NA   7.94NA   7.20     7.94     0.92  21.97  22.71  21.97  22.71  0090.10.80.1020200             38.0870 090 99     0.00   0.00   0.00
54324  Reconstruction of urethra                         A  17.40   8.85NA   9.75NA   8.85     9.75     1.14  27.39  28.29  27.39  28.29  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54326  Reconstruction of urethra                         A  16.87   8.47NA   9.16NA   8.47     9.16     1.11  26.45  27.14  26.45  27.14  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54328  Revise penis/urethra                              A  16.74   8.36NA   9.48NA   8.36     9.48     0.98  26.08  27.20  26.08  27.20  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54332  Revise penis/urethra                              A  18.22   8.90NA  10.07NA   8.90    10.07     1.21  28.33  29.50  28.33  29.50  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54336  Revise penis/urethra                              A  21.44   8.80NA   7.31NA   8.80     7.31     2.21  32.45  30.96  32.45  30.96  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54340  Secondary urethral surgery                        A   9.58   5.70NA   6.36NA   5.70     6.36     0.63  15.91  16.57  15.91  16.57  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54344  Secondary urethral surgery                        A  16.91   8.64NA   9.54NA   8.64     9.54     1.54  27.09  27.99  27.09  27.99  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54348  Secondary urethral surgery                        A  18.17   9.23NA  10.13NA   9.23    10.13     1.23  28.63  29.53  28.63  29.53  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54352  Reconstruct urethra/penis                         A  25.95  12.59NA  14.00NA  12.59    14.00     2.25  40.79  42.20  40.79  42.20  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54360  Penis plastic surgery                             A  12.65   6.74NA   7.45NA   6.74     7.45     0.84  20.23  20.94  20.23  20.94  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54380  Repair penis                                      A  14.03   7.32NA   8.04NA   7.32     8.04     0.93  22.28  23.00  22.28  23.00  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54385  Repair penis                                      A  16.38   9.78NA  11.31NA   9.78    11.31     0.86  27.02  28.55  27.02  28.55  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54390  Repair penis and bladder                          A  22.59   8.42NA   7.42NA   8.42     7.42     1.54  32.55  31.55  32.55  31.55  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54400  Insert semi-rigid prosthesis                      A   9.09   5.05NA   5.75NA   5.05     5.75     0.64  14.78  15.48  14.78  15.48  0090.10.80.1020110             38.0870 090 99     0.00   0.00   0.00
54401  Insert self-contd prosthesis                      A  10.26   6.94NA   8.15NA   6.94     8.15     0.73  17.93  19.14  17.93  19.14  0090.10.80.1020110             38.0870 090 99     0.00   0.00   0.00
54405  Insert multi-comp penis pros                      A  14.39   7.02NA   8.12NA   7.02     8.12     0.95  22.36  23.46  22.36  23.46  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54406  Remove muti-comp penis pros                       A  12.76   6.51NA   7.60NA   6.51     7.60     0.86  20.13  21.22  20.13  21.22  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54408  Repair multi-comp penis pros                      A  13.73   6.99NA   8.25NA   6.99     8.25     0.90  21.62  22.88  21.62  22.88  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54410  Remove/replace penis prosth                       A  16.48   7.98NA   9.35NA   7.98     9.35     1.10  25.56  26.93  25.56  26.93  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54411  Remov/replc penis pros, comp                      A  18.14   8.72NA  10.41NA   8.72    10.41     1.13  27.99  29.68  27.99  29.68  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54415  Remove self-contd penis pros                      A   8.75   5.10NA   6.00NA   5.10     6.00     0.58  14.43  15.33  14.43  15.33  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54416  Remv/repl penis contain pros                      A  11.87   6.64NA   7.90NA   6.64     7.90     0.77  19.28  20.54  19.28  20.54  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54417  Remv/replc penis pros, compl                      A  15.94   7.63NA   9.10NA   7.63     9.10     1.00  24.57  26.04  24.57  26.04  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54420  Revision of penis                                 A  12.26   6.48NA   7.39NA   6.48     7.39     0.81  19.55  20.46  19.55  20.46  0090.10.80.1020200             38.0870 090 99     0.00   0.00   0.00
54430  Revision of penis                                 A  10.93   6.03NA   6.97NA   6.03     6.97     0.72  17.68  18.62  17.68  18.62  0090.10.80.1022200             38.0870 090 99     0.00   0.00   0.00
54435  Revision of penis                                 A   6.71   4.30NA   4.99NA   4.30     4.99     0.43  11.44  12.13  11.44  12.13  0090.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54440  Repair of penis                                   C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
54450  Preputial stretching                              A   1.12   0.90     0.85     0.46     0.48     0.08   2.10   2.05   1.66   1.68  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
54500  Biopsy of testis                                  A   1.31   0.66NA   0.76NA   0.66     0.76     0.10   2.07   2.17   2.07   2.17  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
54505  Biopsy of testis                                  A   3.47   2.18NA   2.44NA   2.18     2.44     0.27   5.92   6.18   5.92   6.18  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
54512  Excise lesion testis                              A   9.23   4.90NA   5.67NA   4.90     5.67     0.67  14.80  15.57  14.80  15.57  0090.10.80.1021110             38.0870 090 99     0.00   0.00   0.00
54520  Removal of testis                                 A   5.25   3.25NA   3.72NA   3.25     3.72     0.50   9.00   9.47   9.00   9.47  0090.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
54522  Orchiectomy, partial                              A  10.15   5.22NA   5.59NA   5.22     5.59     0.89  16.26  16.63  16.26  16.63  0090.10.80.1021210             38.0870 090 99     0.00   0.00   0.00
54530  Removal of testis                                 A   9.31   5.15NA   6.06NA   5.15     6.06     0.66  15.12  16.03  15.12  16.03  0090.10.80.1021210             38.0870 090 99     0.00   0.00   0.00
54535  Extensive testis surgery                          A  13.06   6.22NA   6.91NA   6.22     6.91     0.95  20.23  20.92  20.23  20.92  0090.10.80.1021200             38.0870 090 99     0.00   0.00   0.00
54550  Exploration for testis                            A   8.31   4.51NA   5.21NA   4.51     5.21     0.59  13.41  14.11  13.41  14.11  0090.10.80.1021200             38.0870 090 99     0.00   0.00   0.00
54560  Exploration for testis                            A  11.97   6.01NA   6.87NA   6.01     6.87     0.90  18.88  19.74  18.88  19.74  0090.10.80.1021210             38.0870 090 99     0.00   0.00   0.00
54600  Reduce testis torsion                             A   7.54   4.33NA   5.11NA   4.33     5.11     0.51  12.38  13.16  12.38  13.16  0090.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
54620  Suspension of testis                              A   5.16   2.83NA   3.22NA   2.83     3.22     0.37   8.36   8.75   8.36   8.75  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
54640  Suspension of testis                              A   7.57   4.54NA   5.35NA   4.54     5.35     0.62  12.73  13.54  12.73  13.54  0090.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
54650  Orchiopexy (Fowler-Stephens)                      A  12.24   5.53NA   5.66NA   5.53     5.66     1.16  18.93  19.06  18.93  19.06  0090.10.80.1021200             38.0870 090 99     0.00   0.00   0.00
54660  Revision of testis                                A   5.64   3.67NA   4.35NA   3.67     4.35     0.44   9.75  10.43   9.75  10.43  0090.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
54670  Repair testis injury                              A   6.57   4.16NA   4.79NA   4.16     4.79     0.47  11.20  11.83  11.20  11.83  0090.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
54680  Relocation of testis(es)                          A  13.91   6.92NA   7.70NA   6.92     7.70     1.16  21.99  22.77  21.99  22.77  0090.10.80.1021210             38.0870 090 99     0.00   0.00   0.00
54690  Laparoscopy, orchiectomy                          A  11.60   5.26NA   5.59NA   5.26     5.59     1.02  17.88  18.21  17.88  18.21  0090.10.80.1021210             38.0870 090 99     0.00   0.00   0.00
54692  Laparoscopy, orchiopexy                           A  13.64   6.49NA   7.56NA   6.49     7.56     1.30  21.43  22.50  21.43  22.50  0090.10.80.1021100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
54700  Drainage of scrotum                               A   3.44   2.16NA   2.37NA   2.16     2.37     0.28   5.88   6.09   5.88   6.09  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54800  Biopsy of epididymis                              A   2.33   1.06NA   1.22NA   1.06     1.22     0.23   3.62   3.78   3.62   3.78  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
54830  Remove epididymis lesion                          A   5.91   3.72NA   4.43NA   3.72     4.43     0.41  10.04  10.75  10.04  10.75  0090.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
54840  Remove epididymis lesion                          A   5.22   3.29NA   3.80NA   3.29     3.80     0.37   8.88   9.39   8.88   9.39  0090.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54860  Removal of epididymis                             A   6.85   4.09NA   4.87NA   4.09     4.87     0.45  11.39  12.17  11.39  12.17  0090.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
54861  Removal of epididymis                             A   9.57   5.28NA   6.25NA   5.28     6.25     0.63  15.48  16.45  15.48  16.45  0090.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
54865  Explore epididymis                                A   5.67   3.60NA   4.26NA   3.60     4.26     0.40   9.67  10.33   9.67  10.33  0090.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
54900  Fusion of spermatic ducts                         A  14.05   5.52NA   5.24NA   5.52     5.24     0.93  20.50  20.22  20.50  20.22  0090.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
54901  Fusion of spermatic ducts                         A  18.92   9.01NA  10.51NA   9.01    10.51     1.83  29.76  31.26  29.76  31.26  0090.10.80.1022000             38.0870 090 99     0.00   0.00   0.00
55000  Drainage of hydrocele                             A   1.43   1.96     1.85     0.78     0.91     0.11   3.50   3.39   2.32   2.45  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
55040  Removal of hydrocele                              A   5.39   3.42NA   3.96NA   3.42     3.96     0.43   9.24   9.78   9.24   9.78  0090.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
55041  Removal of hydroceles                             A   8.41   4.82NA   5.68NA   4.82     5.68     0.60  13.83  14.69  13.83  14.69  0090.10.80.1022100             38.0870 090 99     0.00   0.00   0.00
55060  Repair of hydrocele                               A   6.05   3.76NA   4.45NA   3.76     4.45     0.46  10.27  10.96  10.27  10.96  0090.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
55100  Drainage of scrotum abscess                       A   2.40   3.58     3.49     1.83     2.11     0.17   6.15   6.06   4.40   4.68  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
55110  Explore scrotum                                   A   6.23   3.80NA   4.48NA   3.80     4.48     0.43  10.46  11.14  10.46  11.14  0090.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
55120  Removal of scrotum lesion                         A   5.62   3.58NA   4.21NA   3.58     4.21     0.39   9.59  10.22   9.59  10.22  0090.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
55150  Removal of scrotum                                A   8.01   4.64NA   5.45NA   4.64     5.45     0.56  13.21  14.02  13.21  14.02  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
55175  Revision of scrotum                               A   5.77   3.67NA   4.34NA   3.67     4.34     0.37   9.81  10.48   9.81  10.48  0090.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
55180  Revision of scrotum                               A  11.63   6.32NA   7.27NA   6.32     7.27     0.90  18.85  19.80  18.85  19.80  0090.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
55200  Incision of sperm duct                            A   4.50  10.17     8.01     2.84     3.30     0.33  15.00  12.84   7.67   8.13  0090.10.80.1022000             38.0870 090 99     0.00   0.00   0.00
55250  Removal of sperm duct(s)                          A   3.32   9.65     7.83     2.64     3.06     0.25  13.22  11.40   6.21   6.63  0090.10.80.1022100             38.0870 090 99     0.00   0.00   0.00
55300  Prepare, sperm duct x-ray                         A   3.50   1.53NA   1.75NA   1.53     1.75     0.25   5.28   5.50   5.28   5.50  0000.00.00.0022000             38.0870 090 99     0.00   0.00   0.00
55400  Repair of sperm duct                              A   8.53   4.73NA   5.41NA   4.73     5.41     0.64  13.90  14.58  13.90  14.58  0090.10.80.1021210             38.0870 090 99     0.00   0.00   0.00
55450  Ligation of sperm duct                            A   4.38   6.23     5.46     2.22     2.57     0.29  10.90  10.13   6.89   7.24  0010.10.80.1022000             38.0870 090 99     0.00   0.00   0.00
55500  Removal of hydrocele                              A   6.12   3.64NA   4.20NA   3.64     4.20     0.55  10.31  10.87  10.31  10.87  0090.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
55520  Removal of sperm cord lesion                      A   6.56   3.53NA   3.82NA   3.53     3.82     0.75  10.84  11.13  10.84  11.13  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
55530  Revise spermatic cord veins                       A   5.69   3.55NA   4.09NA   3.55     4.09     0.45   9.69  10.23   9.69  10.23  0090.10.80.1021110             38.0870 090 99     0.00   0.00   0.00
55535  Revise spermatic cord veins                       A   7.09   4.11NA   4.83NA   4.11     4.83     0.47  11.67  12.39  11.67  12.39  0090.10.80.1021210             38.0870 090 99     0.00   0.00   0.00
55540  Revise hernia & sperm veins                       A   8.20   4.02NA   4.25NA   4.02     4.25     0.94  13.16  13.39  13.16  13.39  0090.10.80.1021110             38.0870 090 99     0.00   0.00   0.00
55550  Laparo ligate spermatic vein                      A   7.10   3.92NA   4.55NA   3.92     4.55     0.57  11.59  12.22  11.59  12.22  0090.10.80.1021210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
55600  Incise sperm duct pouch                           A   6.91   4.11NA   4.90NA   4.11     4.90     0.62  11.64  12.43  11.64  12.43  0090.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
55605  Incise sperm duct pouch                           A   8.63   4.45NA   4.63NA   4.45     4.63     0.64  13.72  13.90  13.72  13.90  0090.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
55650  Remove sperm duct pouch                           A  12.52   6.33NA   7.40NA   6.33     7.40     0.92  19.77  20.84  19.77  20.84  0090.10.80.1021210             38.0870 090 99     0.00   0.00   0.00
55680  Remove sperm pouch lesion                         A   5.59   3.45NA   3.93NA   3.45     3.93     0.47   9.51   9.99   9.51   9.99  0090.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
55700  Biopsy of prostate                                A   2.58   3.95     3.71     0.98     1.32     0.11   6.64   6.40   3.67   4.01  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
55705  Biopsy of prostate                                A   4.58   2.57NA   2.85NA   2.57     2.85     0.32   7.47   7.75   7.47   7.75  0010.10.80.1020110             38.0870 090 99     0.00   0.00   0.00
55720  Drainage of prostate abscess                      A   7.67   4.35NA   4.89NA   4.35     4.89     0.95  12.97  13.51  12.97  13.51  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
55725  Drainage of prostate abscess                      A   9.90   5.38NA   6.28NA   5.38     6.28     0.70  15.98  16.88  15.98  16.88  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
55801  Removal of prostate                               A  19.62   8.97NA  10.34NA   8.97    10.34     1.34  29.93  31.30  29.93  31.30  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
55810  Extensive prostate surgery                        A  24.14  10.64NA  12.34NA  10.64    12.34     1.60  36.38  38.08  36.38  38.08  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
55812  Extensive prostate surgery                        A  29.69  12.59NA  14.21NA  12.59    14.21     2.05  44.33  45.95  44.33  45.95  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
55815  Extensive prostate surgery                        A  32.75  14.03NA  16.20NA  14.03    16.20     2.17  48.95  51.12  48.95  51.12  0090.10.80.1022210             38.0870 090 99     0.00   0.00   0.00
55821  Removal of prostate                               A  15.63   7.43NA   8.67NA   7.43     8.67     1.01  24.07  25.31  24.07  25.31  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
55831  Removal of prostate                               A  17.06   7.94NA   9.24NA   7.94     9.24     1.10  26.10  27.40  26.10  27.40  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
55840  Extensive prostate surgery                        A  24.45  10.98NA  12.69NA  10.98    12.69     1.61  37.04  38.75  37.04  38.75  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
55842  Extensive prostate surgery                        A  26.31  11.65NA  13.48NA  11.65    13.48     1.73  39.69  41.52  39.69  41.52  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
55845  Extensive prostate surgery                        A  30.52  12.89NA  14.86NA  12.89    14.86     2.03  45.44  47.41  45.44  47.41  0090.10.80.1022210             38.0870 090 99     0.00   0.00   0.00
55860  Surgical exposure, prostate                       A  15.71   7.47NA   8.54NA   7.47     8.54     1.02  24.20  25.27  24.20  25.27  0090.10.80.1020110             38.0870 090 99     0.00   0.00   0.00
55862  Extensive prostate surgery                        A  19.89   9.27NA  10.70NA   9.27    10.70     1.49  30.65  32.08  30.65  32.08  0090.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
55865  Extensive prostate surgery                        A  24.39  10.83NA  12.41NA  10.83    12.41     1.63  36.85  38.43  36.85  38.43  0090.10.80.1022210             38.0870 090 99     0.00   0.00   0.00
55866  Laparo radical prostatectomy                      A  32.25  13.83NA  15.96NA  13.83    15.96     2.17  48.25  50.38  48.25  50.38  0090.08.83.0920210             38.0870 090 99     0.00   0.00   0.00
55870  Electroejaculation                                A   2.58   2.01     2.49     1.27     1.45     0.16   4.75   5.23   4.01   4.19  0000.00.00.0020110             38.0870 090 99     0.00   0.00   0.00
55873  Cryoablate prostate                               A  20.25  10.11NA  11.29NA  10.11    11.29     1.38  31.74  32.92  31.74  32.92  0090.08.83.0920100             38.0870 090 99     0.00   0.00   0.00
55875  Transperi needle place, pros                      A  13.31   6.84NA   7.84NA   6.84     7.84     0.89  21.04  22.04  21.04  22.04  0090.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
55876  Place rt device/marker, pros                      A   1.73   2.07     2.07     1.05     1.05     0.28   4.08   4.08   3.06   3.06  0000.00.00.0020111             38.0870 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             38.0870 090 99     0.00   0.00   0.00
55920  Place needles pelvic for rt                       A   8.31   3.14NA   3.14NA   3.14     3.14     0.58  12.03  12.03  12.03  12.03  0000.00.00.0020000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
56405  I & D of vulva/perineum                           A   1.46   1.25     1.18     1.15     1.16     0.17   2.88   2.81   2.78   2.79  0010.10.80.1020120             38.0870 090 99     0.00   0.00   0.00
56420  Drainage of gland abscess                         A   1.41   1.90     1.52     0.91     0.78     0.16   3.47   3.09   2.48   2.35  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
56440  Surgery for vulva lesion                          A   2.86   1.63NA   1.56NA   1.63     1.56     0.34   4.83   4.76   4.83   4.76  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
56441  Lysis of labial lesion(s)                         A   1.99   1.76     1.71     1.48     1.56     0.20   3.95   3.90   3.67   3.75  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
56442  Hymenotomy                                        A   0.68   0.51NA   0.52NA   0.51     0.52     0.08   1.27   1.28   1.27   1.28  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
56501  Destroy, vulva lesions, sim                       A   1.55   1.71     1.63     1.23     1.21     0.18   3.44   3.36   2.96   2.94  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
56515  Destroy vulva lesion/s compl                      A   3.03   2.47     2.40     1.78     1.74     0.33   5.83   5.76   5.14   5.10  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
56605  Biopsy of vulva/perineum                          A   1.10   1.00     0.93     0.40     0.34     0.13   2.23   2.16   1.63   1.57  0000.00.00.0020120             38.0870 090 99     0.00   0.00   0.00
56606  Biopsy of vulva/perineum                          A   0.55   0.43     0.36     0.19     0.15     0.07   1.05   0.98   0.81   0.77  0ZZZ.00.00.0000120             38.0870 090 99     0.00   0.00   0.00
56620  Partial removal of vulva                          A   8.44   4.59NA   4.40NA   4.59     4.40     0.90  13.93  13.74  13.93  13.74  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
56625  Complete removal of vulva                         A   9.55   5.06NA   4.81NA   5.06     4.81     1.02  15.63  15.38  15.63  15.38  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
56630  Extensive vulva surgery                           A  14.67   6.56NA   6.28NA   6.56     6.28     1.49  22.72  22.44  22.72  22.44  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
56631  Extensive vulva surgery                           A  18.81   8.30NA   7.79NA   8.30     7.79     1.96  29.07  28.56  29.07  28.56  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
56632  Extensive vulva surgery                           A  21.61   9.41NA   9.30NA   9.41     9.30     2.39  33.41  33.30  33.41  33.30  0090.12.74.1422220             38.0870 090 99     0.00   0.00   0.00
56633  Extensive vulva surgery                           A  19.47   8.20NA   7.80NA   8.20     7.80     1.98  29.65  29.25  29.65  29.25  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
56634  Extensive vulva surgery                           A  20.48   8.81NA   8.19NA   8.81     8.19     2.17  31.46  30.84  31.46  30.84  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
56637  Extensive vulva surgery                           A  24.57  10.19NA   9.31NA  10.19     9.31     2.61  37.37  36.49  37.37  36.49  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
56640  Extensive vulva surgery                           A  24.65   9.73NA   8.84NA   9.73     8.84     2.89  37.27  36.38  37.27  36.38  0090.12.74.1421210             38.0870 090 99     0.00   0.00   0.00
56700  Partial removal of hymen                          A   2.79   1.80NA   1.77NA   1.80     1.77     0.30   4.89   4.86   4.89   4.86  0010.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
56740  Remove vagina gland lesion                        A   4.83   2.45NA   2.33NA   2.45     2.33     0.56   7.84   7.72   7.84   7.72  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
56800  Repair of vagina                                  A   3.90   2.08NA   1.96NA   2.08     1.96     0.44   6.42   6.30   6.42   6.30  0010.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
56805  Repair clitoris                                   A  19.75   8.55NA   7.69NA   8.55     7.69     2.15  30.45  29.59  30.45  29.59  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
56810  Repair of perineum                                A   4.26   2.17NA   2.04NA   2.17     2.04     0.49   6.92   6.79   6.92   6.79  0010.10.80.1020220             38.0870 090 99     0.00   0.00   0.00
56820  Exam of vulva w/scope                             A   1.50   1.25     1.19     0.59     0.53     0.18   2.93   2.87   2.27   2.21  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
56821  Exam/biopsy of vulva w/scope                      A   2.05   1.65     1.53     0.80     0.68     0.25   3.95   3.83   3.10   2.98  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
57000  Exploration of vagina                             A   2.99   1.73NA   1.75NA   1.73     1.75     0.31   5.03   5.05   5.03   5.05  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
57010  Drainage of pelvic abscess                        A   6.74   3.80NA   3.80NA   3.80     3.80     0.71  11.25  11.25  11.25  11.25  0090.12.74.1420000             38.0870 090 99     0.00   0.00   0.00
57020  Drainage of pelvic fluid                          A   1.50   0.86     0.77     0.52     0.45     0.18   2.54   2.45   2.20   2.13  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
57022  I & d vaginal hematoma, pp                        A   2.70   1.46NA   1.43NA   1.46     1.43     0.26   4.42   4.39   4.42   4.39  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
57023  I & d vag hematoma, non-ob                        A   5.13   2.47NA   2.37NA   2.47     2.37     0.58   8.18   8.08   8.18   8.08  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
57061  Destroy vag lesions, simple                       A   1.27   1.59     1.52     1.12     1.12     0.15   3.01   2.94   2.54   2.54  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
57065  Destroy vag lesions, complex                      A   2.63   2.16     2.03     1.58     1.49     0.31   5.10   4.97   4.52   4.43  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
57100  Biopsy of vagina                                  A   1.20   1.02     0.95     0.42     0.37     0.14   2.36   2.29   1.76   1.71  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
57105  Biopsy of vagina                                  A   1.71   1.69     1.59     1.37     1.33     0.20   3.60   3.50   3.28   3.24  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
57106  Remove vagina wall, partial                       A   7.35   4.23NA   4.27NA   4.23     4.27     0.73  12.31  12.35  12.31  12.35  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57107  Remove vagina tissue, part                        A  24.43   9.76NA   9.06NA   9.76     9.06     2.72  36.91  36.21  36.91  36.21  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57109  Vaginectomy partial w/nodes                       A  28.25  10.75NA  10.26NA  10.75    10.26     3.22  42.22  41.73  42.22  41.73  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
57110  Remove vagina wall, complete                      A  15.38   6.73NA   6.19NA   6.73     6.19     1.74  23.85  23.31  23.85  23.31  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57111  Remove vagina tissue, compl                       A  28.25  11.53NA  10.43NA  11.53    10.43     3.18  42.96  41.86  42.96  41.86  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
57112  Vaginectomy w/nodes, compl                        A  30.37  11.36NA  10.62NA  11.36    10.62     3.08  44.81  44.07  44.81  44.07  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
57120  Closure of vagina                                 A   8.18   4.40NA   4.20NA   4.40     4.20     0.89  13.47  13.27  13.47  13.27  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57130  Remove vagina lesion                              A   2.44   2.06     1.96     1.50     1.47     0.29   4.79   4.69   4.23   4.20  0010.10.80.1020210             38.0870 090 99     0.00   0.00   0.00
57135  Remove vagina lesion                              A   2.68   2.15     2.03     1.59     1.53     0.31   5.14   5.02   4.58   4.52  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
57150  Treat vagina infection                            A   0.55   0.84     0.58     0.18     0.15     0.07   1.46   1.20   0.80   0.77  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
57155  Insert uteri tandems/ovoids                       A   6.79   4.03NA   3.49NA   4.03     3.49     0.43  11.25  10.71  11.25  10.71  0090.12.74.1420100             38.0870 090 99     0.00   0.00   0.00
57160  Insert pessary/other device                       A   0.89   1.03     1.04     0.30     0.25     0.10   2.02   2.03   1.29   1.24  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
57170  Fitting of diaphragm/cap                          A   0.91   1.02     0.57     0.29     0.25     0.11   2.04   1.59   1.31   1.27  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
57180  Treat vaginal bleeding                            A   1.60   2.01     1.86     1.09     0.93     0.19   3.80   3.65   2.88   2.72  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
57200  Repair of vagina                                  A   4.34   2.94NA   2.99NA   2.94     2.99     0.46   7.74   7.79   7.74   7.79  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57210  Repair vagina/perineum                            A   5.63   3.35NA   3.27NA   3.35     3.27     0.62   9.60   9.52   9.60   9.52  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57220  Revision of urethra                               A   4.77   3.06NA   3.01NA   3.06     3.01     0.51   8.34   8.29   8.34   8.29  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57230  Repair of urethral lesion                         A   6.22   3.52NA   3.64NA   3.52     3.64     0.54  10.28  10.40  10.28  10.40  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57240  Repair bladder & vagina                           A  11.42   4.65NA   5.49NA   4.65     5.49     0.62  16.69  17.53  16.69  17.53  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57250  Repair rectum & vagina                            A  11.42   4.31NA   5.04NA   4.31     5.04     0.65  16.38  17.11  16.38  17.11  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57260  Repair of vagina                                  A  14.36   5.34NA   5.86NA   5.34     5.86     0.97  20.67  21.19  20.67  21.19  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57265  Extensive repair of vagina                        A  15.86   6.18NA   6.33NA   6.18     6.33     1.32  23.36  23.51  23.36  23.51  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57267  Insert mesh/pelvic flr addon                      A   4.88   1.74NA   1.50NA   1.74     1.50     0.64   7.26   7.02   7.26   7.02  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
57268  Repair of bowel bulge                             A   7.47   4.26NA   4.34NA   4.26     4.34     0.79  12.52  12.60  12.52  12.60  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57270  Repair of bowel pouch                             A  13.57   6.04NA   5.84NA   6.04     5.84     1.42  21.03  20.83  21.03  20.83  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57280  Suspension of vagina                              A  16.62   7.17NA   6.97NA   7.17     6.97     1.68  25.47  25.27  25.47  25.27  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57282  Colpopexy, extraperitoneal                        A   7.84   4.50NA   4.50NA   4.50     4.50     1.02  13.36  13.36  13.36  13.36  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57283  Colpopexy, intraperitoneal                        A  11.58   5.52NA   5.12NA   5.52     5.12     1.02  18.12  17.72  18.12  17.72  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57284  Repair paravag defect, open                       A  14.25   6.57NA   5.99NA   6.57     5.99     1.41  22.23  21.65  22.23  21.65  0090.08.83.0920220             38.0870 090 99     0.00   0.00   0.00
57285  Repair paravag defect, vag                        A  11.52   5.16NA   5.16NA   5.16     5.16     0.63  17.31  17.31  17.31  17.31  0090.08.83.0920220             38.0870 090 99     0.00   0.00   0.00
57287  Revise/remove sling repair                        A  11.49   5.92NA   6.35NA   5.92     6.35     0.90  18.31  18.74  18.31  18.74  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57288  Repair bladder defect                             A  14.01   6.46NA   7.02NA   6.46     7.02     1.12  21.59  22.15  21.59  22.15  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57289  Repair bladder & vagina                           A  12.69   6.37NA   6.71NA   6.37     6.71     1.21  20.27  20.61  20.27  20.61  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57291  Construction of vagina                            A   8.54   4.91NA   4.90NA   4.91     4.90     0.93  14.38  14.37  14.38  14.37  0090.12.74.1420200             38.0870 090 99     0.00   0.00   0.00
57292  Construct vagina with graft                       A  13.91   6.42NA   5.91NA   6.42     5.91     1.58  21.91  21.40  21.91  21.40  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57295  Revise vag graft via vagina                       A   7.74   4.26NA   4.09NA   4.26     4.09     0.91  12.91  12.74  12.91  12.74  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57296  Revise vag graft, open abd                        A  16.46   6.67NA   6.67NA   6.67     6.67     1.68  24.81  24.81  24.81  24.81  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57300  Repair rectum-vagina fistula                      A   8.58   4.36NA   4.44NA   4.36     4.44     0.87  13.81  13.89  13.81  13.89  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57305  Repair rectum-vagina fistula                      A  15.24   6.23NA   6.20NA   6.23     6.20     1.73  23.20  23.17  23.20  23.17  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57307  Fistula repair & colostomy                        A  17.02   6.95NA   6.91NA   6.95     6.91     2.02  25.99  25.95  25.99  25.95  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57308  Fistula repair, transperine                       A  10.48   5.03NA   4.96NA   5.03     4.96     1.14  16.65  16.58  16.65  16.58  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57310  Repair urethrovaginal lesion                      A   7.55   4.43NA   5.02NA   4.43     5.02     0.54  12.52  13.11  12.52  13.11  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57311  Repair urethrovaginal lesion                      A   8.81   4.81NA   5.51NA   4.81     5.51     0.65  14.27  14.97  14.27  14.97  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57320  Repair bladder-vagina lesion                      A   8.78   4.82NA   5.28NA   4.82     5.28     0.69  14.29  14.75  14.29  14.75  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57330  Repair bladder-vagina lesion                      A  13.11   6.46NA   7.20NA   6.46     7.20     1.06  20.63  21.37  20.63  21.37  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57335  Repair vagina                                     A  19.87   8.43NA   7.83NA   8.43     7.83     1.92  30.22  29.62  30.22  29.62  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57400  Dilation of vagina                                A   2.27   1.05NA   1.00NA   1.05     1.00     0.26   3.58   3.53   3.58   3.53  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
57410  Pelvic examination                                A   1.75   0.90NA   0.91NA   0.90     0.91     0.18   2.83   2.84   2.83   2.84  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
57415  Remove vaginal foreign body                       A   2.44   1.46NA   1.49NA   1.46     1.49     0.24   4.14   4.17   4.14   4.17  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
57420  Exam of vagina w/scope                            A   1.60   1.29     1.23     0.61     0.56     0.19   3.08   3.02   2.40   2.35  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
57421  Exam/biopsy of vag w/scope                        A   2.20   1.72     1.59     0.84     0.72     0.27   4.19   4.06   3.31   3.19  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
57423  Repair paravag defect, lap                        A  16.00   6.52NA   6.52NA   6.52     6.52     1.65  24.17  24.17  24.17  24.17  0090.08.83.0920220             38.0870 090 99     0.00   0.00   0.00
57425  Laparoscopy, surg, colpopexy                      A  16.93   6.77NA   6.91NA   6.77     6.91     1.76  25.46  25.60  25.46  25.60  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57452  Exam of cervix w/scope                            A   1.50   1.23     1.18     0.75     0.74     0.18   2.91   2.86   2.43   2.42  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
57454  Bx/curett of cervix w/scope                       A   2.33   1.52     1.39     1.05     0.95     0.28   4.13   4.00   3.66   3.56  0000.00.00.0030100       57452 38.0870 090 99     0.00   0.00   0.00
57455  Biopsy of cervix w/scope                          A   1.99   1.61     1.50     0.76     0.66     0.24   3.84   3.73   2.99   2.89  0000.00.00.0030100       57452 38.0870 090 99     0.00   0.00   0.00
57456  Endocerv curettage w/scope                        A   1.85   1.55     1.46     0.72     0.62     0.22   3.62   3.53   2.79   2.69  0000.00.00.0030100       57452 38.0870 090 99     0.00   0.00   0.00
57460  Bx of cervix w/scope, leep                        A   2.83   5.06     4.28     1.23     1.09     0.34   8.23   7.45   4.40   4.26  0000.00.00.0030100       57452 38.0870 090 99     0.00   0.00   0.00
57461  Conz of cervix w/scope, leep                      A   3.43   5.34     4.57     1.26     1.05     0.41   9.18   8.41   5.10   4.89  0000.00.00.0030100       57452 38.0870 090 99     0.00   0.00   0.00
57500  Biopsy of cervix                                  A   1.20   2.28     2.02     0.64     0.64     0.12   3.60   3.34   1.96   1.96  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
57505  Endocervical curettage                            A   1.16   1.39     1.33     1.08     1.07     0.14   2.69   2.63   2.38   2.37  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
57510  Cauterization of cervix                           A   1.90   1.43     1.30     0.97     0.90     0.23   3.56   3.43   3.10   3.03  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
57511  Cryocautery of cervix                             A   1.92   1.71     1.60     1.32     1.27     0.23   3.86   3.75   3.47   3.42  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
57513  Laser surgery of cervix                           A   1.92   1.64     1.57     1.34     1.28     0.23   3.79   3.72   3.49   3.43  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
57520  Conization of cervix                              A   4.06   3.66     3.38     2.69     2.51     0.49   8.21   7.93   7.24   7.06  0090.12.74.1420100             38.0870 090 99     0.00   0.00   0.00
57522  Conization of cervix                              A   3.62   2.96     2.77     2.35     2.25     0.41   6.99   6.80   6.38   6.28  0090.12.74.1420100             38.0870 090 99     0.00   0.00   0.00
57530  Removal of cervix                                 A   5.19   3.24NA   3.10NA   3.24     3.10     0.58   9.01   8.87   9.01   8.87  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57531  Removal of cervix, radical                        A  29.77  12.02NA  10.86NA  12.02    10.86     3.35  45.14  43.98  45.14  43.98  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
57540  Removal of residual cervix                        A  13.19   5.84NA   5.44NA   5.84     5.44     1.49  20.52  20.12  20.52  20.12  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57545  Remove cervix/repair pelvis                       A  14.00   6.20NA   5.72NA   6.20     5.72     1.52  21.72  21.24  21.72  21.24  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57550  Removal of residual cervix                        A   6.24   3.72NA   3.61NA   3.72     3.61     0.67  10.63  10.52  10.63  10.52  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57555  Remove cervix/repair vagina                       A   9.84   4.92NA   4.75NA   4.92     4.75     1.09  15.85  15.68  15.85  15.68  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57556  Remove cervix, repair bowel                       A   9.26   4.73NA   4.61NA   4.73     4.61     0.92  14.91  14.79  14.91  14.79  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
57558  D&c of cervical stump                             A   1.69   1.41     1.35     1.09     1.05     0.20   3.30   3.24   2.98   2.94  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
57700  Revision of cervix                                A   4.22   3.19NA   3.28NA   3.19     3.28     0.41   7.82   7.91   7.82   7.91  0090.12.74.1420000             38.0870 090 99     0.00   0.00   0.00
57720  Revision of cervix                                A   4.53   3.02NA   2.94NA   3.02     2.94     0.49   8.04   7.96   8.04   7.96  0090.12.74.1420200             38.0870 090 99     0.00   0.00   0.00
57800  Dilation of cervical canal                        A   0.77   0.74     0.72     0.44     0.41     0.09   1.60   1.58   1.30   1.27  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
58100  Biopsy of uterus lining                           A   1.53   1.23     1.14     0.65     0.58     0.18   2.94   2.85   2.36   2.29  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
58110  Bx done w/colposcopy add-on                       A   0.77   0.47     0.40     0.26     0.21     0.09   1.33   1.26   1.12   1.07  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
58120  Dilation and curettage                            A   3.54   2.50     2.70     1.77     1.66     0.39   6.43   6.63   5.70   5.59  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
58140  Myomectomy abdom method                           A  15.69   6.64NA   6.18NA   6.64     6.18     1.82  24.15  23.69  24.15  23.69  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58145  Myomectomy vag method                             A   8.81   4.51NA   4.23NA   4.51     4.23     0.97  14.29  14.01  14.29  14.01  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58146  Myomectomy abdom complex                          A  20.24   8.18NA   7.34NA   8.18     7.34     2.33  30.75  29.91  30.75  29.91  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58150  Total hysterectomy                                A  17.21   7.02NA   6.56NA   7.02     6.56     1.85  26.08  25.62  26.08  25.62  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58152  Total hysterectomy                                A  21.73   8.95NA   8.03NA   8.95     8.03     2.48  33.16  32.24  33.16  32.24  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58180  Partial hysterectomy                              A  16.50   6.89NA   6.33NA   6.89     6.33     1.64  25.03  24.47  25.03  24.47  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58200  Extensive hysterectomy                            A  23.00   9.07NA   8.15NA   9.07     8.15     2.55  34.62  33.70  34.62  33.70  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58210  Extensive hysterectomy                            A  30.76  11.96NA  10.72NA  11.96    10.72     3.38  46.10  44.86  46.10  44.86  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58240  Removal of pelvis contents                        A  49.02  17.63NA  17.64NA  17.63    17.64     4.23  70.88  70.89  70.88  70.89  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58260  Vaginal hysterectomy                              A  14.02   6.24NA   5.79NA   6.24     5.79     1.57  21.83  21.38  21.83  21.38  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58262  Vag hyst including t/o                            A  15.81   6.81NA   6.23NA   6.81     6.23     1.80  24.42  23.84  24.42  23.84  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
58263  Vag hyst w/t/o & vag repair                       A  17.10   7.26NA   6.64NA   7.26     6.64     1.95  26.31  25.69  26.31  25.69  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
58267  Vag hyst w/urinary repair                         A  18.23   7.67NA   6.97NA   7.67     6.97     2.07  27.97  27.27  27.97  27.27  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58270  Vag hyst w/enterocele repair                      A  15.20   6.50NA   5.93NA   6.50     5.93     1.74  23.44  22.87  23.44  22.87  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58275  Hysterectomy/revise vagina                        A  16.90   7.19NA   6.61NA   7.19     6.61     1.92  26.01  25.43  26.01  25.43  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58280  Hysterectomy/revise vagina                        A  18.20   7.60NA   6.96NA   7.60     6.96     2.07  27.87  27.23  27.87  27.23  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58285  Extensive hysterectomy                            A  23.30   8.94NA   7.94NA   8.94     7.94     2.71  34.95  33.95  34.95  33.95  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58290  Vag hyst complex                                  A  20.17   8.24NA   7.35NA   8.24     7.35     2.30  30.71  29.82  30.71  29.82  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58291  Vag hyst incl t/o, complex                        A  21.96   8.85NA   7.82NA   8.85     7.82     2.53  33.34  32.31  33.34  32.31  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
58292  Vag hyst t/o & repair, compl                      A  23.25   9.29NA   8.21NA   9.29     8.21     2.68  35.22  34.14  35.22  34.14  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
58293  Vag hyst w/uro repair, compl                      A  24.23   9.59NA   8.52NA   9.59     8.52     2.79  36.61  35.54  36.61  35.54  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58294  Vag hyst w/enterocele, compl                      A  21.45   8.53NA   7.51NA   8.53     7.51     2.40  32.38  31.36  32.38  31.36  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58300  Insert intrauterine device                        N+  1.01   1.03     0.63     0.31     0.23     0.12   2.16   1.76   1.44   1.36  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
58301  Remove intrauterine device                        A   1.27   1.18     1.05     0.41     0.34     0.15   2.60   2.47   1.83   1.76  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
58321  Artificial insemination                           A   0.92   1.04     0.94     0.30     0.23     0.10   2.06   1.96   1.32   1.25  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
58322  Artificial insemination                           A   1.10   1.12     1.03     0.36     0.31     0.13   2.35   2.26   1.59   1.54  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
58323  Sperm washing                                     A   0.23   0.34     0.16     0.08     0.07     0.03   0.60   0.42   0.34   0.33  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
58340  Catheter for hysterography                        A   0.88   2.66     2.15     0.61     0.56     0.09   3.63   3.12   1.58   1.53  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
58345  Reopen fallopian tube                             A   4.67   2.27NA   2.11NA   2.27     2.11     0.41   7.35   7.19   7.35   7.19  0010.10.80.1021220             38.0870 090 99     0.00   0.00   0.00
58346  Insert heyman uteri capsule                       A   7.48   3.83NA   3.74NA   3.83     3.74     0.56  11.87  11.78  11.87  11.78  0090.12.74.1420100             38.0870 090 99     0.00   0.00   0.00
58350  Reopen fallopian tube                             A   1.03   1.42     1.35     0.90     0.88     0.12   2.57   2.50   2.05   2.03  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
58353  Endometr ablate, thermal                          A   3.57  29.26    22.84     1.88     1.71     0.43  33.26  26.84   5.88   5.71  0010.10.80.1021120             38.0870 090 99     0.00   0.00   0.00
58356  Endometrial cryoablation                          A   6.36  52.43    43.38     2.27     1.85     0.82  59.61  50.56   9.45   9.03  0010.10.80.1021220             38.0870 090 99     0.00   0.00   0.00
58400  Suspension of uterus                              A   7.06   3.90NA   3.86NA   3.90     3.86     0.75  11.71  11.67  11.71  11.67  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58410  Suspension of uterus                              A  13.70   5.99NA   5.55NA   5.99     5.55     1.45  21.14  20.70  21.14  20.70  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58520  Repair of ruptured uterus                         A  13.38   5.76NA   5.49NA   5.76     5.49     1.47  20.61  20.34  20.61  20.34  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58540  Revision of uterus                                A  15.61   6.55NA   6.15NA   6.55     6.15     1.79  23.95  23.55  23.95  23.55  0090.12.74.1420200             38.0870 090 99     0.00   0.00   0.00
58541  Lsh, uterus 250 g or less                         A  14.57   6.13NA   6.13NA   6.13     6.13     1.68  22.38  22.38  22.38  22.38  0090.12.74.1430220       49320 38.0870 090 99     0.00   0.00   0.00
58542  Lsh w/t/o ut 250 g or less                        A  16.43   6.64NA   6.64NA   6.64     6.64     1.69  24.76  24.76  24.76  24.76  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
58543  Lsh uterus above 250 g                            A  16.74   6.71NA   6.71NA   6.71     6.71     1.73  25.18  25.18  25.18  25.18  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
58544  Lsh w/t/o uterus above 250 g                      A  18.24   7.11NA   7.11NA   7.11     7.11     1.89  27.24  27.24  27.24  27.24  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
58545  Laparoscopic myomectomy                           A  15.45   6.52NA   5.87NA   6.52     5.87     1.78  23.75  23.10  23.75  23.10  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
58546  Laparo-myomectomy, complex                        A  19.84   7.99NA   7.05NA   7.99     7.05     2.31  30.14  29.20  30.14  29.20  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
58548  Lap radical hyst                                  A  31.45  12.47NA  12.47NA  12.47    12.47     3.52  47.44  47.44  47.44  47.44  0090.12.74.1422220             38.0870 090 99     0.00   0.00   0.00
58550  Laparo-asst vag hysterectomy                      A  14.97   6.71NA   6.13NA   6.71     6.13     1.73  23.41  22.83  23.41  22.83  0090.12.74.1430220       49320 38.0870 090 99     0.00   0.00   0.00
58552  Laparo-vag hyst incl t/o                          A  16.78   7.29NA   6.56NA   7.29     6.56     1.73  25.80  25.07  25.80  25.07  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
58553  Laparo-vag hyst, complex                          A  19.96   8.00NA   7.09NA   8.00     7.09     2.31  30.27  29.36  30.27  29.36  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
58554  Laparo-vag hyst w/t/o, compl                      A  22.98   9.32NA   8.24NA   9.32     8.24     2.28  34.58  33.50  34.58  33.50  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
58555  Hysteroscopy, dx, sep proc                        A   3.33   2.48     2.76     1.39     1.23     0.40   6.21   6.49   5.12   4.96  0000.00.00.0020020             38.0870 090 99     0.00   0.00   0.00
58558  Hysteroscopy, biopsy                              A   4.74   2.90     3.62     1.91     1.65     0.57   8.21   8.93   7.22   6.96  0000.00.00.0030120       58555 38.0870 090 99     0.00   0.00   0.00
58559  Hysteroscopy, lysis                               A   6.16   2.39NA   2.04NA   2.39     2.04     0.74   9.29   8.94   9.29   8.94  0000.00.00.0030120       58555 38.0870 090 99     0.00   0.00   0.00
58560  Hysteroscopy, resect septum                       A   6.99   2.70NA   2.32NA   2.70     2.32     0.84  10.53  10.15  10.53  10.15  0000.00.00.0030220       58555 38.0870 090 99     0.00   0.00   0.00
58561  Hysteroscopy, remove myoma                        A   9.99   3.70NA   3.11NA   3.70     3.11     1.21  14.90  14.31  14.90  14.31  0000.00.00.0030020       58555 38.0870 090 99     0.00   0.00   0.00
58562  Hysteroscopy, remove fb                           A   5.20   2.94     3.53     2.05     1.75     0.63   8.77   9.36   7.88   7.58  0000.00.00.0030120       58555 38.0870 090 99     0.00   0.00   0.00
58563  Hysteroscopy, ablation                            A   6.16  46.74    37.26     2.40     2.04     0.74  53.64  44.16   9.30   8.94  0000.00.00.0030020       58555 38.0870 090 99     0.00   0.00   0.00
58565  Hysteroscopy, sterilization                       A   7.06  45.79    41.99     3.64     3.37     1.19  54.04  50.24  11.89  11.62  0090.12.74.1432120       58555 38.0870 090 99     0.00   0.00   0.00
58570  Tlh, uterus 250 g or less                         A  15.75   6.46NA   6.46NA   6.46     6.46     1.82  24.03  24.03  24.03  24.03  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
58571  Tlh w/t/o 250 g or less                           A  17.56   6.95NA   6.95NA   6.95     6.95     1.81  26.32  26.32  26.32  26.32  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
58572  Tlh, uterus over 250 g                            A  19.96   7.60NA   7.60NA   7.60     7.60     2.31  29.87  29.87  29.87  29.87  0090.12.74.1420220             38.0870 090 99     0.00   0.00   0.00
58573  Tlh w/t/o uterus over 250 g                       A  22.98   8.42NA   8.42NA   8.42     8.42     2.28  33.68  33.68  33.68  33.68  0090.12.74.1420220             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
58600  Division of fallopian tube                        A   5.86   3.13NA   2.92NA   3.13     2.92     0.66   9.65   9.44   9.65   9.44  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58605  Division of fallopian tube                        A   5.25   2.91NA   2.71NA   2.91     2.71     0.59   8.75   8.55   8.75   8.55  0090.12.74.1422200             38.0870 090 99     0.00   0.00   0.00
58611  Ligate oviduct(s) add-on                          A   1.45   0.48NA   0.40NA   0.48     0.40     0.18   2.11   2.03   2.11   2.03  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
58615  Occlude fallopian tube(s)                         A   3.91   2.37NA   2.04NA   2.37     2.04     0.47   6.75   6.42   6.75   6.42  0010.10.80.1020200             38.0870 090 99     0.00   0.00   0.00
58660  Laparoscopy, lysis                                A  11.54   4.88NA   4.49NA   4.88     4.49     1.40  17.82  17.43  17.82  17.43  0090.09.84.0730220       49320 38.0870 090 99     0.00   0.00   0.00
58661  Laparoscopy, remove adnexa                        A  11.30   4.55NA   3.99NA   4.55     3.99     1.34  17.19  16.63  17.19  16.63  0010.10.80.1030220       49320 38.0870 090 99     0.00   0.00   0.00
58662  Laparoscopy, excise lesions                       A  12.08   5.27NA   4.76NA   5.27     4.76     1.43  18.78  18.27  18.78  18.27  0090.09.84.0730220       49320 38.0870 090 99     0.00   0.00   0.00
58670  Laparoscopy, tubal cautery                        A   5.86   3.11NA   2.95NA   3.11     2.95     0.67   9.64   9.48   9.64   9.48  0090.10.80.1030120       49320 38.0870 090 99     0.00   0.00   0.00
58671  Laparoscopy, tubal block                          A   5.86   3.11NA   2.94NA   3.11     2.94     0.68   9.65   9.48   9.65   9.48  0090.10.80.1030120       49320 38.0870 090 99     0.00   0.00   0.00
58672  Laparoscopy, fimbrioplasty                        A  12.88   5.48NA   4.78NA   5.48     4.78     1.60  19.96  19.26  19.96  19.26  0090.10.80.1031200       49320 38.0870 090 99     0.00   0.00   0.00
58673  Laparoscopy, salpingostomy                        A  13.99   5.85NA   5.13NA   5.85     5.13     1.70  21.54  20.82  21.54  20.82  0090.10.80.1031200       49320 38.0870 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             38.0870 090 99     0.00   0.00   0.00
58700  Removal of fallopian tube                         A  12.84   5.74NA   5.49NA   5.74     5.49     1.51  20.09  19.84  20.09  19.84  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58720  Removal of ovary/tube(s)                          A  12.08   5.43NA   5.09NA   5.43     5.09     1.39  18.90  18.56  18.90  18.56  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58740  Revise fallopian tube(s)                          A  14.79   6.59NA   6.05NA   6.59     6.05     1.72  23.10  22.56  23.10  22.56  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58750  Repair oviduct                                    A  15.56   6.71NA   6.05NA   6.71     6.05     1.85  24.12  23.46  24.12  23.46  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58752  Revise ovarian tube(s)                            A  15.56   6.47NA   5.99NA   6.47     5.99     1.81  23.84  23.36  23.84  23.36  0090.12.74.1420200             38.0870 090 99     0.00   0.00   0.00
58760  Remove tubal obstruction                          A  13.85   6.15NA   5.59NA   6.15     5.59     1.80  21.80  21.24  21.80  21.24  0090.12.74.1421210             38.0870 090 99     0.00   0.00   0.00
58770  Create new tubal opening                          A  14.69   6.33NA   5.75NA   6.33     5.75     1.74  22.76  22.18  22.76  22.18  0090.12.74.1421200             38.0870 090 99     0.00   0.00   0.00
58800  Drainage of ovarian cyst(s)                       A   4.54   3.43     3.21     2.80     2.69     0.43   8.40   8.18   7.77   7.66  0090.12.74.1422100             38.0870 090 99     0.00   0.00   0.00
58805  Drainage of ovarian cyst(s)                       A   6.34   3.50NA   3.51NA   3.50     3.51     0.69  10.53  10.54  10.53  10.54  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58820  Drain ovary abscess, open                         A   4.62   3.10NA   2.90NA   3.10     2.90     0.52   8.24   8.04   8.24   8.04  0090.12.74.1420200             38.0870 090 99     0.00   0.00   0.00
58822  Drain ovary abscess, percut                       A  11.71   5.19NA   5.16NA   5.19     5.16     1.16  18.06  18.03  18.06  18.03  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58823  Drain pelvic abscess, percut                      A   3.37  20.67    20.00     1.14     1.16     0.24  24.28  23.61   4.75   4.77  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
58825  Transposition, ovary(s)                           A  11.70   5.32NA   4.84NA   5.32     4.84     1.32  18.34  17.86  18.34  17.86  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58900  Biopsy of ovary(s)                                A   6.51   3.56NA   3.55NA   3.56     3.55     0.69  10.76  10.75  10.76  10.75  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58920  Partial removal of ovary(s)                       A  11.87   5.31NA   5.05NA   5.31     5.05     1.43  18.61  18.35  18.61  18.35  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58925  Removal of ovarian cyst(s)                        A  12.33   5.47NA   5.25NA   5.47     5.25     1.41  19.21  18.99  19.21  18.99  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58940  Removal of ovary(s)                               A   8.12   4.07NA   4.04NA   4.07     4.04     0.91  13.10  13.07  13.10  13.07  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58943  Removal of ovary(s)                               A  19.42   7.91NA   7.18NA   7.91     7.18     2.23  29.56  28.83  29.56  28.83  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58950  Resect ovarian malignancy                         A  18.24   7.82NA   7.25NA   7.82     7.25     2.05  28.11  27.54  28.11  27.54  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58951  Resect ovarian malignancy                         A  24.15   9.52NA   8.60NA   9.52     8.60     2.64  36.31  35.39  36.31  35.39  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58952  Resect ovarian malignancy                         A  27.15  10.79NA   9.82NA  10.79     9.82     3.03  40.97  40.00  40.97  40.00  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58953  Tah, rad dissect for debulk                       A  33.97  13.09NA  11.63NA  13.09    11.63     3.84  50.90  49.44  50.90  49.44  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58954  Tah rad debulk/lymph remove                       A  36.97  14.12NA  12.52NA  14.12    12.52     4.18  55.27  53.67  55.27  53.67  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58956  Bso, omentectomy w/tah                            A  22.65   9.45NA   8.59NA   9.45     8.59     4.01  36.11  35.25  36.11  35.25  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58957  Resect recurrent gyn mal                          A  26.06   9.57NA   9.57NA   9.57     9.57     2.95  38.58  38.58  38.58  38.58  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58958  Resect recur gyn mal w/lym                        A  29.06  10.36NA  10.36NA  10.36    10.36     3.29  42.71  42.71  42.71  42.71  0090.12.74.1422210             38.0870 090 99     0.00   0.00   0.00
58960  Exploration of abdomen                            A  15.68   6.80NA   6.25NA   6.80     6.25     1.80  24.28  23.73  24.28  23.73  0090.12.74.1420210             38.0870 090 99     0.00   0.00   0.00
58970  Retrieval of oocyte                               A   3.52   2.08     1.85     1.38     1.28     0.43   6.03   5.80   5.33   5.23  0000.00.00.0020000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
58976  Transfer of embryo                                A   3.82   2.31     1.94     1.51     1.20     0.47   6.60   6.23   5.80   5.49  0000.00.00.0020210             38.0870 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.00.00.0020111             38.0870 090 99     0.00   0.00   0.00
59000  Amniocentesis, diagnostic                         A   1.30   1.91     1.75     0.61     0.55     0.31   3.52   3.36   2.22   2.16  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
59001  Amniocentesis, therapeutic                        A   3.00   1.24NA   1.07NA   1.24     1.07     0.71   4.95   4.78   4.95   4.78  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
59012  Fetal cord puncture,prenatal                      A   3.44   1.34NA   1.13NA   1.34     1.13     0.82   5.60   5.39   5.60   5.39  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59015  Chorion biopsy                                    A   2.20   1.48     1.42     0.92     0.79     0.52   4.20   4.14   3.64   3.51  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59020  Fetal contract stress test                        A   0.66   0.92     1.07     0.92NA   1.07 NA  0.26   1.84   1.99   1.84   1.99  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59020TCFetal contract stress test                        A   0.00   0.70     0.89     0.70NA   0.89 NA  0.10   0.80   0.99   0.80   0.99  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
5902026Fetal contract stress test                        A   0.66   0.22     0.18     0.22     0.18     0.16   1.04   1.00   1.04   1.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59025  Fetal non-stress test                             A   0.53   0.54     0.63     0.54NA   0.63 NA  0.15   1.22   1.31   1.22   1.31  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59025TCFetal non-stress test                             A   0.00   0.36     0.48     0.36NA   0.48 NA  0.02   0.38   0.50   0.38   0.50  1000.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
5902526Fetal non-stress test                             A   0.53   0.18     0.15     0.18     0.15     0.13   0.84   0.81   0.84   0.81  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59030  Fetal scalp blood sample                          A   1.99   0.61NA   0.46NA   0.61     0.46     0.47   3.07   2.92   3.07   2.92  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59050  Fetal monitor w/report                            A   0.89   0.31NA   0.27NA   0.31     0.27     0.21   1.41   1.37   1.41   1.37  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
59051  Fetal monitor/interpret only                      A   0.74   0.25NA   0.20NA   0.25     0.20     0.17   1.16   1.11   1.16   1.11  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
59070  Transabdom amnioinfus w/us                        A   5.24   4.77     4.39     2.04     1.77     0.28  10.29   9.91   7.56   7.29  0000.00.00.0020200             38.0870 090 99     0.00   0.00   0.00
59072  Umbilical cord occlud w/us                        A   8.99   2.76NA   2.39NA   2.76     2.39     0.16  11.91  11.54  11.91  11.54  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
59074  Fetal fluid drainage w/us                         A   5.24   4.09     3.61     1.92     1.53     0.28   9.61   9.13   7.44   7.05  0000.00.00.0020200             38.0870 090 99     0.00   0.00   0.00
59076  Fetal shunt placement, w/us                       A   8.99   2.76NA   2.39NA   2.76     2.39     0.16  11.91  11.54  11.91  11.54  0000.00.00.0020200             38.0870 090 99     0.00   0.00   0.00
59100  Remove uterus lesion                              A  13.26   6.00NA   5.55NA   6.00     5.55     2.95  22.21  21.76  22.21  21.76  0090.17.60.2320210             38.0870 090 99     0.00   0.00   0.00
59120  Treat ectopic pregnancy                           A  12.56   5.82NA   5.40NA   5.82     5.40     2.73  21.11  20.69  21.11  20.69  0090.17.60.2320210             38.0870 090 99     0.00   0.00   0.00
59121  Treat ectopic pregnancy                           A  12.64   5.84NA   5.35NA   5.84     5.35     2.79  21.27  20.78  21.27  20.78  0090.17.60.2320210             38.0870 090 99     0.00   0.00   0.00
59130  Treat ectopic pregnancy                           A  14.98   5.76NA   6.74NA   5.76     6.74     3.39  24.13  25.11  24.13  25.11  0090.17.60.2320000             38.0870 090 99     0.00   0.00   0.00
59135  Treat ectopic pregnancy                           A  14.82   6.16NA   5.09NA   6.16     5.09     3.31  24.29  23.22  24.29  23.22  0090.17.60.2320000             38.0870 090 99     0.00   0.00   0.00
59136  Treat ectopic pregnancy                           A  14.15   5.77NA   4.93NA   5.77     4.93     3.14  23.06  22.22  23.06  22.22  0090.17.60.2320200             38.0870 090 99     0.00   0.00   0.00
59140  Treat ectopic pregnancy                           A   5.86   2.76NA   3.30NA   2.76     3.30     1.29   9.91  10.45   9.91  10.45  0090.17.60.2320200             38.0870 090 99     0.00   0.00   0.00
59150  Treat ectopic pregnancy                           A  12.19   5.61NA   5.23NA   5.61     5.23     2.79  20.59  20.21  20.59  20.21  0090.17.60.2320200             38.0870 090 99     0.00   0.00   0.00
59151  Treat ectopic pregnancy                           A  12.01   5.46NA   4.87NA   5.46     4.87     2.74  20.21  19.62  20.21  19.62  0090.17.60.2320200             38.0870 090 99     0.00   0.00   0.00
59160  D & c after delivery                              A   2.73   2.64     1.99     1.65     1.17     0.64   6.01   5.36   5.02   4.54  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
59200  Insert cervical dilator                           A   0.79   1.06     0.94     0.26     0.22     0.19   2.04   1.92   1.24   1.20  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
59300  Episiotomy or vaginal repair                      A   2.41   2.18     2.19     0.98     1.00     0.57   5.16   5.17   3.96   3.98  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59320  Revision of cervix                                A   2.48   1.12NA   1.00NA   1.12     1.00     0.59   4.19   4.07   4.19   4.07  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59325  Revision of cervix                                A   4.06   1.67NA   1.44NA   1.67     1.44     0.88   6.61   6.38   6.61   6.38  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59350  Repair of uterus                                  A   4.94   1.54NA   1.21NA   1.54     1.21     1.17   7.65   7.32   7.65   7.32  0000.00.00.0020200             38.0870 090 99     0.00   0.00   0.00
59400  Obstetrical care                                  A  26.80  14.71NA  14.09NA  14.71    14.09     5.50  47.01  46.39  47.01  46.39  0MMM.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
59409  Obstetrical care                                  A  13.48   4.51NA   3.70NA   4.51     3.70     3.22  21.21  20.40  21.21  20.40  0MMM.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59410  Obstetrical care                                  A  15.29   5.61NA   4.92NA   5.61     4.92     3.52  24.42  23.73  24.42  23.73  0MMM.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
59412  Antepartum manipulation                           A   1.71   0.72NA   0.64NA   0.72     0.64     0.40   2.83   2.75   2.83   2.75  0MMM.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
59414  Deliver placenta                                  A   1.61   0.54NA   0.44NA   0.54     0.44     0.38   2.53   2.43   2.53   2.43  0MMM.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59425  Antepartum care only                              A   6.22   4.22     4.24     1.77     1.68     1.14  11.58  11.60   9.13   9.04  0MMM.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
59426  Antepartum care only                              A  11.04   7.67     7.79     3.11     2.99     1.98  20.69  20.81  16.13  16.01  0MMM.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
59430  Care after delivery                               A   2.13   1.15     1.08     0.82     0.71     0.50   3.78   3.71   3.45   3.34  0MMM.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
59510  Cesarean delivery                                 A  30.34  16.63NA  15.98NA  16.63    15.98     6.25  53.22  52.57  53.22  52.57  0MMM.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
59514  Cesarean delivery only                            A  15.95   5.32NA   4.43NA   5.32     4.43     3.80  25.07  24.18  25.07  24.18  0MMM.00.00.0020210             38.0870 090 99     0.00   0.00   0.00
59515  Cesarean delivery                                 A  18.26   6.98NA   6.13NA   6.98     6.13     4.13  29.37  28.52  29.37  28.52  0MMM.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
59525  Remove uterus after cesarean                      A   8.53   2.78NA   2.25NA   2.78     2.25     1.95  13.26  12.73  13.26  12.73  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
59610  Vbac delivery                                     A  28.21  15.41NA  14.94NA  15.41    14.94     5.87  49.49  49.02  49.49  49.02  0MMM.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59612  Vbac delivery only                                A  15.04   5.13NA   4.19NA   5.13     4.19     3.59  23.76  22.82  23.76  22.82  0MMM.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59614  Vbac care after delivery                          A  16.59   6.02NA   5.11NA   6.02     5.11     3.89  26.50  25.59  26.50  25.59  0MMM.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59618  Attempted vbac delivery                           A  31.78  17.30NA  16.37NA  17.30    16.37     6.61  55.69  54.76  55.69  54.76  0MMM.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59620  Attempted vbac delivery only                      A  17.50   5.71NA   4.66NA   5.71     4.66     4.17  27.38  26.33  27.38  26.33  0MMM.00.00.0020200             38.0870 090 99     0.00   0.00   0.00
59622  Attempted vbac after care                         A  19.70   7.67NA   6.71NA   7.67     6.71     4.50  31.87  30.91  31.87  30.91  0MMM.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
59812  Treatment of miscarriage                          A   4.39   2.82     3.10     2.45     2.36     0.95   8.16   8.44   7.79   7.70  0090.17.60.2320100             38.0870 090 99     0.00   0.00   0.00
59820  Care of miscarriage                               A   4.68   4.25     4.07     3.51     3.46     0.95   9.88   9.70   9.14   9.09  0090.17.60.2320100             38.0870 090 99     0.00   0.00   0.00
59821  Treatment of miscarriage                          A   4.97   4.09     3.91     3.32     3.24     1.06  10.12   9.94   9.35   9.27  0090.17.60.2320000             38.0870 090 99     0.00   0.00   0.00
59830  Treat uterus infection                            A   6.51   3.71NA   3.44NA   3.71     3.44     1.44  11.66  11.39  11.66  11.39  0090.17.60.2320000             38.0870 090 99     0.00   0.00   0.00
59840  Abortion                                          R   3.01   2.06     2.00     1.95     1.77     0.71   5.78   5.72   5.67   5.49  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
59841  Abortion                                          R   5.57   3.30     3.12     2.76     2.55     1.24  10.11   9.93   9.57   9.36  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
59850  Abortion                                          R   5.90   2.86NA   2.46NA   2.86     2.46     1.28  10.04   9.64  10.04   9.64  0090.17.60.2320000             38.0870 090 99     0.00   0.00   0.00
59851  Abortion                                          R   5.92   3.51NA   3.29NA   3.51     3.29     1.28  10.71  10.49  10.71  10.49  0090.17.60.2320000             38.0870 090 99     0.00   0.00   0.00
59852  Abortion                                          R   8.23   4.43NA   3.82NA   4.43     3.82     1.81  14.47  13.86  14.47  13.86  0090.17.60.2320000             38.0870 090 99     0.00   0.00   0.00
59855  Abortion                                          R   6.38   3.31NA   3.08NA   3.31     3.08     1.45  11.14  10.91  11.14  10.91  0090.17.60.2320000             38.0870 090 99     0.00   0.00   0.00
59856  Abortion                                          R   7.74   3.69NA   3.32NA   3.69     3.32     1.79  13.22  12.85  13.22  12.85  0090.17.60.2320000             38.0870 090 99     0.00   0.00   0.00
59857  Abortion                                          R   9.30   4.18NA   3.64NA   4.18     3.64     2.02  15.50  14.96  15.50  14.96  0090.17.60.2320000             38.0870 090 99     0.00   0.00   0.00
59866  Abortion (mpr)                                    R   3.99   1.63NA   1.36NA   1.63     1.36     0.87   6.49   6.22   6.49   6.22  0000.00.00.0020210             38.0870 090 99     0.00   0.00   0.00
59870  Evacuate mole of uterus                           A   6.40   4.43NA   4.38NA   4.43     4.38     1.42  12.25  12.20  12.25  12.20  0090.17.60.2320200             38.0870 090 99     0.00   0.00   0.00
59871  Remove cerclage suture                            A   2.13   1.02NA   0.91NA   1.02     0.91     0.50   3.65   3.54   3.65   3.54  0000.00.00.0020000             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
60000  Drain thyroid/tongue cyst                         A   1.78   2.01     2.09     1.70     1.70     0.15   3.94   4.02   3.63   3.63  0010.10.80.1020000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
60100  Biopsy of thyroid                                 A   1.56   1.36     1.32     0.52     0.52     0.10   3.02   2.98   2.18   2.18  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
6015F  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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
60200  Remove thyroid lesion                             A   9.91   5.74NA   5.50NA   5.74     5.50     1.01  16.66  16.42  16.66  16.42  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60210  Partial thyroid excision                          A  11.15   5.43NA   5.23NA   5.43     5.23     1.23  17.81  17.61  17.81  17.61  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60212  Partial thyroid excision                          A  16.32   7.31NA   6.95NA   7.31     6.95     1.95  25.58  25.22  25.58  25.22  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60220  Partial removal of thyroid                        A  12.29   5.91NA   5.67NA   5.91     5.67     1.32  19.52  19.28  19.52  19.28  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60225  Partial removal of thyroid                        A  14.67   7.16NA   6.92NA   7.16     6.92     1.64  23.47  23.23  23.47  23.23  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60240  Removal of thyroid                                A  16.18   6.99NA   6.40NA   6.99     6.40     1.86  25.03  24.44  25.03  24.44  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60252  Removal of thyroid                                A  21.88   9.46NA   8.83NA   9.46     8.83     2.30  33.64  33.01  33.64  33.01  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60254  Extensive thyroid surgery                         A  28.29  12.69NA  11.22NA  12.69    11.22     2.61  43.59  42.12  43.59  42.12  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60260  Repeat thyroid surgery                            A  18.18   8.03NA   7.41NA   8.03     7.41     1.94  28.15  27.53  28.15  27.53  0090.09.82.0921210             38.0870 090 99     0.00   0.00   0.00
60270  Removal of thyroid                                A  23.07   9.89NA   9.33NA   9.89     9.33     2.33  35.29  34.73  35.29  34.73  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60271  Removal of thyroid                                A  17.54   7.87NA   7.15NA   7.87     7.15     1.75  27.16  26.44  27.16  26.44  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60280  Remove thyroid duct lesion                        A   6.05   4.57NA   4.48NA   4.57     4.48     0.54  11.16  11.07  11.16  11.07  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60281  Remove thyroid duct lesion                        A   8.71   5.58NA   5.32NA   5.58     5.32     0.73  15.02  14.76  15.02  14.76  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
6030F  Max sterile barriers follwd                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
60300  Aspir/inj thyroid cyst                            A   0.97   1.67     1.94     0.32     0.30     0.07   2.71   2.98   1.36   1.34  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
60500  Explore parathyroid glands                        A  16.69   7.13NA   6.86NA   7.13     6.86     2.01  25.83  25.56  25.83  25.56  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60502  Re-explore parathyroids                           A  21.01   8.99NA   8.61NA   8.99     8.61     2.54  32.54  32.16  32.54  32.16  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60505  Explore parathyroid glands                        A  22.91  10.16NA   9.39NA  10.16     9.39     2.65  35.72  34.95  35.72  34.95  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60512  Autotransplant parathyroid                        A   4.44   1.41NA   1.21NA   1.41     1.21     0.53   6.38   6.18   6.38   6.18  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
60520  Removal of thymus gland                           A  17.07   7.65NA   7.01NA   7.65     7.01     2.20  26.92  26.28  26.92  26.28  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60521  Removal of thymus gland                           A  19.11   8.84NA   8.13NA   8.84     8.13     2.82  30.77  30.06  30.77  30.06  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60522  Removal of thymus gland                           A  23.37  10.44NA   9.61NA  10.44     9.61     3.27  37.08  36.25  37.08  36.25  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60540  Explore adrenal gland                             A  17.91   7.92NA   8.25NA   7.92     8.25     1.75  27.58  27.91  27.58  27.91  0090.09.82.0921210             38.0870 090 99     0.00   0.00   0.00
60545  Explore adrenal gland                             A  20.82   8.74NA   8.95NA   8.74     8.95     2.08  31.64  31.85  31.64  31.85  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60600  Remove carotid body lesion                        A  24.99   9.90NA   8.83NA   9.90     8.83     2.20  37.09  36.02  37.09  36.02  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60605  Remove carotid body lesion                        A  31.86  12.20NA  12.14NA  12.20    12.14     2.50  46.56  46.50  46.56  46.50  0090.09.82.0920210             38.0870 090 99     0.00   0.00   0.00
60650  Laparoscopy adrenalectomy                         A  20.63   8.04NA   8.09NA   8.04     8.09     2.29  30.96  31.01  30.96  31.01  0090.09.84.0721210             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
61000  Remove cranial cavity fluid                       A   1.58   1.09NA   1.24NA   1.09     1.24     0.13   2.80   2.95   2.80   2.95  0000.00.00.0022100             38.0870 090 99     0.00   0.00   0.00
61001  Remove cranial cavity fluid                       A   1.49   1.07NA   1.08NA   1.07     1.08     0.16   2.72   2.73   2.72   2.73  0000.00.00.0022100             38.0870 090 99     0.00   0.00   0.00
61020  Remove brain cavity fluid                         A   1.51   1.48NA   1.63NA   1.48     1.63     0.34   3.33   3.48   3.33   3.48  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
61026  Injection into brain canal                        A   1.69   1.34NA   1.30NA   1.34     1.30     0.33   3.36   3.32   3.36   3.32  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
61050  Remove brain canal fluid                          A   1.51   1.21NA   1.15NA   1.21     1.15     0.11   2.83   2.77   2.83   2.77  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
61055  Injection into brain canal                        A   2.10   1.37NA   1.33NA   1.37     1.33     0.17   3.64   3.60   3.64   3.60  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
61070  Brain canal shunt procedure                       A   0.89   1.08NA   1.16NA   1.08     1.16     0.17   2.14   2.22   2.14   2.22  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
61105  Twist drill hole                                  A   5.40   4.42NA   4.91NA   4.42     4.91     1.32  11.14  11.63  11.14  11.63  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
61107  Drill skull for implantation                      A   4.99   2.18NA   1.83NA   2.18     1.83     1.29   8.46   8.11   8.46   8.11  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
61108  Drill skull for drainage                          A  11.51   7.75NA   8.35NA   7.75     8.35     2.64  21.90  22.50  21.90  22.50  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
61120  Burr hole for puncture                            A   9.52   6.39NA   6.78NA   6.39     6.78     2.10  18.01  18.40  18.01  18.40  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
61140  Pierce skull for biopsy                           A  17.10  10.15NA  10.42NA  10.15    10.42     4.12  31.37  31.64  31.37  31.64  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
61150  Pierce skull for drainage                         A  18.80  10.53NA  10.68NA  10.53    10.68     4.32  33.65  33.80  33.65  33.80  0090.11.76.1320110             38.0870 090 99     0.00   0.00   0.00
61151  Pierce skull for drainage                         A  13.41   8.13NA   8.44NA   8.13     8.44     3.01  24.55  24.86  24.55  24.86  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
61154  Pierce skull & remove clot                        A  16.92  10.16NA  10.83NA  10.16    10.83     4.21  31.29  31.96  31.29  31.96  0090.11.76.1321210             38.0870 090 99     0.00   0.00   0.00
61156  Pierce skull for drainage                         A  17.37   9.78NA   9.72NA   9.78     9.72     4.23  31.38  31.32  31.38  31.32  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61210  Pierce skull, implant device                      A   5.83   2.53NA   2.15NA   2.53     2.15     1.50   9.86   9.48   9.86   9.48  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
61215  Insert brain-fluid device                         A   5.77   4.72NA   5.45NA   4.72     5.45     1.26  11.75  12.48  11.75  12.48  0090.11.76.1320110             38.0870 090 99     0.00   0.00   0.00
61250  Pierce skull & explore                            A  11.41   7.12NA   7.38NA   7.12     7.38     2.77  21.30  21.56  21.30  21.56  0090.11.76.1321210             38.0870 090 99     0.00   0.00   0.00
61253  Pierce skull & explore                            A  13.41   7.61NA   7.49NA   7.61     7.49     2.62  23.64  23.52  23.64  23.52  0090.11.76.1322200             38.0870 090 99     0.00   0.00   0.00
61304  Open skull for exploration                        A  23.31  12.69NA  12.54NA  12.69    12.54     5.63  41.63  41.48  41.63  41.48  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61305  Open skull for exploration                        A  28.51  15.14NA  14.97NA  15.14    14.97     6.09  49.74  49.57  49.74  49.57  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61312  Open skull for drainage                           A  30.07  15.14NA  15.24NA  15.14    15.24     6.36  51.57  51.67  51.57  51.67  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61313  Open skull for drainage                           A  27.94  15.09NA  15.37NA  15.09    15.37     6.45  49.48  49.76  49.48  49.76  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61314  Open skull for drainage                           A  25.77  13.60NA  14.15NA  13.60    14.15     6.28  45.65  46.20  45.65  46.20  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61315  Open skull for drainage                           A  29.52  15.77NA  15.51NA  15.77    15.51     7.16  52.45  52.19  52.45  52.19  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61316  Implt cran bone flap to abdo                      A   1.39   0.56NA   0.51NA   0.56     0.51     0.35   2.30   2.25   2.30   2.25  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
61320  Open skull for drainage                           A  27.32  14.50NA  14.25NA  14.50    14.25     6.62  48.44  48.19  48.44  48.19  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61321  Open skull for drainage                           A  30.40  16.10NA  16.07NA  16.10    16.07     7.14  53.64  53.61  53.64  53.61  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61322  Decompressive craniotomy                          A  34.08  16.58NA  17.48NA  16.58    17.48     7.63  58.29  59.19  58.29  59.19  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61323  Decompressive lobectomy                           A  34.93  16.70NA  17.31NA  16.70    17.31     8.03  59.66  60.27  59.66  60.27  0090.11.76.1320110             38.0870 090 99     0.00   0.00   0.00
61330  Decompress eye socket                             A  25.17  12.63NA  11.53NA  12.63    11.53     2.32  40.12  39.02  40.12  39.02  0090.11.76.1321210             38.0870 090 99     0.00   0.00   0.00
61332  Explore/biopsy eye socket                         A  28.50  14.28NA  12.96NA  14.28    12.96     4.83  47.61  46.29  47.61  46.29  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61333  Explore orbit/remove lesion                       A  29.17  14.24NA  12.88NA  14.24    12.88     3.92  47.33  45.97  47.33  45.97  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61334  Explore orbit/remove object                       A  19.50   9.83NA   9.02NA   9.83     9.02     1.75  31.08  30.27  31.08  30.27  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61340  Subtemporal decompression                         A  20.01  11.40NA  11.68NA  11.40    11.68     4.84  36.25  36.53  36.25  36.53  0090.11.76.1321210             38.0870 090 99     0.00   0.00   0.00
61343  Incise skull (press relief)                       A  31.73  16.37NA  15.94NA  16.37    15.94     7.64  55.74  55.31  55.74  55.31  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61345  Relieve cranial pressure                          A  29.10  15.13NA  14.86NA  15.13    14.86     7.04  51.27  51.00  51.27  51.00  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61440  Incise skull for surgery                          A  28.53  14.72NA  15.23NA  14.72    15.23     6.90  50.15  50.66  50.15  50.66  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61450  Incise skull for surgery                          A  27.59  14.18NA  14.06NA  14.18    14.06     5.79  47.56  47.44  47.56  47.44  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61458  Incise skull for brain wound                      A  28.71  15.20NA  14.89NA  15.20    14.89     7.03  50.94  50.63  50.94  50.63  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61460  Incise skull for surgery                          A  30.11  15.50NA  14.58NA  15.50    14.58     6.04  51.65  50.73  51.65  50.73  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
61470  Incise skull for surgery                          A  27.52  13.96NA  14.06NA  13.96    14.06     5.90  47.38  47.48  47.38  47.48  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61480  Incise skull for surgery                          A  27.95  11.71NA   8.14NA  11.71     8.14     6.73  46.39  42.82  46.39  42.82  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61490  Incise skull for surgery                          A  27.12  14.28NA  14.23NA  14.28    14.23     6.92  48.32  48.27  48.32  48.27  0090.11.76.1321210             38.0870 090 99     0.00   0.00   0.00
61500  Removal of skull lesion                           A  19.05  10.75NA  10.69NA  10.75    10.69     4.11  33.91  33.85  33.91  33.85  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61501  Remove infected skull bone                        A  16.22   9.33NA   9.45NA   9.33     9.45     3.22  28.77  28.89  28.77  28.89  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61510  Removal of brain lesion                           A  30.63  16.83NA  16.95NA  16.83    16.95     7.35  54.81  54.93  54.81  54.93  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61512  Remove brain lining lesion                        A  36.99  19.08NA  18.47NA  19.08    18.47     9.08  65.15  64.54  65.15  64.54  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61514  Removal of brain abscess                          A  27.10  14.43NA  14.42NA  14.43    14.42     6.54  48.07  48.06  48.07  48.06  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61516  Removal of brain lesion                           A  26.45  14.16NA  14.06NA  14.16    14.06     6.35  46.96  46.86  46.96  46.86  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61517  Implt brain chemotx add-on                        A   1.38   0.58NA   0.51NA   0.58     0.51     0.35   2.31   2.24   2.31   2.24  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
61518  Removal of brain lesion                           A  39.69  20.71NA  20.31NA  20.71    20.31     9.65  70.05  69.65  70.05  69.65  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61519  Remove brain lining lesion                        A  43.28  21.66NA  20.65NA  21.66    20.65    10.63  75.57  74.56  75.57  74.56  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61520  Removal of brain lesion                           A  56.89  28.15NA  25.96NA  28.15    25.96    11.21  96.25  94.06  96.25  94.06  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
61521  Removal of brain lesion                           A  46.84  23.19NA  22.16NA  23.19    22.16    11.39  81.42  80.39  81.42  80.39  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61522  Removal of brain abscess                          A  31.41  16.10NA  15.77NA  16.10    15.77     7.62  55.13  54.80  55.13  54.80  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61524  Removal of brain lesion                           A  29.76  15.69NA  15.70NA  15.69    15.70     7.16  52.61  52.62  52.61  52.62  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61526  Removal of brain lesion                           A  53.90  26.02NA  22.53NA  26.02    22.53     7.07  86.99  83.50  86.99  83.50  0090.11.76.1320120             38.0870 090 99     0.00   0.00   0.00
61530  Removal of brain lesion                           A  45.43  22.28NA  19.49NA  22.28    19.49     6.15  73.86  71.07  73.86  71.07  0090.11.76.1320120             38.0870 090 99     0.00   0.00   0.00
61531  Implant brain electrodes                          A  16.28   9.80NA  10.46NA   9.80    10.46     3.79  29.87  30.53  29.87  30.53  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
61533  Implant brain electrodes                          A  21.36  11.66NA  11.79NA  11.66    11.79     5.12  38.14  38.27  38.14  38.27  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61534  Removal of brain lesion                           A  22.88  12.61NA  13.13NA  12.61    13.13     5.44  40.93  41.45  40.93  41.45  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61535  Remove brain electrodes                           A  13.05   8.13NA   8.84NA   8.13     8.84     3.02  24.20  24.91  24.20  24.91  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61536  Removal of brain lesion                           A  37.59  19.17NA  18.53NA  19.17    18.53     9.21  65.97  65.33  65.97  65.33  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61537  Removal of brain tissue                           A  36.35  15.89NA  17.04NA  15.89    17.04     6.94  59.18  60.33  59.18  60.33  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61538  Removal of brain tissue                           A  39.35  16.84NA  18.37NA  16.84    18.37     6.94  63.13  64.66  63.13  64.66  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61539  Removal of brain tissue                           A  34.15  17.30NA  16.83NA  17.30    16.83     8.32  59.77  59.30  59.77  59.30  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61540  Removal of brain tissue                           A  31.30  16.78NA  16.30NA  16.78    16.30     8.32  56.40  55.92  56.40  55.92  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61541  Incision of brain tissue                          A  30.81  16.15NA  16.09NA  16.15    16.09     6.60  53.56  53.50  53.56  53.50  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61542  Removal of brain tissue                           A  33.03  17.31NA  16.78NA  17.31    16.78     8.03  58.37  57.84  58.37  57.84  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61543  Removal of brain tissue                           A  31.18  15.13NA  13.86NA  15.13    13.86     7.56  53.87  52.60  53.87  52.60  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61544  Remove & treat brain lesion                       A  27.26  14.06NA  14.28NA  14.06    14.28     5.97  47.29  47.51  47.29  47.51  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
61545  Excision of brain tumor                           A  46.23  23.53NA  22.83NA  23.53    22.83    10.63  80.39  79.69  80.39  79.69  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61546  Removal of pituitary gland                        A  33.31  17.12NA  16.74NA  17.12    16.74     7.67  58.10  57.72  58.10  57.72  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61548  Removal of pituitary gland                        A  23.27  12.20NA  11.62NA  12.20    11.62     3.43  38.90  38.32  38.90  38.32  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
61550  Release of skull seams                            A  15.44   6.29NA   5.65NA   6.29     5.65     0.98  22.71  22.07  22.71  22.07  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61552  Release of skull seams                            A  20.27  10.64NA  12.15NA  10.64    12.15     1.06  31.97  33.48  31.97  33.48  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61556  Incise skull/sutures                              A  24.00  12.33NA  13.29NA  12.33    13.29     4.65  40.98  41.94  40.98  41.94  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
61557  Incise skull/sutures                              A  23.16  13.63NA  13.64NA  13.63    13.64     5.80  42.59  42.60  42.59  42.60  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
61558  Excision of skull/sutures                         A  26.35  14.45NA  14.70NA  14.45    14.70     1.36  42.16  42.41  42.16  42.41  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
61559  Excision of skull/sutures                         A  33.82  18.85NA  18.38NA  18.85    18.38     8.51  61.18  60.71  61.18  60.71  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61563  Excision of skull tumor                           A  28.35  14.17NA  13.09NA  14.17    13.09     5.17  47.69  46.61  47.69  46.61  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61564  Excision of skull tumor                           A  34.59  18.10NA  17.91NA  18.10    17.91     8.78  61.47  61.28  61.47  61.28  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61566  Removal of brain tissue                           A  32.32  17.21NA  16.65NA  17.21    16.65     6.94  56.47  55.91  56.47  55.91  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61567  Incision of brain tissue                          A  36.84  19.88NA  19.07NA  19.88    19.07     6.54  63.26  62.45  63.26  62.45  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61570  Remove foreign body, brain                        A  26.38  13.97NA  14.02NA  13.97    14.02     5.88  46.23  46.28  46.23  46.28  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61571  Incise skull for brain wound                      A  28.29  14.89NA  14.64NA  14.89    14.64     6.79  49.97  49.72  49.97  49.72  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61575  Skull base/brainstem surgery                      A  36.43  17.87NA  16.10NA  17.87    16.10     5.34  59.64  57.87  59.64  57.87  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61576  Skull base/brainstem surgery                      A  55.11  31.42NA  28.09NA  31.42    28.09     5.58  92.11  88.78  92.11  88.78  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61580  Craniofacial approach, skull                      A  34.34  24.22NA  22.85NA  24.22    22.85     3.37  61.93  60.56  61.93  60.56  0090.11.76.1321112             38.0870 090 99     0.00   0.00   0.00
61581  Craniofacial approach, skull                      A  38.88  25.65NA  27.83NA  25.65    27.83     3.92  68.45  70.63  68.45  70.63  0090.11.76.1321122             38.0870 090 99     0.00   0.00   0.00
61582  Craniofacial approach, skull                      A  34.93  28.90NA  30.48NA  28.90    30.48     7.21  71.04  72.62  71.04  72.62  0090.11.76.1320212             38.0870 090 99     0.00   0.00   0.00
61583  Craniofacial approach, skull                      A  38.41  25.51NA  25.90NA  25.51    25.90     9.21  73.13  73.52  73.13  73.52  0090.11.76.1320212             38.0870 090 99     0.00   0.00   0.00
61584  Orbitocranial approach/skull                      A  37.61  25.29NA  26.04NA  25.29    26.04     8.18  71.08  71.83  71.08  71.83  0090.11.76.1321212             38.0870 090 99     0.00   0.00   0.00
61585  Orbitocranial approach/skull                      A  42.46  25.82NA  25.13NA  25.82    25.13     7.03  75.31  74.62  75.31  74.62  0090.11.76.1321212             38.0870 090 99     0.00   0.00   0.00
61586  Resect nasopharynx, skull                         A  27.28  22.62NA  22.64NA  22.62    22.64     4.37  54.27  54.29  54.27  54.29  0090.11.76.1320212             38.0870 090 99     0.00   0.00   0.00
61590  Infratemporal approach/skull                      A  46.87  26.73NA  24.81NA  26.73    24.81     5.31  78.91  76.99  78.91  76.99  0090.11.76.1321212             38.0870 090 99     0.00   0.00   0.00
61591  Infratemporal approach/skull                      A  46.87  27.07NA  24.60NA  27.07    24.60     5.66  79.60  77.13  79.60  77.13  0090.11.76.1321212             38.0870 090 99     0.00   0.00   0.00
61592  Orbitocranial approach/skull                      A  42.98  26.66NA  26.80NA  26.66    26.80    10.07  79.71  79.85  79.71  79.85  0090.11.76.1321212             38.0870 090 99     0.00   0.00   0.00
61595  Transtemporal approach/skull                      A  33.57  21.75NA  21.14NA  21.75    21.14     3.98  59.30  58.69  59.30  58.69  0090.11.76.1321112             38.0870 090 99     0.00   0.00   0.00
61596  Transcochlear approach/skull                      A  39.31  22.70NA  20.95NA  22.70    20.95     3.40  65.41  63.66  65.41  63.66  0090.11.76.1321212             38.0870 090 99     0.00   0.00   0.00
61597  Transcondylar approach/skull                      A  40.73  23.14NA  23.27NA  23.14    23.27     8.84  72.71  72.84  72.71  72.84  0090.11.76.1321212             38.0870 090 99     0.00   0.00   0.00
61598  Transpetrosal approach/skull                      A  36.41  22.70NA  22.16NA  22.70    22.16     5.70  64.81  64.27  64.81  64.27  0090.11.76.1320212             38.0870 090 99     0.00   0.00   0.00
61600  Resect/excise cranial lesion                      A  29.84  19.77NA  19.76NA  19.77    19.76     3.79  53.40  53.39  53.40  53.39  0090.11.76.1320212             38.0870 090 99     0.00   0.00   0.00
61601  Resect/excise cranial lesion                      A  31.04  21.44NA  22.38NA  21.44    22.38     6.63  59.11  60.05  59.11  60.05  0090.11.76.1320212             38.0870 090 99     0.00   0.00   0.00
61605  Resect/excise cranial lesion                      A  32.40  20.72NA  19.47NA  20.72    19.47     2.86  55.98  54.73  55.98  54.73  0090.11.76.1320212             38.0870 090 99     0.00   0.00   0.00
61606  Resect/excise cranial lesion                      A  41.94  24.47NA  23.77NA  24.47    23.77     8.97  75.38  74.68  75.38  74.68  0090.11.76.1320212             38.0870 090 99     0.00   0.00   0.00
61607  Resect/excise cranial lesion                      A  40.82  22.40NA  21.00NA  22.40    21.00     6.90  70.12  68.72  70.12  68.72  0090.11.76.1320212             38.0870 090 99     0.00   0.00   0.00
61608  Resect/excise cranial lesion                      A  45.45  26.46NA  26.32NA  26.46    26.32    10.75  82.66  82.52  82.66  82.52  0090.11.76.1320212             38.0870 090 99     0.00   0.00   0.00
61609  Transect artery, sinus                            A   9.88   4.05NA   3.25NA   4.05     3.25     2.56  16.49  15.69  16.49  15.69  0ZZZ.00.00.0000212             38.0870 090 99     0.00   0.00   0.00
61610  Transect artery, sinus                            A  29.63  12.11NA  11.06NA  12.11    11.06     7.68  49.42  48.37  49.42  48.37  0ZZZ.00.00.0000212             38.0870 090 99     0.00   0.00   0.00
61611  Transect artery, sinus                            A   7.41   2.76NA   1.71NA   2.76     1.71     1.89  12.06  11.01  12.06  11.01  0ZZZ.00.00.0000212             38.0870 090 99     0.00   0.00   0.00
61612  Transect artery, sinus                            A  27.84   9.86NA   6.41NA   9.86     6.41     4.31  42.01  38.56  42.01  38.56  0ZZZ.00.00.0000212             38.0870 090 99     0.00   0.00   0.00
61613  Remove aneurysm, sinus                            A  44.94  26.82NA  27.35NA  26.82    27.35     8.45  80.21  80.74  80.21  80.74  0090.11.76.1321212             38.0870 090 99     0.00   0.00   0.00
61615  Resect/excise lesion, skull                       A  35.63  22.02NA  21.30NA  22.02    21.30     4.73  62.38  61.66  62.38  61.66  0090.11.76.1320212             38.0870 090 99     0.00   0.00   0.00
61616  Resect/excise lesion, skull                       A  46.60  27.96NA  27.24NA  27.96    27.24     8.26  82.82  82.10  82.82  82.10  0090.11.76.1320212             38.0870 090 99     0.00   0.00   0.00
61618  Repair dura                                       A  18.58  10.44NA  10.44NA  10.44    10.44     3.72  32.74  32.74  32.74  32.74  0090.11.76.1320212             38.0870 090 99     0.00   0.00   0.00
61619  Repair dura                                       A  22.01  11.96NA  11.67NA  11.96    11.67     3.95  37.92  37.63  37.92  37.63  0090.11.76.1320212             38.0870 090 99     0.00   0.00   0.00
61623  Endovasc tempory vessel occl                      A   9.95   3.90NA   3.72NA   3.90     3.72     1.05  14.90  14.72  14.90  14.72  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
61624  Transcath occlusion, cns                          A  20.12   7.09NA   7.29NA   7.09     7.29     1.96  29.17  29.37  29.17  29.37  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
61626  Transcath occlusion, non-cns                      A  16.60   5.75NA   5.97NA   5.75     5.97     1.24  23.59  23.81  23.59  23.81  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
61630  Intracranial angioplasty                          N+ 22.07   9.47NA   6.44NA   9.47     6.44     2.02  33.56  30.53  33.56  30.53  9090.09.84.0799999             38.0870 090 99     0.00   0.00   0.00
61635  Intracran angioplsty w/stent                      N+ 24.28  10.25NA   6.95NA  10.25     6.95     2.21  36.74  33.44  36.74  33.44  9090.09.84.0799999             38.0870 090 99     0.00   0.00   0.00
61640  Dilate ic vasospasm, init                         N+ 12.32   2.83NA   2.83NA   2.83     2.83     0.71  15.86  15.86  15.86  15.86  9000.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
61642  Dilate ic vasospasm add-on                        N+  8.66   1.99NA   1.99NA   1.99     1.99     0.50  11.15  11.15  11.15  11.15  9ZZZ.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
61680  Intracranial vessel surgery                       A  32.40  17.09NA  16.75NA  17.09    16.75     7.95  57.44  57.10  57.44  57.10  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61682  Intracranial vessel surgery                       A  63.31  29.89NA  27.54NA  29.89    27.54    15.90 109.10 106.75 109.10 106.75  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61684  Intracranial vessel surgery                       A  41.49  21.19NA  20.38NA  21.19    20.38    10.31  72.99  72.18  72.99  72.18  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61686  Intracranial vessel surgery                       A  67.32  32.61NA  30.47NA  32.61    30.47    16.71 116.64 114.50 116.64 114.50  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61690  Intracranial vessel surgery                       A  31.18  16.63NA  16.52NA  16.63    16.52     6.94  54.75  54.64  54.75  54.64  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61692  Intracranial vessel surgery                       A  54.43  25.92NA  24.35NA  25.92    24.35    13.43  93.78  92.21  93.78  92.21  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61697  Brain aneurysm repr, complx                       A  63.22  28.33NA  28.64NA  28.33    28.64    12.85 104.40 104.71 104.40 104.71  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61698  Brain aneurysm repr, complx                       A  69.45  28.65NA  30.59NA  28.65    30.59    12.54 110.64 112.58 110.64 112.58  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61700  Brain aneurysm repr, simple                       A  50.44  25.92NA  24.03NA  25.92    24.03    13.02  89.38  87.49  89.38  87.49  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61702  Inner skull vessel surgery                        A  59.86  26.78NA  27.50NA  26.78    27.50    10.79  97.43  98.15  97.43  98.15  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61703  Clamp neck artery                                 A  18.70  10.27NA  10.06NA  10.27    10.06     4.06  33.03  32.82  33.03  32.82  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61705  Revise circulation to head                        A  37.97  18.79NA  18.32NA  18.79    18.32     8.87  65.63  65.16  65.63  65.16  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61708  Revise circulation to head                        A  37.07  15.02NA  14.87NA  15.02    14.87     2.51  54.60  54.45  54.60  54.45  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
61710  Revise circulation to head                        A  31.19  13.72NA  13.79NA  13.72    13.79     4.52  49.43  49.50  49.43  49.50  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
61711  Fusion of skull arteries                          A  38.10  19.21NA  18.61NA  19.21    18.61     9.42  66.73  66.13  66.73  66.13  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61720  Incise skull/brain surgery                        A  17.52   8.93NA   7.89NA   8.93     7.89     2.79  29.24  28.20  29.24  28.20  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
61735  Incise skull/brain surgery                        A  22.22  10.67NA   9.17NA  10.67     9.17     2.73  35.62  34.12  35.62  34.12  0090.11.76.1320110             38.0870 090 99     0.00   0.00   0.00
61750  Incise skull/brain biopsy                         A  19.73  10.79NA  10.95NA  10.79    10.95     4.72  35.24  35.40  35.24  35.40  0090.11.76.1320110             38.0870 090 99     0.00   0.00   0.00
61751  Brain biopsy w/ct/mr guide                        A  18.64  11.10NA  11.37NA  11.10    11.37     4.56  34.30  34.57  34.30  34.57  0090.11.76.1320110             38.0870 090 99     0.00   0.00   0.00
61760  Implant brain electrodes                          A  22.24  10.39NA  12.06NA  10.39    12.06     5.42  38.05  39.72  38.05  39.72  0090.11.76.1320120             38.0870 090 99     0.00   0.00   0.00
61770  Incise skull for treatment                        A  23.09  11.08NA   9.89NA  11.08     9.89     3.55  37.72  36.53  37.72  36.53  0090.11.76.1320110             38.0870 090 99     0.00   0.00   0.00
61790  Treat trigeminal nerve                            A  11.50   6.81NA   7.70NA   6.81     7.70     2.82  21.13  22.02  21.13  22.02  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
61791  Treat trigeminal tract                            A  15.31   8.57NA   8.21NA   8.57     8.21     3.40  27.28  26.92  27.28  26.92  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
61793  Focus radiation beam                              A  17.75   9.84NA   9.55NA   9.84     9.55     4.46  32.05  31.76  32.05  31.76  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
61795  Brain surgery using computer                      A   4.03   1.73NA   1.43NA   1.73     1.43     0.79   6.55   6.25   6.55   6.25  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
61850  Implant neuroelectrodes                           A  13.26   7.78NA   7.89NA   7.78     7.89     3.22  24.26  24.37  24.26  24.37  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
61860  Implant neuroelectrodes                           A  22.16  11.83NA  11.60NA  11.83    11.60     4.95  38.94  38.71  38.94  38.71  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
61863  Implant neuroelectrode                            A  20.56  12.10NA  12.42NA  12.10    12.42     5.43  38.09  38.41  38.09  38.41  0090.11.76.1321210             38.0870 090 99     0.00   0.00   0.00
61864  Implant neuroelectrde, addl                       A   4.49   1.98NA   1.68NA   1.98     1.68     5.43  11.90  11.60  11.90  11.60  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
61867  Implant neuroelectrode                            A  32.88  17.20NA  16.37NA  17.20    16.37     5.43  55.51  54.68  55.51  54.68  0090.11.76.1321210             38.0870 090 99     0.00   0.00   0.00
61868  Implant neuroelectrde, addl                      A   7.91   3.48NA   2.94NA   3.48     2.94     5.43  16.82  16.28  16.82  16.28  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
61870  Implant neuroelectrodes                           A  16.24   9.70NA   9.69NA   9.70     9.69     3.87  29.81  29.80  29.81  29.80  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
61875  Implant neuroelectrodes                           A  16.36   6.95NA   5.33NA   6.95     5.33     2.95  26.26  24.64  26.26  24.64  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
61880  Revise/remove neuroelectrode                      A   6.87   4.87NA   5.18NA   4.87     5.18     1.66  13.40  13.71  13.40  13.71  0090.11.76.1321210             38.0870 090 99     0.00   0.00   0.00
61885  Insrt/redo neurostim 1 array                      A   7.37   6.19NA   7.06NA   6.19     7.06     1.59  15.15  16.02  15.15  16.02  0090.11.76.1321000             38.0870 090 99     0.00   0.00   0.00
61886  Implant neurostim arrays                          A   9.73   7.44NA   8.52NA   7.44     8.52     1.97  19.14  20.22  19.14  20.22  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
61888  Revise/remove neuroreceiver                       A   5.20   3.57NA   3.47NA   3.57     3.47     1.33  10.10  10.00  10.10  10.00  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
62000  Treat skull fracture                              A  13.83   6.57NA   7.61NA   6.57     7.61     1.06  21.46  22.50  21.46  22.50  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
62005  Treat skull fracture                              A  17.53   9.20NA   9.59NA   9.20     9.59     3.87  30.60  30.99  30.60  30.99  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62010  Treatment of head injury                          A  21.30  11.76NA  11.81NA  11.76    11.81     5.14  38.20  38.25  38.20  38.25  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62100  Repair brain fluid leakage                        A  23.40  12.44NA  12.09NA  12.44    12.09     4.84  40.68  40.33  40.68  40.33  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62115  Reduction of skull defect                         A  22.71  12.77NA  13.89NA  12.77    13.89     5.51  40.99  42.11  40.99  42.11  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62116  Reduction of skull defect                         A  24.90  13.36NA  13.35NA  13.36    13.35     6.11  44.37  44.36  44.37  44.36  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
62117  Reduction of skull defect                         A  28.26  14.06NA  12.74NA  14.06    12.74     4.53  46.85  45.53  46.85  45.53  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62120  Repair skull cavity lesion                        A  24.39  17.91NA  17.33NA  17.91    17.33     3.00  45.30  44.72  45.30  44.72  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62121  Incise skull repair                               A  22.93  14.85NA  14.24NA  14.85    14.24     4.17  41.95  41.34  41.95  41.34  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62140  Repair of skull defect                            A  14.45   8.48NA   8.64NA   8.48     8.64     3.47  26.40  26.56  26.40  26.56  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62141  Repair of skull defect                            A  15.97   9.19NA   9.34NA   9.19     9.34     3.76  28.92  29.07  28.92  29.07  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62142  Remove skull plate/flap                           A  11.73   7.39NA   7.79NA   7.39     7.79     2.73  21.85  22.25  21.85  22.25  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
62143  Replace skull plate/flap                          A  14.05   8.39NA   8.73NA   8.39     8.73     3.37  25.81  26.15  25.81  26.15  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62145  Repair of skull & brain                           A  19.99  10.58NA  10.26NA  10.58    10.26     4.50  35.07  34.75  35.07  34.75  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62146  Repair of skull with graft                        A  17.18   9.58NA   9.52NA   9.58     9.52     3.62  30.38  30.32  30.38  30.32  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62147  Repair of skull with graft                        A  20.57  11.15NA  11.00NA  11.15    11.00     4.32  36.04  35.89  36.04  35.89  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62148  Retr bone flap to fix skull                       A   2.00   0.80NA   0.74NA   0.80     0.74     0.48   3.28   3.22   3.28   3.22  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
62160  Neuroendoscopy add-on                             A   3.00   1.32NA   1.11NA   1.32     1.11     0.77   5.09   4.88   5.09   4.88  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
62161  Dissect brain w/scope                             A  21.10  12.13NA  12.15NA  12.13    12.15     5.19  38.42  38.44  38.42  38.44  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62162  Remove colloid cyst w/scope                       A  26.67  14.75NA  14.65NA  14.75    14.65     5.91  47.33  47.23  47.33  47.23  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62163  Neuroendoscopy w/fb removal                       A  16.40   9.59NA   9.25NA   9.59     9.25     4.01  30.00  29.66  30.00  29.66  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62164  Remove brain tumor w/scope                        A  29.27  15.44NA  15.93NA  15.44    15.93     5.38  50.09  50.58  50.09  50.58  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62165  Remove pituit tumor w/scope                       A  23.10  12.58NA  11.78NA  12.58    11.78     3.01  38.69  37.89  38.69  37.89  0090.11.76.1320010             38.0870 090 99     0.00   0.00   0.00
62180  Establish brain cavity shunt                      A  22.45  12.33NA  12.37NA  12.33    12.37     4.98  39.76  39.80  39.76  39.80  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
62190  Establish brain cavity shunt                      A  12.07   7.23NA   7.37NA   7.23     7.37     2.80  22.10  22.24  22.10  22.24  0090.11.76.1320110             38.0870 090 99     0.00   0.00   0.00
62192  Establish brain cavity shunt                      A  13.25   7.82NA   8.02NA   7.82     8.02     3.02  24.09  24.29  24.09  24.29  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62194  Replace/irrigate catheter                         A   5.68   2.79NA   3.14NA   2.79     3.14     0.92   9.39   9.74   9.39   9.74  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
62200  Establish brain cavity shunt                      A  19.19  10.77NA  10.70NA  10.77    10.70     4.65  34.61  34.54  34.61  34.54  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62201  Brain cavity shunt w/scope                        A  15.89   9.90NA  10.35NA   9.90    10.35     3.68  29.47  29.92  29.47  29.92  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
62220  Establish brain cavity shunt                      A  14.00   8.30NA   8.62NA   8.30     8.62     3.35  25.65  25.97  25.65  25.97  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62223  Establish brain cavity shunt                      A  13.90   8.80NA   9.36NA   8.80     9.36     3.14  25.84  26.40  25.84  26.40  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62225  Replace/irrigate catheter                         A   6.11   4.79NA   5.48NA   4.79     5.48     1.39  12.29  12.98  12.29  12.98  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
62230  Replace/revise brain shunt                        A  11.35   6.85NA   7.21NA   6.85     7.21     2.71  20.91  21.27  20.91  21.27  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62252  Csf shunt reprogram                               A   0.74   1.62     1.77     1.62NA   1.77 NA  0.21   2.57   2.72   2.57   2.72  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
62252TCCsf shunt reprogram                               A   0.00   1.30     1.50     1.30NA   1.50 NA  0.02   1.32   1.52   1.32   1.52  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
6225226Csf shunt reprogram                               A   0.74   0.32     0.27     0.32     0.27     0.19   1.25   1.20   1.25   1.20  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
62256  Remove brain cavity shunt                         A   7.30   5.30NA   5.90NA   5.30     5.90     1.72  14.32  14.92  14.32  14.92  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
62258  Replace brain cavity shunt                        A  15.54   9.01NA   9.30NA   9.01     9.30     3.74  28.29  28.58  28.29  28.58  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
62263  Epidural lysis mult sessions                      A   6.41  11.08     9.46     3.09     2.98     0.41  17.90  16.28   9.91   9.80  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
62264  Epidural lysis on single day                      A   4.42   6.68     5.63     1.33     1.24     0.27  11.37  10.32   6.02   5.93  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
62268  Drain spinal cord cyst                            A   4.73   9.12     6.70     1.98     1.81     0.43  14.28  11.86   7.14   6.97  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
62269  Needle biopsy, spinal cord                        A   5.01  10.47     6.25     1.73     1.48     0.37  15.85  11.63   7.11   6.86  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
62270  Spinal fluid tap, diagnostic                      A   1.37   2.69     2.40     0.57     0.58     0.08   4.14   3.85   2.02   2.03  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
62272  Drain cerebro spinal fluid                        A   1.35   3.37     3.13     0.66     0.62     0.18   4.90   4.66   2.19   2.15  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
62273  Inject epidural patch                             A   2.15   2.19     1.67     0.64     0.57     0.13   4.47   3.95   2.92   2.85  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
62280  Treat spinal cord lesion                          A   2.63   5.78     4.63     1.08     1.15     0.30   8.71   7.56   4.01   4.08  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
62281  Treat spinal cord lesion                          A   2.66   4.87     4.08     0.96     1.03     0.19   7.72   6.93   3.81   3.88  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
62282  Treat spinal canal lesion                         A   2.33   6.22     4.08     1.02     1.11     0.17   8.72   6.58   3.52   3.61  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
62284  Injection for myelogram                           A   1.54   4.38     3.79     0.70     0.71     0.13   6.05   5.46   2.37   2.38  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
62287  Percutaneous diskectomy                           A   8.88   4.93NA   4.30NA   4.93     4.30     0.58  14.39  13.76  14.39  13.76  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
62290  Inject for spine disk x-ray                       A   3.00   5.82     4.50     1.26     1.15     0.23   9.05   7.73   4.49   4.38  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
62291  Inject for spine disk x-ray                       A   2.91   5.09     4.24     1.15     1.08     0.26   8.26   7.41   4.32   4.25  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
62292  Injection into disk lesion                        A   9.14   3.67NA   2.87NA   3.67     2.87     0.82  13.63  12.83  13.63  12.83  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
62294  Injection into spinal artery                      A  12.77   6.04NA   6.49NA   6.04     6.49     1.24  20.05  20.50  20.05  20.50  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
62310  Inject spine c/t                                  A   1.91   3.90     3.00     0.60     0.56     0.12   5.93   5.03   2.63   2.59  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
62311  Inject spine l/s (cd)                             A   1.54   3.79     2.66     0.56     0.52     0.09   5.42   4.29   2.19   2.15  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
62318  Inject spine w/cath, c/t                          A   2.04   4.41     3.09     0.54     0.43     0.12   6.57   5.25   2.70   2.59  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
62319  Inject spine w/cath l/s (cd)                      A   1.87   3.89     2.80     0.52     0.44     0.11   5.87   4.78   2.50   2.42  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
62350  Implant spinal canal cath                         A   8.04   3.96NA   3.99NA   3.96     3.99     1.02  13.02  13.05  13.02  13.05  0090.11.76.1320110             38.0870 090 99     0.00   0.00   0.00
62351  Implant spinal canal cath                         A  11.54   7.39NA   7.65NA   7.39     7.65     2.25  21.18  21.44  21.18  21.44  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
62355  Remove spinal canal catheter                      A   6.60   3.34NA   3.52NA   3.34     3.52     0.71  10.65  10.83  10.65  10.83  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
62360  Insert spine infusion device                      A   3.68   2.93NA   3.17NA   2.93     3.17     0.34   6.95   7.19   6.95   7.19  0090.11.76.1320010             38.0870 090 99     0.00   0.00   0.00
62361  Implant spine infusion pump                       A   6.59   3.99NA   4.07NA   3.99     4.07     0.80  11.38  11.46  11.38  11.46  0090.11.76.1320010             38.0870 090 99     0.00   0.00   0.00
62362  Implant spine infusion pump                       A   8.58   4.51NA   4.65NA   4.51     4.65     1.18  14.27  14.41  14.27  14.41  0090.11.76.1320010             38.0870 090 99     0.00   0.00   0.00
62365  Remove spine infusion device                      A   6.57   3.65NA   3.71NA   3.65     3.71     0.86  11.08  11.14  11.08  11.14  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
62367  Analyze spine infusion pump                       A   0.48   0.52     0.42     0.11     0.11     0.03   1.03   0.93   0.62   0.62  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
62368  Analyze spine infusion pump                       A   0.75   0.63     0.58     0.17     0.17     0.06   1.44   1.39   0.98   0.98  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
63001  Removal of spinal lamina                          A  17.51   9.64NA   9.77NA   9.64     9.77     3.77  30.92  31.05  30.92  31.05  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
63003  Removal of spinal lamina                          A  17.64   9.80NA   9.73NA   9.80     9.73     3.73  31.17  31.10  31.17  31.10  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
63005  Removal of spinal lamina                          A  16.28   9.86NA   9.74NA   9.86     9.74     3.35  29.49  29.37  29.49  29.37  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
63011  Removal of spinal lamina                          A  15.78   8.64NA   9.01NA   8.64     9.01     3.38  27.80  28.17  27.80  28.17  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
63012  Removal of spinal lamina                          A  16.72   9.95NA   9.76NA   9.95     9.76     3.49  30.16  29.97  30.16  29.97  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
63015  Removal of spinal lamina                          A  20.70  11.86NA  11.85NA  11.86    11.85     4.76  37.32  37.31  37.32  37.31  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
63016  Removal of spinal lamina                          A  21.90  11.72NA  11.65NA  11.72    11.65     4.59  38.21  38.14  38.21  38.14  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
63017  Removal of spinal lamina                          A  17.18  10.37NA  10.35NA  10.37    10.35     3.64  31.19  31.17  31.19  31.17  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
63020  Neck spine disk surgery                           A  16.05   9.78NA   9.88NA   9.78     9.88     3.72  29.55  29.65  29.55  29.65  0090.11.76.1321220             38.0870 090 99     0.00   0.00   0.00
63030  Low back disk surgery                             A  13.03   8.51NA   8.60NA   8.51     8.60     3.01  24.55  24.64  24.55  24.64  0090.11.76.1321220             38.0870 090 99     0.00   0.00   0.00
63035  Spinal disk surgery add-on                        A   3.15   1.39NA   1.19NA   1.39     1.19     0.79   5.33   5.13   5.33   5.13  0ZZZ.00.00.0001220             38.0870 090 99     0.00   0.00   0.00
63040  Laminotomy, single cervical                       A  20.18  11.27NA  11.03NA  11.27    11.03     4.68  36.13  35.89  36.13  35.89  0090.11.76.1321220             38.0870 090 99     0.00   0.00   0.00
63042  Laminotomy, single lumbar                         A  18.61  10.97NA  10.59NA  10.97    10.59     4.26  33.84  33.46  33.84  33.46  0090.11.76.1321220             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
63045  Removal of spinal lamina                          A  17.82  10.35NA  10.34NA  10.35    10.34     3.99  32.16  32.15  32.16  32.15  0090.11.76.1322220             38.0870 090 99     0.00   0.00   0.00
63046  Removal of spinal lamina                          A  17.12   9.99NA   9.79NA   9.99     9.79     3.56  30.67  30.47  30.67  30.47  0090.11.76.1322220             38.0870 090 99     0.00   0.00   0.00
63047  Removal of spinal lamina                          A  15.22   9.62NA   9.34NA   9.62     9.34     3.24  28.08  27.80  28.08  27.80  0090.11.76.1322220             38.0870 090 99     0.00   0.00   0.00
63048  Remove spinal lamina add-on                       A   3.47   1.49NA   1.32NA   1.49     1.32     0.72   5.68   5.51   5.68   5.51  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
63050  Cervical laminoplasty                             A  21.88  11.83NA  11.82NA  11.83    11.82     4.67  38.38  38.37  38.38  38.37  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
63051  C-laminoplasty w/graft/plate                      A  25.38  13.28NA  13.08NA  13.28    13.08     4.67  43.33  43.13  43.33  43.13  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
63055  Decompress spinal cord                            A  23.42  12.80NA  12.45NA  12.80    12.45     5.29  41.51  41.16  41.51  41.16  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63056  Decompress spinal cord                            A  21.73  11.98NA  11.38NA  11.98    11.38     4.76  38.47  37.87  38.47  37.87  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63057  Decompress spine cord add-on                      A   5.25   2.31NA   1.98NA   2.31     1.98     1.22   8.78   8.45   8.78   8.45  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
63064  Decompress spinal cord                            A  26.09  13.82NA  13.22NA  13.82    13.22     5.71  45.62  45.02  45.62  45.02  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63066  Decompress spine cord add-on                      A   3.26   1.43NA   1.21NA   1.43     1.21     0.69   5.38   5.16   5.38   5.16  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
63075  Neck spine disk surgery                           A  19.47  11.55NA  11.01NA  11.55    11.01     4.63  35.65  35.11  35.65  35.11  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
63076  Neck spine disk surgery                           A   4.04   1.79NA   1.52NA   1.79     1.52     0.96   6.79   6.52   6.79   6.52  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
63077  Spine disk surgery, thorax                        A  22.75  11.94NA  11.08NA  11.94    11.08     3.99  38.68  37.82  38.68  37.82  0090.11.76.1320220             38.0870 090 99     0.00   0.00   0.00
63078  Spine disk surgery, thorax                        A   3.28   1.43NA   1.21NA   1.43     1.21     0.66   5.37   5.15   5.37   5.15  0ZZZ.00.00.0000220             38.0870 090 99     0.00   0.00   0.00
63081  Removal of vertebral body                         A  25.97  13.91NA  13.49NA  13.91    13.49     5.56  45.44  45.02  45.44  45.02  0090.11.76.1320212             38.0870 090 99     0.00   0.00   0.00
63082  Remove vertebral body add-on                      A   4.36   1.94NA   1.64NA   1.94     1.64     1.02   7.32   7.02   7.32   7.02  0ZZZ.00.00.0000212             38.0870 090 99     0.00   0.00   0.00
63085  Removal of vertebral body                         A  29.34  14.51NA  13.54NA  14.51    13.54     4.49  48.34  47.37  48.34  47.37  0090.11.76.1320222             38.0870 090 99     0.00   0.00   0.00
63086  Remove vertebral body add-on                      A   3.19   1.38NA   1.17NA   1.38     1.17     0.59   5.16   4.95   5.16   4.95  0ZZZ.00.00.0000222             38.0870 090 99     0.00   0.00   0.00
63087  Removal of vertebral body                         A  37.38  18.06NA  16.65NA  18.06    16.65     6.22  61.66  60.25  61.66  60.25  0090.11.76.1320222             38.0870 090 99     0.00   0.00   0.00
63088  Remove vertebral body add-on                      A   4.32   1.88NA   1.59NA   1.88     1.59     0.82   7.02   6.73   7.02   6.73  0ZZZ.00.00.0000222             38.0870 090 99     0.00   0.00   0.00
63090  Removal of vertebral body                         A  30.78  15.22NA  14.39NA  15.22    14.39     4.22  50.22  49.39  50.22  49.39  0090.11.76.1320222             38.0870 090 99     0.00   0.00   0.00
63091  Remove vertebral body add-on                      A   3.03   1.30NA   1.14NA   1.30     1.14     0.48   4.81   4.65   4.81   4.65  0ZZZ.00.00.0000222             38.0870 090 99     0.00   0.00   0.00
63101  Removal of vertebral body                         A  33.92  18.16NA  17.04NA  18.16    17.04     5.71  57.79  56.67  57.79  56.67  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63102  Removal of vertebral body                         A  33.92  18.06NA  16.83NA  18.06    16.83     5.71  57.69  56.46  57.69  56.46  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63103  Remove vertebral body add-on                      A   4.82   2.12NA   1.74NA   2.12     1.74     0.69   7.63   7.25   7.63   7.25  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
63170  Incise spinal cord tract(s)                       A  22.08  11.15NA  10.44NA  11.15    10.44     4.87  38.10  37.39  38.10  37.39  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63172  Drainage of spinal cyst                           A  19.66  10.86NA  11.07NA  10.86    11.07     4.49  35.01  35.22  35.01  35.22  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63173  Drainage of spinal cyst                           A  24.18  13.19NA  13.57NA  13.19    13.57     5.70  43.07  43.45  43.07  43.45  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63180  Revise spinal cord ligaments                      A  20.40  10.97NA  10.95NA  10.97    10.95     3.96  35.33  35.31  35.33  35.31  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63182  Revise spinal cord ligaments                      A  22.69   9.07NA   7.18NA   9.07     7.18     5.32  37.08  35.19  37.08  35.19  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63185  Incise spinal column/nerves                       A  16.36   8.95NA   9.80NA   8.95     9.80     2.80  28.11  28.96  28.11  28.96  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63190  Incise spinal column/nerves                       A  18.76   9.87NA   9.60NA   9.87     9.60     3.25  31.88  31.61  31.88  31.61  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63191  Incise spinal column/nerves                       A  18.79   7.29NA   4.10NA   7.29     4.10     6.36  32.44  29.25  32.44  29.25  0090.11.76.1321210             38.0870 090 99     0.00   0.00   0.00
63194  Incise spinal column & cord                       A  21.97  11.46NA  11.20NA  11.46    11.20     3.27  36.70  36.44  36.70  36.44  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63195  Incise spinal column & cord                       A  21.54  11.57NA  12.10NA  11.57    12.10     4.88  37.99  38.52  37.99  38.52  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63196  Incise spinal column & cord                       A  25.14  13.59NA  13.79NA  13.59    13.79     5.78  44.51  44.71  44.51  44.71  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63197  Incise spinal column & cord                       A  23.95   9.84NA   7.47NA   9.84     7.47     5.38  39.17  36.80  39.17  36.80  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63198  Incise spinal column & cord                       A  29.75   8.68NA   8.93NA   8.68     8.93     6.45  44.88  45.13  44.88  45.13  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63199  Incise spinal column & cord                       A  31.32  12.16NA   9.29NA  12.16     9.29     1.40  44.88  42.01  44.88  42.01  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63200  Release of spinal cord                            A  21.31  11.70NA  12.10NA  11.70    12.10     4.97  37.98  38.38  37.98  38.38  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
63250  Revise spinal cord vessels                        A  43.73  20.42NA  20.91NA  20.42    20.91     9.04  73.19  73.68  73.19  73.68  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63251  Revise spinal cord vessels                        A  44.49  22.07NA  21.53NA  22.07    21.53    10.44  77.00  76.46  77.00  76.46  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63252  Revise spinal cord vessels                        A  44.48  21.56NA  20.87NA  21.56    20.87    10.67  76.71  76.02  76.71  76.02  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63265  Excise intraspinal lesion                         A  23.69  12.88NA  12.99NA  12.88    12.99     5.45  42.02  42.13  42.02  42.13  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63266  Excise intraspinal lesion                         A  24.55  13.18NA  13.18NA  13.18    13.18     5.56  43.29  43.29  43.29  43.29  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63267  Excise intraspinal lesion                         A  19.32  11.10NA  11.13NA  11.10    11.13     4.38  34.80  34.83  34.80  34.83  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63268  Excise intraspinal lesion                         A  19.89  10.81NA  11.25NA  10.81    11.25     3.70  34.40  34.84  34.40  34.84  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63270  Excise intraspinal lesion                         A  29.67  15.41NA  15.36NA  15.41    15.36     6.84  51.92  51.87  51.92  51.87  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63271  Excise intraspinal lesion                         A  29.79  15.45NA  15.32NA  15.45    15.32     6.92  52.16  52.03  52.16  52.03  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63272  Excise intraspinal lesion                         A  27.37  14.49NA  14.29NA  14.49    14.29     6.20  48.06  47.86  48.06  47.86  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63273  Excise intraspinal lesion                         A  26.34  14.21NA  14.08NA  14.21    14.08     5.76  46.31  46.18  46.31  46.18  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
63275  Biopsy/excise spinal tumor                        A  25.73  13.76NA  13.74NA  13.76    13.74     5.82  45.31  45.29  45.31  45.29  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63276  Biopsy/excise spinal tumor                        A  25.56  13.60NA  13.52NA  13.60    13.52     5.85  45.01  44.93  45.01  44.93  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63277  Biopsy/excise spinal tumor                        A  22.26  12.32NA  12.13NA  12.32    12.13     5.03  39.61  39.42  39.61  39.42  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63278  Biopsy/excise spinal tumor                        A  21.99  12.16NA  11.92NA  12.16    11.92     4.56  38.71  38.47  38.71  38.47  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63280  Biopsy/excise spinal tumor                        A  30.14  16.10NA  15.88NA  16.10    15.88     7.29  53.53  53.31  53.53  53.31  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63281  Biopsy/excise spinal tumor                        A  29.84  16.02NA  15.87NA  16.02    15.87     7.19  53.05  52.90  53.05  52.90  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63282  Biopsy/excise spinal tumor                        A  28.00  15.17NA  15.01NA  15.17    15.01     6.78  49.95  49.79  49.95  49.79  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63283  Biopsy/excise spinal tumor                        A  26.61  14.67NA  14.68NA  14.67    14.68     6.28  47.56  47.57  47.56  47.57  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63285  Biopsy/excise spinal tumor                        A  37.90  19.02NA  18.10NA  19.02    18.10     9.21  66.13  65.21  66.13  65.21  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63286  Biopsy/excise spinal tumor                        A  37.47  19.31NA  18.71NA  19.31    18.71     9.24  66.02  65.42  66.02  65.42  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63287  Biopsy/excise spinal tumor                        A  39.93  20.02NA  19.62NA  20.02    19.62     9.42  69.37  68.97  69.37  68.97  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63290  Biopsy/excise spinal tumor                        A  40.67  19.94NA  19.29NA  19.94    19.29     9.05  69.66  69.01  69.66  69.01  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63295  Repair of laminectomy defect                      A   5.25   2.05NA   1.95NA   2.05     1.95     1.03   8.33   8.23   8.33   8.23  0ZZZ.00.00.0002220             38.0870 090 99     0.00   0.00   0.00
63300  Removal of vertebral body                         A  26.67  14.05NA  13.80NA  14.05    13.80     5.99  46.71  46.46  46.71  46.46  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63301  Removal of vertebral body                         A  31.42  14.88NA  14.21NA  14.88    14.21     5.41  51.71  51.04  51.71  51.04  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63302  Removal of vertebral body                         A  31.00  14.82NA  13.78NA  14.82    13.78     5.55  51.37  50.33  51.37  50.33  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63303  Removal of vertebral body                         A  33.42  15.96NA  15.00NA  15.96    15.00     4.69  54.07  53.11  54.07  53.11  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63304  Removal of vertebral body                         A  33.70  17.43NA  17.58NA  17.43    17.58     6.43  57.56  57.71  57.56  57.71  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63305  Removal of vertebral body                         A  36.09  17.52NA  16.99NA  17.52    16.99     5.73  59.34  58.81  59.34  58.81  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63306  Removal of vertebral body                         A  35.40  17.22NA  16.65NA  17.22    16.65     8.35  60.97  60.40  60.97  60.40  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63307  Removal of vertebral body                         A  34.81  15.82NA  14.83NA  15.82    14.83     4.47  55.10  54.11  55.10  54.11  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63308  Remove vertebral body add-on                      A   5.24   2.28NA   1.95NA   2.28     1.95     1.29   8.81   8.48   8.81   8.48  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
63600  Remove spinal cord lesion                         A  15.02   4.72NA   4.03NA   4.72     4.03     1.52  21.26  20.57  21.26  20.57  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
63610  Stimulation of spinal cord                        A   8.72  36.83    13.95     1.87     1.49     0.86  46.41  23.53  11.45  11.07  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
63615  Remove lesion of spinal cord                      A  17.22   8.90NA   8.53NA   8.90     8.53     2.85  28.97  28.60  28.97  28.60  0090.11.76.1320110             38.0870 090 99     0.00   0.00   0.00
63650  Implant neuroelectrodes                           A   7.57   3.05NA   2.92NA   3.05     2.92     0.53  11.15  11.02  11.15  11.02  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
63655  Implant neuroelectrodes                           A  11.43   7.26NA   7.63NA   7.26     7.63     2.44  21.13  21.50  21.13  21.50  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63660  Revise/remove neuroelectrode                      A   6.87   3.52NA   3.42NA   3.52     3.42     0.78  11.17  11.07  11.17  11.07  0090.11.76.1320110             38.0870 090 99     0.00   0.00   0.00
63685  Insrt/redo spine n generator                      A   7.87   3.90NA   3.65NA   3.90     3.65     1.05  12.82  12.57  12.82  12.57  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63688  Revise/remove neuroreceiver                       A   6.10   3.54NA   3.53NA   3.54     3.53     0.89  10.53  10.52  10.53  10.52  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
63700  Repair of spinal herniation                       A  17.32  10.13NA   9.95NA  10.13     9.95     3.53  30.98  30.80  30.98  30.80  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63702  Repair of spinal herniation                       A  19.26  10.51NA   9.98NA  10.51     9.98     4.13  33.90  33.37  33.90  33.37  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63704  Repair of spinal herniation                       A  22.23  12.29NA  11.66NA  12.29    11.66     4.58  39.10  38.47  39.10  38.47  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63706  Repair of spinal herniation                       A  25.15  13.94NA  14.30NA  13.94    14.30     6.25  45.34  45.70  45.34  45.70  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63707  Repair spinal fluid leakage                       A  12.52   7.77NA   7.83NA   7.77     7.83     2.52  22.81  22.87  22.81  22.87  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63709  Repair spinal fluid leakage                       A  15.52   9.19NA   8.97NA   9.19     8.97     3.10  27.81  27.59  27.81  27.59  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63710  Graft repair of spine defect                      A  15.27   9.12NA   9.19NA   9.12     9.19     3.41  27.80  27.87  27.80  27.87  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63740  Install spinal shunt                              A  12.50   7.81NA   8.28NA   7.81     8.28     2.94  23.25  23.72  23.25  23.72  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63741  Install spinal shunt                              A   9.02   4.84NA   4.93NA   4.84     4.93     1.66  15.52  15.61  15.52  15.61  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63744  Revision of spinal shunt                          A   8.86   5.51NA   5.76NA   5.51     5.76     1.90  16.27  16.52  16.27  16.52  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
63746  Removal of spinal shunt                           A   7.25   4.73NA   5.69NA   4.73     5.69     1.53  13.51  14.47  13.51  14.47  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
64400  N block inj, trigeminal                           A   1.11   1.66     1.42     0.44     0.45     0.07   2.84   2.60   1.62   1.63  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64402  N block inj, facial                               A   1.25   1.51     1.41     0.55     0.50     0.09   2.85   2.75   1.89   1.84  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64405  N block inj, occipital                            A   1.32   1.31     1.16     0.48     0.49     0.08   2.71   2.56   1.88   1.89  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64408  N block inj, vagus                                A   1.41   1.51     1.45     0.78     0.71     0.10   3.02   2.96   2.29   2.22  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
64410  N block inj, phrenic                              A   1.43   2.21     1.92     0.51     0.56     0.09   3.73   3.44   2.03   2.08  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
64412  N block inj, spinal accessor                      A   1.18   2.39     2.13     0.51     0.59     0.08   3.65   3.39   1.77   1.85  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
64413  N block inj, cervical plexus                      A   1.40   1.58     1.31     0.49     0.48     0.08   3.06   2.79   1.97   1.96  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64415  N block inj, brachial plexus                      A   1.48   2.11     1.41     0.38     0.30     0.09   3.68   2.98   1.95   1.87  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64416  N block cont infuse, b plex                       A   3.85   0.63NA   0.46NA   0.63     0.46     0.31   4.79   4.62   4.79   4.62  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
64417  N block inj, axillary                             A   1.44   2.23     1.43     0.40     0.32     0.11   3.78   2.98   1.95   1.87  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64418  N block inj, suprascapular                        A   1.32   2.26     1.89     0.48     0.52     0.07   3.65   3.28   1.87   1.91  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
64420  N block inj, intercost, sng                       A   1.18   3.14     2.40     0.43     0.45     0.08   4.40   3.66   1.69   1.71  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64421  N block inj, intercost, mlt                       A   1.68   4.82     3.55     0.52     0.53     0.11   6.61   5.34   2.31   2.32  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64425  N block inj, ilio-ing/hypogi                      A   1.75   1.47     1.29     0.53     0.53     0.13   3.35   3.17   2.41   2.41  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64430  N block inj, pudendal                             A   1.46   2.45     2.39     0.66     0.77     0.10   4.01   3.95   2.22   2.33  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64435  N block inj, paracervical                         A   1.45   2.26     2.00     0.62     0.56     0.16   3.87   3.61   2.23   2.17  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64445  N block inj, sciatic, sng                         A   1.48   2.15     1.63     0.50     0.50     0.10   3.73   3.21   2.08   2.08  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64446  N blk inj, sciatic, cont inf                      A   3.61   0.74NA   0.48NA   0.74     0.48     0.20   4.55   4.29   4.55   4.29  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
64447  N block inj fem, single                           A   1.50   0.30NA   0.17NA   0.30     0.17     0.09   1.89   1.76   1.89   1.76  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64448  N block inj fem, cont inf                         A   3.36   0.60NA   0.39NA   0.60     0.39     0.18   4.14   3.93   4.14   3.93  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
64449  N block inj, lumbar plexus                        A   3.24   0.69NA   0.42NA   0.69     0.42     0.15   4.08   3.81   4.08   3.81  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
64450  N block, other peripheral                         A   1.27   1.26     1.28     0.48     0.49     0.13   2.66   2.68   1.88   1.89  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
64470  Inj paravertebral c/t                             A   1.85   5.53     3.83     0.70     0.70     0.11   7.49   5.79   2.66   2.66  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
64472  Inj paravertebral c/t add-on                      A   1.29   1.78     1.22     0.33     0.33     0.08   3.15   2.59   1.70   1.70  0ZZZ.00.00.0001100             38.0870 090 99     0.00   0.00   0.00
64475  Inj paravertebral l/s                             A   1.41   5.26     3.64     0.60     0.58     0.10   6.77   5.15   2.11   2.09  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
64476  Inj paravertebral l/s add-on                      A   0.98   1.61     1.10     0.23     0.22     0.07   2.66   2.15   1.28   1.27  0ZZZ.00.00.0001100             38.0870 090 99     0.00   0.00   0.00
64479  Inj foramen epidural c/t                          A   2.20   5.62     3.75     0.85     0.81     0.12   7.94   6.07   3.17   3.13  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
64480  Inj foramen epidural add-on                       A   1.54   2.20     1.55     0.43     0.39     0.10   3.84   3.19   2.07   2.03  0ZZZ.00.00.0001100             38.0870 090 99     0.00   0.00   0.00
64483  Inj foramen epidural l/s                          A   1.90   5.86     3.82     0.79     0.75     0.11   7.87   5.83   2.80   2.76  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
64484  Inj foramen epidural add-on                       A   1.33   2.45     1.63     0.35     0.32     0.08   3.86   3.04   1.76   1.73  0ZZZ.00.00.0001100             38.0870 090 99     0.00   0.00   0.00
64505  N block, spenopalatine gangl                      A   1.36   1.18     1.13     0.70     0.74     0.10   2.64   2.59   2.16   2.20  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64508  N block, carotid sinus s/p                        A   1.12   2.68     2.04     0.65     0.56     0.07   3.87   3.23   1.84   1.75  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
64510  N block, stellate ganglion                        A   1.22   2.68     1.90     0.47     0.43     0.07   3.97   3.19   1.76   1.72  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64517  N block inj, hypogas plxs                         A   2.20   2.22     1.72     0.78     0.68     0.11   4.53   4.03   3.09   2.99  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64520  N block, lumbar/thoracic                          A   1.35   3.86     2.57     0.53     0.51     0.08   5.29   4.00   1.96   1.94  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64530  N block inj, celiac pelus                         A   1.58   3.62     2.79     0.65     0.65     0.10   5.30   4.47   2.33   2.33  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64550  Apply neurostimulator                             A   0.18   0.24     0.20     0.05     0.05     0.01   0.43   0.39   0.24   0.24  0000.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
64553  Implant neuroelectrodes                           A   2.33   2.74     2.65     1.65     1.45     0.18   5.25   5.16   4.16   3.96  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
64555  Implant neuroelectrodes                           A   2.29   2.94     2.78     1.34     1.49     0.19   5.42   5.26   3.82   3.97  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
64560  Implant neuroelectrodes                           A   2.38   2.52     2.41     1.27     1.26     0.22   5.12   5.01   3.87   3.86  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
64561  Implant neuroelectrodes                           A   7.07  24.84    19.61     3.27     3.76     0.51  32.42  27.19  10.85  11.34  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
64565  Implant neuroelectrodes                           A   1.78   2.88     2.47     1.28     1.29     0.13   4.79   4.38   3.19   3.20  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
64573  Implant neuroelectrodes                           A   8.15   5.21NA   5.16NA   5.21     5.16     1.60  14.96  14.91  14.96  14.91  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
64575  Implant neuroelectrodes                           A   4.37   2.37NA   2.06NA   2.37     2.06     0.61   7.35   7.04   7.35   7.04  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
64577  Implant neuroelectrodes                           A   4.64   4.03NA   4.79NA   4.03     4.79     1.04   9.71  10.47   9.71  10.47  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
64580  Implant neuroelectrodes                           A   4.14   3.13NA   2.71NA   3.13     2.71     0.36   7.63   7.21   7.63   7.21  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64581  Implant neuroelectrodes                           A  14.15   5.99NA   6.60NA   5.99     6.60     1.05  21.19  21.80  21.19  21.80  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
64585  Revise/remove neuroelectrode                      A   2.08   8.60     5.92     2.21     2.29     0.20  10.88   8.20   4.49   4.57  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
64590  Insrt/redo pn/gastr stimul                        A   2.42   6.77     6.41     2.37     2.46     0.19   9.38   9.02   4.98   5.07  0010.10.80.1020110             38.0870 090 99     0.00   0.00   0.00
64595  Revise/rmv pn/gastr stimul                        A   1.75   8.42     6.45     2.05     2.18     0.19  10.36   8.39   3.99   4.12  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
64600  Injection treatment of nerve                      A   3.46   7.39     5.43     1.64     1.63     0.34  11.19   9.23   5.44   5.43  0010.10.80.1022100             38.0870 090 99     0.00   0.00   0.00
64605  Injection treatment of nerve                      A   5.62   8.39     7.22     2.23     2.27     0.79  14.80  13.63   8.64   8.68  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
64610  Injection treatment of nerve                      A   7.17   9.02     9.18     3.57     3.43     1.58  17.77  17.93  12.32  12.18  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
64612  Destroy nerve, face muscle                        A   1.98   2.03     1.58     1.33     1.34     0.11   4.12   3.67   3.42   3.43  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
64613  Destroy nerve, neck muscle                        A   1.98   2.15     1.37     1.18     1.14     0.11   4.24   3.46   3.27   3.23  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
64614  Destroy nerve, extrem musc                        A   2.20   2.42     1.62     1.31     1.31     0.10   4.72   3.92   3.61   3.61  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
64620  Injection treatment of nerve                      A   2.86   4.18     3.30     1.22     1.11     0.20   7.24   6.36   4.28   4.17  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
64622  Destr paravertebrl nerve l/s                      A   3.02   5.91     4.06     1.31     1.26     0.18   9.11   7.26   4.51   4.46  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
64623  Destr paravertebral n add-on                      A   0.99   2.32     1.68     0.22     0.22     0.06   3.37   2.73   1.27   1.27  0ZZZ.00.00.0001100             38.0870 090 99     0.00   0.00   0.00
64626  Destr paravertebrl nerve c/t                      A   3.82   6.26     4.74     1.92     1.87     0.20  10.28   8.76   5.94   5.89  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
64627  Destr paravertebral n add-on                      A   1.16   3.45     2.37     0.26     0.25     0.07   4.68   3.60   1.49   1.48  0ZZZ.00.00.0001100             38.0870 090 99     0.00   0.00   0.00
64630  Injection treatment of nerve                      A   3.02   2.75     2.76     1.62     1.84     0.22   5.99   6.00   4.86   5.08  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
64640  Injection treatment of nerve                      A   2.78   3.30     2.42     1.63     1.42     0.29   6.37   5.49   4.70   4.49  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
64650  Chemodenerv eccrine glands                        A   0.70   0.79     0.72     0.23     0.16     0.06   1.55   1.48   0.99   0.92  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
64653  Chemodenerv eccrine glands                        A   0.88   0.83     0.75     0.29     0.19     0.08   1.79   1.71   1.25   1.15  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
64680  Injection treatment of nerve                      A   2.64   5.48     4.25     1.31     1.20     0.18   8.30   7.07   4.13   4.02  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
64681  Injection treatment of nerve                      A   3.78   7.06     4.82     1.67     1.27     0.28  11.12   8.88   5.73   5.33  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
64702  Revise finger/toe nerve                           A   6.10   4.53NA   5.19NA   4.53     5.19     0.61  11.24  11.90  11.24  11.90  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
64704  Revise hand/foot nerve                            A   4.61   3.30NA   3.28NA   3.30     3.28     0.61   8.52   8.50   8.52   8.50  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64708  Revise arm/leg nerve                              A   6.22   4.53NA   4.20NA   4.53     4.20     0.96  11.71  11.38  11.71  11.38  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64712  Revision of sciatic nerve                         A   7.98   4.67NA   4.38NA   4.67     4.38     0.95  13.60  13.31  13.60  13.31  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64713  Revision of arm nerve(s)                          A  11.29   5.96NA   6.05NA   5.96     6.05     1.83  19.08  19.17  19.08  19.17  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64714  Revise low back nerve(s)                          A  10.44   4.29NA   4.37NA   4.29     4.37     1.19  15.92  16.00  15.92  16.00  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64716  Revision of cranial nerve                         A   6.86   5.72NA   5.46NA   5.72     5.46     0.63  13.21  12.95  13.21  12.95  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64718  Revise ulnar nerve at elbow                       A   7.06   6.10NA   6.20NA   6.10     6.20     1.05  14.21  14.31  14.21  14.31  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
64719  Revise ulnar nerve at wrist                       A   4.89   4.33NA   4.14NA   4.33     4.14     0.77   9.99   9.80   9.99   9.80  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
64721  Carpal tunnel surgery                             A   4.84   5.04     4.71     5.01     4.65     0.73  10.61  10.28  10.58  10.22  0090.11.76.1321100             38.0870 090 99     0.00   0.00   0.00
64722  Relieve pressure on nerve(s)                      A   4.74   3.02NA   3.00NA   3.02     3.00     0.48   8.24   8.22   8.24   8.22  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64726  Release foot/toe nerve                            A   4.21   2.80NA   2.80NA   2.80     2.80     0.54   7.55   7.55   7.55   7.55  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
64727  Internal nerve revision                           A   3.10   1.34NA   1.19NA   1.34     1.19     0.48   4.92   4.77   4.92   4.77  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
64732  Incision of brow nerve                            A   4.81   3.58NA   3.66NA   3.58     3.66     0.98   9.37   9.45   9.37   9.45  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64734  Incision of cheek nerve                           A   5.45   4.24NA   4.44NA   4.24     4.44     0.89  10.58  10.78  10.58  10.78  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
64736  Incision of chin nerve                            A   5.13   3.87NA   3.72NA   3.87     3.72     0.52   9.52   9.37   9.52   9.37  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64738  Incision of jaw nerve                             A   6.26   4.63NA   4.65NA   4.63     4.65     1.08  11.97  11.99  11.97  11.99  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64740  Incision of tongue nerve                          A   6.12   5.05NA   4.98NA   5.05     4.98     0.69  11.86  11.79  11.86  11.79  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64742  Incision of facial nerve                          A   6.75   4.49NA   4.28NA   4.49     4.28     0.73  11.97  11.76  11.97  11.76  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64744  Incise nerve, back of head                        A   5.64   3.91NA   4.04NA   3.91     4.04     1.16  10.71  10.84  10.71  10.84  0090.11.76.1321000             38.0870 090 99     0.00   0.00   0.00
64746  Incise diaphragm nerve                            A   6.46   4.18NA   3.86NA   4.18     3.86     0.82  11.46  11.14  11.46  11.14  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64752  Incision of vagus nerve                           A   7.59   4.04NA   3.79NA   4.04     3.79     0.93  12.56  12.31  12.56  12.31  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64755  Incision of stomach nerves                        A  14.97   5.57NA   5.50NA   5.57     5.50     1.84  22.38  22.31  22.38  22.31  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64760  Incision of vagus nerve                           A   7.49   3.62NA   3.78NA   3.62     3.78     0.81  11.92  12.08  11.92  12.08  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64761  Incision of pelvis nerve                          A   6.94   3.92NA   4.33NA   3.92     4.33     0.53  11.39  11.80  11.39  11.80  0090.11.76.1321200             38.0870 090 99     0.00   0.00   0.00
64763  Incise hip/thigh nerve                            A   7.46   4.55NA   3.91NA   4.55     3.91     0.94  12.95  12.31  12.95  12.31  0090.11.76.1321210             38.0870 090 99     0.00   0.00   0.00
64766  Incise hip/thigh nerve                            A   9.34   4.99NA   4.74NA   4.99     4.74     1.06  15.39  15.14  15.39  15.14  0090.11.76.1321200             38.0870 090 99     0.00   0.00   0.00
64771  Sever cranial nerve                               A   8.02   5.60NA   5.64NA   5.60     5.64     1.23  14.85  14.89  14.85  14.89  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64772  Incision of spinal nerve                          A   7.74   5.02NA   5.12NA   5.02     5.12     1.40  14.16  14.26  14.16  14.26  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64774  Remove skin nerve lesion                          A   5.70   3.93NA   4.03NA   3.93     4.03     0.74  10.37  10.47  10.37  10.47  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
64776  Remove digit nerve lesion                         A   5.52   3.70NA   3.73NA   3.70     3.73     0.76   9.98  10.01   9.98  10.01  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
64778  Digit nerve surgery add-on                        A   3.11   1.35NA   1.21NA   1.35     1.21     0.46   4.92   4.78   4.92   4.78  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
64782  Remove limb nerve lesion                          A   6.76   4.00NA   4.22NA   4.00     4.22     0.86  11.62  11.84  11.62  11.84  0090.11.76.1320110             38.0870 090 99     0.00   0.00   0.00
64783  Limb nerve surgery add-on                         A   3.71   1.60NA   1.37NA   1.60     1.37     0.51   5.82   5.59   5.82   5.59  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
64784  Remove nerve lesion                               A  10.49   6.50NA   6.41NA   6.50     6.41     1.38  18.37  18.28  18.37  18.28  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
64786  Remove sciatic nerve lesion                       A  16.12   9.14NA   8.44NA   9.14     8.44     2.61  27.87  27.17  27.87  27.17  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64787  Implant nerve end                                 A   4.29   1.88NA   1.64NA   1.88     1.64     0.58   6.75   6.51   6.75   6.51  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
64788  Remove skin nerve lesion                          A   5.14   3.76NA   4.06NA   3.76     4.06     0.73   9.63   9.93   9.63   9.93  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
64790  Removal of nerve lesion                           A  11.97   7.09NA   6.98NA   7.09     6.98     2.11  21.17  21.06  21.17  21.06  0090.11.76.1320010             38.0870 090 99     0.00   0.00   0.00
64792  Removal of nerve lesion                           A  15.71   8.57NA   8.30NA   8.57     8.30     2.49  26.77  26.50  26.77  26.50  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64795  Biopsy of nerve                                   A   3.01   1.49NA   1.43NA   1.49     1.43     0.52   5.02   4.96   5.02   4.96  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
64802  Remove sympathetic nerves                         A  10.24   4.32NA   3.51NA   4.32     3.51     1.29  15.85  15.04  15.85  15.04  0090.11.76.1321210             38.0870 090 99     0.00   0.00   0.00
64804  Remove sympathetic nerves                         A  15.78   6.57NA   5.97NA   6.57     5.97     2.15  24.50  23.90  24.50  23.90  0090.11.76.1321210             38.0870 090 99     0.00   0.00   0.00
64809  Remove sympathetic nerves                         A  14.61   6.40NA   7.04NA   6.40     7.04     1.50  22.51  23.15  22.51  23.15  0090.11.76.1321210             38.0870 090 99     0.00   0.00   0.00
64818  Remove sympathetic nerves                         A  11.24   4.80NA   4.32NA   4.80     4.32     1.33  17.37  16.89  17.37  16.89  0090.11.76.1321210             38.0870 090 99     0.00   0.00   0.00
64820  Remove sympathetic nerves                         A  10.64   7.03NA   6.94NA   7.03     6.94     1.49  19.16  19.07  19.16  19.07  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
64821  Remove sympathetic nerves                         A   9.19   6.94NA   6.54NA   6.94     6.54     1.24  17.37  16.97  17.37  16.97  0090.11.76.1321100             38.0870 090 99     0.00   0.00   0.00
64822  Remove sympathetic nerves                         A   9.19   6.83NA   6.43NA   6.83     6.43     1.30  17.32  16.92  17.32  16.92  0090.11.76.1321100             38.0870 090 99     0.00   0.00   0.00
64823  Remove sympathetic nerves                         A  10.80   7.30NA   6.47NA   7.30     6.47     1.57  19.67  18.84  19.67  18.84  0090.11.76.1321100             38.0870 090 99     0.00   0.00   0.00
64831  Repair of digit nerve                             A  10.23   6.85NA   6.62NA   6.85     6.62     1.41  18.49  18.26  18.49  18.26  0090.11.76.1320100             38.0870 090 99     0.00   0.00   0.00
64832  Repair nerve add-on                               A   5.65   2.62NA   2.32NA   2.62     2.32     0.85   9.12   8.82   9.12   8.82  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
64834  Repair of hand or foot nerve                      A  10.71   6.77NA   6.45NA   6.77     6.45     1.54  19.02  18.70  19.02  18.70  0090.11.76.1320000             38.0870 090 99     0.00   0.00   0.00
64835  Repair of hand or foot nerve                      A  11.60   7.30NA   6.91NA   7.30     6.91     1.74  20.64  20.25  20.64  20.25  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64836  Repair of hand or foot nerve                      A  11.60   7.37NA   7.07NA   7.37     7.07     1.68  20.65  20.35  20.65  20.35  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64837  Repair nerve add-on                               A   6.25   2.90NA   2.57NA   2.90     2.57     0.97  10.12   9.79  10.12   9.79  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
64840  Repair of leg nerve                               A  13.87   7.89NA   7.52NA   7.89     7.52     1.37  23.13  22.76  23.13  22.76  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64856  Repair/transpose nerve                            A  14.94   8.84NA   8.48NA   8.84     8.48     2.13  25.91  25.55  25.91  25.55  0090.11.76.1320110             38.0870 090 99     0.00   0.00   0.00
64857  Repair arm/leg nerve                              A  15.69   9.20NA   8.76NA   9.20     8.76     2.22  27.11  26.67  27.11  26.67  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64858  Repair sciatic nerve                              A  17.69  10.17NA   9.57NA  10.17     9.57     3.34  31.20  30.60  31.20  30.60  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64859  Nerve surgery                                     A   4.25   1.97NA   1.75NA   1.97     1.75     0.67   6.89   6.67   6.89   6.67  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
64861  Repair of arm nerves                              A  20.74  10.89NA  10.01NA  10.89    10.01     4.09  35.72  34.84  35.72  34.84  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64862  Repair of low back nerves                         A  20.94  11.03NA  10.14NA  11.03    10.14     4.32  36.29  35.40  36.29  35.40  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64864  Repair of facial nerve                            A  13.31   8.12NA   7.47NA   8.12     7.47     1.26  22.69  22.04  22.69  22.04  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64865  Repair of facial nerve                            A  15.96  12.53NA  11.53NA  12.53    11.53     1.50  29.99  28.99  29.99  28.99  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64866  Fusion of facial/other nerve                      A  16.70  12.14NA  11.11NA  12.14    11.11     2.05  30.89  29.86  30.89  29.86  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64868  Fusion of facial/other nerve                      A  14.80  10.61NA   9.79NA  10.61     9.79     1.43  26.84  26.02  26.84  26.02  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64870  Fusion of facial/other nerve                      A  16.95   8.40NA   8.06NA   8.40     8.06     1.30  26.65  26.31  26.65  26.31  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64872  Subsequent repair of nerve                        A   1.99   0.93NA   0.78NA   0.93     0.78     0.29   3.21   3.06   3.21   3.06  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
64874  Repair & revise nerve add-on                      A   2.98   1.39NA   1.26NA   1.39     1.26     0.42   4.79   4.66   4.79   4.66  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
64876  Repair nerve/shorten bone                         A   3.37   1.59NA   1.43NA   1.59     1.43     0.47   5.43   5.27   5.43   5.27  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
64885  Nerve graft, head or neck                         A  17.50  10.28NA   8.95NA  10.28     8.95     1.63  29.41  28.08  29.41  28.08  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64886  Nerve graft, head or neck                         A  20.72  11.96NA  10.38NA  11.96    10.38     2.09  34.77  33.19  34.77  33.19  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64890  Nerve graft, hand or foot                         A  16.11   9.49NA   8.98NA   9.49     8.98     2.30  27.90  27.39  27.90  27.39  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64891  Nerve graft, hand or foot                         A  17.22   8.62NA   9.67NA   8.62     9.67     1.63  27.47  28.52  27.47  28.52  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64892  Nerve graft, arm or leg                           A  15.61   9.00NA   9.13NA   9.00     9.13     2.48  27.09  27.22  27.09  27.22  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64893  Nerve graft, arm or leg                           A  16.74   9.75NA   9.63NA   9.75     9.63     2.62  29.11  28.99  29.11  28.99  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64895  Nerve graft, hand or foot                         A  20.26  10.35NA  11.04NA  10.35    11.04     2.58  33.19  33.88  33.19  33.88  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64896  Nerve graft, hand or foot                         A  21.81  11.33NA  11.67NA  11.33    11.67     3.17  36.31  36.65  36.31  36.65  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64897  Nerve graft, arm or leg                           A  19.25  10.60NA  10.50NA  10.60    10.50     2.55  32.40  32.30  32.40  32.30  0090.11.76.1320200             38.0870 090 99     0.00   0.00   0.00
64898  Nerve graft, arm or leg                           A  20.82  11.63NA  11.46NA  11.63    11.46     2.78  35.23  35.06  35.23  35.06  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64901  Nerve graft add-on                                A  10.20   4.45NA   3.63NA   4.45     3.63     1.37  16.02  15.20  16.02  15.20  0ZZZ.00.00.0000210             38.0870 090 99     0.00   0.00   0.00
64902  Nerve graft add-on                                A  11.81   5.31NA   4.66NA   5.31     4.66     1.55  18.67  18.02  18.67  18.02  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
64905  Nerve pedicle transfer                            A  14.98   7.75NA   7.00NA   7.75     7.00     2.01  24.74  23.99  24.74  23.99  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64907  Nerve pedicle transfer                            A  19.90   9.44NA   6.35NA   9.44     6.35     3.17  32.51  29.42  32.51  29.42  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64910  Nerve repair w/allograft                          A  11.21   4.66NA   4.66NA   4.66     4.66     1.74  17.61  17.61  17.61  17.61  0090.11.76.1320210             38.0870 090 99     0.00   0.00   0.00
64911  Neurorraphy w/vein autograft                      A  14.21   5.32NA   5.32NA   5.32     5.32     1.91  21.44  21.44  21.44  21.44  0090.11.76.1320210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
65091  Revise eye                                        A   7.13   7.54NA   6.73NA   7.54     6.73     0.32  14.99  14.18  14.99  14.18  0090.10.70.2021010             38.0870 090 99     0.00   0.00   0.00
65093  Revise eye with implant                           A   6.93   7.76NA   6.79NA   7.76     6.79     0.34  15.03  14.06  15.03  14.06  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
65101  Removal of eye                                    A   8.10   8.75NA   7.96NA   8.75     7.96     0.35  17.20  16.41  17.20  16.41  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65103  Remove eye/insert implant                         A   8.64   8.93NA   8.12NA   8.93     8.12     0.37  17.94  17.13  17.94  17.13  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
65105  Remove eye/attach implant                         A   9.70   9.62NA   8.77NA   9.62     8.77     0.42  19.74  18.89  19.74  18.89  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
65110  Removal of eye                                    A  15.42  12.55NA  11.42NA  12.55    11.42     0.81  28.78  27.65  28.78  27.65  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
65112  Remove eye/revise socket                          A  18.18  14.72NA  13.30NA  14.72    13.30     1.30  34.20  32.78  34.20  32.78  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
65114  Remove eye/revise socket                          A  19.32  14.96NA  13.57NA  14.96    13.57     1.02  35.30  33.91  35.30  33.91  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
65125  Revise ocular implant                             A   3.18   7.76     6.71     3.38     3.17     0.19  11.13  10.08   6.75   6.54  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
65130  Insert ocular implant                             A   8.22   8.42NA   7.68NA   8.42     7.68     0.35  16.99  16.25  16.99  16.25  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
65135  Insert ocular implant                             A   8.40   8.53NA   7.74NA   8.53     7.74     0.36  17.29  16.50  17.29  16.50  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65140  Attach ocular implant                             A   9.23   9.13NA   8.38NA   9.13     8.38     0.40  18.76  18.01  18.76  18.01  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65150  Revise ocular implant                             A   6.32   7.13NA   6.29NA   7.13     6.29     0.31  13.76  12.92  13.76  12.92  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
65155  Reinsert ocular implant                           A   9.87   9.63NA   8.77NA   9.63     8.77     0.50  20.00  19.14  20.00  19.14  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65175  Removal of ocular implant                         A   7.22   7.76NA   7.04NA   7.76     7.04     0.31  15.29  14.57  15.29  14.57  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
65205  Remove foreign body from eye                      A   0.71   0.60     0.57     0.30     0.32     0.03   1.34   1.31   1.04   1.06  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
65210  Remove foreign body from eye                      A   0.84   0.76     0.71     0.38     0.39     0.04   1.64   1.59   1.26   1.27  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
65220  Remove foreign body from eye                      A   0.71   0.62     0.59     0.28     0.28     0.05   1.38   1.35   1.04   1.04  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
65222  Remove foreign body from eye                      A   0.93   0.83     0.78     0.40     0.41     0.04   1.80   1.75   1.37   1.38  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
65235  Remove foreign body from eye                      A   8.78   6.76NA   6.78NA   6.76     6.78     0.37  15.91  15.93  15.91  15.93  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
65260  Remove foreign body from eye                      A  12.29   9.20NA   8.74NA   9.20     8.74     0.57  22.06  21.60  22.06  21.60  0090.10.70.2021200             38.0870 090 99     0.00   0.00   0.00
65265  Remove foreign body from eye                      A  14.06  10.11NA   9.59NA  10.11     9.59     0.62  24.79  24.27  24.79  24.27  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
65270  Repair of eye wound                               A   1.92   4.52     3.82     1.29     1.20     0.09   6.53   5.83   3.30   3.21  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
65272  Repair of eye wound                               A   4.49   7.00     6.30     3.22     3.15     0.19  11.68  10.98   7.90   7.83  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65273  Repair of eye wound                               A   5.03   3.47NA   3.36NA   3.47     3.36     0.22   8.72   8.61   8.72   8.61  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
65275  Repair of eye wound                               A   6.14   6.31     6.30     3.92     3.90     0.26  12.71  12.70  10.32  10.30  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
65280  Repair of eye wound                               A   8.87   6.03NA   5.83NA   6.03     5.83     0.38  15.28  15.08  15.28  15.08  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
65285  Repair of eye wound                               A  14.43   8.80NA   8.39NA   8.80     8.39     0.64  23.87  23.46  23.87  23.46  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65286  Repair of eye wound                               A   6.45   9.92     8.70     4.50     4.38     0.27  16.64  15.42  11.22  11.10  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65290  Repair of eye socket wound                        A   6.35   4.59NA   4.43NA   4.59     4.43     0.31  11.25  11.09  11.25  11.09  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
65400  Removal of eye lesion                             A   7.27   7.88     7.44     5.98     5.84     0.30  15.45  15.01  13.55  13.41  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65410  Biopsy of cornea                                  A   1.47   1.89     1.66     0.91     0.86     0.07   3.43   3.20   2.45   2.40  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
65420  Removal of eye lesion                             A   4.24   7.86     6.85     4.20     3.96     0.21  12.31  11.30   8.65   8.41  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65426  Removal of eye lesion                             A   5.93   9.13     8.09     4.71     4.50     0.25  15.31  14.27  10.89  10.68  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65430  Corneal smear                                     A   1.47   1.19     1.09     0.92     0.86     0.07   2.73   2.63   2.46   2.40  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
65435  Curette/treat cornea                              A   0.92   0.93     0.86     0.68     0.64     0.04   1.89   1.82   1.64   1.60  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
65436  Curette/treat cornea                              A   4.72   3.92     3.76     3.55     3.43     0.21   8.85   8.69   8.48   8.36  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65450  Treatment of corneal lesion                       A   3.35   3.87     3.67     3.77     3.60     0.16   7.38   7.18   7.28   7.11  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65600  Revision of cornea                                A   4.07   4.72     4.43     3.37     3.38     0.17   8.96   8.67   7.61   7.62  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65710  Corneal transplant                                A  14.09  10.67NA  10.14NA  10.67    10.14     0.61  25.37  24.84  25.37  24.84  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
65730  Corneal transplant                                A  15.99  11.49NA  10.96NA  11.49    10.96     0.70  28.18  27.65  28.18  27.65  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
65750  Corneal transplant                                A  16.60  11.29NA  10.61NA  11.29    10.61     0.74  28.63  27.95  28.63  27.95  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
65755  Corneal transplant                                A  16.49  11.24NA  10.58NA  11.24    10.58     0.73  28.46  27.80  28.46  27.80  0090.10.70.2021210             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
65770  Revise cornea with implant                        A  19.41  12.43NA  11.65NA  12.43    11.65     0.87  32.71  31.93  32.71  31.93  0090.10.70.2021200             38.0870 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             38.0870 090 99     0.00   0.00   0.00
65772  Correction of astigmatism                         A   4.96   5.19     4.84     4.02     3.91     0.21  10.36  10.01   9.19   9.08  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65775  Correction of astigmatism                         A   6.73   5.63NA   5.30NA   5.63     5.30     0.28  12.64  12.31  12.64  12.31  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65780  Ocular reconst, transplant                        A  10.43   9.61NA   8.93NA   9.61     8.93     0.44  20.48  19.80  20.48  19.80  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
65781  Ocular reconst, transplant                        A  17.84  12.63NA  11.57NA  12.63    11.57     0.44  30.91  29.85  30.91  29.85  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
65782  Ocular reconst, transplant                        A  15.16  11.09NA  10.19NA  11.09    10.19     0.44  26.69  25.79  26.69  25.79  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
65800  Drainage of eye                                   A   1.91   1.60     1.39     1.10     1.02     0.09   3.60   3.39   3.10   3.02  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
65805  Drainage of eye                                   A   1.91   1.94     1.70     1.11     1.02     0.09   3.94   3.70   3.11   3.02  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
65810  Drainage of eye                                   A   5.67   4.68NA   4.66NA   4.68     4.66     0.24  10.59  10.57  10.59  10.57  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65815  Drainage of eye                                   A   5.85   8.96     7.91     4.69     4.57     0.25  15.06  14.01  10.79  10.67  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65820  Relieve inner eye pressure                        A   8.72   8.28NA   7.50NA   8.28     7.50     0.40  17.40  16.62  17.40  16.62  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
65850  Incision of eye                                   A  11.24   7.88NA   7.32NA   7.88     7.32     0.52  19.64  19.08  19.64  19.08  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
65855  Laser surgery of eye                              A   3.90   3.90     3.49     2.86     2.62     0.19   7.99   7.58   6.95   6.71  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
65860  Incise inner eye adhesions                        A   3.56   3.65     3.26     2.29     2.07     0.18   7.39   7.00   6.03   5.81  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
65865  Incise inner eye adhesions                        A   5.66   5.16NA   4.69NA   5.16     4.69     0.28  11.10  10.63  11.10  10.63  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
65870  Incise inner eye adhesions                        A   7.21   6.06NA   5.70NA   6.06     5.70     0.31  13.58  13.22  13.58  13.22  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
65875  Incise inner eye adhesions                        A   7.61   6.46NA   6.13NA   6.46     6.13     0.32  14.39  14.06  14.39  14.06  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
65880  Incise inner eye adhesions                        A   8.16   6.67NA   6.30NA   6.67     6.30     0.35  15.18  14.81  15.18  14.81  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
65900  Remove eye lesion                                 A  12.26   9.58NA   8.89NA   9.58     8.89     0.54  22.38  21.69  22.38  21.69  0090.10.70.2021200             38.0870 090 99     0.00   0.00   0.00
65920  Remove implant of eye                             A   9.74   7.82NA   7.46NA   7.82     7.46     0.41  17.97  17.61  17.97  17.61  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
65930  Remove blood clot from eye                        A   8.24   6.30NA   5.77NA   6.30     5.77     0.37  14.91  14.38  14.91  14.38  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
66020  Injection treatment of eye                        A   1.61   2.77     2.42     1.36     1.27     0.08   4.46   4.11   3.05   2.96  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
66030  Injection treatment of eye                        A   1.27   2.63     2.29     1.21     1.15     0.06   3.96   3.62   2.54   2.48  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
66130  Remove eye lesion                                 A   7.74   8.57     7.51     5.24     4.86     0.38  16.69  15.63  13.36  12.98  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
66150  Glaucoma surgery                                  A  10.18   9.11NA   8.81NA   9.11     8.81     0.46  19.75  19.45  19.75  19.45  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
66155  Glaucoma surgery                                  A  10.17   9.08NA   8.81NA   9.08     8.81     0.41  19.66  19.39  19.66  19.39  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66160  Glaucoma surgery                                  A  12.04   9.83NA   9.47NA   9.83     9.47     0.50  22.37  22.01  22.37  22.01  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
66165  Glaucoma surgery                                  A   9.89   9.01NA   8.77NA   9.01     8.77     0.40  19.30  19.06  19.30  19.06  0090.10.70.2021200             38.0870 090 99     0.00   0.00   0.00
66170  Glaucoma surgery                                  A  14.57  11.89NA  11.54NA  11.89    11.54     0.60  27.06  26.71  27.06  26.71  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
66172  Incision of eye                                   A  18.26  14.92NA  14.63NA  14.92    14.63     0.74  33.92  33.63  33.92  33.63  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
66180  Implant eye shunt                                 A  16.02  10.23NA   9.69NA  10.23     9.69     0.71  26.96  26.42  26.96  26.42  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
66185  Revise eye shunt                                  A   9.35   7.21NA   7.04NA   7.21     7.04     0.40  16.96  16.79  16.96  16.79  0090.10.70.2021200             38.0870 090 99     0.00   0.00   0.00
66220  Repair eye lesion                                 A   8.98   7.13NA   7.17NA   7.13     7.17     0.40  16.51  16.55  16.51  16.55  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
66225  Repair/graft eye lesion                           A  12.38   8.43NA   8.11NA   8.43     8.11     0.55  21.36  21.04  21.36  21.04  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
66250  Follow-up surgery of eye                          A   6.92  10.47     9.24     5.37     5.25     0.30  17.69  16.46  12.59  12.47  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66500  Incision of iris                                  A   3.75   4.29NA   3.95NA   4.29     3.95     0.18   8.22   7.88   8.22   7.88  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
66505  Incision of iris                                  A   4.13   4.65NA   4.30NA   4.65     4.30     0.20   8.98   8.63   8.98   8.63  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66600  Remove iris and lesion                            A   9.89   8.24NA   8.25NA   8.24     8.25     0.43  18.56  18.57  18.56  18.57  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66605  Removal of iris                                   A  13.99   9.74NA   9.45NA   9.74     9.45     0.77  24.50  24.21  24.50  24.21  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66625  Removal of iris                                   A   5.19   4.47NA   4.21NA   4.47     4.21     0.26   9.92   9.66   9.92   9.66  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66630  Removal of iris                                   A   7.10   5.53NA   5.34NA   5.53     5.34     0.31  12.94  12.75  12.94  12.75  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66635  Removal of iris                                   A   7.19   5.56NA   5.37NA   5.56     5.37     0.31  13.06  12.87  13.06  12.87  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66680  Repair iris & ciliary body                        A   6.24   5.17NA   5.06NA   5.17     5.06     0.27  11.68  11.57  11.68  11.57  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
66682  Repair iris & ciliary body                        A   7.15   6.66NA   6.71NA   6.66     6.71     0.31  14.12  14.17  14.12  14.17  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66700  Destruction, ciliary body                         A   5.06   5.01     4.78     3.76     3.59     0.24  10.31  10.08   9.06   8.89  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
66710  Ciliary transsleral therapy                       A   5.06   4.88     4.60     3.72     3.60     0.23  10.17   9.89   9.01   8.89  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66711  Ciliary endoscopic ablation                       A   7.70   6.38NA   6.29NA   6.38     6.29     0.30  14.38  14.29  14.38  14.29  0090.10.70.2031100       66710 38.0870 090 99     0.00   0.00   0.00
66720  Destruction, ciliary body                         A   4.86   5.58     5.37     4.52     4.32     0.26  10.70  10.49   9.64   9.44  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66740  Destruction, ciliary body                         A   5.06   4.81     4.53     3.79     3.60     0.23  10.10   9.82   9.08   8.89  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66761  Revision of iris                                  A   4.87   5.31     5.02     4.25     4.19     0.20  10.38  10.09   9.32   9.26  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66762  Revision of iris                                  A   5.25   5.38     5.10     4.18     4.06     0.23  10.86  10.58   9.66   9.54  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66770  Removal of inner eye lesion                       A   5.98   5.81     5.53     4.69     4.59     0.26  12.05  11.77  10.93  10.83  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66820  Incision, secondary cataract                      A   3.93   5.22NA   4.62NA   5.22     4.62     0.19   9.34   8.74   9.34   8.74  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66821  After cataract laser surgery                      A   3.32   3.96     3.82     3.52     3.42     0.11   7.39   7.25   6.95   6.85  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66825  Reposition intraocular lens                       A   8.82   8.42NA   7.77NA   8.42     7.77     0.40  17.64  16.99  17.64  16.99  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
66830  Removal of lens lesion                            A   9.27   6.66NA   6.37NA   6.66     6.37     0.36  16.29  16.00  16.29  16.00  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66840  Removal of lens material                          A   8.98   6.58NA   6.29NA   6.58     6.29     0.39  15.95  15.66  15.95  15.66  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66850  Removal of lens material                          A  10.32   7.35NA   7.06NA   7.35     7.06     0.45  18.12  17.83  18.12  17.83  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66852  Removal of lens material                          A  11.18   7.74NA   7.38NA   7.74     7.38     0.49  19.41  19.05  19.41  19.05  0090.10.70.2021010             38.0870 090 99     0.00   0.00   0.00
66920  Extraction of lens                                A   9.93   6.97NA   6.64NA   6.97     6.64     0.44  17.34  17.01  17.34  17.01  0090.10.70.2021010             38.0870 090 99     0.00   0.00   0.00
66930  Extraction of lens                                A  11.38   7.80NA   7.45NA   7.80     7.45     0.49  19.67  19.32  19.67  19.32  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
66940  Extraction of lens                                A  10.14   7.30NA   7.00NA   7.30     7.00     0.43  17.87  17.57  17.87  17.57  0090.10.70.2021010             38.0870 090 99     0.00   0.00   0.00
66982  Cataract surgery, complex                         A  14.83   9.41NA   8.95NA   9.41     8.95     0.63  24.87  24.41  24.87  24.41  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66983  Cataract surg w/iol, 1 stage                      A  10.20   6.31NA   6.51NA   6.31     6.51     0.14  16.65  16.85  16.65  16.85  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66984  Cataract surg w/iol, 1 stage                      A  10.36   6.93NA   6.44NA   6.93     6.44     0.39  17.68  17.19  17.68  17.19  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
66985  Insert lens prosthesis                            A   9.73   7.29NA   7.12NA   7.29     7.12     0.36  17.38  17.21  17.38  17.21  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
66986  Exchange lens prosthesis                          A  12.26   8.62NA   8.05NA   8.62     8.05     0.60  21.48  20.91  21.48  20.91  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
66990  Ophthalmic endoscope add-on                       A   1.51   0.61NA   0.54NA   0.61     0.54     0.07   2.19   2.12   2.19   2.12  0ZZZ.00.00.0000100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
67005  Partial removal of eye fluid                      A   5.77   4.72NA   4.57NA   4.72     4.57     0.28  10.77  10.62  10.77  10.62  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67010  Partial removal of eye fluid                      A   6.94   5.21NA   4.99NA   5.21     4.99     0.34  12.49  12.27  12.49  12.27  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67015  Release of eye fluid                              A   7.00   6.08NA   5.70NA   6.08     5.70     0.34  13.42  13.04  13.42  13.04  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67025  Replace eye fluid                                 A   7.91   8.54     7.86     6.07     5.91     0.34  16.79  16.11  14.32  14.16  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67027  Implant eye drug system                           A  11.43   7.68NA   7.37NA   7.68     7.37     0.54  19.65  19.34  19.65  19.34  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67028  Injection eye drug                                A   2.52   2.43     2.15     1.35     1.24     0.12   5.07   4.79   3.99   3.88  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
67030  Incise inner eye strands                          A   5.91   5.73NA   5.60NA   5.73     5.60     0.24  11.88  11.75  11.88  11.75  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67031  Laser surgery, eye strands                        A   4.34   4.35     4.09     3.53     3.43     0.18   8.87   8.61   8.05   7.95  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67036  Removal of inner eye fluid                        A  13.09   8.59NA   8.06NA   8.59     8.06     0.58  22.26  21.73  22.26  21.73  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67039  Laser treatment of retina                         A  16.39  11.44NA  10.69NA  11.44    10.69     0.71  28.54  27.79  28.54  27.79  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67040  Laser treatment of retina                         A  19.23  12.84NA  12.00NA  12.84    12.00     0.85  32.92  32.08  32.92  32.08  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67041  Vit for macular pucker                            A  19.00  10.37NA  10.37NA  10.37    10.37     0.86  30.23  30.23  30.23  30.23  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67042  Vit for macular hole                              A  22.13  11.49NA  11.49NA  11.49    11.49     1.00  34.62  34.62  34.62  34.62  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67043  Vit for membrane dissect                          A  22.94  12.35NA  12.35NA  12.35    12.35     1.04  36.33  36.33  36.33  36.33  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67101  Repair detached retina                            A   8.60   8.81     8.49     6.35     6.17     0.37  17.78  17.46  15.32  15.14  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67105  Repair detached retina                            A   8.35   7.75     7.41     5.97     5.78     0.37  16.47  16.13  14.69  14.50  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67107  Repair detached retina                            A  16.35  10.83NA  10.35NA  10.83    10.35     0.73  27.91  27.43  27.91  27.43  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67108  Repair detached retina                            A  22.49  13.68NA  12.93NA  13.68    12.93     1.02  37.19  36.44  37.19  36.44  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67110  Repair detached retina                            A  10.02   9.58     8.92     7.18     6.96     0.44  20.04  19.38  17.64  17.42  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67112  Rerepair detached retina                          A  18.45  11.33NA  10.86NA  11.33    10.86     0.83  30.61  30.14  30.61  30.14  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67113  Repair retinal detach, cplx                       A  25.00  13.75NA  13.75NA  13.75    13.75     1.13  39.88  39.88  39.88  39.88  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67115  Release encircling material                       A   5.93   5.00NA   4.92NA   5.00     4.92     0.25  11.18  11.10  11.18  11.10  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67120  Remove eye implant material                       A   6.92   7.97     7.35     5.41     5.28     0.29  15.18  14.56  12.62  12.49  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67121  Remove eye implant material                       A  12.00   8.24NA   7.95NA   8.24     7.95     0.53  20.77  20.48  20.77  20.48  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67141  Treatment of retina                               A   6.00   5.63     5.41     4.76     4.65     0.26  11.89  11.67  11.02  10.91  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67145  Treatment of retina                               A   6.17   5.53     5.34     4.82     4.71     0.27  11.97  11.78  11.26  11.15  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67208  Treatment of retinal lesion                       A   7.50   5.89     5.64     5.36     5.20     0.33  13.72  13.47  13.19  13.03  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67210  Treatment of retinal lesion                       A   9.35   6.24     5.91     5.66     5.44     0.44  16.03  15.70  15.45  15.23  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67218  Treatment of retinal lesion                       A  20.22  11.39NA  10.61NA  11.39    10.61     0.92  32.53  31.75  32.53  31.75  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67220  Treatment of choroid lesion                       A  14.19   9.82     9.22     8.59     8.16     0.65  24.66  24.06  23.43  23.00  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67221  Ocular photodynamic ther                          R   3.45   3.62     2.92     1.59     1.38     0.20   7.27   6.57   5.24   5.03  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
67225  Eye photodynamic ther add-on                      A   0.47   0.24     0.22     0.19     0.17     0.02   0.73   0.71   0.68   0.66  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
67227  Treatment of retinal lesion                       A   7.38   6.29     6.00     5.34     5.16     0.33  14.00  13.71  13.05  12.87  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67228  Treatment of retinal lesion                       A  13.67  12.54    13.60     9.37    10.19     0.63  26.84  27.90  23.67  24.49  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67229  Tr retinal les preterm inf                        A  16.00   9.52NA   9.52NA   9.52     9.52     0.71  26.23  26.23  26.23  26.23  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67250  Reinforce eye wall                                A   9.46   8.42NA   7.66NA   8.42     7.66     0.47  18.35  17.59  18.35  17.59  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67255  Reinforce/graft eye wall                          A   9.97   9.16NA   8.43NA   9.16     8.43     0.44  19.57  18.84  19.57  18.84  0090.10.70.2021210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
67311  Revise eye muscle                                 A   7.59   5.76NA   5.50NA   5.76     5.50     0.37  13.72  13.46  13.72  13.46  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67312  Revise two eye muscles                            A   9.48   6.47NA   6.19NA   6.47     6.19     0.43  16.38  16.10  16.38  16.10  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67314  Revise eye muscle                                 A   8.59   6.35NA   6.15NA   6.35     6.15     0.39  15.33  15.13  15.33  15.13  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67316  Revise two eye muscles                            A  10.73   7.21NA   6.92NA   7.21     6.92     0.49  18.43  18.14  18.43  18.14  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
67318  Revise eye muscle(s)                              A   8.92   6.72NA   6.51NA   6.72     6.51     0.41  16.05  15.84  16.05  15.84  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67320  Revise eye muscle(s) add-on                       A   5.40   1.94NA   1.92NA   1.94     1.92     0.22   7.56   7.54   7.56   7.54  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
67331  Eye surgery follow-up add-on                      A   5.13   1.82NA   1.81NA   1.82     1.81     0.21   7.16   7.15   7.16   7.15  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
67332  Rerevise eye muscles add-on                       A   5.56   2.00NA   1.97NA   2.00     1.97     0.23   7.79   7.76   7.79   7.76  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
67334  Revise eye muscle w/suture                        A   5.05   1.80NA   1.80NA   1.80     1.80     0.20   7.05   7.05   7.05   7.05  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
67335  Eye suture during surgery                         A   2.49   1.00NA   0.88NA   1.00     0.88     0.13   3.62   3.50   3.62   3.50  0ZZZ.00.00.0000110             38.0870 090 99     0.00   0.00   0.00
67340  Revise eye muscle add-on                          A   6.00   2.17NA   2.14NA   2.17     2.14     0.25   8.42   8.39   8.42   8.39  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
67343  Release eye tissue                                A   8.29   6.29NA   6.06NA   6.29     6.06     0.37  14.95  14.72  14.95  14.72  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67345  Destroy nerve of eye muscle                       A   2.98   2.38     2.17     1.85     1.69     0.17   5.53   5.32   5.00   4.84  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
67346  Biopsy, eye muscle                                A   2.87   1.75NA   1.62NA   1.75     1.62     0.15   4.77   4.64   4.77   4.64  0000.00.00.0021000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
67400  Explore/biopsy eye socket                         A  10.97  10.34NA   9.42NA  10.34     9.42     0.56  21.87  20.95  21.87  20.95  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67405  Explore/drain eye socket                          A   9.00   9.06NA   8.34NA   9.06     8.34     0.44  18.50  17.78  18.50  17.78  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67412  Explore/treat eye socket                          A  10.17   9.73NA   8.53NA   9.73     8.53     0.48  20.38  19.18  20.38  19.18  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67413  Explore/treat eye socket                          A  10.09   9.74NA   8.70NA   9.74     8.70     0.50  20.33  19.29  20.33  19.29  0090.10.70.2021200             38.0870 090 99     0.00   0.00   0.00
67414  Explr/decompress eye socket                       A  17.78  11.84NA  11.64NA  11.84    11.64     0.65  30.27  30.07  30.27  30.07  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67415  Aspiration, orbital contents                      A   1.76   0.69NA   0.62NA   0.69     0.62     0.09   2.54   2.47   2.54   2.47  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
67420  Explore/treat eye socket                          A  21.62  15.82NA  14.24NA  15.82    14.24     1.15  38.59  37.01  38.59  37.01  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67430  Explore/treat eye socket                          A  14.99  13.38NA  11.87NA  13.38    11.87     0.86  29.23  27.72  29.23  27.72  0090.10.70.2021200             38.0870 090 99     0.00   0.00   0.00
67440  Explore/drain eye socket                          A  14.56  13.07NA  11.88NA  13.07    11.88     0.70  28.33  27.14  28.33  27.14  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67445  Explr/decompress eye socket                       A  18.96  13.03NA  12.14NA  13.03    12.14     0.90  32.89  32.00  32.89  32.00  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67450  Explore/biopsy eye socket                         A  15.11  13.50NA  12.30NA  13.50    12.30     0.68  29.29  28.09  29.29  28.09  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67500  Inject/treat eye socket                           A   1.44   0.62     0.57     0.37     0.44     0.05   2.11   2.06   1.86   1.93  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
67505  Inject/treat eye socket                           A   1.27   0.67     0.65     0.41     0.50     0.05   1.99   1.97   1.73   1.82  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
67515  Inject/treat eye socket                           A   1.40   0.68     0.77     0.50     0.61     0.03   2.11   2.20   1.93   2.04  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
67550  Insert eye socket implant                         A  11.52  10.57NA   9.83NA  10.57     9.83     0.72  22.81  22.07  22.81  22.07  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67560  Revise eye socket implant                         A  11.93  10.58NA   9.78NA  10.58     9.78     0.60  23.11  22.31  23.11  22.31  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
67570  Decompress optic nerve                            A  14.21  12.30NA  11.01NA  12.30    11.01     0.68  27.19  25.90  27.19  25.90  0090.10.70.2021210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
67700  Drainage of eyelid abscess                        A   1.37   5.17     4.31     1.22     1.17     0.07   6.61   5.75   2.66   2.61  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
67710  Incision of eyelid                                A   1.04   4.54     3.70     1.14     1.08     0.05   5.63   4.79   2.23   2.17  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
67715  Incision of eyelid fold                           A   1.24   4.61     3.83     1.22     1.15     0.06   5.91   5.13   2.52   2.45  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
67800  Remove eyelid lesion                              A   1.39   1.50     1.39     0.97     0.90     0.07   2.96   2.85   2.43   2.36  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
67801  Remove eyelid lesions                             A   1.89   1.82     1.67     1.17     1.08     0.09   3.80   3.65   3.15   3.06  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
67805  Remove eyelid lesions                             A   2.24   2.35     2.18     1.53     1.41     0.11   4.70   4.53   3.88   3.76  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
67808  Remove eyelid lesion(s)                           A   4.47   3.69NA   3.61NA   3.69     3.61     0.19   8.35   8.27   8.35   8.27  0090.10.70.2020100             38.0870 090 99     0.00   0.00   0.00
67810  Biopsy of eyelid                                  A   1.48   3.64     3.94     0.68     0.68     0.06   5.18   5.48   2.22   2.22  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
67820  Revise eyelashes                                  A   0.71   0.52     0.43     0.53     0.50     0.04   1.27   1.18   1.28   1.25  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
67825  Revise eyelashes                                  A   1.40   1.57     1.40     1.33     1.26     0.07   3.04   2.87   2.80   2.73  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
67830  Revise eyelashes                                  A   1.72   4.76     3.99     1.41     1.32     0.08   6.56   5.79   3.21   3.12  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
67835  Revise eyelashes                                  A   5.61   4.37NA   4.12NA   4.37     4.12     0.28  10.26  10.01  10.26  10.01  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
67840  Remove eyelid lesion                              A   2.06   4.69     3.90     1.55     1.45     0.10   6.85   6.06   3.71   3.61  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
67850  Treat eyelid lesion                               A   1.71   3.33     3.29     1.46     1.45     0.07   5.11   5.07   3.24   3.23  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
67875  Closure of eyelid by suture                       A   1.35   2.84     2.38     0.89     0.83     0.07   4.26   3.80   2.31   2.25  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
67880  Revision of eyelid                                A   4.47   6.03     5.44     3.69     3.57     0.19  10.69  10.10   8.35   8.23  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67882  Revision of eyelid                                A   5.87   6.99     6.36     4.63     4.46     0.25  13.11  12.48  10.75  10.58  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67900  Repair brow defect                                A   6.69   8.22     7.37     4.93     4.61     0.38  15.29  14.44  12.00  11.68  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67901  Repair eyelid defect                              A   7.47   7.20     8.99     5.35     5.29     0.54  15.21  17.00  13.36  13.30  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67902  Repair eyelid defect                              A   9.68   5.90NA   6.34NA   5.90     6.34     0.60  16.18  16.62  16.18  16.62  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67903  Repair eyelid defect                              A   6.42   8.10     6.63     4.93     4.34     0.47  14.99  13.52  11.82  11.23  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67904  Repair eyelid defect                              A   7.83   8.90     8.17     5.30     5.37     0.41  17.14  16.41  13.54  13.61  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67906  Repair eyelid defect                              A   6.84   4.75NA   4.47NA   4.75     4.47     0.46  12.05  11.77  12.05  11.77  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67908  Repair eyelid defect                              A   5.19   6.09     5.55     4.74     4.12     0.28  11.56  11.02  10.21   9.59  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67909  Revise eyelid defect                              A   5.46   7.11     6.18     4.56     4.17     0.31  12.88  11.95  10.33   9.94  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67911  Revise eyelid defect                              A   7.38   4.91NA   5.05NA   4.91     5.05     0.31  12.60  12.74  12.60  12.74  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67912  Correction eyelid w/implant                       A   6.23  16.04    13.14     5.14     4.74     0.28  22.55  19.65  11.65  11.25  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67914  Repair eyelid defect                              A   3.70   5.55     4.75     2.86     2.68     0.19   9.44   8.64   6.75   6.57  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67915  Repair eyelid defect                              A   3.21   5.15     4.32     2.62     2.43     0.16   8.52   7.69   5.99   5.80  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67916  Repair eyelid defect                              A   5.37   7.21     6.37     4.45     4.15     0.28  12.86  12.02  10.10   9.80  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67917  Repair eyelid defect                              A   6.08   7.59     6.72     4.74     4.41     0.36  14.03  13.16  11.18  10.85  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67921  Repair eyelid defect                              A   3.42   5.41     4.62     2.73     2.56     0.17   9.00   8.21   6.32   6.15  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67922  Repair eyelid defect                              A   3.09   5.04     4.16     2.54     2.33     0.15   8.28   7.40   5.78   5.57  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67923  Repair eyelid defect                              A   5.94   7.28     6.44     4.65     4.33     0.30  13.52  12.68  10.89  10.57  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67924  Repair eyelid defect                              A   5.84   7.92     6.91     4.37     4.06     0.30  14.06  13.05  10.51  10.20  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67930  Repair eyelid wound                               A   3.62   5.04     4.37     1.98     1.78     0.19   8.85   8.18   5.79   5.59  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
67935  Repair eyelid wound                               A   6.27   7.64     6.76     4.00     3.58     0.39  14.30  13.42  10.66  10.24  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67938  Remove eyelid foreign body                        A   1.35   4.61     3.83     1.24     1.22     0.06   6.02   5.24   2.65   2.63  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
67950  Revision of eyelid                                A   5.88   7.65     6.66     4.80     4.37     0.36  13.89  12.90  11.04  10.61  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67961  Revision of eyelid                                A   5.75   7.75     6.81     4.67     4.30     0.33  13.83  12.89  10.75  10.38  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
67966  Revision of eyelid                                A   8.83   8.59     8.05     5.66     5.74     0.37  17.79  17.25  14.86  14.94  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
67971  Reconstruction of eyelid                          A   9.87   6.73NA   6.18NA   6.73     6.18     0.53  17.13  16.58  17.13  16.58  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
67973  Reconstruction of eyelid                          A  12.96   8.52NA   7.71NA   8.52     7.71     0.75  22.23  21.42  22.23  21.42  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67974  Reconstruction of eyelid                          A  12.93   8.46NA   7.69NA   8.46     7.69     0.75  22.14  21.37  22.14  21.37  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
67975  Reconstruction of eyelid                          A   9.21   6.45NA   5.94NA   6.45     5.94     0.50  16.16  15.65  16.16  15.65  0090.10.70.2021100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
68020  Incise/drain eyelid lining                        A   1.39   1.32     1.24     1.13     1.05     0.06   2.77   2.69   2.58   2.50  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68040  Treatment of eyelid lesions                       A   0.85   0.66     0.60     0.39     0.35     0.04   1.55   1.49   1.28   1.24  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
68100  Biopsy of eyelid lining                           A   1.35   2.81     2.36     0.90     0.86     0.07   4.23   3.78   2.32   2.28  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
68110  Remove eyelid lining lesion                       A   1.79   3.59     3.07     1.56     1.48     0.09   5.47   4.95   3.44   3.36  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68115  Remove eyelid lining lesion                       A   2.38   5.15     4.33     1.80     1.69     0.12   7.65   6.83   4.30   4.19  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68130  Remove eyelid lining lesion                       A   4.99   7.68     6.64     4.31     4.02     0.24  12.91  11.87   9.54   9.25  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
68135  Remove eyelid lining lesion                       A   1.86   1.70     1.58     1.56     1.47     0.09   3.65   3.53   3.51   3.42  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68200  Treat eyelid by injection                         A   0.49   0.49     0.45     0.31     0.29     0.02   1.00   0.96   0.82   0.80  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
68320  Revise/graft eyelid lining                        A   6.44  10.22     9.16     5.42     5.31     0.27  16.93  15.87  12.13  12.02  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
68325  Revise/graft eyelid lining                        A   8.43   6.32NA   6.10NA   6.32     6.10     0.44  15.19  14.97  15.19  14.97  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
68326  Revise/graft eyelid lining                        A   8.22   6.17NA   5.92NA   6.17     5.92     0.35  14.74  14.49  14.74  14.49  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
68328  Revise/graft eyelid lining                        A   9.25   6.84NA   6.38NA   6.84     6.38     0.54  16.63  16.17  16.63  16.17  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
68330  Revise eyelid lining                              A   5.63   8.42     7.41     4.58     4.44     0.24  14.29  13.28  10.45  10.31  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
68335  Revise/graft eyelid lining                        A   8.26   6.15NA   5.92NA   6.15     5.92     0.36  14.77  14.54  14.77  14.54  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
68340  Separate eyelid adhesions                         A   4.84   7.88     6.87     3.98     3.87     0.21  12.93  11.92   9.03   8.92  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
68360  Revise eyelid lining                              A   5.04   7.24     6.43     4.07     3.96     0.22  12.50  11.69   9.33   9.22  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
68362  Revise eyelid lining                              A   8.41   6.19NA   5.97NA   6.19     5.97     0.36  14.96  14.74  14.96  14.74  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
68371  Harvest eye tissue, alograft                      A   4.97   4.39NA   4.06NA   4.39     4.06     0.44   9.80   9.47   9.80   9.47  0010.10.80.1021100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
68400  Incise/drain tear gland                           A   1.71   5.16     4.42     1.52     1.21     0.08   6.95   6.21   3.31   3.00  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68420  Incise/drain tear sac                             A   2.32   5.39     4.59     1.76     1.42     0.11   7.82   7.02   4.19   3.85  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68440  Incise tear duct opening                          A   0.96   1.67     1.25     1.23     1.19     0.05   2.68   2.26   2.24   2.20  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68500  Removal of tear gland                             A  12.49   9.63NA   9.53NA   9.63     9.53     0.55  22.67  22.57  22.67  22.57  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
68505  Partial removal, tear gland                       A  12.41   9.79NA   8.91NA   9.79     8.91     0.55  22.75  21.87  22.75  21.87  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
68510  Biopsy of tear gland                              A   4.60   6.27     5.21     2.06     2.02     0.23  11.10  10.04   6.89   6.85  0000.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
68520  Removal of tear sac                               A   8.58   6.96NA   6.49NA   6.96     6.49     0.37  15.91  15.44  15.91  15.44  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
68525  Biopsy of tear sac                                A   4.42   1.80NA   1.57NA   1.80     1.57     0.22   6.44   6.21   6.44   6.21  0000.00.00.0021110             38.0870 090 99     0.00   0.00   0.00
68530  Clearance of tear duct                            A   3.67   6.89     5.60     2.36     2.07     0.18  10.74   9.45   6.21   5.92  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68540  Remove tear gland lesion                          A  11.93   8.94NA   8.49NA   8.94     8.49     0.52  21.39  20.94  21.39  20.94  0090.10.70.2021110             38.0870 090 99     0.00   0.00   0.00
68550  Remove tear gland lesion                          A  14.86  10.52NA   9.68NA  10.52     9.68     0.80  26.18  25.34  26.18  25.34  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
68700  Repair tear ducts                                 A   7.67   5.77NA   5.56NA   5.77     5.56     0.32  13.76  13.55  13.76  13.55  0090.10.70.2021100             38.0870 090 99     0.00   0.00   0.00
68705  Revise tear duct opening                          A   2.08   3.60     3.03     1.69     1.58     0.10   5.78   5.21   3.87   3.76  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68720  Create tear sac drain                             A   9.78   7.37NA   6.88NA   7.37     6.88     0.44  17.59  17.10  17.59  17.10  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
68745  Create tear duct drain                            A   9.70   7.42NA   6.98NA   7.42     6.98     0.52  17.64  17.20  17.64  17.20  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
68750  Create tear duct drain                            A   9.87   7.85NA   7.43NA   7.85     7.43     0.43  18.15  17.73  18.15  17.73  0090.10.70.2021210             38.0870 090 99     0.00   0.00   0.00
68760  Close tear duct opening                           A   1.75   3.06     2.59     1.54     1.45     0.09   4.90   4.43   3.38   3.29  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68761  Close tear duct opening                           A   1.38   2.05     1.83     1.28     1.25     0.06   3.49   3.27   2.72   2.69  0010.10.80.1021000             38.0870 090 99     0.00   0.00   0.00
68770  Close tear system fistula                         A   8.09   4.47NA   5.75NA   4.47     5.75     0.35  12.91  14.19  12.91  14.19  0090.10.70.2021000             38.0870 090 99     0.00   0.00   0.00
68801  Dilate tear duct opening                          A   0.96   1.86     1.77     1.45     1.41     0.05   2.87   2.78   2.46   2.42  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68810  Probe nasolacrimal duct                           A   2.63   3.53     3.39     2.68     2.68     0.10   6.26   6.12   5.41   5.41  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68811  Probe nasolacrimal duct                           A   2.39   2.27NA   2.12NA   2.27     2.12     0.13   4.79   4.64   4.79   4.64  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68815  Probe nasolacrimal duct                           A   3.24   7.33     6.42     2.62     2.43     0.17  10.74   9.83   6.03   5.84  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68816  Probe nl duct w/balloon                           A   3.00  12.75    12.75     2.51     2.51     0.16  15.91  15.91   5.67   5.67  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68840  Explore/irrigate tear ducts                       A   1.27   1.55     1.51     1.20     1.28     0.06   2.88   2.84   2.53   2.61  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
68850  Injection for tear sac x-ray                      A   0.80   0.80     0.72     0.64     0.60     0.04   1.64   1.56   1.48   1.44  0000.00.00.0021100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
69000  Drain external ear lesion                         A   1.47   2.88     2.89     1.35     1.34     0.12   4.47   4.48   2.94   2.93  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
69005  Drain external ear lesion                         A   2.13   2.96     2.99     1.73     1.61     0.17   5.26   5.29   4.03   3.91  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
69020  Drain outer ear canal lesion                      A   1.50   4.04     4.09     1.98     1.90     0.12   5.66   5.71   3.60   3.52  0010.10.80.1020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
69100  Biopsy of external ear                            A   0.81   1.78     1.85     0.39     0.39     0.03   2.62   2.69   1.23   1.23  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
69105  Biopsy of external ear canal                      A   0.85   2.49     2.64     0.74     0.71     0.07   3.41   3.56   1.66   1.63  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
69110  Remove external ear, partial                      A   3.47   7.29     7.84     4.46     4.45     0.30  11.06  11.61   8.23   8.22  0090.07.79.1420100             38.0870 090 99     0.00   0.00   0.00
69120  Removal of external ear                           A   4.08   5.77NA   5.36NA   5.77     5.36     0.38  10.23   9.82  10.23   9.82  0090.07.79.1420100             38.0870 090 99     0.00   0.00   0.00
69140  Remove ear canal lesion(s)                        A   8.03  13.26NA  13.23NA  13.26    13.23     0.65  21.94  21.91  21.94  21.91  0090.07.79.1420000             38.0870 090 99     0.00   0.00   0.00
69145  Remove ear canal lesion(s)                        A   2.65   6.41     7.03     3.34     3.37     0.21   9.27   9.89   6.20   6.23  0090.07.79.1420100             38.0870 090 99     0.00   0.00   0.00
69150  Extensive ear canal surgery                       A  13.49  12.44NA  11.46NA  12.44    11.46     1.22  27.15  26.17  27.15  26.17  0090.07.79.1420110             38.0870 090 99     0.00   0.00   0.00
69155  Extensive ear/neck surgery                        A  23.06  18.28NA  17.00NA  18.28    17.00     1.93  43.27  41.99  43.27  41.99  0090.07.79.1420210             38.0870 090 99     0.00   0.00   0.00
69200  Clear outer ear canal                             A   0.77   2.27     2.15     0.58     0.61     0.06   3.10   2.98   1.41   1.44  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
69205  Clear outer ear canal                             A   1.20   1.30NA   1.24NA   1.30     1.24     0.10   2.60   2.54   2.60   2.54  0010.10.80.1020100             38.0870 090 99     0.00   0.00   0.00
69210  Remove impacted ear wax                           A   0.61   0.60     0.58     0.20     0.17     0.05   1.26   1.24   0.86   0.83  0000.00.00.0022100             38.0870 090 99     0.00   0.00   0.00
69220  Clean out mastoid cavity                          A   0.83   2.46     2.56     0.70     0.68     0.07   3.36   3.46   1.60   1.58  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
69222  Clean out mastoid cavity                          A   1.42   3.91     3.97     1.98     1.90     0.12   5.45   5.51   3.52   3.44  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
69300  Revise external ear                               R   6.69   7.47    10.72     4.70     5.19     0.72  14.88  18.13  12.11  12.60  0YYY.00.00.0021000             38.0870 090 99     0.00   0.00   0.00
69310  Rebuild outer ear canal                           A  10.85  15.90NA  15.50NA  15.90    15.50     0.85  27.60  27.20  27.60  27.20  0090.07.79.1420100             38.0870 090 99     0.00   0.00   0.00
69320  Rebuild outer ear canal                           A  17.03  20.96NA  20.07NA  20.96    20.07     1.37  39.36  38.47  39.36  38.47  0090.07.79.1420200             38.0870 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             38.0870 090 99     0.00   0.00   0.00
69400  Inflate middle ear canal                          A   0.83   2.49     2.82     0.67     0.68     0.07   3.39   3.72   1.57   1.58  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
69401  Inflate middle ear canal                          A   0.63   1.38     1.53     0.62     0.59     0.05   2.06   2.21   1.30   1.27  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
69405  Catheterize middle ear canal                      A   2.65   3.58     3.66     2.14     1.96     0.21   6.44   6.52   5.00   4.82  0010.10.80.1020000             38.0870 090 99     0.00   0.00   0.00
69420  Incision of eardrum                               A   1.35   3.24     3.32     1.57     1.56     0.11   4.70   4.78   3.03   3.02  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
69421  Incision of eardrum                               A   1.75   2.01NA   1.85NA   2.01     1.85     0.15   3.91   3.75   3.91   3.75  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
69424  Remove ventilating tube                           A   0.85   2.26     2.34     0.68     0.68     0.07   3.18   3.26   1.60   1.60  0000.00.00.0021100             38.0870 090 99     0.00   0.00   0.00
69433  Create eardrum opening                            A   1.54   3.21     3.32     1.62     1.60     0.13   4.88   4.99   3.29   3.27  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
69436  Create eardrum opening                            A   1.98   2.10NA   1.90NA   2.10     1.90     0.19   4.27   4.07   4.27   4.07  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
69440  Exploration of middle ear                         A   7.62   8.95NA   9.12NA   8.95     9.12     0.61  17.18  17.35  17.18  17.35  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69450  Eardrum revision                                  A   5.61   7.33NA   7.62NA   7.33     7.62     0.45  13.39  13.68  13.39  13.68  0090.07.79.1421000             38.0870 090 99     0.00   0.00   0.00
69501  Mastoidectomy                                     A   9.12   8.84NA   8.66NA   8.84     8.66     0.73  18.69  18.51  18.69  18.51  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69502  Mastoidectomy                                     A  12.44  11.32NA  11.05NA  11.32    11.05     1.00  24.76  24.49  24.76  24.49  0090.07.79.1421000             38.0870 090 99     0.00   0.00   0.00
69505  Remove mastoid structures                         A  13.05  16.68NA  16.15NA  16.68    16.15     1.05  30.78  30.25  30.78  30.25  0090.07.79.1421000             38.0870 090 99     0.00   0.00   0.00
69511  Extensive mastoid surgery                         A  13.58  16.91NA  16.34NA  16.91    16.34     1.09  31.58  31.01  31.58  31.01  0090.07.79.1421000             38.0870 090 99     0.00   0.00   0.00
69530  Extensive mastoid surgery                         A  20.24  20.66NA  19.67NA  20.66    19.67     1.54  42.44  41.45  42.44  41.45  0090.07.79.1421200             38.0870 090 99     0.00   0.00   0.00
69535  Remove part of temporal bone                      A  37.27  29.38NA  26.78NA  29.38    26.78     2.93  69.58  66.98  69.58  66.98  0090.07.79.1421110             38.0870 090 99     0.00   0.00   0.00
69540  Remove ear lesion                                 A   1.22   3.82     3.90     1.92     1.85     0.10   5.14   5.22   3.24   3.17  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
69550  Remove ear lesion                                 A  11.04  14.58NA  14.28NA  14.58    14.28     0.89  26.51  26.21  26.51  26.21  0090.07.79.1421200             38.0870 090 99     0.00   0.00   0.00
69552  Remove ear lesion                                 A  19.69  19.44NA  18.20NA  19.44    18.20     1.59  40.72  39.48  40.72  39.48  0090.07.79.1421200             38.0870 090 99     0.00   0.00   0.00
69554  Remove ear lesion                                 A  35.71  27.18NA  24.01NA  27.18    24.01     2.92  65.81  62.64  65.81  62.64  0090.07.79.1421210             38.0870 090 99     0.00   0.00   0.00
69601  Mastoid surgery revision                          A  13.31  12.31NA  11.93NA  12.31    11.93     1.07  26.69  26.31  26.69  26.31  0090.07.79.1421000             38.0870 090 99     0.00   0.00   0.00
69602  Mastoid surgery revision                          A  13.64  13.03NA  12.81NA  13.03    12.81     1.10  27.77  27.55  27.77  27.55  0090.07.79.1421000             38.0870 090 99     0.00   0.00   0.00
69603  Mastoid surgery revision                          A  14.08  17.41NA  16.45NA  17.41    16.45     1.14  32.63  31.67  32.63  31.67  0090.07.79.1421000             38.0870 090 99     0.00   0.00   0.00
69604  Mastoid surgery revision                          A  14.08  13.24NA  12.79NA  13.24    12.79     1.14  28.46  28.01  28.46  28.01  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69605  Mastoid surgery revision                          A  18.55  20.13NA  19.30NA  20.13    19.30     1.50  40.18  39.35  40.18  39.35  0090.07.79.1421200             38.0870 090 99     0.00   0.00   0.00
69610  Repair of eardrum                                 A   4.44   5.24     4.91     2.93     2.59     0.36  10.04   9.71   7.73   7.39  0010.10.80.1021100             38.0870 090 99     0.00   0.00   0.00
69620  Repair of eardrum                                 A   5.94  11.02    10.92     6.07     5.84     0.48  17.44  17.34  12.49  12.26  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69631  Repair eardrum structures                         A   9.93  11.37NA  11.53NA  11.37    11.53     0.80  22.10  22.26  22.10  22.26  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69632  Rebuild eardrum structures                        A  12.82  13.40NA  13.32NA  13.40    13.32     1.03  27.25  27.17  27.25  27.17  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69633  Rebuild eardrum structures                        A  12.17  13.08NA  13.09NA  13.08    13.09     0.98  26.23  26.24  26.23  26.24  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69635  Repair eardrum structures                         A  13.39  16.53NA  16.30NA  16.53    16.30     1.08  31.00  30.77  31.00  30.77  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69636  Rebuild eardrum structures                        A  15.29  18.76NA  18.21NA  18.76    18.21     1.23  35.28  34.73  35.28  34.73  0090.07.79.1421000             38.0870 090 99     0.00   0.00   0.00
69637  Rebuild eardrum structures                        A  15.18  18.68NA  18.12NA  18.68    18.12     1.22  35.08  34.52  35.08  34.52  0090.07.79.1421000             38.0870 090 99     0.00   0.00   0.00
69641  Revise middle ear & mastoid                       A  12.77  12.64NA  12.48NA  12.64    12.48     1.03  26.44  26.28  26.44  26.28  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69642  Revise middle ear & mastoid                       A  16.91  15.92NA  15.54NA  15.92    15.54     1.36  34.19  33.81  34.19  33.81  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69643  Revise middle ear & mastoid                       A  15.45  14.50NA  14.17NA  14.50    14.17     1.24  31.19  30.86  31.19  30.86  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69644  Revise middle ear & mastoid                       A  17.09  19.58NA  18.75NA  19.58    18.75     1.37  38.04  37.21  38.04  37.21  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69645  Revise middle ear & mastoid                       A  16.57  19.32NA  18.61NA  19.32    18.61     1.33  37.22  36.51  37.22  36.51  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69646  Revise middle ear & mastoid                       A  18.23  19.95NA  19.12NA  19.95    19.12     1.46  39.64  38.81  39.64  38.81  0090.07.79.1421000             38.0870 090 99     0.00   0.00   0.00
69650  Release middle ear bone                           A   9.71   9.73NA   9.54NA   9.73     9.54     0.78  20.22  20.03  20.22  20.03  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69660  Revise middle ear bone                            A  11.94  10.85NA  10.51NA  10.85    10.51     0.96  23.75  23.41  23.75  23.41  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69661  Revise middle ear bone                            A  15.80  14.09NA  13.47NA  14.09    13.47     1.27  31.16  30.54  31.16  30.54  0090.07.79.1421000             38.0870 090 99     0.00   0.00   0.00
69662  Revise middle ear bone                            A  15.49  13.13NA  12.51NA  13.13    12.51     1.25  29.87  29.25  29.87  29.25  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69666  Repair middle ear structures                      A   9.80   9.89NA   9.81NA   9.89     9.81     0.79  20.48  20.40  20.48  20.40  0090.07.79.1421000             38.0870 090 99     0.00   0.00   0.00
69667  Repair middle ear structures                      A   9.81   9.92NA   9.84NA   9.92     9.84     0.79  20.52  20.44  20.52  20.44  0090.07.79.1421000             38.0870 090 99     0.00   0.00   0.00
69670  Remove mastoid air cells                          A  11.62  11.48NA  11.25NA  11.48    11.25     0.93  24.03  23.80  24.03  23.80  0090.07.79.1421200             38.0870 090 99     0.00   0.00   0.00
69676  Remove middle ear nerve                           A   9.58  10.69NA  10.62NA  10.69    10.62     0.81  21.08  21.01  21.08  21.01  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69700  Close mastoid fistula                             A   8.28   8.97NA   8.68NA   8.97     8.68     0.67  17.92  17.63  17.92  17.63  0090.07.79.1421100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
69711  Remove/repair hearing aid                         A  10.50  10.61NA  10.42NA  10.61    10.42     0.83  21.94  21.75  21.94  21.75  0090.07.79.1421200             38.0870 090 99     0.00   0.00   0.00
69714  Implant temple bone w/stimul                      A  14.31  12.23NA  11.80NA  12.23    11.80     1.13  27.67  27.24  27.67  27.24  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69715  Temple bne implnt w/stimulat                      A  18.80  14.19NA  13.34NA  14.19    13.34     1.48  34.47  33.62  34.47  33.62  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69717  Temple bone implant revision                      A  15.29  13.22NA  11.97NA  13.22    11.97     0.90  29.41  28.16  29.41  28.16  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69718  Revise temple bone implant                        A  19.05  14.36NA  13.42NA  14.36    13.42     3.22  36.63  35.69  36.63  35.69  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69720  Release facial nerve                              A  14.57  14.28NA  14.03NA  14.28    14.03     1.16  30.01  29.76  30.01  29.76  0090.07.79.1421010             38.0870 090 99     0.00   0.00   0.00
69725  Release facial nerve                              A  27.44  19.09NA  18.04NA  19.09    18.04     2.45  48.98  47.93  48.98  47.93  0090.07.79.1421200             38.0870 090 99     0.00   0.00   0.00
69740  Repair facial nerve                               A  16.18  12.51NA  11.59NA  12.51    11.59     1.27  29.96  29.04  29.96  29.04  0090.07.79.1421200             38.0870 090 99     0.00   0.00   0.00
69745  Repair facial nerve                               A  16.91  12.46NA   9.94NA  12.46     9.94     1.14  30.51  27.99  30.51  27.99  0090.07.79.1421200             38.0870 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             38.0870 090 99     0.00   0.00   0.00
69801  Incise inner ear                                  A   8.61   9.55NA   9.63NA   9.55     9.63     0.69  18.85  18.93  18.85  18.93  0090.07.79.1421000             38.0870 090 99     0.00   0.00   0.00
69802  Incise inner ear                                  A  13.39  12.10NA  11.87NA  12.10    11.87     1.06  26.55  26.32  26.55  26.32  0090.07.79.1421200             38.0870 090 99     0.00   0.00   0.00
69805  Explore inner ear                                 A  14.55  11.39NA  10.90NA  11.39    10.90     1.12  27.06  26.57  27.06  26.57  0090.07.79.1421200             38.0870 090 99     0.00   0.00   0.00
69806  Explore inner ear                                 A  12.52  10.72NA  10.40NA  10.72    10.40     1.00  24.24  23.92  24.24  23.92  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69820  Establish inner ear window                        A  10.40  10.74NA  10.26NA  10.74    10.26     0.90  22.04  21.56  22.04  21.56  0090.07.79.1421200             38.0870 090 99     0.00   0.00   0.00
69840  Revise inner ear window                           A  10.32  12.28NA  11.38NA  12.28    11.38     0.79  23.39  22.49  23.39  22.49  0090.07.79.1421200             38.0870 090 99     0.00   0.00   0.00
69905  Remove inner ear                                  A  11.15  11.20NA  11.04NA  11.20    11.04     0.90  23.25  23.09  23.25  23.09  0090.07.79.1421100             38.0870 090 99     0.00   0.00   0.00
69910  Remove inner ear & mastoid                        A  13.80  11.41NA  10.89NA  11.41    10.89     1.07  26.28  25.76  26.28  25.76  0090.07.79.1421000             38.0870 090 99     0.00   0.00   0.00
69915  Incise inner ear nerve                            A  22.65  15.65NA  14.83NA  15.65    14.83     1.70  40.00  39.18  40.00  39.18  0090.07.79.1421210             38.0870 090 99     0.00   0.00   0.00
69930  Implant cochlear device                           A  17.60  13.94NA  13.12NA  13.94    13.12     1.36  32.90  32.08  32.90  32.08  0090.07.79.1421000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
69950  Incise inner ear nerve                            A  27.44  17.89NA  16.86NA  17.89    16.86     2.29  47.62  46.59  47.62  46.59  0090.07.79.1421210             38.0870 090 99     0.00   0.00   0.00
69955  Release facial nerve                              A  29.22  20.40NA  19.41NA  20.40    19.41     2.49  52.11  51.12  52.11  51.12  0090.07.79.1421210             38.0870 090 99     0.00   0.00   0.00
69960  Release inner ear canal                           A  29.22  18.99NA  17.92NA  18.99    17.92     2.18  50.39  49.32  50.39  49.32  0090.07.79.1421210             38.0870 090 99     0.00   0.00   0.00
69970  Remove inner ear lesion                           A  32.21  21.41NA  19.54NA  21.41    19.54     2.42  56.04  54.17  56.04  54.17  0090.07.79.1421210             38.0870 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             38.0870 090 99     0.00   0.00   0.00
69990  Microsurgery add-on                               R   3.46   1.53NA   1.27NA   1.53     1.27     0.89   5.88   5.62   5.88   5.62  0ZZZ.00.00.0000200             38.0870 090 99     0.00   0.00   0.00
70010  Contrast x-ray of brain                           A   1.19   3.77     2.82     3.77NA   2.82 NA  0.27   5.23   4.28   5.23   4.28  1XXX.00.00.0000000             38.0870 090 99    12.27  12.27   0.82
70010TCContrast x-ray of brain                           A   0.00   3.37     2.40     3.37NA   2.40 NA  0.22   3.59   2.62   3.59   2.62  1XXX.00.00.0000000             38.0870 030 99    11.87  11.87   0.77
7001026Contrast x-ray of brain                           A   1.19   0.40     0.42     0.40     0.42     0.05   1.64   1.66   1.64   1.66  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70015  Contrast x-ray of brain                           A   1.19   2.33     2.92     2.33NA   2.92 NA  0.16   3.68   4.27   3.68   4.27  1XXX.00.00.0000000             38.0870 090 99    12.55  12.55   0.59
70015TCContrast x-ray of brain                           A   0.00   1.92     2.49     1.92NA   2.49 NA  0.08   2.00   2.57   2.00   2.57  1XXX.00.00.0000000             38.0870 030 99    12.14  12.14   0.51
7001526Contrast x-ray of brain                           A   1.19   0.41     0.43     0.41     0.43     0.08   1.68   1.70   1.68   1.70  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70030  X-ray eye for foreign body                        A   0.17   0.54     0.61     0.54NA   0.61 NA  0.03   0.74   0.81   0.74   0.81  1XXX.00.00.0003000             38.0870 090 99     1.18   1.18   0.06
70030TCX-ray eye for foreign body                        A   0.00   0.48     0.55     0.48NA   0.55 NA  0.02   0.50   0.57   0.50   0.57  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   0.05
7003026X-ray eye for foreign body                        A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
7010F  Pt info into recall system                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
70100  X-ray exam of jaw                                 A   0.18   0.61     0.63     0.61NA   0.63 NA  0.03   0.82   0.84   0.82   0.84  1XXX.00.00.0000000             38.0870 090 99     1.18   1.18   0.05
70100TCX-ray exam of jaw                                 A   0.00   0.55     0.58     0.55NA   0.58 NA  0.02   0.57   0.60   0.57   0.60  1XXX.00.00.0000000             38.0870 010 99     1.12   1.12   0.04
7010026X-ray exam of jaw                                 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             38.0870 090 99     0.00   0.00   0.00
70110  X-ray exam of jaw                                 A   0.25   0.75     0.81     0.75NA   0.81 NA  0.05   1.05   1.11   1.05   1.11  1XXX.00.00.0000000             38.0870 090 99     1.18   1.18   0.08
70110TCX-ray exam of jaw                                 A   0.00   0.67     0.72     0.67NA   0.72 NA  0.04   0.71   0.76   0.71   0.76  1XXX.00.00.0000000             38.0870 010 99     1.10   1.10   0.07
7011026X-ray exam of jaw                                 A   0.25   0.08     0.09     0.08     0.09     0.01   0.34   0.35   0.34   0.35  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70120  X-ray exam of mastoids                            A   0.18   0.69     0.69     0.69NA   0.69 NA  0.05   0.92   0.92   0.92   0.92  1XXX.00.00.0003000             38.0870 090 99     1.15   1.15   0.08
70120TCX-ray exam of mastoids                            A   0.00   0.63     0.64     0.63NA   0.64 NA  0.04   0.67   0.68   0.67   0.68  1XXX.00.00.0003000             38.0870 010 99     1.09   1.09   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             38.0870 090 99     0.00   0.00   0.00
70130  X-ray exam of mastoids                            A   0.34   1.02     1.15     1.02NA   1.15 NA  0.07   1.43   1.56   1.43   1.56  1XXX.00.00.0003000             38.0870 090 99     1.21   1.21   0.08
70130TCX-ray exam of mastoids                            A   0.00   0.91     1.04     0.91NA   1.04 NA  0.05   0.96   1.09   0.96   1.09  1XXX.00.00.0003000             38.0870 010 99     1.10   1.10   0.06
7013026X-ray exam of mastoids                            A   0.34   0.11     0.11     0.11     0.11     0.02   0.47   0.47   0.47   0.47  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
70134  X-ray exam of middle ear                          A   0.34   0.87     0.92     0.87NA   0.92 NA  0.07   1.28   1.33   1.28   1.33  1XXX.00.00.0000000             38.0870 090 99     1.93   1.93   0.14
70134TCX-ray exam of middle ear                          A   0.00   0.76     0.80     0.76NA   0.80 NA  0.05   0.81   0.85   0.81   0.85  1XXX.00.00.0000000             38.0870 010 99     1.82   1.82   0.12
7013426X-ray exam of middle ear                          A   0.34   0.11     0.12     0.11     0.12     0.02   0.47   0.48   0.47   0.48  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70140  X-ray exam of facial bones                        A   0.19   0.62     0.54     0.62NA   0.54 NA  0.05   0.86   0.78   0.86   0.78  1XXX.00.00.0000000             38.0870 090 99     1.15   1.15   0.09
70140TCX-ray exam of facial bones                        A   0.00   0.56     0.49     0.56NA   0.49 NA  0.04   0.60   0.53   0.60   0.53  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.08
7014026X-ray exam of facial bones                        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             38.0870 090 99     0.00   0.00   0.00
70150  X-ray exam of facial bones                        A   0.26   0.85     0.85     0.85NA   0.85 NA  0.06   1.17   1.17   1.17   1.17  1XXX.00.00.0000000             38.0870 090 99     1.17   1.17   0.08
70150TCX-ray exam of facial bones                        A   0.00   0.77     0.77     0.77NA   0.77 NA  0.05   0.82   0.82   0.82   0.82  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.07
7015026X-ray exam of facial bones                        A   0.26   0.08     0.08     0.08     0.08     0.01   0.35   0.35   0.35   0.35  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70160  X-ray exam of nasal bones                         A   0.17   0.64     0.71     0.64NA   0.71 NA  0.03   0.84   0.91   0.84   0.91  1XXX.00.00.0000000             38.0870 090 99     1.18   1.18   0.05
70160TCX-ray exam of nasal bones                         A   0.00   0.58     0.65     0.58NA   0.65 NA  0.02   0.60   0.67   0.60   0.67  1XXX.00.00.0000000             38.0870 010 99     1.12   1.12   0.04
7016026X-ray exam of nasal bones                         A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70170  X-ray exam of tear duct                           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             38.0870 090 99     8.47   8.47   0.61
70170TCX-ray exam of tear duct                           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             38.0870 030 99     8.37   8.37   0.60
7017026X-ray exam of tear duct                           A   0.30   0.10     0.10     0.10     0.10     0.01   0.41   0.41   0.41   0.41  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70190  X-ray exam of eye sockets                         A   0.21   0.71     0.72     0.71NA   0.72 NA  0.05   0.97   0.98   0.97   0.98  1XXX.00.00.0003000             38.0870 090 99     1.16   1.16   0.08
70190TCX-ray exam of eye sockets                         A   0.00   0.64     0.65     0.64NA   0.65 NA  0.04   0.68   0.69   0.68   0.69  1XXX.00.00.0003000             38.0870 010 99     1.09   1.09   0.07
7019026X-ray exam of eye sockets                         A   0.21   0.07     0.07     0.07     0.07     0.01   0.29   0.29   0.29   0.29  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
70200  X-ray exam of eye sockets                         A   0.28   0.87     0.87     0.87NA   0.87 NA  0.06   1.21   1.21   1.21   1.21  1XXX.00.00.0000000             38.0870 090 99     1.18   1.18   0.08
70200TCX-ray exam of eye sockets                         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             38.0870 010 99     1.09   1.09   0.07
7020026X-ray exam of eye sockets                         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             38.0870 090 99     0.00   0.00   0.00
70210  X-ray exam of sinuses                             A   0.17   0.62     0.58     0.62NA   0.58 NA  0.05   0.84   0.80   0.84   0.80  1XXX.00.00.0000000             38.0870 090 99     1.14   1.14   0.09
70210TCX-ray exam of sinuses                             A   0.00   0.57     0.53     0.57NA   0.53 NA  0.04   0.61   0.57   0.61   0.57  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.08
7021026X-ray exam of sinuses                             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             38.0870 090 99     0.00   0.00   0.00
70220  X-ray exam of sinuses                             A   0.25   0.80     0.73     0.80NA   0.73 NA  0.06   1.11   1.04   1.11   1.04  1XXX.00.00.0000000             38.0870 090 99     1.17   1.17   0.09
70220TCX-ray exam of sinuses                             A   0.00   0.72     0.65     0.72NA   0.65 NA  0.05   0.77   0.70   0.77   0.70  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.08
7022026X-ray exam of sinuses                             A   0.25   0.08     0.08     0.08     0.08     0.01   0.34   0.34   0.34   0.34  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70240  X-ray exam, pituitary saddle                      A   0.19   0.54     0.61     0.54NA   0.61 NA  0.03   0.76   0.83   0.76   0.83  1XXX.00.00.0000000             38.0870 090 99     1.18   1.18   0.06
70240TCX-ray exam, pituitary saddle                      A   0.00   0.48     0.55     0.48NA   0.55 NA  0.02   0.50   0.57   0.50   0.57  1XXX.00.00.0000000             38.0870 010 99     1.12   1.12   0.05
7024026X-ray exam, pituitary saddle                      A   0.19   0.06     0.06     0.06     0.06     0.01   0.26   0.26   0.26   0.26  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70250  X-ray exam of skull                               A   0.24   0.69     0.70     0.69NA   0.70 NA  0.05   0.98   0.99   0.98   0.99  1XXX.00.00.0000000             38.0870 090 99     1.16   1.16   0.08
70250TCX-ray exam of skull                               A   0.00   0.62     0.63     0.62NA   0.63 NA  0.04   0.66   0.67   0.66   0.67  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.07
7025026X-ray exam of skull                               A   0.24   0.07     0.07     0.07     0.07     0.01   0.32   0.32   0.32   0.32  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70260  X-ray exam of skull                               A   0.34   0.94     0.88     0.94NA   0.88 NA  0.08   1.36   1.30   1.36   1.30  1XXX.00.00.0000000             38.0870 090 99     1.91   1.91   0.15
70260TCX-ray exam of skull                               A   0.00   0.83     0.78     0.83NA   0.78 NA  0.06   0.89   0.84   0.89   0.84  1XXX.00.00.0000000             38.0870 010 99     1.80   1.80   0.13
7026026X-ray exam of skull                               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             38.0870 090 99     0.00   0.00   0.00
70300  X-ray exam of teeth                               A   0.10   0.27     0.24     0.27NA   0.24 NA  0.03   0.40   0.37   0.40   0.37  1XXX.00.00.0000000             38.0870 090 99     0.92   0.92   0.09
70300TCX-ray exam of teeth                               A   0.00   0.23     0.21     0.23NA   0.21 NA  0.02   0.25   0.23   0.25   0.23  1XXX.00.00.0000000             38.0870 010 99     0.88   0.88   0.08
7030026X-ray exam of teeth                               A   0.10   0.04     0.03     0.04     0.03     0.01   0.15   0.14   0.15   0.14  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70310  X-ray exam of teeth                               A   0.16   0.65     0.82     0.65NA   0.82 NA  0.03   0.84   1.01   0.84   1.01  1XXX.00.00.0000000             38.0870 090 99     0.99   0.99   0.04
70310TCX-ray exam of teeth                               A   0.00   0.59     0.77     0.59NA   0.77 NA  0.02   0.61   0.79   0.61   0.79  1XXX.00.00.0000000             38.0870 010 99     0.93   0.93   0.03
7031026X-ray exam of teeth                               A   0.16   0.06     0.05     0.06     0.05     0.01   0.23   0.22   0.23   0.22  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70320  Full mouth x-ray of teeth                         A   0.22   0.97     1.07     0.97NA   1.07 NA  0.06   1.25   1.35   1.25   1.35  1XXX.00.00.0000000             38.0870 090 99     0.99   0.99   0.06
70320TCFull mouth x-ray of teeth                         A   0.00   0.89     1.00     0.89NA   1.00 NA  0.05   0.94   1.05   0.94   1.05  1XXX.00.00.0000000             38.0870 010 99     0.91   0.91   0.05
7032026Full mouth x-ray of teeth                         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             38.0870 090 99     0.00   0.00   0.00
70328  X-ray exam of jaw joint                           A   0.18   0.59     0.63     0.59NA   0.63 NA  0.03   0.80   0.84   0.80   0.84  1XXX.00.00.0000000             38.0870 090 99     1.18   1.18   0.05
70328TCX-ray exam of jaw joint                           A   0.00   0.53     0.57     0.53NA   0.57 NA  0.02   0.55   0.59   0.55   0.59  1XXX.00.00.0000000             38.0870 010 99     1.12   1.12   0.04
7032826X-ray exam of jaw joint                           A   0.18   0.06     0.06     0.06     0.06     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70330  X-ray exam of jaw joints                          A   0.24   0.96     1.01     0.96NA   1.01 NA  0.06   1.26   1.31   1.26   1.31  1XXX.00.00.0002000             38.0870 090 99     1.18   1.18   0.07
70330TCX-ray exam of jaw joints                          A   0.00   0.88     0.93     0.88NA   0.93 NA  0.05   0.93   0.98   0.93   0.98  1XXX.00.00.0002000             38.0870 010 99     1.10   1.10   0.06
7033026X-ray exam of jaw joints                          A   0.24   0.08     0.08     0.08     0.08     0.01   0.33   0.33   0.33   0.33  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
70332  X-ray exam of jaw joint                           A   0.54   1.88     1.45     1.88NA   1.45 NA  0.14   2.56   2.13   2.56   2.13  1XXX.00.00.0003000             38.0870 090 99     6.43   6.43   0.46
70332TCX-ray exam of jaw joint                           A   0.00   1.70     1.29     1.70NA   1.29 NA  0.12   1.82   1.41   1.82   1.41  1XXX.00.00.0003000             38.0870 030 99     6.25   6.25   0.44
7033226X-ray exam of jaw joint                           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             38.0870 090 99     0.00   0.00   0.00
70336  Magnetic image, jaw joint                         A   1.48  11.94    12.17    11.94NA  12.17 NA  0.66  14.08  14.31  14.08  14.31  1XXX.00.00.0003000             38.0870 090 99     8.27   8.27   0.47
70336TCMagnetic image, jaw joint                         A   0.00  11.44    11.67    11.44NA  11.67 NA  0.59  12.03  12.26  12.03  12.26  1XXX.00.00.0003000             38.0870 010 99     7.77   7.77   0.40
7033626Magnetic image, jaw joint                         A   1.48   0.50     0.50     0.50     0.50     0.07   2.05   2.05   2.05   2.05  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
70350  X-ray head for orthodontia                        A   0.17   0.39     0.32     0.39NA   0.32 NA  0.03   0.59   0.52   0.59   0.52  1XXX.00.00.0000000             38.0870 090 99     1.16   1.16   0.08
70350TCX-ray head for orthodontia                        A   0.00   0.33     0.27     0.33NA   0.27 NA  0.02   0.35   0.29   0.35   0.29  1XXX.00.00.0000000             38.0870 010 99     1.10   1.10   0.07
7035026X-ray head for orthodontia                        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             38.0870 090 99     0.00   0.00   0.00
70355  Panoramic x-ray of jaws                           A   0.20   0.47     0.30     0.47NA   0.30 NA  0.05   0.72   0.55   0.72   0.55  1XXX.00.00.0000000             38.0870 090 99     1.13   1.13   0.12
70355TCPanoramic x-ray of jaws                           A   0.00   0.40     0.23     0.40NA   0.23 NA  0.04   0.44   0.27   0.44   0.27  1XXX.00.00.0000000             38.0870 010 99     1.06   1.06   0.11
7035526Panoramic x-ray of jaws                           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             38.0870 090 99     0.00   0.00   0.00
70360  X-ray exam of neck                                A   0.17   0.52     0.56     0.52NA   0.56 NA  0.03   0.72   0.76   0.72   0.76  1XXX.00.00.0000000             38.0870 090 99     1.17   1.17   0.06
70360TCX-ray exam of neck                                A   0.00   0.46     0.51     0.46NA   0.51 NA  0.02   0.48   0.53   0.48   0.53  1XXX.00.00.0000000             38.0870 010 99     1.11   1.11   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             38.0870 090 99     0.00   0.00   0.00
70370  Throat x-ray & fluoroscopy                        A   0.32   1.53     1.65     1.53NA   1.65 NA  0.08   1.93   2.05   1.93   2.05  1XXX.00.00.0000000             38.0870 090 99     2.22   2.22   0.11
70370TCThroat x-ray & fluoroscopy                        A   0.00   1.43     1.55     1.43NA   1.55 NA  0.07   1.50   1.62   1.50   1.62  1XXX.00.00.0000000             38.0870 030 99     2.12   2.12   0.10
7037026Throat x-ray & fluoroscopy                        A   0.32   0.10     0.10     0.10     0.10     0.01   0.43   0.43   0.43   0.43  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70371  Speech evaluation, complex                        A   0.84   1.93     1.48     1.93NA   1.48 NA  0.16   2.93   2.48   2.93   2.48  1XXX.00.00.0000000             38.0870 090 99     2.34   2.34   0.19
70371TCSpeech evaluation, complex                        A   0.00   1.66     1.22     1.66NA   1.22 NA  0.12   1.78   1.34   1.78   1.34  1XXX.00.00.0000000             38.0870 030 99     2.07   2.07   0.15
7037126Speech evaluation, complex                        A   0.84   0.27     0.26     0.27     0.26     0.04   1.15   1.14   1.15   1.14  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70373  Contrast x-ray of larynx                          A   0.44   1.76     1.58     1.76NA   1.58 NA  0.13   2.33   2.15   2.33   2.15  1XXX.00.00.0000000             38.0870 090 99     4.33   4.33   0.30
70373TCContrast x-ray of larynx                          A   0.00   1.63     1.47     1.63NA   1.47 NA  0.11   1.74   1.58   1.74   1.58  1XXX.00.00.0000000             38.0870 030 99     4.20   4.20   0.28
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             38.0870 090 99     0.00   0.00   0.00
70380  X-ray exam of salivary gland                      A   0.17   0.78     0.82     0.78NA   0.82 NA  0.05   1.00   1.04   1.00   1.04  1XXX.00.00.0000000             38.0870 090 99     1.16   1.16   0.07
70380TCX-ray exam of salivary gland                      A   0.00   0.72     0.76     0.72NA   0.76 NA  0.04   0.76   0.80   0.76   0.80  1XXX.00.00.0000000             38.0870 010 99     1.10   1.10   0.06
7038026X-ray exam of salivary gland                      A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70390  X-ray exam of salivary duct                       A   0.38   2.13     2.34     2.13NA   2.34 NA  0.13   2.64   2.85   2.64   2.85  1XXX.00.00.0000000             38.0870 090 99     4.38   4.38   0.25
70390TCX-ray exam of salivary duct                       A   0.00   2.00     2.21     2.00NA   2.21 NA  0.11   2.11   2.32   2.11   2.32  1XXX.00.00.0000000             38.0870 030 99     4.25   4.25   0.23
7039026X-ray exam of salivary duct                       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             38.0870 090 99     0.00   0.00   0.00
70450  Ct head/brain w/o dye                             A   0.85   4.96     4.92     4.96NA   4.92 NA  0.29   6.10   6.06   6.10   6.06  1XXX.00.00.0040000             38.0870 090 03     5.07   5.07   0.30
70450TCCt head/brain w/o dye                             A   0.00   4.67     4.62     4.67NA   4.62 NA  0.25   4.92   4.87   4.92   4.87  1XXX.00.00.0040000             38.0870 010 03     4.78   4.78   0.26
7045026Ct head/brain w/o dye                             A   0.85   0.29     0.30     0.29     0.30     0.04   1.18   1.19   1.18   1.19  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70460  Ct head/brain w/dye                               A   1.13   6.28     6.51     6.28NA   6.51 NA  0.35   7.76   7.99   7.76   7.99  1XXX.00.00.0040000             38.0870 090 03     7.32   7.32   0.40
70460TCCt head/brain w/dye                               A   0.00   5.89     6.11     5.89NA   6.11 NA  0.30   6.19   6.41   6.19   6.41  1XXX.00.00.0040000             38.0870 020 03     6.93   6.93   0.35
7046026Ct head/brain w/dye                               A   1.13   0.39     0.40     0.39     0.40     0.05   1.57   1.58   1.57   1.58  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70470  Ct head/brain w/o & w/dye                         A   1.27   7.71     7.94     7.71NA   7.94 NA  0.43   9.41   9.64   9.41   9.64  1XXX.00.00.0040000             38.0870 090 03     8.57   8.57   0.47
70470TCCt head/brain w/o & w/dye                         A   0.00   7.28     7.49     7.28NA   7.49 NA  0.37   7.65   7.86   7.65   7.86  1XXX.00.00.0040000             38.0870 020 03     8.14   8.14   0.41
7047026Ct head/brain w/o & w/dye                         A   1.27   0.43     0.45     0.43     0.45     0.06   1.76   1.78   1.76   1.78  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70480  Ct orbit/ear/fossa w/o dye                        A   1.28   6.81     8.49     6.81NA   8.49 NA  0.31   8.40  10.08   8.40  10.08  1XXX.00.00.0040000             38.0870 090 03     5.28   5.28   0.25
70480TCCt orbit/ear/fossa w/o dye                        A   0.00   6.38     8.04     6.38NA   8.04 NA  0.25   6.63   8.29   6.63   8.29  1XXX.00.00.0040000             38.0870 010 03     4.85   4.85   0.19
7048026Ct orbit/ear/fossa w/o dye                        A   1.28   0.43     0.45     0.43     0.45     0.06   1.77   1.79   1.77   1.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70481  Ct orbit/ear/fossa w/dye                          A   1.38   8.05     9.98     8.05NA   9.98 NA  0.36   9.79  11.72   9.79  11.72  1XXX.00.00.0040000             38.0870 090 03     7.48   7.48   0.34
70481TCCt orbit/ear/fossa w/dye                          A   0.00   7.58     9.49     7.58NA   9.49 NA  0.30   7.88   9.79   7.88   9.79  1XXX.00.00.0040000             38.0870 020 03     7.01   7.01   0.28
7048126Ct orbit/ear/fossa w/dye                          A   1.38   0.47     0.49     0.47     0.49     0.06   1.91   1.93   1.91   1.93  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70482  Ct orbit/ear/fossa w/o&w/dye                      A   1.45   9.48    11.41     9.48NA  11.41 NA  0.43  11.36  13.29  11.36  13.29  1XXX.00.00.0040000             38.0870 090 03     8.70   8.70   0.40
70482TCCt orbit/ear/fossa w/o&w/dye                      A   0.00   8.99    10.90     8.99NA  10.90 NA  0.37   9.36  11.27   9.36  11.27  1XXX.00.00.0040000             38.0870 020 03     8.21   8.21   0.34
7048226Ct orbit/ear/fossa w/o&w/dye                      A   1.45   0.49     0.51     0.49     0.51     0.06   2.00   2.02   2.00   2.02  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70486  Ct maxillofacial w/o dye                          A   1.14   5.94     6.80     5.94NA   6.80 NA  0.30   7.38   8.24   7.38   8.24  1XXX.00.00.0040000             38.0870 090 03     5.20   5.20   0.27
70486TCCt maxillofacial w/o dye                          A   0.00   5.56     6.40     5.56NA   6.40 NA  0.25   5.81   6.65   5.81   6.65  1XXX.00.00.0040000             38.0870 010 03     4.82   4.82   0.22
7048626Ct maxillofacial w/o dye                          A   1.14   0.38     0.40     0.38     0.40     0.05   1.57   1.59   1.57   1.59  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70487  Ct maxillofacial w/dye                            A   1.30   7.23     8.35     7.23NA   8.35 NA  0.36   8.89  10.01   8.89  10.01  1XXX.00.00.0040000             38.0870 090 03     7.43   7.43   0.37
70487TCCt maxillofacial w/dye                            A   0.00   6.78     7.89     6.78NA   7.89 NA  0.30   7.08   8.19   7.08   8.19  1XXX.00.00.0040000             38.0870 020 03     6.98   6.98   0.31
7048726Ct maxillofacial w/dye                            A   1.30   0.45     0.46     0.45     0.46     0.06   1.81   1.82   1.81   1.82  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70488  Ct maxillofacial w/o & w/dye                      A   1.42   8.97    10.40     8.97NA  10.40 NA  0.43  10.82  12.25  10.82  12.25  1XXX.00.00.0040000             38.0870 090 03     8.67   8.67   0.42
70488TCCt maxillofacial w/o & w/dye                      A   0.00   8.49     9.91     8.49NA   9.91 NA  0.37   8.86  10.28   8.86  10.28  1XXX.00.00.0040000             38.0870 020 03     8.19   8.19   0.36
7048826Ct maxillofacial w/o & w/dye                      A   1.42   0.48     0.49     0.48     0.49     0.06   1.96   1.97   1.96   1.97  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70490  Ct soft tissue neck w/o dye                       A   1.28   5.82     6.49     5.82NA   6.49 NA  0.31   7.41   8.08   7.41   8.08  1XXX.00.00.0040000             38.0870 090 03     5.25   5.25   0.28
70490TCCt soft tissue neck w/o dye                       A   0.00   5.38     6.04     5.38NA   6.04 NA  0.25   5.63   6.29   5.63   6.29  1XXX.00.00.0040000             38.0870 010 03     4.81   4.81   0.22
7049026Ct soft tissue neck w/o dye                       A   1.28   0.44     0.45     0.44     0.45     0.06   1.78   1.79   1.78   1.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70491  Ct soft tissue neck w/dye                         A   1.38   7.08     8.04     7.08NA   8.04 NA  0.36   8.82   9.78   8.82   9.78  1XXX.00.00.0040000             38.0870 090 03     7.44   7.44   0.38
70491TCCt soft tissue neck w/dye                         A   0.00   6.61     7.55     6.61NA   7.55 NA  0.30   6.91   7.85   6.91   7.85  1XXX.00.00.0040000             38.0870 020 03     6.97   6.97   0.32
7049126Ct soft tissue neck w/dye                         A   1.38   0.47     0.49     0.47     0.49     0.06   1.91   1.93   1.91   1.93  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70492  Ct sft tsue nck w/o & w/dye                       A   1.45   8.79    10.04     8.79NA  10.04 NA  0.43  10.67  11.92  10.67  11.92  1XXX.00.00.0040000             38.0870 090 03     8.68   8.68   0.42
70492TCCt sft tsue nck w/o & w/dye                       A   0.00   8.30     9.53     8.30NA   9.53 NA  0.37   8.67   9.90   8.67   9.90  1XXX.00.00.0040000             38.0870 020 03     8.19   8.19   0.36
7049226Ct sft tsue nck w/o & w/dye                       A   1.45   0.49     0.51     0.49     0.51     0.06   2.00   2.02   2.00   2.02  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70496  Ct angiography, head                              A   1.75  14.14    17.10    14.14NA  17.10 NA  0.66  16.55  19.51  16.55  19.51  1XXX.00.00.0040000             38.0870 090 03     8.88   8.88   0.43
70496TCCt angiography, head                              A   0.00  13.54    16.47    13.54NA  16.47 NA  0.58  14.12  17.05  14.12  17.05  1XXX.00.00.0040000             38.0870 020 03     8.28   8.28   0.35
7049626Ct angiography, head                              A   1.75   0.60     0.63     0.60     0.63     0.08   2.43   2.46   2.43   2.46  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70498  Ct angiography, neck                              A   1.75  14.21    17.24    14.21NA  17.24 NA  0.66  16.62  19.65  16.62  19.65  1XXX.00.00.0040000             38.0870 090 03     8.89   8.89   0.43
70498TCCt angiography, neck                              A   0.00  13.60    16.59    13.60NA  16.59 NA  0.58  14.18  17.17  14.18  17.17  1XXX.00.00.0040000             38.0870 020 03     8.28   8.28   0.35
7049826Ct angiography, neck                              A   1.75   0.61     0.65     0.61     0.65     0.08   2.44   2.48   2.44   2.48  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70540  Mri orbit/face/neck w/o dye                       A   1.35  12.91    14.18    12.91NA  14.18 NA  0.45  14.71  15.98  14.71  15.98  1XXX.00.00.0040000             38.0870 090 05     9.20   9.20   0.33
70540TCMri orbit/face/neck w/o dye                       A   0.00  12.46    13.72    12.46NA  13.72 NA  0.39  12.85  14.11  12.85  14.11  1XXX.00.00.0040000             38.0870 010 05     8.75   8.75   0.27
7054026Mri orbit/face/neck w/o dye                       A   1.35   0.45     0.46     0.45     0.46     0.06   1.86   1.87   1.86   1.87  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70542  Mri orbit/face/neck w/dye                         A   1.62  14.64    15.29    14.64NA  15.29 NA  0.54  16.80  17.45  16.80  17.45  1XXX.00.00.0040000             38.0870 090 05    10.64  10.64   0.41
70542TCMri orbit/face/neck w/dye                         A   0.00  14.09    14.73    14.09NA  14.73 NA  0.47  14.56  15.20  14.56  15.20  1XXX.00.00.0040000             38.0870 020 05    10.09  10.09   0.34
7054226Mri orbit/face/neck w/dye                         A   1.62   0.55     0.56     0.55     0.56     0.07   2.24   2.25   2.24   2.25  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70543  Mri orbt/fac/nck w/o & w/dye                      A   2.15  22.18    18.77    22.18NA  18.77 NA  0.94  25.27  21.86  25.27  21.86  1XXX.00.00.0040000             38.0870 090 05    13.99  13.99   0.62
70543TCMri orbt/fac/nck w/o & w/dye                      A   0.00  21.46    18.03    21.46NA  18.03 NA  0.84  22.30  18.87  22.30  18.87  1XXX.00.00.0040000             38.0870 020 05    13.27  13.27   0.52
7054326Mri orbt/fac/nck w/o & w/dye                      A   2.15   0.72     0.74     0.72     0.74     0.10   2.97   2.99   2.97   2.99  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70544  Mr angiography head w/o dye                       A   1.20  13.73    15.86    13.73NA  15.86 NA  0.64  15.57  17.70  15.57  17.70  1XXX.00.00.0040000             38.0870 090 05     9.05   9.05   0.43
70544TCMr angiography head w/o dye                       A   0.00  13.32    15.44    13.32NA  15.44 NA  0.59  13.91  16.03  13.91  16.03  1XXX.00.00.0040000             38.0870 010 05     8.64   8.64   0.38
7054426Mr angiography head w/o dye                       A   1.20   0.41     0.42     0.41     0.42     0.05   1.66   1.67   1.66   1.67  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70545  Mr angiography head w/dye                         A   1.20  13.67    15.74    13.67NA  15.74 NA  0.64  15.51  17.58  15.51  17.58  1XXX.00.00.0040000             38.0870 090 05    10.39  10.39   0.49
70545TCMr angiography head w/dye                         A   0.00  13.26    15.32    13.26NA  15.32 NA  0.59  13.85  15.91  13.85  15.91  1XXX.00.00.0040000             38.0870 020 05     9.98   9.98   0.44
7054526Mr angiography head w/dye                         A   1.20   0.41     0.42     0.41     0.42     0.05   1.66   1.67   1.66   1.67  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70546  Mr angiograph head w/o&w/dye                      A   1.80  23.53    24.03    23.53NA  24.03 NA  0.67  26.00  26.50  26.00  26.50  1XXX.00.00.0040000             38.0870 090 05    14.05  14.05   0.43
70546TCMr angiograph head w/o&w/dye                      A   0.00  22.92    23.41    22.92NA  23.41 NA  0.59  23.51  24.00  23.51  24.00  1XXX.00.00.0040000             38.0870 020 05    13.44  13.44   0.35
7054626Mr angiograph head w/o&w/dye                      A   1.80   0.61     0.62     0.61     0.62     0.08   2.49   2.50   2.49   2.50  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70547  Mr angiography neck w/o dye                       A   1.20  13.69    15.79    13.69NA  15.79 NA  0.64  15.53  17.63  15.53  17.63  1XXX.00.00.0040000             38.0870 090 05     9.04   9.04   0.43
70547TCMr angiography neck w/o dye                       A   0.00  13.29    15.38    13.29NA  15.38 NA  0.59  13.88  15.97  13.88  15.97  1XXX.00.00.0040000             38.0870 010 05     8.64   8.64   0.38
7054726Mr angiography neck w/o dye                       A   1.20   0.40     0.41     0.40     0.41     0.05   1.65   1.66   1.65   1.66  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70548  Mr angiography neck w/dye                         A   1.20  14.13    16.65    14.13NA  16.65 NA  0.64  15.97  18.49  15.97  18.49  1XXX.00.00.0040000             38.0870 090 05    10.41  10.41   0.48
70548TCMr angiography neck w/dye                         A   0.00  13.72    16.23    13.72NA  16.23 NA  0.59  14.31  16.82  14.31  16.82  1XXX.00.00.0040000             38.0870 020 05    10.00  10.00   0.43
7054826Mr angiography neck w/dye                         A   1.20   0.41     0.42     0.41     0.42     0.05   1.66   1.67   1.66   1.67  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70549  Mr angiograph neck w/o&w/dye                      A   1.80  23.53    24.05    23.53NA  24.05 NA  0.67  26.00  26.52  26.00  26.52  1XXX.00.00.0040000             38.0870 090 05    14.05  14.05   0.43
70549TCMr angiograph neck w/o&w/dye                      A   0.00  22.92    23.42    22.92NA  23.42 NA  0.59  23.51  24.01  23.51  24.01  1XXX.00.00.0040000             38.0870 020 05    13.44  13.44   0.35
7054926Mr angiograph neck w/o&w/dye                      A   1.80   0.61     0.63     0.61     0.63     0.08   2.49   2.51   2.49   2.51  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70551  Mri brain w/o dye                                 A   1.48  13.07    14.44    13.07NA  14.44 NA  0.66  15.21  16.58  15.21  16.58  1XXX.00.00.0040000             38.0870 090 05     9.11   9.11   0.47
70551TCMri brain w/o dye                                 A   0.00  12.57    13.93    12.57NA  13.93 NA  0.59  13.16  14.52  13.16  14.52  1XXX.00.00.0040000             38.0870 010 05     8.61   8.61   0.40
7055126Mri brain w/o dye                                 A   1.48   0.50     0.51     0.50     0.51     0.07   2.05   2.06   2.05   2.06  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70552  Mri brain w/dye                                   A   1.78  14.82    15.59    14.82NA  15.59 NA  0.78  17.38  18.15  17.38  18.15  1XXX.00.00.0040000             38.0870 090 05    10.55  10.55   0.57
70552TCMri brain w/dye                                   A   0.00  14.21    14.97    14.21NA  14.97 NA  0.70  14.91  15.67  14.91  15.67  1XXX.00.00.0040000             38.0870 020 05     9.94   9.94   0.49
7055226Mri brain w/dye                                   A   1.78   0.61     0.62     0.61     0.62     0.08   2.47   2.48   2.47   2.48  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70553  Mri brain w/o & w/dye                             A   2.36  21.88    18.09    21.88NA  18.09 NA  1.41  25.65  21.86  25.65  21.86  1XXX.00.00.0040000             38.0870 090 05    13.78  13.78   0.91
70553TCMri brain w/o & w/dye                             A   0.00  21.08    17.27    21.08NA  17.27 NA  1.31  22.39  18.58  22.39  18.58  1XXX.00.00.0040000             38.0870 020 05    12.98  12.98   0.81
7055326Mri brain w/o & w/dye                             A   2.36   0.80     0.82     0.80     0.82     0.10   3.26   3.28   3.26   3.28  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70554  Fmri brain by tech                                A   2.11  15.42    15.42    15.42NA  15.42 NA  0.92  18.45  18.45  18.45  18.45  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
70554TCFmri brain by tech                                A   0.00  14.73    14.73    14.73NA  14.73 NA  0.82  15.55  15.55  15.55  15.55  1XXX.00.00.0003000             38.0870 020 99     0.00   0.00   0.00
7055426Fmri brain by tech                                A   2.11   0.69     0.69     0.69     0.69     0.10   2.90   2.90   2.90   2.90  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
70555  Fmri brain by phys/psych                          C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
70555TCFmri brain by phys/psych                          C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0003000             38.0870 020 99     0.00   0.00   0.00
7055526Fmri brain by phys/psych                          A   2.54   0.90     0.90     0.90     0.90     0.11   3.55   3.55   3.55   3.55  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
70557  Mri brain w/o dye                                 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             38.0870 090 99     9.38   9.38   0.80
70557TCMri brain w/o dye                                 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             38.0870 010 99     8.30   8.30   0.72
7055726Mri brain w/o dye                                 A   2.90   1.08     1.03     1.08     1.03     0.08   4.06   4.01   4.06   4.01  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70558  Mri brain w/dye                                   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             38.0870 090 99    10.76  10.76   0.93
70558TCMri brain w/dye                                   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             38.0870 020 99     9.59   9.59   0.83
7055826Mri brain w/dye                                   A   3.20   1.17     1.10     1.17     1.10     0.10   4.47   4.40   4.47   4.40  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
70559  Mri brain w/o & w/dye                             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             38.0870 090 99    13.88  13.88   1.22
70559TCMri brain w/o & w/dye                             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             38.0870 020 99    12.69  12.69   1.10
7055926Mri brain w/o & w/dye                             A   3.20   1.19     1.14     1.19     1.14     0.12   4.51   4.46   4.51   4.46  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71010  Chest x-ray                                       A   0.18   0.48     0.43     0.48NA   0.43 NA  0.03   0.69   0.64   0.69   0.64  1XXX.00.00.0000000             38.0870 090 99     1.17   1.17   0.06
71010TCChest x-ray                                       A   0.00   0.42     0.37     0.42NA   0.37 NA  0.02   0.44   0.39   0.44   0.39  1XXX.00.00.0000000             38.0870 010 99     1.11   1.11   0.05
7101026Chest x-ray                                       A   0.18   0.06     0.06     0.06     0.06     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71015  Chest x-ray                                       A   0.21   0.58     0.58     0.58NA   0.58 NA  0.03   0.82   0.82   0.82   0.82  1XXX.00.00.0000000             38.0870 090 99     1.19   1.19   0.05
71015TCChest x-ray                                       A   0.00   0.51     0.51     0.51NA   0.51 NA  0.02   0.53   0.53   0.53   0.53  1XXX.00.00.0000000             38.0870 010 99     1.12   1.12   0.04
7101526Chest x-ray                                       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             38.0870 090 99     0.00   0.00   0.00
71020  Chest x-ray                                       A   0.22   0.63     0.57     0.63NA   0.57 NA  0.05   0.90   0.84   0.90   0.84  1XXX.00.00.0000000             38.0870 090 99     1.16   1.16   0.09
71020TCChest x-ray                                       A   0.00   0.56     0.50     0.56NA   0.50 NA  0.04   0.60   0.54   0.60   0.54  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.08
7102026Chest x-ray                                       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             38.0870 090 99     0.00   0.00   0.00
71021  Chest x-ray                                       A   0.27   0.77     0.71     0.77NA   0.71 NA  0.06   1.10   1.04   1.10   1.04  1XXX.00.00.0000000             38.0870 090 99     1.17   1.17   0.09
71021TCChest x-ray                                       A   0.00   0.68     0.62     0.68NA   0.62 NA  0.05   0.73   0.67   0.73   0.67  1XXX.00.00.0000000             38.0870 010 99     1.08   1.08   0.08
7102126Chest x-ray                                       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             38.0870 090 99     0.00   0.00   0.00
71022  Chest x-ray                                       A   0.31   0.86     0.90     0.86NA   0.90 NA  0.06   1.23   1.27   1.23   1.27  1XXX.00.00.0000000             38.0870 090 99     1.19   1.19   0.08
71022TCChest x-ray                                       A   0.00   0.76     0.80     0.76NA   0.80 NA  0.05   0.81   0.85   0.81   0.85  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.07
7102226Chest x-ray                                       A   0.31   0.10     0.10     0.10     0.10     0.01   0.42   0.42   0.42   0.42  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71023  Chest x-ray and fluoroscopy                       A   0.38   1.23     1.54     1.23NA   1.54 NA  0.06   1.67   1.98   1.67   1.98  1XXX.00.00.0000000             38.0870 090 99     2.26   2.26   0.11
71023TCChest x-ray and fluoroscopy                       A   0.00   1.09     1.40     1.09NA   1.40 NA  0.05   1.14   1.45   1.14   1.45  1XXX.00.00.0000000             38.0870 030 99     2.12   2.12   0.10
7102326Chest x-ray and fluoroscopy                       A   0.38   0.14     0.14     0.14     0.14     0.01   0.53   0.53   0.53   0.53  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71030  Chest x-ray                                       A   0.31   0.90     0.92     0.90NA   0.92 NA  0.06   1.27   1.29   1.27   1.29  1XXX.00.00.0000000             38.0870 090 99     1.19   1.19   0.08
71030TCChest x-ray                                       A   0.00   0.80     0.82     0.80NA   0.82 NA  0.05   0.85   0.87   0.85   0.87  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.07
7103026Chest x-ray                                       A   0.31   0.10     0.10     0.10     0.10     0.01   0.42   0.42   0.42   0.42  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71034  Chest x-ray and fluoroscopy                       A   0.46   1.85     2.12     1.85NA   2.12 NA  0.10   2.41   2.68   2.41   2.68  1XXX.00.00.0000000             38.0870 090 99     2.30   2.30   0.12
71034TCChest x-ray and fluoroscopy                       A   0.00   1.67     1.91     1.67NA   1.91 NA  0.08   1.75   1.99   1.75   1.99  1XXX.00.00.0000000             38.0870 030 99     2.12   2.12   0.10
7103426Chest x-ray and fluoroscopy                       A   0.46   0.18     0.21     0.18     0.21     0.02   0.66   0.69   0.66   0.69  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71035  Chest x-ray                                       A   0.18   0.68     0.78     0.68NA   0.78 NA  0.03   0.89   0.99   0.89   0.99  1XXX.00.00.0000000             38.0870 090 99     1.19   1.19   0.05
71035TCChest x-ray                                       A   0.00   0.62     0.72     0.62NA   0.72 NA  0.02   0.64   0.74   0.64   0.74  1XXX.00.00.0000000             38.0870 010 99     1.13   1.13   0.04
7103526Chest x-ray                                       A   0.18   0.06     0.06     0.06     0.06     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71040  Contrast x-ray of bronchi                         A   0.58   1.85     2.06     1.85NA   2.06 NA  0.11   2.54   2.75   2.54   2.75  1XXX.00.00.0000000             38.0870 090 99     4.46   4.46   0.24
71040TCContrast x-ray of bronchi                         A   0.00   1.67     1.88     1.67NA   1.88 NA  0.08   1.75   1.96   1.75   1.96  1XXX.00.00.0000000             38.0870 030 99     4.28   4.28   0.21
7104026Contrast x-ray of bronchi                         A   0.58   0.18     0.18     0.18     0.18     0.03   0.79   0.79   0.79   0.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71060  Contrast x-ray of bronchi                         A   0.74   2.78     3.11     2.78NA   3.11 NA  0.16   3.68   4.01   3.68   4.01  1XXX.00.00.0002000             38.0870 090 99     8.78   8.78   0.47
71060TCContrast x-ray of bronchi                         A   0.00   2.53     2.85     2.53NA   2.85 NA  0.13   2.66   2.98   2.66   2.98  1XXX.00.00.0002000             38.0870 030 99     8.53   8.53   0.44
7106026Contrast x-ray of bronchi                         A   0.74   0.25     0.26     0.25     0.26     0.03   1.02   1.03   1.02   1.03  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
71090  X-ray & pacemaker insertion                       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             38.0870 090 99     0.00   0.00   0.00
71090TCX-ray & pacemaker insertion                       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             38.0870 030 99     0.00   0.00   0.00
7109026X-ray & pacemaker insertion                       A   0.54   0.24     0.28     0.24     0.28     0.02   0.80   0.84   0.80   0.84  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71100  X-ray exam of ribs                                A   0.22   0.63     0.62     0.63NA   0.62 NA  0.05   0.90   0.89   0.90   0.89  1XXX.00.00.0000000             38.0870 090 99     1.16   1.16   0.09
71100TCX-ray exam of ribs                                A   0.00   0.56     0.55     0.56NA   0.55 NA  0.04   0.60   0.59   0.60   0.59  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.08
7110026X-ray exam of ribs                                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             38.0870 090 99     0.00   0.00   0.00
71101  X-ray exam of ribs/chest                          A   0.27   0.76     0.77     0.76NA   0.77 NA  0.05   1.08   1.09   1.08   1.09  1XXX.00.00.0000000             38.0870 090 99     1.19   1.19   0.08
71101TCX-ray exam of ribs/chest                          A   0.00   0.67     0.68     0.67NA   0.68 NA  0.04   0.71   0.72   0.71   0.72  1XXX.00.00.0000000             38.0870 010 99     1.10   1.10   0.07
7110126X-ray exam of ribs/chest                          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             38.0870 090 99     0.00   0.00   0.00
71110  X-ray exam of ribs                                A   0.27   0.82     0.77     0.82NA   0.77 NA  0.06   1.15   1.10   1.15   1.10  1XXX.00.00.0002000             38.0870 090 99     1.18   1.18   0.08
71110TCX-ray exam of ribs                                A   0.00   0.73     0.69     0.73NA   0.69 NA  0.05   0.78   0.74   0.78   0.74  1XXX.00.00.0002000             38.0870 010 99     1.09   1.09   0.07
7111026X-ray exam of ribs                                A   0.27   0.09     0.08     0.09     0.08     0.01   0.37   0.36   0.37   0.36  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
71111  X-ray exam of ribs/chest                          A   0.32   1.03     1.06     1.03NA   1.06 NA  0.07   1.42   1.45   1.42   1.45  1XXX.00.00.0002000             38.0870 090 99     1.92   1.92   0.13
71111TCX-ray exam of ribs/chest                          A   0.00   0.93     0.96     0.93NA   0.96 NA  0.06   0.99   1.02   0.99   1.02  1XXX.00.00.0002000             38.0870 010 99     1.82   1.82   0.12
7111126X-ray exam of ribs/chest                          A   0.32   0.10     0.10     0.10     0.10     0.01   0.43   0.43   0.43   0.43  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
71120  X-ray exam of breastbone                          A   0.20   0.68     0.63     0.68NA   0.63 NA  0.05   0.93   0.88   0.93   0.88  1XXX.00.00.0000000             38.0870 090 99     1.16   1.16   0.08
71120TCX-ray exam of breastbone                          A   0.00   0.61     0.56     0.61NA   0.56 NA  0.04   0.65   0.60   0.65   0.60  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.07
7112026X-ray exam of breastbone                          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             38.0870 090 99     0.00   0.00   0.00
71130  X-ray exam of breastbone                          A   0.22   0.76     0.76     0.76NA   0.76 NA  0.05   1.03   1.03   1.03   1.03  1XXX.00.00.0000000             38.0870 090 99     1.17   1.17   0.07
71130TCX-ray exam of breastbone                          A   0.00   0.69     0.68     0.69NA   0.68 NA  0.04   0.73   0.72   0.73   0.72  1XXX.00.00.0000000             38.0870 010 99     1.10   1.10   0.06
7113026X-ray exam of breastbone                          A   0.22   0.07     0.08     0.07     0.08     0.01   0.30   0.31   0.30   0.31  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71250  Ct thorax w/o dye                                 A   1.16   6.37     6.45     6.37NA   6.45 NA  0.36   7.89   7.97   7.89   7.97  1XXX.00.00.0040000             38.0870 090 02     5.18   5.18   0.30
71250TCCt thorax w/o dye                                 A   0.00   5.98     6.04     5.98NA   6.04 NA  0.31   6.29   6.35   6.29   6.35  1XXX.00.00.0040000             38.0870 010 02     4.79   4.79   0.25
7125026Ct thorax w/o dye                                 A   1.16   0.39     0.41     0.39     0.41     0.05   1.60   1.62   1.60   1.62  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71260  Ct thorax w/dye                                   A   1.24   7.74     8.00     7.74NA   8.00 NA  0.42   9.40   9.66   9.40   9.66  1XXX.00.00.0040000             38.0870 090 02     7.35   7.35   0.40
71260TCCt thorax w/dye                                   A   0.00   7.32     7.56     7.32NA   7.56 NA  0.37   7.69   7.93   7.69   7.93  1XXX.00.00.0040000             38.0870 020 02     6.93   6.93   0.35
7126026Ct thorax w/dye                                   A   1.24   0.42     0.44     0.42     0.44     0.05   1.71   1.73   1.71   1.73  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71270  Ct thorax w/o & w/dye                             A   1.38   9.68    10.04     9.68NA  10.04 NA  0.52  11.58  11.94  11.58  11.94  1XXX.00.00.0040000             38.0870 090 02     8.61   8.61   0.47
71270TCCt thorax w/o & w/dye                             A   0.00   9.21     9.56     9.21NA   9.56 NA  0.46   9.67  10.02   9.67  10.02  1XXX.00.00.0040000             38.0870 020 02     8.14   8.14   0.41
7127026Ct thorax w/o & w/dye                             A   1.38   0.47     0.48     0.47     0.48     0.06   1.91   1.92   1.91   1.92  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71275  Ct angiography, chest                             A   1.92  12.39    11.77    12.39NA  11.77 NA  0.48  14.79  14.17  14.79  14.17  1XXX.00.00.0040000             38.0870 090 02     9.02   9.02   0.37
71275TCCt angiography, chest                             A   0.00  11.73    11.08    11.73NA  11.08 NA  0.39  12.12  11.47  12.12  11.47  1XXX.00.00.0040000             38.0870 020 02     8.36   8.36   0.28
7127526Ct angiography, chest                             A   1.92   0.66     0.69     0.66     0.69     0.09   2.67   2.70   2.67   2.70  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71550  Mri chest w/o dye                                 A   1.46  14.03    16.38    14.03NA  16.38 NA  0.51  16.00  18.35  16.00  18.35  1XXX.00.00.0040000             38.0870 090 04     9.22   9.22   0.35
71550TCMri chest w/o dye                                 A   0.00  13.54    15.87    13.54NA  15.87 NA  0.45  13.99  16.32  13.99  16.32  1XXX.00.00.0040000             38.0870 010 04     8.73   8.73   0.29
7155026Mri chest w/o dye                                 A   1.46   0.49     0.51     0.49     0.51     0.06   2.01   2.03   2.01   2.03  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71551  Mri chest w/dye                                   A   1.73  15.97    17.94    15.97NA  17.94 NA  0.60  18.30  20.27  18.30  20.27  1XXX.00.00.0040000             38.0870 090 04    10.67  10.67   0.42
71551TCMri chest w/dye                                   A   0.00  15.39    17.34    15.39NA  17.34 NA  0.52  15.91  17.86  15.91  17.86  1XXX.00.00.0040000             38.0870 020 04    10.09  10.09   0.34
7155126Mri chest w/dye                                   A   1.73   0.58     0.60     0.58     0.60     0.08   2.39   2.41   2.39   2.41  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71552  Mri chest w/o & w/dye                             A   2.26  24.10    22.58    24.10NA  22.58 NA  0.78  27.14  25.62  27.14  25.62  1XXX.00.00.0040000             38.0870 090 04    14.17  14.17   0.49
71552TCMri chest w/o & w/dye                             A   0.00  23.33    21.77    23.33NA  21.77 NA  0.68  24.01  22.45  24.01  22.45  1XXX.00.00.0040000             38.0870 020 04    13.40  13.40   0.39
7155226Mri chest w/o & w/dye                             A   2.26   0.77     0.81     0.77     0.81     0.10   3.13   3.17   3.13   3.17  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
71555  Mri angio chest w or w/o dye                      R   1.81  13.56    15.31    13.56NA  15.31 NA  0.67  16.04  17.79  16.04  17.79  1XXX.00.00.0040000             38.0870 090 04    10.60  10.60   0.54
71555TCMri angio chest w or w/o dye                      R   0.00  12.93    14.65    12.93NA  14.65 NA  0.59  13.52  15.24  13.52  15.24  1XXX.00.00.0040000             38.0870 020 04     9.97   9.97   0.46
7155526Mri angio chest w or w/o dye                      R   1.81   0.63     0.66     0.63     0.66     0.08   2.52   2.55   2.52   2.55  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72010  X-ray exam of spine                               A   0.45   1.30     1.43     1.30NA   1.43 NA  0.08   1.83   1.96   1.83   1.96  1XXX.00.00.0000000             38.0870 090 99     1.25   1.25   0.08
72010TCX-ray exam of spine                               A   0.00   1.16     1.30     1.16NA   1.30 NA  0.06   1.22   1.36   1.22   1.36  1XXX.00.00.0000000             38.0870 010 99     1.11   1.11   0.06
7201026X-ray exam of spine                               A   0.45   0.14     0.13     0.14     0.13     0.02   0.61   0.60   0.61   0.60  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72020  X-ray exam of spine                               A   0.15   0.47     0.47     0.47NA   0.47 NA  0.03   0.65   0.65   0.65   0.65  1XXX.00.00.0000000             38.0870 090 99     1.16   1.16   0.06
72020TCX-ray exam of spine                               A   0.00   0.42     0.42     0.42NA   0.42 NA  0.02   0.44   0.44   0.44   0.44  1XXX.00.00.0000000             38.0870 010 99     1.11   1.11   0.05
7202026X-ray exam of spine                               A   0.15   0.05     0.05     0.05     0.05     0.01   0.21   0.21   0.21   0.21  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72040  X-ray exam of neck spine                          A   0.22   0.72     0.76     0.72NA   0.76 NA  0.05   0.99   1.03   0.99   1.03  1XXX.00.00.0000000             38.0870 090 99     1.17   1.17   0.08
72040TCX-ray exam of neck spine                          A   0.00   0.65     0.69     0.65NA   0.69 NA  0.04   0.69   0.73   0.69   0.73  1XXX.00.00.0000000             38.0870 010 99     1.10   1.10   0.07
7204026X-ray exam of neck 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             38.0870 090 99     0.00   0.00   0.00
72050  X-ray exam of neck 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             38.0870 090 99     1.92   1.92   0.13
72050TCX-ray exam of neck spine                          A   0.00   0.93     0.97     0.93NA   0.97 NA  0.06   0.99   1.03   0.99   1.03  1XXX.00.00.0000000             38.0870 010 99     1.82   1.82   0.12
7205026X-ray exam of neck spine                          A   0.31   0.10     0.11     0.10     0.11     0.01   0.42   0.43   0.42   0.43  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72052  X-ray exam of neck spine                          A   0.36   1.32     1.39     1.32NA   1.39 NA  0.08   1.76   1.83   1.76   1.83  1XXX.00.00.0000000             38.0870 090 99     1.96   1.96   0.11
72052TCX-ray exam of neck spine                          A   0.00   1.20     1.27     1.20NA   1.27 NA  0.06   1.26   1.33   1.26   1.33  1XXX.00.00.0000000             38.0870 010 99     1.84   1.84   0.09
7205226X-ray exam of neck spine                          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             38.0870 090 99     0.00   0.00   0.00
72069  X-ray exam of trunk spine                         A   0.22   0.66     0.76     0.66NA   0.76 NA  0.03   0.91   1.01   0.91   1.01  1XXX.00.00.0000000             38.0870 090 99     1.20   1.20   0.05
72069TCX-ray exam of trunk spine                         A   0.00   0.58     0.68     0.58NA   0.68 NA  0.02   0.60   0.70   0.60   0.70  1XXX.00.00.0000000             38.0870 010 99     1.12   1.12   0.04
7206926X-ray exam of trunk spine                         A   0.22   0.08     0.08     0.08     0.08     0.01   0.31   0.31   0.31   0.31  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72070  X-ray exam of thoracic spine                      A   0.22   0.68     0.64     0.68NA   0.64 NA  0.05   0.95   0.91   0.95   0.91  1XXX.00.00.0000000             38.0870 090 99     1.16   1.16   0.08
72070TCX-ray exam of thoracic spine                      A   0.00   0.61     0.57     0.61NA   0.57 NA  0.04   0.65   0.61   0.65   0.61  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.07
7207026X-ray exam of thoracic 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             38.0870 090 99     0.00   0.00   0.00
72072  X-ray exam of thoracic spine                      A   0.22   0.78     0.77     0.78NA   0.77 NA  0.06   1.06   1.05   1.06   1.05  1XXX.00.00.0000000             38.0870 090 99     1.16   1.16   0.09
72072TCX-ray exam of thoracic spine                      A   0.00   0.71     0.70     0.71NA   0.70 NA  0.05   0.76   0.75   0.76   0.75  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.08
7207226X-ray exam of thoracic 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             38.0870 090 99     0.00   0.00   0.00
72074  X-ray exam of thoracic spine                      A   0.22   0.96     0.95     0.96NA   0.95 NA  0.07   1.25   1.24   1.25   1.24  1XXX.00.00.0000000             38.0870 090 99     1.16   1.16   0.08
72074TCX-ray exam of thoracic spine                      A   0.00   0.89     0.88     0.89NA   0.88 NA  0.06   0.95   0.94   0.95   0.94  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.07
7207426X-ray exam of thoracic 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             38.0870 090 99     0.00   0.00   0.00
72080  X-ray exam of trunk spine                         A   0.22   0.71     0.70     0.71NA   0.70 NA  0.05   0.98   0.97   0.98   0.97  1XXX.00.00.0000000             38.0870 090 99     1.16   1.16   0.08
72080TCX-ray exam of trunk spine                         A   0.00   0.64     0.62     0.64NA   0.62 NA  0.04   0.68   0.66   0.68   0.66  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.07
7208026X-ray exam of trunk spine                         A   0.22   0.07     0.08     0.07     0.08     0.01   0.30   0.31   0.30   0.31  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72090  X-ray exam of trunk spine                         A   0.28   0.89     1.00     0.89NA   1.00 NA  0.05   1.22   1.33   1.22   1.33  1XXX.00.00.0000000             38.0870 090 99     1.94   1.94   0.10
72090TCX-ray exam of trunk spine                         A   0.00   0.79     0.90     0.79NA   0.90 NA  0.04   0.83   0.94   0.83   0.94  1XXX.00.00.0000000             38.0870 010 99     1.84   1.84   0.09
7209026X-ray exam of trunk spine                         A   0.28   0.10     0.10     0.10     0.10     0.01   0.39   0.39   0.39   0.39  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72100  X-ray exam of lower spine                         A   0.22   0.77     0.81     0.77NA   0.81 NA  0.05   1.04   1.08   1.04   1.08  1XXX.00.00.0000000             38.0870 090 99     1.17   1.17   0.07
72100TCX-ray exam of lower spine                         A   0.00   0.70     0.74     0.70NA   0.74 NA  0.04   0.74   0.78   0.74   0.78  1XXX.00.00.0000000             38.0870 010 99     1.10   1.10   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             38.0870 090 99     0.00   0.00   0.00
72110  X-ray exam of lower spine                         A   0.31   1.07     1.15     1.07NA   1.15 NA  0.07   1.45   1.53   1.45   1.53  1XXX.00.00.0000000             38.0870 090 99     1.92   1.92   0.12
72110TCX-ray exam of lower spine                         A   0.00   0.97     1.04     0.97NA   1.04 NA  0.06   1.03   1.10   1.03   1.10  1XXX.00.00.0000000             38.0870 010 99     1.82   1.82   0.11
7211026X-ray exam of lower spine                         A   0.31   0.10     0.11     0.10     0.11     0.01   0.42   0.43   0.42   0.43  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72114  X-ray exam of lower spine                         A   0.36   1.43     1.57     1.43NA   1.57 NA  0.08   1.87   2.01   1.87   2.01  1XXX.00.00.0000000             38.0870 090 99     1.97   1.97   0.10
72114TCX-ray exam of lower spine                         A   0.00   1.31     1.44     1.31NA   1.44 NA  0.06   1.37   1.50   1.37   1.50  1XXX.00.00.0000000             38.0870 010 99     1.85   1.85   0.08
7211426X-ray exam of lower spine                         A   0.36   0.12     0.13     0.12     0.13     0.02   0.50   0.51   0.50   0.51  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72120  X-ray exam of lower spine                         A   0.22   1.01     1.08     1.01NA   1.08 NA  0.07   1.30   1.37   1.30   1.37  1XXX.00.00.0000000             38.0870 090 99     1.89   1.89   0.13
72120TCX-ray exam of lower spine                         A   0.00   0.94     1.00     0.94NA   1.00 NA  0.06   1.00   1.06   1.00   1.06  1XXX.00.00.0000000             38.0870 010 99     1.82   1.82   0.12
7212026X-ray exam of lower spine                         A   0.22   0.07     0.08     0.07     0.08     0.01   0.30   0.31   0.30   0.31  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72125  Ct neck spine w/o dye                             A   1.16   6.38     6.47     6.38NA   6.47 NA  0.36   7.90   7.99   7.90   7.99  1XXX.00.00.0040000             38.0870 090 07     5.18   5.18   0.30
72125TCCt neck spine w/o dye                             A   0.00   5.99     6.06     5.99NA   6.06 NA  0.31   6.30   6.37   6.30   6.37  1XXX.00.00.0040000             38.0870 010 07     4.79   4.79   0.25
7212526Ct neck spine w/o dye                             A   1.16   0.39     0.41     0.39     0.41     0.05   1.60   1.62   1.60   1.62  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72126  Ct neck spine w/dye                               A   1.22   7.73     8.00     7.73NA   8.00 NA  0.42   9.37   9.64   9.37   9.64  1XXX.00.00.0040000             38.0870 090 07     7.34   7.34   0.40
72126TCCt neck spine w/dye                               A   0.00   7.32     7.57     7.32NA   7.57 NA  0.37   7.69   7.94   7.69   7.94  1XXX.00.00.0040000             38.0870 020 07     6.93   6.93   0.35
7212626Ct neck spine w/dye                               A   1.22   0.41     0.43     0.41     0.43     0.05   1.68   1.70   1.68   1.70  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72127  Ct neck spine w/o & w/dye                         A   1.27   9.66    10.05     9.66NA  10.05 NA  0.52  11.45  11.84  11.45  11.84  1XXX.00.00.0040000             38.0870 090 07     8.57   8.57   0.47
72127TCCt neck spine w/o & w/dye                         A   0.00   9.23     9.61     9.23NA   9.61 NA  0.46   9.69  10.07   9.69  10.07  1XXX.00.00.0040000             38.0870 020 07     8.14   8.14   0.41
7212726Ct neck spine w/o & w/dye                         A   1.27   0.43     0.44     0.43     0.44     0.06   1.76   1.77   1.76   1.77  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72128  Ct chest spine w/o dye                            A   1.16   6.37     6.46     6.37NA   6.46 NA  0.36   7.89   7.98   7.89   7.98  1XXX.00.00.0040000             38.0870 090 07     5.18   5.18   0.30
72128TCCt chest spine w/o dye                            A   0.00   5.98     6.05     5.98NA   6.05 NA  0.31   6.29   6.36   6.29   6.36  1XXX.00.00.0040000             38.0870 010 07     4.79   4.79   0.25
7212826Ct chest spine w/o dye                            A   1.16   0.39     0.41     0.39     0.41     0.05   1.60   1.62   1.60   1.62  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72129  Ct chest spine w/dye                              A   1.22   7.74     8.00     7.74NA   8.00 NA  0.42   9.38   9.64   9.38   9.64  1XXX.00.00.0040000             38.0870 090 07     7.35   7.35   0.40
72129TCCt chest spine w/dye                              A   0.00   7.32     7.57     7.32NA   7.57 NA  0.37   7.69   7.94   7.69   7.94  1XXX.00.00.0040000             38.0870 020 07     6.93   6.93   0.35
7212926Ct chest spine w/dye                              A   1.22   0.42     0.43     0.42     0.43     0.05   1.69   1.70   1.69   1.70  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72130  Ct chest spine w/o & w/dye                        A   1.27   9.63     9.98     9.63NA   9.98 NA  0.52  11.42  11.77  11.42  11.77  1XXX.00.00.0040000             38.0870 090 07     8.57   8.57   0.47
72130TCCt chest spine w/o & w/dye                        A   0.00   9.20     9.54     9.20NA   9.54 NA  0.46   9.66  10.00   9.66  10.00  1XXX.00.00.0040000             38.0870 020 07     8.14   8.14   0.41
7213026Ct chest spine w/o & w/dye                        A   1.27   0.43     0.44     0.43     0.44     0.06   1.76   1.77   1.76   1.77  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72131  Ct lumbar spine w/o dye                           A   1.16   6.36     6.43     6.36NA   6.43 NA  0.36   7.88   7.95   7.88   7.95  1XXX.00.00.0040000             38.0870 090 07     5.18   5.18   0.30
72131TCCt lumbar spine w/o dye                           A   0.00   5.97     6.03     5.97NA   6.03 NA  0.31   6.28   6.34   6.28   6.34  1XXX.00.00.0040000             38.0870 010 07     4.79   4.79   0.25
7213126Ct lumbar spine w/o dye                           A   1.16   0.39     0.40     0.39     0.40     0.05   1.60   1.61   1.60   1.61  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72132  Ct lumbar spine w/dye                             A   1.22   7.72     7.98     7.72NA   7.98 NA  0.42   9.36   9.62   9.36   9.62  1XXX.00.00.0040000             38.0870 090 07     7.34   7.34   0.40
72132TCCt lumbar spine w/dye                             A   0.00   7.31     7.55     7.31NA   7.55 NA  0.37   7.68   7.92   7.68   7.92  1XXX.00.00.0040000             38.0870 020 07     6.93   6.93   0.35
7213226Ct lumbar spine w/dye                             A   1.22   0.41     0.43     0.41     0.43     0.05   1.68   1.70   1.68   1.70  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72133  Ct lumbar spine w/o & w/dye                       A   1.27   9.65    10.02     9.65NA  10.02 NA  0.52  11.44  11.81  11.44  11.81  1XXX.00.00.0040000             38.0870 090 07     8.57   8.57   0.47
72133TCCt lumbar spine w/o & w/dye                       A   0.00   9.22     9.58     9.22NA   9.58 NA  0.46   9.68  10.04   9.68  10.04  1XXX.00.00.0040000             38.0870 020 07     8.14   8.14   0.41
7213326Ct lumbar spine w/o & w/dye                       A   1.27   0.43     0.44     0.43     0.44     0.06   1.76   1.77   1.76   1.77  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72141  Mri neck spine w/o dye                            A   1.60  12.10    12.46    12.10NA  12.46 NA  0.66  14.36  14.72  14.36  14.72  1XXX.00.00.0040000             38.0870 090 06     9.12   9.12   0.51
72141TCMri neck spine w/o dye                            A   0.00  11.56    11.91    11.56NA  11.91 NA  0.59  12.15  12.50  12.15  12.50  1XXX.00.00.0040000             38.0870 010 06     8.58   8.58   0.44
7214126Mri neck spine w/o dye                            A   1.60   0.54     0.55     0.54     0.55     0.07   2.21   2.22   2.21   2.22  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72142  Mri neck spine w/dye                              A   1.92  14.85    15.62    14.85NA  15.62 NA  0.79  17.56  18.33  17.56  18.33  1XXX.00.00.0040000             38.0870 090 06    10.59  10.59   0.58
72142TCMri neck spine w/dye                              A   0.00  14.20    14.96    14.20NA  14.96 NA  0.70  14.90  15.66  14.90  15.66  1XXX.00.00.0040000             38.0870 020 06     9.94   9.94   0.49
7214226Mri neck spine w/dye                              A   1.92   0.65     0.66     0.65     0.66     0.09   2.66   2.67   2.66   2.67  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72146  Mri chest spine w/o dye                           A   1.60  12.73    12.48    12.73NA  12.48 NA  0.71  15.04  14.79  15.04  14.79  1XXX.00.00.0040000             38.0870 090 06     9.11   9.11   0.52
72146TCMri chest spine w/o dye                           A   0.00  12.19    11.93    12.19NA  11.93 NA  0.64  12.83  12.57  12.83  12.57  1XXX.00.00.0040000             38.0870 010 06     8.57   8.57   0.45
7214626Mri chest spine w/o dye                           A   1.60   0.54     0.55     0.54     0.55     0.07   2.21   2.22   2.21   2.22  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72147  Mri chest spine w/dye                             A   1.92  13.83    13.58    13.83NA  13.58 NA  0.79  16.54  16.29  16.54  16.29  1XXX.00.00.0040000             38.0870 090 06    10.55  10.55   0.62
72147TCMri chest spine w/dye                             A   0.00  13.18    12.91    13.18NA  12.91 NA  0.70  13.88  13.61  13.88  13.61  1XXX.00.00.0040000             38.0870 020 06     9.90   9.90   0.53
7214726Mri chest spine w/dye                             A   1.92   0.65     0.67     0.65     0.67     0.09   2.66   2.68   2.66   2.68  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72148  Mri lumbar spine w/o dye                          A   1.48  12.68    12.42    12.68NA  12.42 NA  0.71  14.87  14.61  14.87  14.61  1XXX.00.00.0040000             38.0870 090 06     9.07   9.07   0.52
72148TCMri lumbar spine w/o dye                          A   0.00  12.18    11.91    12.18NA  11.91 NA  0.64  12.82  12.55  12.82  12.55  1XXX.00.00.0040000             38.0870 010 06     8.57   8.57   0.45
7214826Mri lumbar spine w/o dye                          A   1.48   0.50     0.51     0.50     0.51     0.07   2.05   2.06   2.05   2.06  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72149  Mri lumbar spine w/dye                            A   1.78  14.79    15.52    14.79NA  15.52 NA  0.78  17.35  18.08  17.35  18.08  1XXX.00.00.0040000             38.0870 090 06    10.55  10.55   0.57
72149TCMri lumbar spine w/dye                            A   0.00  14.18    14.90    14.18NA  14.90 NA  0.70  14.88  15.60  14.88  15.60  1XXX.00.00.0040000             38.0870 020 06     9.94   9.94   0.49
7214926Mri lumbar spine w/dye                            A   1.78   0.61     0.62     0.61     0.62     0.08   2.47   2.48   2.47   2.48  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72156  Mri neck spine w/o & w/dye                        A   2.57  21.77    17.79    21.77NA  17.79 NA  1.42  25.76  21.78  25.76  21.78  1XXX.00.00.0040000             38.0870 090 06    13.85  13.85   0.92
72156TCMri neck spine w/o & w/dye                        A   0.00  20.90    16.90    20.90NA  16.90 NA  1.31  22.21  18.21  22.21  18.21  1XXX.00.00.0040000             38.0870 020 06    12.98  12.98   0.81
7215626Mri neck spine w/o & w/dye                        A   2.57   0.87     0.89     0.87     0.89     0.11   3.55   3.57   3.55   3.57  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72157  Mri chest spine w/o & w/dye                       A   2.57  20.98    16.22    20.98NA  16.22 NA  1.42  24.97  20.21  24.97  20.21  1XXX.00.00.0040000             38.0870 090 06    13.82  13.82   0.95
72157TCMri chest spine w/o & w/dye                       A   0.00  20.11    15.32    20.11NA  15.32 NA  1.31  21.42  16.63  21.42  16.63  1XXX.00.00.0040000             38.0870 020 06    12.95  12.95   0.84
7215726Mri chest spine w/o & w/dye                       A   2.57   0.87     0.90     0.87     0.90     0.11   3.55   3.58   3.55   3.58  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72158  Mri lumbar spine w/o & w/dye                      A   2.36  21.69    17.70    21.69NA  17.70 NA  1.41  25.46  21.47  25.46  21.47  1XXX.00.00.0040000             38.0870 090 06    13.78  13.78   0.91
72158TCMri lumbar spine w/o & w/dye                      A   0.00  20.89    16.88    20.89NA  16.88 NA  1.31  22.20  18.19  22.20  18.19  1XXX.00.00.0040000             38.0870 020 06    12.98  12.98   0.81
7215826Mri lumbar spine w/o & w/dye                      A   2.36   0.80     0.82     0.80     0.82     0.10   3.26   3.28   3.26   3.28  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72159  Mr angio spine w/o&w/dye                          N+  1.80  13.80    14.67    13.80NA  14.67 NA  0.74  16.34  17.21  16.34  17.21  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
72159TCMr angio spine w/o&w/dye                          N+  0.00  13.25    14.25    13.25NA  14.25 NA  0.64  13.89  14.89  13.89  14.89  1XXX.00.00.0099999             38.0870 020 99     0.00   0.00   0.00
7215926Mr angio spine w/o&w/dye                          N+  1.80   0.55     0.42     0.55     0.42     0.10   2.45   2.32   2.45   2.32  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
72170  X-ray exam of pelvis                              A   0.17   0.54     0.50     0.54NA   0.50 NA  0.03   0.74   0.70   0.74   0.70  1XXX.00.00.0000000             38.0870 090 99     1.18   1.18   0.06
72170TCX-ray exam of pelvis                              A   0.00   0.48     0.44     0.48NA   0.44 NA  0.02   0.50   0.46   0.50   0.46  1XXX.00.00.0000000             38.0870 010 99     1.12   1.12   0.05
7217026X-ray exam of pelvis                              A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72190  X-ray exam of pelvis                              A   0.21   0.79     0.84     0.79NA   0.84 NA  0.05   1.05   1.10   1.05   1.10  1XXX.00.00.0000000             38.0870 090 99     1.17   1.17   0.07
72190TCX-ray exam of pelvis                              A   0.00   0.72     0.77     0.72NA   0.77 NA  0.04   0.76   0.81   0.76   0.81  1XXX.00.00.0000000             38.0870 010 99     1.10   1.10   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             38.0870 090 99     0.00   0.00   0.00
72191  Ct angiograph pelv w/o&w/dye                      A   1.81  11.99    11.34    11.99NA  11.34 NA  0.47  14.27  13.62  14.27  13.62  1XXX.00.00.0040000             38.0870 090 02     8.98   8.98   0.37
72191TCCt angiograph pelv w/o&w/dye                      A   0.00  11.36    10.69    11.36NA  10.69 NA  0.39  11.75  11.08  11.75  11.08  1XXX.00.00.0040000             38.0870 020 02     8.35   8.35   0.29
7219126Ct angiograph pelv w/o&w/dye                      A   1.81   0.63     0.65     0.63     0.65     0.08   2.52   2.54   2.52   2.54  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72192  Ct pelvis w/o dye                                 A   1.09   6.15     6.04     6.15NA   6.04 NA  0.36   7.60   7.49   7.60   7.49  1XXX.00.00.0040000             38.0870 090 02     5.15   5.15   0.31
72192TCCt pelvis w/o dye                                 A   0.00   5.78     5.65     5.78NA   5.65 NA  0.31   6.09   5.96   6.09   5.96  1XXX.00.00.0040000             38.0870 010 02     4.78   4.78   0.26
7219226Ct pelvis w/o dye                                 A   1.09   0.37     0.39     0.37     0.39     0.05   1.51   1.53   1.51   1.53  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72193  Ct pelvis w/dye                                   A   1.16   7.39     7.55     7.39NA   7.55 NA  0.41   8.96   9.12   8.96   9.12  1XXX.00.00.0040000             38.0870 090 02     7.33   7.33   0.41
72193TCCt pelvis w/dye                                   A   0.00   6.99     7.14     6.99NA   7.14 NA  0.36   7.35   7.50   7.35   7.50  1XXX.00.00.0040000             38.0870 020 02     6.93   6.93   0.36
7219326Ct pelvis w/dye                                   A   1.16   0.40     0.41     0.40     0.41     0.05   1.61   1.62   1.61   1.62  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72194  Ct pelvis w/o & w/dye                             A   1.22   9.51    10.13     9.51NA  10.13 NA  0.48  11.21  11.83  11.21  11.83  1XXX.00.00.0040000             38.0870 090 02     8.57   8.57   0.44
72194TCCt pelvis w/o & w/dye                             A   0.00   9.10     9.70     9.10NA   9.70 NA  0.43   9.53  10.13   9.53  10.13  1XXX.00.00.0040000             38.0870 020 02     8.16   8.16   0.39
7219426Ct pelvis w/o & w/dye                             A   1.22   0.41     0.43     0.41     0.43     0.05   1.68   1.70   1.68   1.70  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72195  Mri pelvis w/o dye                                A   1.46  13.06    14.44    13.06NA  14.44 NA  0.51  15.03  16.41  15.03  16.41  1XXX.00.00.0040000             38.0870 090 04     9.20   9.20   0.37
72195TCMri pelvis w/o dye                                A   0.00  12.57    13.93    12.57NA  13.93 NA  0.45  13.02  14.38  13.02  14.38  1XXX.00.00.0040000             38.0870 010 04     8.71   8.71   0.31
7219526Mri pelvis w/o dye                                A   1.46   0.49     0.51     0.49     0.51     0.06   2.01   2.03   2.01   2.03  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72196  Mri pelvis w/dye                                  A   1.73  14.78    15.54    14.78NA  15.54 NA  0.60  17.11  17.87  17.11  17.87  1XXX.00.00.0040000             38.0870 090 04    10.65  10.65   0.45
72196TCMri pelvis w/dye                                  A   0.00  14.19    14.93    14.19NA  14.93 NA  0.52  14.71  15.45  14.71  15.45  1XXX.00.00.0040000             38.0870 020 04    10.06  10.06   0.37
7219626Mri pelvis w/dye                                  A   1.73   0.59     0.61     0.59     0.61     0.08   2.40   2.42   2.40   2.42  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72197  Mri pelvis w/o & w/dye                            A   2.26  22.30    18.97    22.30NA  18.97 NA  1.02  25.58  22.25  25.58  22.25  1XXX.00.00.0040000             38.0870 090 04    13.99  13.99   0.66
72197TCMri pelvis w/o & w/dye                            A   0.00  21.54    18.18    21.54NA  18.18 NA  0.92  22.46  19.10  22.46  19.10  1XXX.00.00.0040000             38.0870 020 04    13.23  13.23   0.56
7219726Mri pelvis w/o & w/dye                            A   2.26   0.76     0.79     0.76     0.79     0.10   3.12   3.15   3.12   3.15  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72198  Mr angio pelvis w/o & w/dye                       A   1.80  13.44    15.09    13.44NA  15.09 NA  0.67  15.91  17.56  15.91  17.56  1XXX.00.00.0040000             38.0870 090 04    10.58  10.58   0.54
72198TCMr angio pelvis w/o & w/dye                       A   0.00  12.83    14.45    12.83NA  14.45 NA  0.59  13.42  15.04  13.42  15.04  1XXX.00.00.0040000             38.0870 020 04     9.97   9.97   0.46
7219826Mr angio pelvis w/o & w/dye                       A   1.80   0.61     0.64     0.61     0.64     0.08   2.49   2.52   2.49   2.52  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72200  X-ray exam sacroiliac joints                      A   0.17   0.59     0.59     0.59NA   0.59 NA  0.03   0.79   0.79   0.79   0.79  1XXX.00.00.0000000             38.0870 090 99     1.18   1.18   0.05
72200TCX-ray exam sacroiliac joints                      A   0.00   0.53     0.54     0.53NA   0.54 NA  0.02   0.55   0.56   0.55   0.56  1XXX.00.00.0000000             38.0870 010 99     1.12   1.12   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             38.0870 090 99     0.00   0.00   0.00
72202  X-ray exam sacroiliac joints                      A   0.19   0.71     0.74     0.71NA   0.74 NA  0.05   0.95   0.98   0.95   0.98  1XXX.00.00.0000000             38.0870 090 99     1.16   1.16   0.08
72202TCX-ray exam sacroiliac joints                      A   0.00   0.65     0.67     0.65NA   0.67 NA  0.04   0.69   0.71   0.69   0.71  1XXX.00.00.0000000             38.0870 010 99     1.10   1.10   0.07
7220226X-ray exam sacroiliac joints                      A   0.19   0.06     0.07     0.06     0.07     0.01   0.26   0.27   0.26   0.27  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72220  X-ray exam of tailbone                            A   0.17   0.61     0.58     0.61NA   0.58 NA  0.05   0.83   0.80   0.83   0.80  1XXX.00.00.0000000             38.0870 090 99     1.14   1.14   0.09
72220TCX-ray exam of tailbone                            A   0.00   0.55     0.52     0.55NA   0.52 NA  0.04   0.59   0.56   0.59   0.56  1XXX.00.00.0000000             38.0870 010 99     1.08   1.08   0.08
7222026X-ray exam of tailbone                            A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72240  Contrast x-ray of neck spine                      A   0.91   3.80     2.58     3.80NA   2.58 NA  0.29   5.00   3.78   5.00   3.78  1XXX.00.00.0000000             38.0870 090 99    12.10  12.10   0.88
72240TCContrast x-ray of neck spine                      A   0.00   3.50     2.26     3.50NA   2.26 NA  0.25   3.75   2.51   3.75   2.51  1XXX.00.00.0000000             38.0870 030 99    11.80  11.80   0.84
7224026Contrast x-ray of neck spine                      A   0.91   0.30     0.32     0.30     0.32     0.04   1.25   1.27   1.25   1.27  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72255  Contrast x-ray, thorax spine                      A   0.91   3.43     2.24     3.43NA   2.24 NA  0.26   4.60   3.41   4.60   3.41  1XXX.00.00.0000000             38.0870 090 99    12.10  12.10   0.87
72255TCContrast x-ray, thorax spine                      A   0.00   3.15     1.96     3.15NA   1.96 NA  0.22   3.37   2.18   3.37   2.18  1XXX.00.00.0000000             38.0870 030 99    11.82  11.82   0.83
7225526Contrast x-ray, thorax spine                      A   0.91   0.28     0.28     0.28     0.28     0.04   1.23   1.23   1.23   1.23  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72265  Contrast x-ray, lower spine                       A   0.83   3.43     2.54     3.43NA   2.54 NA  0.26   4.52   3.63   4.52   3.63  1XXX.00.00.0000000             38.0870 090 99    12.09  12.09   0.86
72265TCContrast x-ray, lower spine                       A   0.00   3.16     2.25     3.16NA   2.25 NA  0.22   3.38   2.47   3.38   2.47  1XXX.00.00.0000000             38.0870 030 99    11.82  11.82   0.82
7226526Contrast x-ray, lower spine                       A   0.83   0.27     0.29     0.27     0.29     0.04   1.14   1.16   1.14   1.16  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72270  Contrast x-ray, spine                             A   1.33   5.27     3.99     5.27NA   3.99 NA  0.39   6.99   5.71   6.99   5.71  1XXX.00.00.0000000             38.0870 090 99    12.28  12.28   0.87
72270TCContrast x-ray, spine                             A   0.00   4.82     3.52     4.82NA   3.52 NA  0.33   5.15   3.85   5.15   3.85  1XXX.00.00.0000000             38.0870 030 99    11.83  11.83   0.81
7227026Contrast x-ray, spine                             A   1.33   0.45     0.47     0.45     0.47     0.06   1.84   1.86   1.84   1.86  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72275  Epidurography                                     A   0.76   2.02     1.73     2.02NA   1.73 NA  0.26   3.04   2.75   3.04   2.75  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
72275TCEpidurography                                     A   0.00   1.82     1.53     1.82NA   1.53 NA  0.22   2.04   1.75   2.04   1.75  1XXX.00.00.0099999             38.0870 030 99     0.00   0.00   0.00
7227526Epidurography                                     A   0.76   0.20     0.20     0.20     0.20     0.04   1.00   1.00   1.00   1.00  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
72285  X-ray c/t spine disk                              A   1.16   5.09     1.44     5.09NA   1.44 NA  0.50   6.75   3.10   6.75   3.10  1XXX.00.00.0000000             38.0870 090 99    31.29  31.29   2.87
72285TCX-ray c/t spine disk                              A   0.00   4.76     1.14     4.76NA   1.14 NA  0.43   5.19   1.57   5.19   1.57  1XXX.00.00.0000000             38.0870 030 99    30.96  30.96   2.80
7228526X-ray c/t spine disk                              A   1.16   0.33     0.30     0.33     0.30     0.07   1.56   1.53   1.56   1.53  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72291  Perq vertebroplasty, fluor                        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             38.0870 090 99     0.00   0.00   0.00
72291TCPerq vertebroplasty, fluor                        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             38.0870 030 99     0.00   0.00   0.00
7229126Perq vertebroplasty, fluor                        A   1.31   0.47     0.48     0.47     0.48     0.10   1.88   1.89   1.88   1.89  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72292  Perq vertebroplasty, ct                           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             38.0870 090 99     0.00   0.00   0.00
72292TCPerq vertebroplasty, ct                           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             38.0870 030 99     0.00   0.00   0.00
7229226Perq vertebroplasty, ct                           A   1.38   0.49     0.50     0.49     0.50     0.07   1.94   1.95   1.94   1.95  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
72295  X-ray of lower spine disk                         A   0.83   4.80     1.46     4.80NA   1.46 NA  0.46   6.09   2.75   6.09   2.75  1XXX.00.00.0000000             38.0870 090 99    31.28  31.28   2.79
72295TCX-ray of lower spine disk                         A   0.00   4.54     1.22     4.54NA   1.22 NA  0.40   4.94   1.62   4.94   1.62  1XXX.00.00.0000000             38.0870 030 99    31.02  31.02   2.73
7229526X-ray of lower spine disk                         A   0.83   0.26     0.24     0.26     0.24     0.06   1.15   1.13   1.15   1.13  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
73000  X-ray exam of collar bone                         A   0.16   0.56     0.55     0.56NA   0.55 NA  0.03   0.75   0.74   0.75   0.74  1XXX.00.00.0003000             38.0870 090 99     1.17   1.17   0.05
73000TCX-ray exam of collar bone                         A   0.00   0.51     0.50     0.51NA   0.50 NA  0.02   0.53   0.52   0.53   0.52  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   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             38.0870 090 99     0.00   0.00   0.00
73010  X-ray exam of shoulder blade                      A   0.17   0.58     0.58     0.58NA   0.58 NA  0.03   0.78   0.78   0.78   0.78  1XXX.00.00.0003000             38.0870 090 99     1.18   1.18   0.05
73010TCX-ray exam of shoulder blade                      A   0.00   0.52     0.52     0.52NA   0.52 NA  0.02   0.54   0.54   0.54   0.54  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   0.04
7301026X-ray exam of shoulder blade                      A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73020  X-ray exam of shoulder                            A   0.15   0.48     0.44     0.48NA   0.44 NA  0.03   0.66   0.62   0.66   0.62  1XXX.00.00.0003000             38.0870 090 99     1.16   1.16   0.06
73020TCX-ray exam of shoulder                            A   0.00   0.43     0.39     0.43NA   0.39 NA  0.02   0.45   0.41   0.45   0.41  1XXX.00.00.0003000             38.0870 010 99     1.11   1.11   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             38.0870 090 99     0.00   0.00   0.00
73030  X-ray exam of shoulder                            A   0.18   0.60     0.57     0.60NA   0.57 NA  0.05   0.83   0.80   0.83   0.80  1XXX.00.00.0003000             38.0870 090 99     1.14   1.14   0.09
73030TCX-ray exam of shoulder                            A   0.00   0.54     0.51     0.54NA   0.51 NA  0.04   0.58   0.55   0.58   0.55  1XXX.00.00.0003000             38.0870 010 99     1.08   1.08   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             38.0870 090 99     0.00   0.00   0.00
73040  Contrast x-ray of shoulder                        A   0.54   2.27     2.25     2.27NA   2.25 NA  0.14   2.95   2.93   2.95   2.93  1XXX.00.00.0003000             38.0870 090 99     6.52   6.52   0.39
73040TCContrast x-ray of shoulder                        A   0.00   2.08     2.06     2.08NA   2.06 NA  0.12   2.20   2.18   2.20   2.18  1XXX.00.00.0003000             38.0870 030 99     6.33   6.33   0.37
7304026Contrast x-ray of shoulder                        A   0.54   0.19     0.19     0.19     0.19     0.02   0.75   0.75   0.75   0.75  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73050  X-ray exam of shoulders                           A   0.20   0.73     0.74     0.73NA   0.74 NA  0.05   0.98   0.99   0.98   0.99  1XXX.00.00.0002000             38.0870 090 99     1.17   1.17   0.08
73050TCX-ray exam of shoulders                           A   0.00   0.66     0.66     0.66NA   0.66 NA  0.04   0.70   0.70   0.70   0.70  1XXX.00.00.0002000             38.0870 010 99     1.10   1.10   0.07
7305026X-ray exam of shoulders                           A   0.20   0.07     0.08     0.07     0.08     0.01   0.28   0.29   0.28   0.29  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
73060  X-ray exam of humerus                             A   0.17   0.60     0.58     0.60NA   0.58 NA  0.05   0.82   0.80   0.82   0.80  1XXX.00.00.0003000             38.0870 090 99     1.14   1.14   0.09
73060TCX-ray exam of humerus                             A   0.00   0.54     0.52     0.54NA   0.52 NA  0.04   0.58   0.56   0.58   0.56  1XXX.00.00.0003000             38.0870 010 99     1.08   1.08   0.08
7306026X-ray exam of humerus                             A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73070  X-ray exam of elbow                               A   0.15   0.56     0.55     0.56NA   0.55 NA  0.03   0.74   0.73   0.74   0.73  1XXX.00.00.0003000             38.0870 090 99     1.17   1.17   0.05
73070TCX-ray exam of elbow                               A   0.00   0.51     0.50     0.51NA   0.50 NA  0.02   0.53   0.52   0.53   0.52  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   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             38.0870 090 99     0.00   0.00   0.00
73080  X-ray exam of elbow                               A   0.17   0.69     0.76     0.69NA   0.76 NA  0.05   0.91   0.98   0.91   0.98  1XXX.00.00.0003000             38.0870 090 99     1.15   1.15   0.08
73080TCX-ray exam of elbow                               A   0.00   0.63     0.70     0.63NA   0.70 NA  0.04   0.67   0.74   0.67   0.74  1XXX.00.00.0003000             38.0870 010 99     1.09   1.09   0.07
7308026X-ray exam of elbow                               A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73085  Contrast x-ray of elbow                           A   0.54   2.07     1.84     2.07NA   1.84 NA  0.14   2.75   2.52   2.75   2.52  1XXX.00.00.0003000             38.0870 090 99     6.48   6.48   0.42
73085TCContrast x-ray of elbow                           A   0.00   1.88     1.66     1.88NA   1.66 NA  0.12   2.00   1.78   2.00   1.78  1XXX.00.00.0003000             38.0870 030 99     6.29   6.29   0.40
7308526Contrast x-ray of elbow                           A   0.54   0.19     0.18     0.19     0.18     0.02   0.75   0.74   0.75   0.74  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73090  X-ray exam of forearm                             A   0.16   0.56     0.55     0.56NA   0.55 NA  0.03   0.75   0.74   0.75   0.74  1XXX.00.00.0003000             38.0870 090 99     1.17   1.17   0.05
73090TCX-ray exam of forearm                             A   0.00   0.51     0.50     0.51NA   0.50 NA  0.02   0.53   0.52   0.53   0.52  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   0.04
7309026X-ray exam of forearm                             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             38.0870 090 99     0.00   0.00   0.00
73092  X-ray exam of arm, infant                         A   0.16   0.56     0.58     0.56NA   0.58 NA  0.03   0.75   0.77   0.75   0.77  1XXX.00.00.0003000             38.0870 090 99     1.17   1.17   0.05
73092TCX-ray exam of arm, infant                         A   0.00   0.51     0.53     0.51NA   0.53 NA  0.02   0.53   0.55   0.53   0.55  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   0.04
7309226X-ray exam of arm, infant                         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             38.0870 090 99     0.00   0.00   0.00
73100  X-ray exam of wrist                               A   0.16   0.57     0.61     0.57NA   0.61 NA  0.03   0.76   0.80   0.76   0.80  1XXX.00.00.0003000             38.0870 090 99     1.17   1.17   0.05
73100TCX-ray exam of wrist                               A   0.00   0.52     0.55     0.52NA   0.55 NA  0.02   0.54   0.57   0.54   0.57  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   0.04
7310026X-ray exam of wrist                               A   0.16   0.05     0.06     0.05     0.06     0.01   0.22   0.23   0.22   0.23  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73110  X-ray exam of wrist                               A   0.17   0.68     0.78     0.68NA   0.78 NA  0.03   0.88   0.98   0.88   0.98  1XXX.00.00.0003000             38.0870 090 99     1.19   1.19   0.05
73110TCX-ray exam of wrist                               A   0.00   0.62     0.72     0.62NA   0.72 NA  0.02   0.64   0.74   0.64   0.74  1XXX.00.00.0003000             38.0870 010 99     1.13   1.13   0.04
7311026X-ray exam of wrist                               A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73115  Contrast x-ray of wrist                           A   0.54   2.04     2.33     2.04NA   2.33 NA  0.12   2.70   2.99   2.70   2.99  1XXX.00.00.0003000             38.0870 090 99     6.53   6.53   0.36
73115TCContrast x-ray of wrist                           A   0.00   1.86     2.14     1.86NA   2.14 NA  0.10   1.96   2.24   1.96   2.24  1XXX.00.00.0003000             38.0870 030 99     6.35   6.35   0.34
7311526Contrast x-ray of wrist                           A   0.54   0.18     0.19     0.18     0.19     0.02   0.74   0.75   0.74   0.75  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73120  X-ray exam of hand                                A   0.16   0.55     0.56     0.55NA   0.56 NA  0.03   0.74   0.75   0.74   0.75  1XXX.00.00.0003000             38.0870 090 99     1.17   1.17   0.05
73120TCX-ray exam of hand                                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             38.0870 010 99     1.12   1.12   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             38.0870 090 99     0.00   0.00   0.00
73130  X-ray exam of hand                                A   0.17   0.63     0.66     0.63NA   0.66 NA  0.03   0.83   0.86   0.83   0.86  1XXX.00.00.0003000             38.0870 090 99     1.18   1.18   0.05
73130TCX-ray exam of hand                                A   0.00   0.57     0.60     0.57NA   0.60 NA  0.02   0.59   0.62   0.59   0.62  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   0.04
7313026X-ray exam of hand                                A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73140  X-ray exam of finger(s)                           A   0.13   0.57     0.67     0.57NA   0.67 NA  0.03   0.73   0.83   0.73   0.83  1XXX.00.00.0003000             38.0870 090 99     1.16   1.16   0.05
73140TCX-ray exam of finger(s)                           A   0.00   0.53     0.63     0.53NA   0.63 NA  0.02   0.55   0.65   0.55   0.65  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   0.04
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             38.0870 090 99     0.00   0.00   0.00
73200  Ct upper extremity w/o dye                        A   1.09   5.86     6.40     5.86NA   6.40 NA  0.30   7.25   7.79   7.25   7.79  1XXX.00.00.0043000             38.0870 090 11     5.19   5.19   0.27
73200TCCt upper extremity w/o dye                        A   0.00   5.49     6.02     5.49NA   6.02 NA  0.25   5.74   6.27   5.74   6.27  1XXX.00.00.0043000             38.0870 010 11     4.82   4.82   0.22
7320026Ct upper extremity w/o dye                        A   1.09   0.37     0.38     0.37     0.38     0.05   1.51   1.52   1.51   1.52  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73201  Ct upper extremity w/dye                          A   1.16   7.10     7.92     7.10NA   7.92 NA  0.36   8.62   9.44   8.62   9.44  1XXX.00.00.0043000             38.0870 090 11     7.35   7.35   0.37
73201TCCt upper extremity w/dye                          A   0.00   6.71     7.51     6.71NA   7.51 NA  0.31   7.02   7.82   7.02   7.82  1XXX.00.00.0043000             38.0870 020 11     6.96   6.96   0.32
7320126Ct upper extremity w/dye                          A   1.16   0.39     0.41     0.39     0.41     0.05   1.60   1.62   1.60   1.62  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73202  Ct uppr extremity w/o&w/dye                       A   1.22   9.19    10.55     9.19NA  10.55 NA  0.44  10.85  12.21  10.85  12.21  1XXX.00.00.0043000             38.0870 090 11     8.60   8.60   0.41
73202TCCt uppr extremity w/o&w/dye                       A   0.00   8.78    10.13     8.78NA  10.13 NA  0.39   9.17  10.52   9.17  10.52  1XXX.00.00.0043000             38.0870 020 11     8.19   8.19   0.36
7320226Ct uppr extremity w/o&w/dye                       A   1.22   0.41     0.42     0.41     0.42     0.05   1.68   1.69   1.68   1.69  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73206  Ct angio upr extrm w/o&w/dye                      A   1.81  11.24    10.94    11.24NA  10.94 NA  0.47  13.52  13.22  13.52  13.22  1XXX.00.00.0040000             38.0870 090 11     8.96   8.96   0.39
73206TCCt angio upr extrm w/o&w/dye                      A   0.00  10.61    10.26    10.61NA  10.26 NA  0.39  11.00  10.65  11.00  10.65  1XXX.00.00.0040000             38.0870 020 11     8.33   8.33   0.31
7320626Ct angio upr extrm w/o&w/dye                      A   1.81   0.63     0.68     0.63     0.68     0.08   2.52   2.57   2.52   2.57  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
73218  Mri upper extremity w/o dye                       A   1.35  13.15    14.65    13.15NA  14.65 NA  0.45  14.95  16.45  14.95  16.45  1XXX.00.00.0043000             38.0870 090 10     9.20   9.20   0.33
73218TCMri upper extremity w/o dye                       A   0.00  12.70    14.19    12.70NA  14.19 NA  0.39  13.09  14.58  13.09  14.58  1XXX.00.00.0043000             38.0870 010 10     8.75   8.75   0.27
7321826Mri upper extremity w/o dye                       A   1.35   0.45     0.46     0.45     0.46     0.06   1.86   1.87   1.86   1.87  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73219  Mri upper extremity w/dye                         A   1.62  14.70    15.41    14.70NA  15.41 NA  0.54  16.86  17.57  16.86  17.57  1XXX.00.00.0043000             38.0870 090 10    10.64  10.64   0.41
73219TCMri upper extremity w/dye                         A   0.00  14.15    14.85    14.15NA  14.85 NA  0.47  14.62  15.32  14.62  15.32  1XXX.00.00.0043000             38.0870 020 10    10.09  10.09   0.34
7321926Mri upper extremity w/dye                         A   1.62   0.55     0.56     0.55     0.56     0.07   2.24   2.25   2.24   2.25  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73220  Mri uppr extremity w/o&w/dye                      A   2.15  22.33    19.06    22.33NA  19.06 NA  0.94  25.42  22.15  25.42  22.15  1XXX.00.00.0043000             38.0870 090 10    14.00  14.00   0.62
73220TCMri uppr extremity w/o&w/dye                      A   0.00  21.60    18.31    21.60NA  18.31 NA  0.84  22.44  19.15  22.44  19.15  1XXX.00.00.0043000             38.0870 020 10    13.27  13.27   0.52
7322026Mri uppr extremity w/o&w/dye                      A   2.15   0.73     0.75     0.73     0.75     0.10   2.98   3.00   2.98   3.00  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73221  Mri joint upr extrem w/o dye                      A   1.35  12.60    13.56    12.60NA  13.56 NA  0.45  14.40  15.36  14.40  15.36  1XXX.00.00.0043000             38.0870 090 10     9.19   9.19   0.34
73221TCMri joint upr extrem w/o dye                      A   0.00  12.15    13.09    12.15NA  13.09 NA  0.39  12.54  13.48  12.54  13.48  1XXX.00.00.0043000             38.0870 010 10     8.74   8.74   0.28
7322126Mri joint upr extrem w/o dye                      A   1.35   0.45     0.47     0.45     0.47     0.06   1.86   1.88   1.86   1.88  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73222  Mri joint upr extrem w/dye                        A   1.62  14.15    14.31    14.15NA  14.31 NA  0.54  16.31  16.47  16.31  16.47  1XXX.00.00.0043000             38.0870 090 10    10.63  10.63   0.42
73222TCMri joint upr extrem w/dye                        A   0.00  13.60    13.75    13.60NA  13.75 NA  0.47  14.07  14.22  14.07  14.22  1XXX.00.00.0043000             38.0870 020 10    10.08  10.08   0.35
7322226Mri joint upr extrem w/dye                        A   1.62   0.55     0.56     0.55     0.56     0.07   2.24   2.25   2.24   2.25  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73223  Mri joint upr extr w/o&w/dye                      A   2.15  21.59    17.58    21.59NA  17.58 NA  0.94  24.68  20.67  24.68  20.67  1XXX.00.00.0043000             38.0870 090 10    13.98  13.98   0.63
73223TCMri joint upr extr w/o&w/dye                      A   0.00  20.87    16.84    20.87NA  16.84 NA  0.84  21.71  17.68  21.71  17.68  1XXX.00.00.0043000             38.0870 020 10    13.26  13.26   0.53
7322326Mri joint upr extr w/o&w/dye                      A   2.15   0.72     0.74     0.72     0.74     0.10   2.97   2.99   2.97   2.99  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73225  Mr angio upr extr w/o&w/dye                       N+  1.73  13.16    14.65    13.16NA  14.65 NA  0.69  15.58  17.07  15.58  17.07  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
73225TCMr angio upr extr w/o&w/dye                       N+  0.00  12.63    14.25    12.63NA  14.25 NA  0.59  13.22  14.84  13.22  14.84  1XXX.00.00.0099999             38.0870 020 99     0.00   0.00   0.00
7322526Mr angio upr extr w/o&w/dye                       N+  1.73   0.53     0.40     0.53     0.40     0.10   2.36   2.23   2.36   2.23  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
73500  X-ray exam of hip                                 A   0.17   0.51     0.49     0.51NA   0.49 NA  0.03   0.71   0.69   0.71   0.69  1XXX.00.00.0000000             38.0870 090 99     1.17   1.17   0.06
73500TCX-ray exam of hip                                 A   0.00   0.45     0.43     0.45NA   0.43 NA  0.02   0.47   0.45   0.47   0.45  1XXX.00.00.0000000             38.0870 010 99     1.11   1.11   0.05
7350026X-ray exam of hip                                 A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
73510  X-ray exam of hip                                 A   0.21   0.71     0.77     0.71NA   0.77 NA  0.05   0.97   1.03   0.97   1.03  1XXX.00.00.0000000             38.0870 090 99     1.16   1.16   0.08
73510TCX-ray exam of hip                                 A   0.00   0.64     0.70     0.64NA   0.70 NA  0.04   0.68   0.74   0.68   0.74  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.07
7351026X-ray exam of hip                                 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             38.0870 090 99     0.00   0.00   0.00
73520  X-ray exam of hips                                A   0.26   0.77     0.79     0.77NA   0.79 NA  0.05   1.08   1.10   1.08   1.10  1XXX.00.00.0002000             38.0870 090 99     1.92   1.92   0.12
73520TCX-ray exam of hips                                A   0.00   0.68     0.70     0.68NA   0.70 NA  0.04   0.72   0.74   0.72   0.74  1XXX.00.00.0002000             38.0870 010 99     1.83   1.83   0.11
7352026X-ray exam of hips                                A   0.26   0.09     0.09     0.09     0.09     0.01   0.36   0.36   0.36   0.36  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
73525  Contrast x-ray of hip                             A   0.54   2.06     1.83     2.06NA   1.83 NA  0.15   2.75   2.52   2.75   2.52  1XXX.00.00.0003000             38.0870 090 99     6.47   6.47   0.43
73525TCContrast x-ray of hip                             A   0.00   1.88     1.65     1.88NA   1.65 NA  0.12   2.00   1.77   2.00   1.77  1XXX.00.00.0003000             38.0870 030 99     6.29   6.29   0.40
7352526Contrast x-ray of hip                             A   0.54   0.18     0.18     0.18     0.18     0.03   0.75   0.75   0.75   0.75  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73530  X-ray exam of hip                                 C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73530TCX-ray exam of hip                                 C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0003000             38.0870 030 99     0.00   0.00   0.00
7353026X-ray exam of hip                                 A   0.29   0.10     0.11     0.10     0.11     0.01   0.40   0.41   0.40   0.41  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73540  X-ray exam of pelvis & hips                       A   0.20   0.72     0.81     0.72NA   0.81 NA  0.05   0.97   1.06   0.97   1.06  1XXX.00.00.0000000             38.0870 090 99     1.17   1.17   0.08
73540TCX-ray exam of pelvis & hips                       A   0.00   0.65     0.74     0.65NA   0.74 NA  0.04   0.69   0.78   0.69   0.78  1XXX.00.00.0000000             38.0870 010 99     1.10   1.10   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             38.0870 090 99     0.00   0.00   0.00
73542  X-ray exam, sacroiliac joint                      A   0.59   1.70     1.13     1.70NA   1.13 NA  0.15   2.44   1.87   2.44   1.87  1XXX.00.00.0099999             38.0870 090 99     6.36   6.36   0.51
73542TCX-ray exam, sacroiliac joint                      A   0.00   1.55     0.99     1.55NA   0.99 NA  0.12   1.67   1.11   1.67   1.11  1XXX.00.00.0099999             38.0870 030 99     6.21   6.21   0.48
7354226X-ray exam, sacroiliac joint                      A   0.59   0.15     0.14     0.15     0.14     0.03   0.77   0.76   0.77   0.76  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
73550  X-ray exam of thigh                               A   0.17   0.59     0.55     0.59NA   0.55 NA  0.05   0.81   0.77   0.81   0.77  1XXX.00.00.0003000             38.0870 090 99     1.14   1.14   0.09
73550TCX-ray exam of thigh                               A   0.00   0.53     0.49     0.53NA   0.49 NA  0.04   0.57   0.53   0.57   0.53  1XXX.00.00.0003000             38.0870 010 99     1.08   1.08   0.08
7355026X-ray exam of thigh                               A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73560  X-ray exam of knee, 1 or 2                        A   0.17   0.58     0.58     0.58NA   0.58 NA  0.03   0.78   0.78   0.78   0.78  1XXX.00.00.0003000             38.0870 090 99     1.18   1.18   0.05
73560TCX-ray exam of knee, 1 or 2                        A   0.00   0.52     0.52     0.52NA   0.52 NA  0.02   0.54   0.54   0.54   0.54  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   0.04
7356026X-ray exam of knee, 1 or 2                        A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73562  X-ray exam of knee, 3                             A   0.18   0.68     0.73     0.68NA   0.73 NA  0.05   0.91   0.96   0.91   0.96  1XXX.00.00.0003000             38.0870 090 99     1.15   1.15   0.08
73562TCX-ray exam of knee, 3                             A   0.00   0.62     0.66     0.62NA   0.66 NA  0.04   0.66   0.70   0.66   0.70  1XXX.00.00.0003000             38.0870 010 99     1.09   1.09   0.07
7356226X-ray exam of knee, 3                             A   0.18   0.06     0.07     0.06     0.07     0.01   0.25   0.26   0.25   0.26  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73564  X-ray exam, knee, 4 or more                       A   0.22   0.77     0.86     0.77NA   0.86 NA  0.05   1.04   1.13   1.04   1.13  1XXX.00.00.0003000             38.0870 090 99     1.17   1.17   0.07
73564TCX-ray exam, knee, 4 or more                       A   0.00   0.70     0.78     0.70NA   0.78 NA  0.04   0.74   0.82   0.74   0.82  1XXX.00.00.0003000             38.0870 010 99     1.10   1.10   0.06
7356426X-ray exam, knee, 4 or more                       A   0.22   0.07     0.08     0.07     0.08     0.01   0.30   0.31   0.30   0.31  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73565  X-ray exam of knees                               A   0.17   0.60     0.65     0.60NA   0.65 NA  0.03   0.80   0.85   0.80   0.85  1XXX.00.00.0002000             38.0870 090 99     1.18   1.18   0.05
73565TCX-ray exam of knees                               A   0.00   0.54     0.59     0.54NA   0.59 NA  0.02   0.56   0.61   0.56   0.61  1XXX.00.00.0002000             38.0870 010 99     1.12   1.12   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             38.0870 090 99     0.00   0.00   0.00
73580  Contrast x-ray of knee joint                      A   0.54   2.68     2.56     2.68NA   2.56 NA  0.17   3.39   3.27   3.39   3.27  1XXX.00.00.0003000             38.0870 090 99     6.52   6.52   0.39
73580TCContrast x-ray of knee joint                      A   0.00   2.50     2.37     2.50NA   2.37 NA  0.14   2.64   2.51   2.64   2.51  1XXX.00.00.0003000             38.0870 030 99     6.34   6.34   0.36
7358026Contrast x-ray of knee joint                      A   0.54   0.18     0.19     0.18     0.19     0.03   0.75   0.76   0.75   0.76  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73590  X-ray exam of lower leg                           A   0.17   0.56     0.54     0.56NA   0.54 NA  0.03   0.76   0.74   0.76   0.74  1XXX.00.00.0003000             38.0870 090 99     1.18   1.18   0.05
73590TCX-ray exam of lower leg                           A   0.00   0.50     0.48     0.50NA   0.48 NA  0.02   0.52   0.50   0.52   0.50  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   0.04
7359026X-ray exam of lower leg                           A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73592  X-ray exam of leg, infant                         A   0.16   0.56     0.58     0.56NA   0.58 NA  0.03   0.75   0.77   0.75   0.77  1XXX.00.00.0003000             38.0870 090 99     1.17   1.17   0.05
73592TCX-ray exam of leg, infant                         A   0.00   0.51     0.53     0.51NA   0.53 NA  0.02   0.53   0.55   0.53   0.55  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   0.04
7359226X-ray exam of leg, infant                         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             38.0870 090 99     0.00   0.00   0.00
73600  X-ray exam of ankle                               A   0.16   0.55     0.56     0.55NA   0.56 NA  0.03   0.74   0.75   0.74   0.75  1XXX.00.00.0003000             38.0870 090 99     1.17   1.17   0.05
73600TCX-ray exam of ankle                               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             38.0870 010 99     1.12   1.12   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             38.0870 090 99     0.00   0.00   0.00
73610  X-ray exam of ankle                               A   0.17   0.63     0.68     0.63NA   0.68 NA  0.03   0.83   0.88   0.83   0.88  1XXX.00.00.0003000             38.0870 090 99     1.18   1.18   0.05
73610TCX-ray exam of ankle                               A   0.00   0.57     0.62     0.57NA   0.62 NA  0.02   0.59   0.64   0.59   0.64  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   0.04
7361026X-ray exam of ankle                               A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73615  Contrast x-ray of ankle                           A   0.54   2.14     2.00     2.14NA   2.00 NA  0.15   2.83   2.69   2.83   2.69  1XXX.00.00.0003000             38.0870 090 99     6.49   6.49   0.42
73615TCContrast x-ray of ankle                           A   0.00   1.96     1.82     1.96NA   1.82 NA  0.12   2.08   1.94   2.08   1.94  1XXX.00.00.0003000             38.0870 030 99     6.31   6.31   0.39
7361526Contrast x-ray of ankle                           A   0.54   0.18     0.18     0.18     0.18     0.03   0.75   0.75   0.75   0.75  1XXX.00.00.0003000             38.0870 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             38.0870 090 99     1.17   1.17   0.06
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             38.0870 010 99     1.12   1.12   0.05
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             38.0870 090 99     0.00   0.00   0.00
73630  X-ray exam of foot                                A   0.17   0.63     0.65     0.63NA   0.65 NA  0.03   0.83   0.85   0.83   0.85  1XXX.00.00.0003000             38.0870 090 99     1.18   1.18   0.05
73630TCX-ray exam of foot                                A   0.00   0.57     0.60     0.57NA   0.60 NA  0.02   0.59   0.62   0.59   0.62  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   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             38.0870 090 99     0.00   0.00   0.00
73650  X-ray exam of heel                                A   0.16   0.53     0.55     0.53NA   0.55 NA  0.03   0.72   0.74   0.72   0.74  1XXX.00.00.0003000             38.0870 090 99     1.17   1.17   0.06
73650TCX-ray exam of heel                                A   0.00   0.48     0.50     0.48NA   0.50 NA  0.02   0.50   0.52   0.50   0.52  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   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             38.0870 090 99     0.00   0.00   0.00
73660  X-ray exam of toe(s)                              A   0.13   0.55     0.64     0.55NA   0.64 NA  0.03   0.71   0.80   0.71   0.80  1XXX.00.00.0003000             38.0870 090 99     1.16   1.16   0.05
73660TCX-ray exam of toe(s)                              A   0.00   0.51     0.60     0.51NA   0.60 NA  0.02   0.53   0.62   0.53   0.62  1XXX.00.00.0003000             38.0870 010 99     1.12   1.12   0.04
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             38.0870 090 99     0.00   0.00   0.00
73700  Ct lower extremity w/o dye                        A   1.09   5.86     6.41     5.86NA   6.41 NA  0.30   7.25   7.80   7.25   7.80  1XXX.00.00.0043000             38.0870 090 09     5.19   5.19   0.27
73700TCCt lower extremity w/o dye                        A   0.00   5.49     6.03     5.49NA   6.03 NA  0.25   5.74   6.28   5.74   6.28  1XXX.00.00.0043000             38.0870 010 09     4.82   4.82   0.22
7370026Ct lower extremity w/o dye                        A   1.09   0.37     0.38     0.37     0.38     0.05   1.51   1.52   1.51   1.52  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73701  Ct lower extremity w/dye                          A   1.16   7.14     7.98     7.14NA   7.98 NA  0.36   8.66   9.50   8.66   9.50  1XXX.00.00.0043000             38.0870 090 09     7.37   7.37   0.37
73701TCCt lower extremity w/dye                          A   0.00   6.74     7.57     6.74NA   7.57 NA  0.31   7.05   7.88   7.05   7.88  1XXX.00.00.0043000             38.0870 020 09     6.97   6.97   0.32
7370126Ct lower extremity w/dye                          A   1.16   0.40     0.41     0.40     0.41     0.05   1.61   1.62   1.61   1.62  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73702  Ct lwr extremity w/o&w/dye                        A   1.22   9.28    10.73     9.28NA  10.73 NA  0.44  10.94  12.39  10.94  12.39  1XXX.00.00.0043000             38.0870 090 09     8.61   8.61   0.41
73702TCCt lwr extremity w/o&w/dye                        A   0.00   8.86    10.29     8.86NA  10.29 NA  0.39   9.25  10.68   9.25  10.68  1XXX.00.00.0043000             38.0870 020 09     8.19   8.19   0.36
7370226Ct lwr extremity w/o&w/dye                        A   1.22   0.42     0.44     0.42     0.44     0.05   1.69   1.71   1.69   1.71  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73706  Ct angio lwr extr w/o&w/dye                       A   1.90  11.97    12.35    11.97NA  12.35 NA  0.47  14.34  14.72  14.34  14.72  1XXX.00.00.0043000             38.0870 090 09     9.02   9.02   0.37
73706TCCt angio lwr extr w/o&w/dye                       A   0.00  11.30    11.63    11.30NA  11.63 NA  0.39  11.69  12.02  11.69  12.02  1XXX.00.00.0043000             38.0870 020 09     8.35   8.35   0.29
7370626Ct angio lwr extr w/o&w/dye                       A   1.90   0.67     0.72     0.67     0.72     0.08   2.65   2.70   2.65   2.70  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73718  Mri lower extremity w/o dye                       A   1.35  12.96    14.27    12.96NA  14.27 NA  0.45  14.76  16.07  14.76  16.07  1XXX.00.00.0043000             38.0870 090 08     9.20   9.20   0.33
73718TCMri lower extremity w/o dye                       A   0.00  12.51    13.81    12.51NA  13.81 NA  0.39  12.90  14.20  12.90  14.20  1XXX.00.00.0043000             38.0870 010 08     8.75   8.75   0.27
7371826Mri lower extremity w/o dye                       A   1.35   0.45     0.46     0.45     0.46     0.06   1.86   1.87   1.86   1.87  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73719  Mri lower extremity w/dye                         A   1.62  14.70    15.41    14.70NA  15.41 NA  0.54  16.86  17.57  16.86  17.57  1XXX.00.00.0043000             38.0870 090 08    10.64  10.64   0.41
73719TCMri lower extremity w/dye                         A   0.00  14.15    14.84    14.15NA  14.84 NA  0.47  14.62  15.31  14.62  15.31  1XXX.00.00.0043000             38.0870 020 08    10.09  10.09   0.34
7371926Mri lower extremity w/dye                         A   1.62   0.55     0.57     0.55     0.57     0.07   2.24   2.26   2.24   2.26  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73720  Mri lwr extremity w/o&w/dye                       A   2.15  22.29    19.00    22.29NA  19.00 NA  0.94  25.38  22.09  25.38  22.09  1XXX.00.00.0043000             38.0870 090 08    13.99  13.99   0.62
73720TCMri lwr extremity w/o&w/dye                       A   0.00  21.57    18.25    21.57NA  18.25 NA  0.84  22.41  19.09  22.41  19.09  1XXX.00.00.0043000             38.0870 020 08    13.27  13.27   0.52
7372026Mri lwr extremity w/o&w/dye                       A   2.15   0.72     0.75     0.72     0.75     0.10   2.97   3.00   2.97   3.00  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73721  Mri jnt of lwr extre w/o dye                      A   1.35  12.76    13.88    12.76NA  13.88 NA  0.45  14.56  15.68  14.56  15.68  1XXX.00.00.0043000             38.0870 090 08     9.19   9.19   0.34
73721TCMri jnt of lwr extre w/o dye                      A   0.00  12.31    13.41    12.31NA  13.41 NA  0.39  12.70  13.80  12.70  13.80  1XXX.00.00.0043000             38.0870 010 08     8.74   8.74   0.28
7372126Mri jnt of lwr extre w/o dye                      A   1.35   0.45     0.47     0.45     0.47     0.06   1.86   1.88   1.86   1.88  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73722  Mri joint of lwr extr w/dye                       A   1.62  14.24    14.49    14.24NA  14.49 NA  0.54  16.40  16.65  16.40  16.65  1XXX.00.00.0043000             38.0870 090 08    10.63  10.63   0.42
73722TCMri joint of lwr extr w/dye                       A   0.00  13.69    13.92    13.69NA  13.92 NA  0.47  14.16  14.39  14.16  14.39  1XXX.00.00.0043000             38.0870 020 08    10.08  10.08   0.35
7372226Mri joint of lwr extr w/dye                       A   1.62   0.55     0.57     0.55     0.57     0.07   2.24   2.26   2.24   2.26  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73723  Mri joint lwr extr w/o&w/dye                      A   2.15  21.59    17.56    21.59NA  17.56 NA  0.94  24.68  20.65  24.68  20.65  1XXX.00.00.0043000             38.0870 090 08    13.99  13.99   0.63
73723TCMri joint lwr extr w/o&w/dye                      A   0.00  20.86    16.82    20.86NA  16.82 NA  0.84  21.70  17.66  21.70  17.66  1XXX.00.00.0043000             38.0870 020 08    13.26  13.26   0.53
7372326Mri joint lwr extr w/o&w/dye                      A   2.15   0.73     0.74     0.73     0.74     0.10   2.98   2.99   2.98   2.99  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
73725  Mr ang lwr ext w or w/o dye                       R   1.82  13.47    15.13    13.47NA  15.13 NA  0.67  15.96  17.62  15.96  17.62  1XXX.00.00.0043000             38.0870 090 08    10.59  10.59   0.54
73725TCMr ang lwr ext w or w/o dye                       R   0.00  12.85    14.49    12.85NA  14.49 NA  0.59  13.44  15.08  13.44  15.08  1XXX.00.00.0043000             38.0870 020 08     9.97   9.97   0.46
7372526Mr ang lwr ext w or w/o dye                       R   1.82   0.62     0.64     0.62     0.64     0.08   2.52   2.54   2.52   2.54  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
74000  X-ray exam of abdomen                             A   0.18   0.52     0.46     0.52NA   0.46 NA  0.03   0.73   0.67   0.73   0.67  1XXX.00.00.0000000             38.0870 090 99     1.17   1.17   0.06
74000TCX-ray exam of abdomen                             A   0.00   0.46     0.40     0.46NA   0.40 NA  0.02   0.48   0.42   0.48   0.42  1XXX.00.00.0000000             38.0870 010 99     1.11   1.11   0.05
7400026X-ray exam of abdomen                             A   0.18   0.06     0.06     0.06     0.06     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74010  X-ray exam of abdomen                             A   0.23   0.72     0.79     0.72NA   0.79 NA  0.05   1.00   1.07   1.00   1.07  1XXX.00.00.0000000             38.0870 090 99     1.17   1.17   0.08
74010TCX-ray exam of abdomen                             A   0.00   0.64     0.71     0.64NA   0.71 NA  0.04   0.68   0.75   0.68   0.75  1XXX.00.00.0000000             38.0870 010 99     1.09   1.09   0.07
7401026X-ray exam of abdomen                             A   0.23   0.08     0.08     0.08     0.08     0.01   0.32   0.32   0.32   0.32  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74020  X-ray exam of abdomen                             A   0.27   0.76     0.81     0.76NA   0.81 NA  0.05   1.08   1.13   1.08   1.13  1XXX.00.00.0000000             38.0870 090 99     1.19   1.19   0.08
74020TCX-ray exam of abdomen                             A   0.00   0.67     0.72     0.67NA   0.72 NA  0.04   0.71   0.76   0.71   0.76  1XXX.00.00.0000000             38.0870 010 99     1.10   1.10   0.07
7402026X-ray exam of abdomen                             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             38.0870 090 99     0.00   0.00   0.00
74022  X-ray exam series, abdomen                        A   0.32   0.91     0.99     0.91NA   0.99 NA  0.06   1.29   1.37   1.29   1.37  1XXX.00.00.0000000             38.0870 090 99     1.93   1.93   0.12
74022TCX-ray exam series, abdomen                        A   0.00   0.80     0.88     0.80NA   0.88 NA  0.05   0.85   0.93   0.85   0.93  1XXX.00.00.0000000             38.0870 010 99     1.82   1.82   0.11
7402226X-ray exam series, abdomen                        A   0.32   0.11     0.11     0.11     0.11     0.01   0.44   0.44   0.44   0.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74150  Ct abdomen w/o dye                                A   1.19   6.07     6.07     6.07NA   6.07 NA  0.35   7.61   7.61   7.61   7.61  1XXX.00.00.0040000             38.0870 090 02     5.19   5.19   0.30
74150TCCt abdomen w/o dye                                A   0.00   5.66     5.65     5.66NA   5.65 NA  0.30   5.96   5.95   5.96   5.95  1XXX.00.00.0040000             38.0870 010 02     4.78   4.78   0.25
7415026Ct abdomen w/o dye                                A   1.19   0.41     0.42     0.41     0.42     0.05   1.65   1.66   1.65   1.66  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74160  Ct abdomen w/dye                                  A   1.27   8.05     8.82     8.05NA   8.82 NA  0.42   9.74  10.51   9.74  10.51  1XXX.00.00.0040000             38.0870 090 02     7.40   7.40   0.39
74160TCCt abdomen w/dye                                  A   0.00   7.61     8.37     7.61NA   8.37 NA  0.36   7.97   8.73   7.97   8.73  1XXX.00.00.0040000             38.0870 020 02     6.96   6.96   0.33
7416026Ct abdomen w/dye                                  A   1.27   0.44     0.45     0.44     0.45     0.06   1.77   1.78   1.77   1.78  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74170  Ct abdomen w/o & w/dye                            A   1.40  10.57    12.19    10.57NA  12.19 NA  0.49  12.46  14.08  12.46  14.08  1XXX.00.00.0040000             38.0870 090 02     8.68   8.68   0.41
74170TCCt abdomen w/o & w/dye                            A   0.00  10.09    11.70    10.09NA  11.70 NA  0.43  10.52  12.13  10.52  12.13  1XXX.00.00.0040000             38.0870 020 02     8.20   8.20   0.35
7417026Ct abdomen w/o & w/dye                            A   1.40   0.48     0.49     0.48     0.49     0.06   1.94   1.95   1.94   1.95  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74175  Ct angio abdom w/o & w/dye                        A   1.90  12.46    12.28    12.46NA  12.28 NA  0.47  14.83  14.65  14.83  14.65  1XXX.00.00.0040000             38.0870 090 02     9.01   9.01   0.36
74175TCCt angio abdom w/o & w/dye                        A   0.00  11.81    11.59    11.81NA  11.59 NA  0.39  12.20  11.98  12.20  11.98  1XXX.00.00.0040000             38.0870 020 02     8.36   8.36   0.28
7417526Ct angio abdom w/o & w/dye                        A   1.90   0.65     0.69     0.65     0.69     0.08   2.63   2.67   2.63   2.67  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74181  Mri abdomen w/o dye                               A   1.46  12.07    12.45    12.07NA  12.45 NA  0.51  14.04  14.42  14.04  14.42  1XXX.00.00.0040000             38.0870 090 04     9.18   9.18   0.40
74181TCMri abdomen w/o dye                               A   0.00  11.57    11.94    11.57NA  11.94 NA  0.45  12.02  12.39  12.02  12.39  1XXX.00.00.0040000             38.0870 010 04     8.68   8.68   0.34
7418126Mri abdomen w/o dye                               A   1.46   0.50     0.51     0.50     0.51     0.06   2.02   2.03   2.02   2.03  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74182  Mri abdomen w/dye                                 A   1.73  15.74    17.45    15.74NA  17.45 NA  0.60  18.07  19.78  18.07  19.78  1XXX.00.00.0040000             38.0870 090 04    10.67  10.67   0.43
74182TCMri abdomen w/dye                                 A   0.00  15.15    16.84    15.15NA  16.84 NA  0.52  15.67  17.36  15.67  17.36  1XXX.00.00.0040000             38.0870 020 04    10.08  10.08   0.35
7418226Mri abdomen w/dye                                 A   1.73   0.59     0.61     0.59     0.61     0.08   2.40   2.42   2.40   2.42  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74183  Mri abdomen w/o & w/dye                           A   2.26  22.31    19.00    22.31NA  19.00 NA  1.02  25.59  22.28  25.59  22.28  1XXX.00.00.0040000             38.0870 090 04    13.99  13.99   0.66
74183TCMri abdomen w/o & w/dye                           A   0.00  21.55    18.21    21.55NA  18.21 NA  0.92  22.47  19.13  22.47  19.13  1XXX.00.00.0040000             38.0870 020 04    13.23  13.23   0.56
7418326Mri abdomen w/o & w/dye                           A   2.26   0.76     0.79     0.76     0.79     0.10   3.12   3.15   3.12   3.15  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74185  Mri angio, abdom w orw/o dye                      R   1.80  13.44    15.09    13.44NA  15.09 NA  0.67  15.91  17.56  15.91  17.56  1XXX.00.00.0040000             38.0870 090 04    10.58  10.58   0.54
74185TCMri angio, abdom w orw/o dye                      R   0.00  12.83    14.45    12.83NA  14.45 NA  0.59  13.42  15.04  13.42  15.04  1XXX.00.00.0040000             38.0870 020 04     9.97   9.97   0.46
7418526Mri angio, abdom w orw/o dye                      R   1.80   0.61     0.64     0.61     0.64     0.08   2.49   2.52   2.49   2.52  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74190  X-ray exam of peritoneum                          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             38.0870 090 99     8.63   8.63   0.51
74190TCX-ray exam of peritoneum                          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             38.0870 030 99     8.47   8.47   0.49
7419026X-ray exam of peritoneum                          A   0.48   0.16     0.17     0.16     0.17     0.02   0.66   0.67   0.66   0.67  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74210  Contrst x-ray exam of throat                      A   0.36   1.54     1.77     1.54NA   1.77 NA  0.08   1.98   2.21   1.98   2.21  1XXX.00.00.0000000             38.0870 090 99     2.34   2.34   0.11
74210TCContrst x-ray exam of throat                      A   0.00   1.42     1.64     1.42NA   1.64 NA  0.06   1.48   1.70   1.48   1.70  1XXX.00.00.0000000             38.0870 030 99     2.22   2.22   0.09
7421026Contrst x-ray exam of throat                      A   0.36   0.12     0.13     0.12     0.13     0.02   0.50   0.51   0.50   0.51  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74220  Contrast x-ray, esophagus                         A   0.46   1.68     2.01     1.68NA   2.01 NA  0.08   2.22   2.55   2.22   2.55  1XXX.00.00.0000000             38.0870 090 99     2.39   2.39   0.11
74220TCContrast x-ray, esophagus                         A   0.00   1.52     1.85     1.52NA   1.85 NA  0.06   1.58   1.91   1.58   1.91  1XXX.00.00.0000000             38.0870 030 99     2.23   2.23   0.09
7422026Contrast x-ray, esophagus                         A   0.46   0.16     0.16     0.16     0.16     0.02   0.64   0.64   0.64   0.64  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74230  Cine/vid x-ray, throat/esoph                      A   0.53   1.72     1.95     1.72NA   1.95 NA  0.09   2.34   2.57   2.34   2.57  1XXX.00.00.0000000             38.0870 090 99     2.39   2.39   0.12
74230TCCine/vid x-ray, throat/esoph                      A   0.00   1.54     1.76     1.54NA   1.76 NA  0.07   1.61   1.83   1.61   1.83  1XXX.00.00.0000000             38.0870 030 99     2.21   2.21   0.10
7423026Cine/vid x-ray, throat/esoph                      A   0.53   0.18     0.19     0.18     0.19     0.02   0.73   0.74   0.73   0.74  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74235  Remove esophagus obstruction                      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             38.0870 090 99     0.00   0.00   0.00
74235TCRemove esophagus obstruction                      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             38.0870 030 99     0.00   0.00   0.00
7423526Remove esophagus obstruction                      A   1.19   0.43     0.47     0.43     0.47     0.05   1.67   1.71   1.67   1.71  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74240  X-ray exam, upper gi tract                        A   0.69   2.00     2.30     2.00NA   2.30 NA  0.11   2.80   3.10   2.80   3.10  1XXX.00.00.0000000             38.0870 090 99     2.45   2.45   0.13
74240TCX-ray exam, upper gi tract                        A   0.00   1.76     2.06     1.76NA   2.06 NA  0.08   1.84   2.14   1.84   2.14  1XXX.00.00.0000000             38.0870 030 99     2.21   2.21   0.10
7424026X-ray exam, upper gi tract                        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             38.0870 090 99     0.00   0.00   0.00
74241  X-ray exam, upper gi tract                        A   0.69   2.14     2.57     2.14NA   2.57 NA  0.11   2.94   3.37   2.94   3.37  1XXX.00.00.0000000             38.0870 090 99     2.45   2.45   0.12
74241TCX-ray exam, upper gi tract                        A   0.00   1.91     2.33     1.91NA   2.33 NA  0.08   1.99   2.41   1.99   2.41  1XXX.00.00.0000000             38.0870 030 99     2.22   2.22   0.09
7424126X-ray exam, upper gi tract                        A   0.69   0.23     0.24     0.23     0.24     0.03   0.95   0.96   0.95   0.96  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74245  X-ray exam, upper gi tract                        A   0.91   3.32     3.96     3.32NA   3.96 NA  0.17   4.40   5.04   4.40   5.04  1XXX.00.00.0000000             38.0870 090 99     3.87   3.87   0.19
74245TCX-ray exam, upper gi tract                        A   0.00   3.01     3.64     3.01NA   3.64 NA  0.13   3.14   3.77   3.14   3.77  1XXX.00.00.0000000             38.0870 030 99     3.56   3.56   0.15
7424526X-ray exam, upper gi tract                        A   0.91   0.31     0.32     0.31     0.32     0.04   1.26   1.27   1.26   1.27  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74246  Contrst x-ray uppr gi tract                       A   0.69   2.34     2.81     2.34NA   2.81 NA  0.13   3.16   3.63   3.16   3.63  1XXX.00.00.0000000             38.0870 090 99     2.45   2.45   0.14
74246TCContrst x-ray uppr gi tract                       A   0.00   2.10     2.56     2.10NA   2.56 NA  0.10   2.20   2.66   2.20   2.66  1XXX.00.00.0000000             38.0870 030 99     2.21   2.21   0.11
7424626Contrst x-ray uppr gi tract                       A   0.69   0.24     0.25     0.24     0.25     0.03   0.96   0.97   0.96   0.97  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74247  Contrst x-ray uppr gi tract                       A   0.69   2.57     3.22     2.57NA   3.22 NA  0.14   3.40   4.05   3.40   4.05  1XXX.00.00.0000000             38.0870 090 99     2.45   2.45   0.13
74247TCContrst x-ray uppr gi tract                       A   0.00   2.33     2.98     2.33NA   2.98 NA  0.11   2.44   3.09   2.44   3.09  1XXX.00.00.0000000             38.0870 030 99     2.21   2.21   0.10
7424726Contrst x-ray uppr gi tract                       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             38.0870 090 99     0.00   0.00   0.00
74249  Contrst x-ray uppr gi tract                       A   0.91   3.61     4.35     3.61NA   4.35 NA  0.18   4.70   5.44   4.70   5.44  1XXX.00.00.0000000             38.0870 090 99     3.87   3.87   0.19
74249TCContrst x-ray uppr gi tract                       A   0.00   3.30     4.03     3.30NA   4.03 NA  0.14   3.44   4.17   3.44   4.17  1XXX.00.00.0000000             38.0870 030 99     3.56   3.56   0.15
7424926Contrst x-ray uppr gi tract                       A   0.91   0.31     0.32     0.31     0.32     0.04   1.26   1.27   1.26   1.27  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74250  X-ray exam of small bowel                         A   0.47   1.97     2.49     1.97NA   2.49 NA  0.09   2.53   3.05   2.53   3.05  1XXX.00.00.0000000             38.0870 090 99     2.39   2.39   0.11
74250TCX-ray exam of small bowel                         A   0.00   1.81     2.32     1.81NA   2.32 NA  0.07   1.88   2.39   1.88   2.39  1XXX.00.00.0000000             38.0870 020 99     2.23   2.23   0.09
7425026X-ray exam of small bowel                         A   0.47   0.16     0.17     0.16     0.17     0.02   0.65   0.66   0.65   0.66  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74251  X-ray exam of small bowel                         A   0.69   5.78    10.02     5.78NA  10.02 NA  0.10   6.57  10.81   6.57  10.81  1XXX.00.00.0000000             38.0870 090 99     3.91   3.91   0.08
74251TCX-ray exam of small bowel                         A   0.00   5.54     9.77     5.54NA   9.77 NA  0.07   5.61   9.84   5.61   9.84  1XXX.00.00.0000000             38.0870 030 99     3.67   3.67   0.05
7425126X-ray exam of small bowel                         A   0.69   0.24     0.25     0.24     0.25     0.03   0.96   0.97   0.96   0.97  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74260  X-ray exam of small bowel                         A   0.50   4.98     8.31     4.98NA   8.31 NA  0.10   5.58   8.91   5.58   8.91  1XXX.00.00.0000000             38.0870 090 99     2.45   2.45   0.06
74260TCX-ray exam of small bowel                         A   0.00   4.81     8.13     4.81NA   8.13 NA  0.08   4.89   8.21   4.89   8.21  1XXX.00.00.0000000             38.0870 030 99     2.28   2.28   0.04
7426026X-ray exam of small bowel                         A   0.50   0.17     0.18     0.17     0.18     0.02   0.69   0.70   0.69   0.70  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74270  Contrast x-ray exam of colon                      A   0.69   2.76     3.59     2.76NA   3.59 NA  0.14   3.59   4.42   3.59   4.42  1XXX.00.00.0000000             38.0870 090 99     2.46   2.46   0.13
74270TCContrast x-ray exam of colon                      A   0.00   2.52     3.34     2.52NA   3.34 NA  0.11   2.63   3.45   2.63   3.45  1XXX.00.00.0000000             38.0870 030 99     2.22   2.22   0.10
7427026Contrast x-ray exam of colon                      A   0.69   0.24     0.25     0.24     0.25     0.03   0.96   0.97   0.96   0.97  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74280  Contrast x-ray exam of colon                      A   0.99   3.75     4.95     3.75NA   4.95 NA  0.17   4.91   6.11   4.91   6.11  1XXX.00.00.0000000             38.0870 090 99     3.91   3.91   0.18
74280TCContrast x-ray exam of colon                      A   0.00   3.42     4.60     3.42NA   4.60 NA  0.13   3.55   4.73   3.55   4.73  1XXX.00.00.0000000             38.0870 030 99     3.58   3.58   0.14
7428026Contrast x-ray exam of colon                      A   0.99   0.33     0.35     0.33     0.35     0.04   1.36   1.38   1.36   1.38  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74283  Contrast x-ray exam of colon                      A   2.02   3.35     3.49     3.35NA   3.49 NA  0.23   5.60   5.74   5.60   5.74  1XXX.00.00.0000000             38.0870 090 99     2.87   2.87   0.20
74283TCContrast x-ray exam of colon                      A   0.00   2.68     2.80     2.68NA   2.80 NA  0.14   2.82   2.94   2.82   2.94  1XXX.00.00.0000000             38.0870 030 99     2.20   2.20   0.11
7428326Contrast x-ray exam of colon                      A   2.02   0.67     0.69     0.67     0.69     0.09   2.78   2.80   2.78   2.80  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74290  Contrast x-ray, gallbladder                       A   0.32   1.21     1.58     1.21NA   1.58 NA  0.06   1.59   1.96   1.59   1.96  1XXX.00.00.0000000             38.0870 090 99     2.32   2.32   0.11
74290TCContrast x-ray, gallbladder                       A   0.00   1.10     1.47     1.10NA   1.47 NA  0.05   1.15   1.52   1.15   1.52  1XXX.00.00.0000000             38.0870 010 99     2.21   2.21   0.10
7429026Contrast x-ray, gallbladder                       A   0.32   0.11     0.11     0.11     0.11     0.01   0.44   0.44   0.44   0.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74291  Contrast x-rays, gallbladder                      A   0.20   1.02     1.56     1.02NA   1.56 NA  0.03   1.25   1.79   1.25   1.79  1XXX.00.00.0000000             38.0870 090 99     2.34   2.34   0.06
74291TCContrast x-rays, gallbladder                      A   0.00   0.95     1.49     0.95NA   1.49 NA  0.02   0.97   1.51   0.97   1.51  1XXX.00.00.0000000             38.0870 010 99     2.27   2.27   0.05
7429126Contrast x-rays, gallbladder                      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             38.0870 090 99     0.00   0.00   0.00
74300  X-ray bile ducts/pancreas                         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             38.0870 090 99     0.00   0.00   0.00
74300TCX-ray bile ducts/pancreas                         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             38.0870 030 99     0.00   0.00   0.00
7430026X-ray bile ducts/pancreas                         A   0.36   0.12     0.13     0.12     0.13     0.02   0.50   0.51   0.50   0.51  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74301  X-rays at surgery add-on                          C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74301TCX-rays at surgery add-on                          C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7430126X-rays at surgery add-on                          A   0.21   0.07     0.07     0.07     0.07     0.01   0.29   0.29   0.29   0.29  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74305  X-ray bile ducts/pancreas                         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             38.0870 090 99     0.00   0.00   0.00
74305TCX-ray bile ducts/pancreas                         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             38.0870 030 99     0.00   0.00   0.00
7430526X-ray bile ducts/pancreas                         A   0.42   0.15     0.15     0.15     0.15     0.02   0.59   0.59   0.59   0.59  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74320  Contrast x-ray of bile ducts                      A   0.54   2.73     2.14     2.73NA   2.14 NA  0.19   3.46   2.87   3.46   2.87  1XXX.00.00.0000000             38.0870 090 99     8.60   8.60   0.58
74320TCContrast x-ray of bile ducts                      A   0.00   2.54     1.94     2.54NA   1.94 NA  0.17   2.71   2.11   2.71   2.11  1XXX.00.00.0000000             38.0870 030 99     8.41   8.41   0.56
7432026Contrast x-ray of bile ducts                      A   0.54   0.19     0.20     0.19     0.20     0.02   0.75   0.76   0.75   0.76  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74327  X-ray bile stone removal                          A   0.70   2.48     2.97     2.48NA   2.97 NA  0.14   3.32   3.81   3.32   3.81  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74327TCX-ray bile stone removal                          A   0.00   2.24     2.72     2.24NA   2.72 NA  0.11   2.35   2.83   2.35   2.83  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7432726X-ray bile stone removal                          A   0.70   0.24     0.25     0.24     0.25     0.03   0.97   0.98   0.97   0.98  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74328  X-ray bile duct endoscopy                         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             38.0870 090 99     0.00   0.00   0.00
74328TCX-ray bile duct endoscopy                         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             38.0870 030 99     0.00   0.00   0.00
7432826X-ray bile duct endoscopy                         A   0.70   0.25     0.26     0.25     0.26     0.03   0.98   0.99   0.98   0.99  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74329  X-ray for pancreas endoscopy                      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             38.0870 090 99     0.00   0.00   0.00
74329TCX-ray for pancreas endoscopy                      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             38.0870 030 99     0.00   0.00   0.00
7432926X-ray for pancreas endoscopy                      A   0.70   0.25     0.27     0.25     0.27     0.03   0.98   1.00   0.98   1.00  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74330  X-ray bile/panc endoscopy                         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             38.0870 090 99     0.00   0.00   0.00
74330TCX-ray bile/panc endoscopy                         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             38.0870 030 99     0.00   0.00   0.00
7433026X-ray bile/panc endoscopy                         A   0.90   0.31     0.33     0.31     0.33     0.04   1.25   1.27   1.25   1.27  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74340  X-ray guide for GI tube                           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             38.0870 090 99     0.00   0.00   0.00
74340TCX-ray guide for GI tube                           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             38.0870 030 99     0.00   0.00   0.00
7434026X-ray guide for GI tube                           A   0.54   0.19     0.19     0.19     0.19     0.02   0.75   0.75   0.75   0.75  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74355  X-ray guide, intestinal tube                      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             38.0870 090 99     0.00   0.00   0.00
74355TCX-ray guide, intestinal tube                      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             38.0870 030 99     0.00   0.00   0.00
7435526X-ray guide, intestinal tube                      A   0.76   0.26     0.28     0.26     0.28     0.03   1.05   1.07   1.05   1.07  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74360  X-ray guide, GI dilation                          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             38.0870 090 99     0.00   0.00   0.00
74360TCX-ray guide, GI dilation                          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             38.0870 030 99     0.00   0.00   0.00
7436026X-ray guide, GI dilation                          A   0.54   0.21     0.24     0.21     0.24     0.02   0.77   0.80   0.77   0.80  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74363  X-ray, bile duct dilation                         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             38.0870 090 99     0.00   0.00   0.00
74363TCX-ray, bile duct dilation                         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             38.0870 030 99     0.00   0.00   0.00
7436326X-ray, bile duct dilation                         A   0.88   0.30     0.32     0.30     0.32     0.04   1.22   1.24   1.22   1.24  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74400  Contrst x-ray, urinary tract                      A   0.49   2.22     2.60     2.22NA   2.60 NA  0.13   2.84   3.22   2.84   3.22  1XXX.00.00.0000000             38.0870 090 99     4.32   4.32   0.24
74400TCContrst x-ray, urinary tract                      A   0.00   2.05     2.43     2.05NA   2.43 NA  0.11   2.16   2.54   2.16   2.54  1XXX.00.00.0000000             38.0870 020 99     4.15   4.15   0.22
7440026Contrst x-ray, urinary tract                      A   0.49   0.17     0.17     0.17     0.17     0.02   0.68   0.68   0.68   0.68  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74410  Contrst x-ray, urinary tract                      A   0.49   2.40     2.69     2.40NA   2.69 NA  0.13   3.02   3.31   3.02   3.31  1XXX.00.00.0000000             38.0870 090 99     4.33   4.33   0.23
74410TCContrst x-ray, urinary tract                      A   0.00   2.23     2.51     2.23NA   2.51 NA  0.11   2.34   2.62   2.34   2.62  1XXX.00.00.0000000             38.0870 020 99     4.16   4.16   0.21
7441026Contrst x-ray, urinary tract                      A   0.49   0.17     0.18     0.17     0.18     0.02   0.68   0.69   0.68   0.69  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74415  Contrst x-ray, urinary tract                      A   0.49   2.78     3.27     2.78NA   3.27 NA  0.14   3.41   3.90   3.41   3.90  1XXX.00.00.0000000             38.0870 090 99     4.35   4.35   0.21
74415TCContrst x-ray, urinary tract                      A   0.00   2.61     3.10     2.61NA   3.10 NA  0.12   2.73   3.22   2.73   3.22  1XXX.00.00.0000000             38.0870 020 99     4.18   4.18   0.19
7441526Contrst x-ray, urinary tract                      A   0.49   0.17     0.17     0.17     0.17     0.02   0.68   0.68   0.68   0.68  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74420  Contrst x-ray, urinary tract                      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             38.0870 090 99     4.25   4.25   0.27
74420TCContrst x-ray, urinary tract                      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             38.0870 030 99     4.12   4.12   0.25
7442026Contrst x-ray, urinary tract                      A   0.36   0.13     0.14     0.13     0.14     0.02   0.51   0.52   0.51   0.52  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74425  Contrst x-ray, urinary tract                      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             38.0870 090 99     4.26   4.26   0.26
74425TCContrst x-ray, urinary tract                      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             38.0870 030 99     4.13   4.13   0.24
7442526Contrst x-ray, urinary tract                      A   0.36   0.13     0.13     0.13     0.13     0.02   0.51   0.51   0.51   0.51  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74430  Contrast x-ray, bladder                           A   0.32   1.56     1.96     1.56NA   1.96 NA  0.08   1.96   2.36   1.96   2.36  1XXX.00.00.0000000             38.0870 090 99     4.30   4.30   0.19
74430TCContrast x-ray, bladder                           A   0.00   1.45     1.84     1.45NA   1.84 NA  0.06   1.51   1.90   1.51   1.90  1XXX.00.00.0000000             38.0870 030 99     4.19   4.19   0.17
7443026Contrast x-ray, bladder                           A   0.32   0.11     0.12     0.11     0.12     0.02   0.45   0.46   0.45   0.46  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74440  X-ray, male genital tract                         A   0.38   1.68     2.12     1.68NA   2.12 NA  0.08   2.14   2.58   2.14   2.58  1XXX.00.00.0000000             38.0870 090 99     4.34   4.34   0.18
74440TCX-ray, male genital tract                         A   0.00   1.55     1.98     1.55NA   1.98 NA  0.06   1.61   2.04   1.61   2.04  1XXX.00.00.0000000             38.0870 030 99     4.21   4.21   0.16
7444026X-ray, male genital tract                         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             38.0870 090 99     0.00   0.00   0.00
74445  X-ray exam of penis                               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             38.0870 090 99     4.53   4.53   0.32
74445TCX-ray exam of penis                               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             38.0870 030 99     4.12   4.12   0.25
7444526X-ray exam of penis                               A   1.14   0.41     0.45     0.41     0.45     0.07   1.62   1.66   1.62   1.66  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74450  X-ray, urethra/bladder                            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             38.0870 090 99     4.23   4.23   0.28
74450TCX-ray, urethra/bladder                            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             38.0870 030 99     4.11   4.11   0.26
7445026X-ray, urethra/bladder                            A   0.33   0.12     0.12     0.12     0.12     0.02   0.47   0.47   0.47   0.47  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74455  X-ray, urethra/bladder                            A   0.33   1.94     2.18     1.94NA   2.18 NA  0.12   2.39   2.63   2.39   2.63  1XXX.00.00.0000000             38.0870 090 99     4.26   4.26   0.25
74455TCX-ray, urethra/bladder                            A   0.00   1.82     2.06     1.82NA   2.06 NA  0.10   1.92   2.16   1.92   2.16  1XXX.00.00.0000000             38.0870 030 99     4.14   4.14   0.23
7445526X-ray, urethra/bladder                            A   0.33   0.12     0.12     0.12     0.12     0.02   0.47   0.47   0.47   0.47  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74470  X-ray exam of kidney lesion                       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             38.0870 090 99     4.39   4.39   0.29
74470TCX-ray exam of kidney lesion                       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             38.0870 030 99     4.21   4.21   0.27
7447026X-ray exam of kidney lesion                       A   0.54   0.18     0.17     0.18     0.17     0.02   0.74   0.73   0.74   0.73  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74475  X-ray control, cath insert                        A   0.54   3.19     2.12     3.19NA   2.12 NA  0.24   3.97   2.90   3.97   2.90  1XXX.00.00.0000000             38.0870 090 99     8.54   8.54   0.63
74475TCX-ray control, cath insert                        A   0.00   3.00     1.92     3.00NA   1.92 NA  0.22   3.22   2.14   3.22   2.14  1XXX.00.00.0000000             38.0870 030 99     8.35   8.35   0.61
7447526X-ray control, cath insert                        A   0.54   0.19     0.20     0.19     0.20     0.02   0.75   0.76   0.75   0.76  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74480  X-ray control, cath insert                        A   0.54   3.19     2.13     3.19NA   2.13 NA  0.24   3.97   2.91   3.97   2.91  1XXX.00.00.0000000             38.0870 090 99     8.54   8.54   0.63
74480TCX-ray control, cath insert                        A   0.00   3.00     1.93     3.00NA   1.93 NA  0.22   3.22   2.15   3.22   2.15  1XXX.00.00.0000000             38.0870 030 99     8.35   8.35   0.61
7448026X-ray control, cath insert                        A   0.54   0.19     0.20     0.19     0.20     0.02   0.75   0.76   0.75   0.76  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74485  X-ray guide, GU dilation                          A   0.54   2.80     2.27     2.80NA   2.27 NA  0.20   3.54   3.01   3.54   3.01  1XXX.00.00.0000000             38.0870 090 99     8.61   8.61   0.58
74485TCX-ray guide, GU dilation                          A   0.00   2.61     2.07     2.61NA   2.07 NA  0.17   2.78   2.24   2.78   2.24  1XXX.00.00.0000000             38.0870 030 99     8.42   8.42   0.55
7448526X-ray guide, GU dilation                          A   0.54   0.19     0.20     0.19     0.20     0.03   0.76   0.77   0.76   0.77  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74710  X-ray measurement of pelvis                       A   0.34   0.90     0.64     0.90NA   0.64 NA  0.08   1.32   1.06   1.32   1.06  1XXX.00.00.0000000             38.0870 090 99     1.91   1.91   0.16
74710TCX-ray measurement of pelvis                       A   0.00   0.79     0.53     0.79NA   0.53 NA  0.06   0.85   0.59   0.85   0.59  1XXX.00.00.0000000             38.0870 010 99     1.80   1.80   0.14
7471026X-ray measurement of pelvis                       A   0.34   0.11     0.11     0.11     0.11     0.02   0.47   0.47   0.47   0.47  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74740  X-ray, female genital tract                       A   0.38   1.60     1.77     1.60NA   1.77 NA  0.09   2.07   2.24   2.07   2.24  1XXX.00.00.0000000             38.0870 090 99     4.41   4.41   0.22
74740TCX-ray, female genital tract                       A   0.00   1.47     1.64     1.47NA   1.64 NA  0.07   1.54   1.71   1.54   1.71  1XXX.00.00.0000000             38.0870 030 99     4.28   4.28   0.20
7474026X-ray, female genital tract                       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             38.0870 090 99     0.00   0.00   0.00
74742  X-ray, fallopian tube                             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             38.0870 090 99     0.00   0.00   0.00
74742TCX-ray, fallopian tube                             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             38.0870 030 99     0.00   0.00   0.00
7474226X-ray, fallopian tube                             A   0.61   0.20     0.19     0.20     0.19     0.03   0.84   0.83   0.84   0.83  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
74775  X-ray exam of perineum                            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             38.0870 090 99     4.23   4.23   0.38
74775TCX-ray exam of perineum                            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             38.0870 030 99     4.02   4.02   0.35
7477526X-ray exam of perineum                            A   0.62   0.21     0.22     0.21     0.22     0.03   0.86   0.87   0.86   0.87  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75557  Cardiac mri for morph                             A   2.35  11.27    11.27    11.27NA  11.27 NA  0.97  14.59  14.59  14.59  14.59  1XXX.00.00.0000000             38.0870 090 99     9.26   9.26   0.80
75557TCCardiac mri for morph                             A   0.00  10.33    10.33    10.33NA  10.33 NA  0.87  11.20  11.20  11.20  11.20  1XXX.00.00.0000000             38.0870 010 99     8.32   8.32   0.70
7555726Cardiac mri for morph                             A   2.35   0.94     0.94     0.94     0.94     0.10   3.39   3.39   3.39   3.39  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75558  Cardiac mri flow/velocity                         N+  2.60  12.39    12.39    12.39NA  12.39 NA  1.07  16.06  16.06  16.06  16.06  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
75558TCCardiac mri flow/velocity                         N+  0.00  11.79    11.79    11.79NA  11.79 NA  0.96  12.75  12.75  12.75  12.75  1XXX.00.00.0099999             38.0870 010 99     0.00   0.00   0.00
7555826Cardiac mri flow/velocity                         N+  2.60   0.60     0.60     0.60     0.60     0.11   3.31   3.31   3.31   3.31  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
75559  Cardiac mri w/stress img                          A   2.95  17.26    17.26    17.26NA  17.26 NA  0.97  21.18  21.18  21.18  21.18  1XXX.00.00.0000000             38.0870 090 99     9.82   9.82   0.57
75559TCCardiac mri w/stress img                          A   0.00  15.99    15.99    15.99NA  15.99 NA  0.87  16.86  16.86  16.86  16.86  1XXX.00.00.0000000             38.0870 020 99     8.55   8.55   0.47
7555926Cardiac mri w/stress img                          A   2.95   1.27     1.27     1.27     1.27     0.10   4.32   4.32   4.32   4.32  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75560  Cardiac mri flow/vel/stress                       N+  3.00  16.84    16.84    16.84NA  16.84 NA  1.00  20.84  20.84  20.84  20.84  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
75560TCCardiac mri flow/vel/stress                       N+  0.00  16.15    16.15    16.15NA  16.15 NA  0.89  17.04  17.04  17.04  17.04  1XXX.00.00.0099999             38.0870 020 99     0.00   0.00   0.00
7556026Cardiac mri flow/vel/stress                       N+  3.00   0.69     0.69     0.69     0.69     0.11   3.80   3.80   3.80   3.80  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
75561  Cardiac mri for morph w/dye                       A   2.60  15.98    15.98    15.98NA  15.98 NA  1.07  19.65  19.65  19.65  19.65  1XXX.00.00.0000000             38.0870 090 99    14.00  14.00   0.94
75561TCCardiac mri for morph w/dye                       A   0.00  14.94    14.94    14.94NA  14.94 NA  0.96  15.90  15.90  15.90  15.90  1XXX.00.00.0000000             38.0870 010 99    12.96  12.96   0.83
7556126Cardiac mri for morph w/dye                       A   2.60   1.04     1.04     1.04     1.04     0.11   3.75   3.75   3.75   3.75  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75562  Card mri flow/vel w/dye                           N+  2.86  16.77    16.77    16.77NA  16.77 NA  1.03  20.66  20.66  20.66  20.66  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
75562TCCard mri flow/vel w/dye                           N+  0.00  16.11    16.11    16.11NA  16.11 NA  0.92  17.03  17.03  17.03  17.03  1XXX.00.00.0099999             38.0870 010 99     0.00   0.00   0.00
7556226Card mri flow/vel w/dye                           N+  2.86   0.66     0.66     0.66     0.66     0.11   3.63   3.63   3.63   3.63  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
75563  Card mri w/stress img & dye                       A   3.00  20.22    20.22    20.22NA  20.22 NA  1.08  24.30  24.30  24.30  24.30  1XXX.00.00.0000000             38.0870 090 99    14.50  14.50   0.79
75563TCCard mri w/stress img & dye                       A   0.00  18.84    18.84    18.84NA  18.84 NA  0.97  19.81  19.81  19.81  19.81  1XXX.00.00.0000000             38.0870 010 99    13.12  13.12   0.68
7556326Card mri w/stress img & dye                       A   3.00   1.38     1.38     1.38     1.38     0.11   4.49   4.49   4.49   4.49  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75564  Ht mri w/flo/vel/strs & dye                       N+  3.35  19.73    19.73    19.73NA  19.73 NA  1.21  24.29  24.29  24.29  24.29  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
75564TCHt mri w/flo/vel/strs & dye                       N+  0.00  18.96    18.96    18.96NA  18.96 NA  1.08  20.04  20.04  20.04  20.04  1XXX.00.00.0099999             38.0870 010 99     0.00   0.00   0.00
7556426Ht mri w/flo/vel/strs & dye                       N+  3.35   0.77     0.77     0.77     0.77     0.13   4.25   4.25   4.25   4.25  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
75600  Contrast x-ray exam of aorta                      A   0.49   9.62     6.42     9.62NA   6.42 NA  0.67  10.78   7.58  10.78   7.58  1XXX.00.00.0000000             38.0870 090 99    45.39  45.39   3.14
75600TCContrast x-ray exam of aorta                      A   0.00   9.40     6.18     9.40NA   6.18 NA  0.65  10.05   6.83  10.05   6.83  1XXX.00.00.0000000             38.0870 030 99    45.17  45.17   3.12
7560026Contrast x-ray exam of aorta                      A   0.49   0.22     0.24     0.22     0.24     0.02   0.73   0.75   0.73   0.75  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75605  Contrast x-ray exam of aorta                      A   1.14   8.28     3.55     8.28NA   3.55 NA  0.70  10.12   5.39  10.12   5.39  1XXX.00.00.0000000             38.0870 090 99    45.04  45.04   3.75
75605TCContrast x-ray exam of aorta                      A   0.00   7.84     3.06     7.84NA   3.06 NA  0.65   8.49   3.71   8.49   3.71  1XXX.00.00.0000000             38.0870 030 99    44.60  44.60   3.70
7560526Contrast x-ray exam of aorta                      A   1.14   0.44     0.49     0.44     0.49     0.05   1.63   1.68   1.63   1.68  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75625  Contrast x-ray exam of aorta                      A   1.14   8.17     3.35     8.17NA   3.35 NA  0.71  10.02   5.20  10.02   5.20  1XXX.00.00.0000000             38.0870 090 99    44.97  44.97   3.79
75625TCContrast x-ray exam of aorta                      A   0.00   7.77     2.93     7.77NA   2.93 NA  0.65   8.42   3.58   8.42   3.58  1XXX.00.00.0000000             38.0870 030 99    44.57  44.57   3.73
7562526Contrast x-ray exam of aorta                      A   1.14   0.40     0.42     0.40     0.42     0.06   1.60   1.62   1.60   1.62  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75630  X-ray aorta, leg arteries                         A   1.79   8.76     3.76     8.76NA   3.76 NA  0.80  11.35   6.35  11.35   6.35  1XXX.00.00.0000000             38.0870 090 99    45.16  45.16   3.90
75630TCX-ray aorta, leg arteries                         A   0.00   8.10     3.05     8.10NA   3.05 NA  0.69   8.79   3.74   8.79   3.74  1XXX.00.00.0000000             38.0870 030 99    44.50  44.50   3.79
7563026X-ray aorta, leg arteries                         A   1.79   0.66     0.71     0.66     0.71     0.11   2.56   2.61   2.56   2.61  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75635  Ct angio abdominal arteries                       A   2.40  14.82    12.94    14.82NA  12.94 NA  0.50  17.72  15.84  17.72  15.84  1XXX.00.00.0040000             38.0870 090 02     9.25   9.25   0.34
75635TCCt angio abdominal arteries                       A   0.00  13.97    12.02    13.97NA  12.02 NA  0.39  14.36  12.41  14.36  12.41  1XXX.00.00.0040000             38.0870 020 02     8.40   8.40   0.23
7563526Ct angio abdominal arteries                       A   2.40   0.85     0.92     0.85     0.92     0.11   3.36   3.43   3.36   3.43  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75650  Artery x-rays, head & neck                        A   1.49   8.31     3.53     8.31NA   3.53 NA  0.72  10.52   5.74  10.52   5.74  1XXX.00.00.0000000             38.0870 090 99    69.54  69.54   5.84
75650TCArtery x-rays, head & neck                        A   0.00   7.78     2.95     7.78NA   2.95 NA  0.65   8.43   3.60   8.43   3.60  1XXX.00.00.0000000             38.0870 030 99    69.01  69.01   5.77
7565026Artery x-rays, head & neck                        A   1.49   0.53     0.58     0.53     0.58     0.07   2.09   2.14   2.09   2.14  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75658  Artery x-rays, arm                                A   1.31   8.41     3.73     8.41NA   3.73 NA  0.72  10.44   5.76  10.44   5.76  1XXX.00.00.0000000             38.0870 090 99    45.10  45.10   3.72
75658TCArtery x-rays, arm                                A   0.00   7.95     3.29     7.95NA   3.29 NA  0.65   8.60   3.94   8.60   3.94  1XXX.00.00.0000000             38.0870 030 99    44.64  44.64   3.65
7565826Artery x-rays, arm                                A   1.31   0.46     0.44     0.46     0.44     0.07   1.84   1.82   1.84   1.82  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75660  Artery x-rays, head & neck                        A   1.31   8.47     3.88     8.47NA   3.88 NA  0.71  10.49   5.90  10.49   5.90  1XXX.00.00.0000000             38.0870 090 99    69.62  69.62   5.68
75660TCArtery x-rays, head & neck                        A   0.00   8.00     3.39     8.00NA   3.39 NA  0.65   8.65   4.04   8.65   4.04  1XXX.00.00.0000000             38.0870 030 99    69.15  69.15   5.62
7566026Artery x-rays, head & neck                        A   1.31   0.47     0.49     0.47     0.49     0.06   1.84   1.86   1.84   1.86  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75662  Artery x-rays, head & neck                        A   1.66   9.11     5.01     9.11NA   5.01 NA  0.71  11.48   7.38  11.48   7.38  1XXX.00.00.0002000             38.0870 090 99    70.09  70.09   5.40
75662TCArtery x-rays, head & neck                        A   0.00   8.46     4.31     8.46NA   4.31 NA  0.65   9.11   4.96   9.11   4.96  1XXX.00.00.0002000             38.0870 030 99    69.44  69.44   5.34
7566226Artery x-rays, head & neck                        A   1.66   0.65     0.70     0.65     0.70     0.06   2.37   2.42   2.37   2.42  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
75665  Artery x-rays, head & neck                        A   1.31   8.58     4.10     8.58NA   4.10 NA  0.74  10.63   6.15  10.63   6.15  1XXX.00.00.0000000             38.0870 090 99    45.18  45.18   3.67
75665TCArtery x-rays, head & neck                        A   0.00   8.12     3.62     8.12NA   3.62 NA  0.65   8.77   4.27   8.77   4.27  1XXX.00.00.0000000             38.0870 030 99    44.72  44.72   3.58
7566526Artery x-rays, head & neck                        A   1.31   0.46     0.48     0.46     0.48     0.09   1.86   1.88   1.86   1.88  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75671  Artery x-rays, head & neck                        A   1.66   9.13     5.10     9.13NA   5.10 NA  0.72  11.51   7.48  11.51   7.48  1XXX.00.00.0002000             38.0870 090 99    70.07  70.07   5.36
75671TCArtery x-rays, head & neck                        A   0.00   8.54     4.46     8.54NA   4.46 NA  0.65   9.19   5.11   9.19   5.11  1XXX.00.00.0002000             38.0870 030 99    69.48  69.48   5.29
7567126Artery x-rays, head & neck                        A   1.66   0.59     0.64     0.59     0.64     0.07   2.32   2.37   2.32   2.37  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
75676  Artery x-rays, neck                               A   1.31   8.46     3.87     8.46NA   3.87 NA  0.72  10.49   5.90  10.49   5.90  1XXX.00.00.0000000             38.0870 090 99    45.13  45.13   3.70
75676TCArtery x-rays, neck                               A   0.00   8.00     3.38     8.00NA   3.38 NA  0.65   8.65   4.03   8.65   4.03  1XXX.00.00.0000000             38.0870 030 99    44.67  44.67   3.63
7567626Artery x-rays, neck                               A   1.31   0.46     0.49     0.46     0.49     0.07   1.84   1.87   1.84   1.87  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75680  Artery x-rays, neck                               A   1.66   8.88     4.61     8.88NA   4.61 NA  0.72  11.26   6.99  11.26   6.99  1XXX.00.00.0002000             38.0870 090 99    45.38  45.38   3.59
75680TCArtery x-rays, neck                               A   0.00   8.28     3.95     8.28NA   3.95 NA  0.65   8.93   4.60   8.93   4.60  1XXX.00.00.0002000             38.0870 030 99    44.78  44.78   3.52
7568026Artery x-rays, neck                               A   1.66   0.60     0.66     0.60     0.66     0.07   2.33   2.39   2.33   2.39  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
75685  Artery x-rays, spine                              A   1.31   8.47     3.89     8.47NA   3.89 NA  0.71  10.49   5.91  10.49   5.91  1XXX.00.00.0003000             38.0870 090 99    45.14  45.14   3.69
75685TCArtery x-rays, spine                              A   0.00   8.00     3.39     8.00NA   3.39 NA  0.65   8.65   4.04   8.65   4.04  1XXX.00.00.0003000             38.0870 030 99    44.67  44.67   3.63
7568526Artery x-rays, spine                              A   1.31   0.47     0.50     0.47     0.50     0.06   1.84   1.87   1.84   1.87  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
75705  Artery x-rays, spine                              A   2.18   8.75     4.18     8.75NA   4.18 NA  0.78  11.71   7.14  11.71   7.14  1XXX.00.00.0000000             38.0870 090 99    45.42  45.42   3.76
75705TCArtery x-rays, spine                              A   0.00   7.99     3.38     7.99NA   3.38 NA  0.65   8.64   4.03   8.64   4.03  1XXX.00.00.0000000             38.0870 030 99    44.66  44.66   3.63
7570526Artery x-rays, spine                              A   2.18   0.76     0.80     0.76     0.80     0.13   3.07   3.11   3.07   3.11  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75710  Artery x-rays, arm/leg                            A   1.14   8.48     3.95     8.48NA   3.95 NA  0.72  10.34   5.81  10.34   5.81  1XXX.00.00.0000000             38.0870 090 99    45.10  45.10   3.67
75710TCArtery x-rays, arm/leg                            A   0.00   8.07     3.53     8.07NA   3.53 NA  0.65   8.72   4.18   8.72   4.18  1XXX.00.00.0000000             38.0870 030 99    44.69  44.69   3.60
7571026Artery x-rays, arm/leg                            A   1.14   0.41     0.42     0.41     0.42     0.07   1.62   1.63   1.62   1.63  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75716  Artery x-rays, arms/legs                          A   1.31   8.98     4.92     8.98NA   4.92 NA  0.72  11.01   6.95  11.01   6.95  1XXX.00.00.0002000             38.0870 090 99    45.33  45.33   3.49
75716TCArtery x-rays, arms/legs                          A   0.00   8.52     4.42     8.52NA   4.42 NA  0.65   9.17   5.07   9.17   5.07  1XXX.00.00.0002000             38.0870 030 99    44.87  44.87   3.42
7571626Artery x-rays, arms/legs                          A   1.31   0.46     0.50     0.46     0.50     0.07   1.84   1.88   1.84   1.88  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
75722  Artery x-rays, kidney                             A   1.14   8.43     3.84     8.43NA   3.84 NA  0.70  10.27   5.68  10.27   5.68  1XXX.00.00.0000000             38.0870 090 99    45.10  45.10   3.68
75722TCArtery x-rays, kidney                             A   0.00   7.99     3.37     7.99NA   3.37 NA  0.65   8.64   4.02   8.64   4.02  1XXX.00.00.0000000             38.0870 030 99    44.66  44.66   3.63
7572226Artery x-rays, kidney                             A   1.14   0.44     0.47     0.44     0.47     0.05   1.63   1.66   1.63   1.66  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75724  Artery x-rays, kidneys                            A   1.49   9.15     5.13     9.15NA   5.13 NA  0.70  11.34   7.32  11.34   7.32  1XXX.00.00.0002000             38.0870 090 99    45.51  45.51   3.48
75724TCArtery x-rays, kidneys                            A   0.00   8.50     4.39     8.50NA   4.39 NA  0.65   9.15   5.04   9.15   5.04  1XXX.00.00.0002000             38.0870 030 99    44.86  44.86   3.43
7572426Artery x-rays, kidneys                            A   1.49   0.65     0.74     0.65     0.74     0.05   2.19   2.28   2.19   2.28  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
75726  Artery x-rays, abdomen                            A   1.14   8.37     3.77     8.37NA   3.77 NA  0.70  10.21   5.61  10.21   5.61  1XXX.00.00.0000000             38.0870 090 99    45.05  45.05   3.69
75726TCArtery x-rays, abdomen                            A   0.00   7.98     3.35     7.98NA   3.35 NA  0.65   8.63   4.00   8.63   4.00  1XXX.00.00.0000000             38.0870 030 99    44.66  44.66   3.64
7572626Artery x-rays, abdomen                            A   1.14   0.39     0.42     0.39     0.42     0.05   1.58   1.61   1.58   1.61  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75731  Artery x-rays, adrenal gland                      A   1.14   8.54     4.10     8.54NA   4.10 NA  0.71  10.39   5.95  10.39   5.95  1XXX.00.00.0000000             38.0870 090 99    45.15  45.15   3.65
75731TCArtery x-rays, adrenal gland                      A   0.00   8.10     3.60     8.10NA   3.60 NA  0.65   8.75   4.25   8.75   4.25  1XXX.00.00.0000000             38.0870 030 99    44.71  44.71   3.59
7573126Artery x-rays, adrenal gland                      A   1.14   0.44     0.50     0.44     0.50     0.06   1.64   1.70   1.64   1.70  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75733  Artery x-rays, adrenals                           A   1.31   9.26     5.46     9.26NA   5.46 NA  0.71  11.28   7.48  11.28   7.48  1XXX.00.00.0002000             38.0870 090 99    45.49  45.49   3.41
75733TCArtery x-rays, adrenals                           A   0.00   8.71     4.81     8.71NA   4.81 NA  0.65   9.36   5.46   9.36   5.46  1XXX.00.00.0002000             38.0870 030 99    44.94  44.94   3.35
7573326Artery x-rays, adrenals                           A   1.31   0.55     0.65     0.55     0.65     0.06   1.92   2.02   1.92   2.02  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
75736  Artery x-rays, pelvis                             A   1.14   8.44     3.87     8.44NA   3.87 NA  0.71  10.29   5.72  10.29   5.72  1XXX.00.00.0000000             38.0870 090 99    45.09  45.09   3.68
75736TCArtery x-rays, pelvis                             A   0.00   8.03     3.44     8.03NA   3.44 NA  0.65   8.68   4.09   8.68   4.09  1XXX.00.00.0000000             38.0870 030 99    44.68  44.68   3.62
7573626Artery x-rays, pelvis                             A   1.14   0.41     0.43     0.41     0.43     0.06   1.61   1.63   1.61   1.63  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75741  Artery x-rays, lung                               A   1.31   8.11     3.18     8.11NA   3.18 NA  0.71  10.13   5.20  10.13   5.20  1XXX.00.00.0000000             38.0870 090 99    44.97  44.97   3.84
75741TCArtery x-rays, lung                               A   0.00   7.65     2.69     7.65NA   2.69 NA  0.65   8.30   3.34   8.30   3.34  1XXX.00.00.0000000             38.0870 030 99    44.51  44.51   3.78
7574126Artery x-rays, lung                               A   1.31   0.46     0.49     0.46     0.49     0.06   1.83   1.86   1.83   1.86  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75743  Artery x-rays, lungs                              A   1.66   8.36     3.56     8.36NA   3.56 NA  0.72  10.74   5.94  10.74   5.94  1XXX.00.00.0002000             38.0870 090 99    45.15  45.15   3.79
75743TCArtery x-rays, lungs                              A   0.00   7.78     2.94     7.78NA   2.94 NA  0.65   8.43   3.59   8.43   3.59  1XXX.00.00.0002000             38.0870 030 99    44.57  44.57   3.72
7574326Artery x-rays, lungs                              A   1.66   0.58     0.62     0.58     0.62     0.07   2.31   2.35   2.31   2.35  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
75746  Artery x-rays, lung                               A   1.14   8.26     3.52     8.26NA   3.52 NA  0.70  10.10   5.36  10.10   5.36  1XXX.00.00.0000000             38.0870 090 99    14.83  14.83   1.24
75746TCArtery x-rays, lung                               A   0.00   7.87     3.12     7.87NA   3.12 NA  0.65   8.52   3.77   8.52   3.77  1XXX.00.00.0000000             38.0870 030 99    14.44  14.44   1.19
7574626Artery x-rays, lung                               A   1.14   0.39     0.40     0.39     0.40     0.05   1.58   1.59   1.58   1.59  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75756  Artery x-rays, chest                              A   1.14   8.70     4.34     8.70NA   4.34 NA  0.69  10.53   6.17  10.53   6.17  1XXX.00.00.0000000             38.0870 090 99    15.00  15.00   1.19
75756TCArtery x-rays, chest                              A   0.00   8.19     3.76     8.19NA   3.76 NA  0.65   8.84   4.41   8.84   4.41  1XXX.00.00.0000000             38.0870 030 99    14.49  14.49   1.15
7575626Artery x-rays, chest                              A   1.14   0.51     0.58     0.51     0.58     0.04   1.69   1.76   1.69   1.76  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75774  Artery x-ray, each vessel                         A   0.36   7.62     2.51     7.62NA   2.51 NA  0.67   8.65   3.54   8.65   3.54  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75774TCArtery x-ray, each vessel                         A   0.00   7.49     2.37     7.49NA   2.37 NA  0.65   8.14   3.02   8.14   3.02  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7577426Artery x-ray, each vessel                         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             38.0870 090 99     0.00   0.00   0.00
75790  Visualize A-V shunt                               A   1.84   2.54     3.12     2.54NA   3.12 NA  0.17   4.55   5.13   4.55   5.13  1XXX.00.00.0000000             38.0870 090 99    15.62  15.62   0.71
75790TCVisualize A-V shunt                               A   0.00   1.94     2.52     1.94NA   2.52 NA  0.08   2.02   2.60   2.02   2.60  1XXX.00.00.0000000             38.0870 030 99    15.02  15.02   0.62
7579026Visualize A-V shunt                               A   1.84   0.60     0.60     0.60     0.60     0.09   2.53   2.53   2.53   2.53  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75801  Lymph vessel x-ray, arm/leg                       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             38.0870 090 99     8.50   8.50   0.80
75801TCLymph vessel x-ray, arm/leg                       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             38.0870 030 99     8.25   8.25   0.72
7580126Lymph vessel x-ray, arm/leg                       A   0.81   0.25     0.22     0.25     0.22     0.08   1.14   1.11   1.14   1.11  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75803  Lymph vessel x-ray,arms/legs                      C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0002000             38.0870 090 99     8.64   8.64   0.77
75803TCLymph vessel x-ray,arms/legs                      C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0002000             38.0870 030 99     8.25   8.25   0.72
7580326Lymph vessel x-ray,arms/legs                      A   1.17   0.39     0.40     0.39     0.40     0.05   1.61   1.62   1.61   1.62  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
75805  Lymph vessel x-ray, trunk                         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             38.0870 090 99     8.52   8.52   0.77
75805TCLymph vessel x-ray, trunk                         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             38.0870 030 99     8.25   8.25   0.72
7580526Lymph vessel x-ray, trunk                         A   0.81   0.27     0.27     0.27     0.27     0.05   1.13   1.13   1.13   1.13  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75807  Lymph vessel x-ray, trunk                         C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0002000             38.0870 090 99     8.64   8.64   0.77
75807TCLymph vessel x-ray, trunk                         C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0002000             38.0870 030 99     8.25   8.25   0.72
7580726Lymph vessel x-ray, trunk                         A   1.17   0.39     0.39     0.39     0.39     0.05   1.61   1.61   1.61   1.61  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
75809  Nonvascular shunt, x-ray                          A   0.47   1.54     2.17     1.54NA   2.17 NA  0.07   2.08   2.71   2.08   2.71  1XXX.00.00.0000000             38.0870 090 99     4.48   4.48   0.18
75809TCNonvascular shunt, x-ray                          A   0.00   1.39     2.01     1.39NA   2.01 NA  0.05   1.44   2.06   1.44   2.06  1XXX.00.00.0000000             38.0870 030 99     4.33   4.33   0.16
7580926Nonvascular shunt, x-ray                          A   0.47   0.15     0.16     0.15     0.16     0.02   0.64   0.65   0.64   0.65  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75810  Vein x-ray, spleen/liver                          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             38.0870 090 99    44.81  44.81   3.91
75810TCVein x-ray, spleen/liver                          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             38.0870 030 99    44.43  44.43   3.86
7581026Vein x-ray, spleen/liver                          A   1.14   0.38     0.39     0.38     0.39     0.05   1.57   1.58   1.57   1.58  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75820  Vein x-ray, arm/leg                               A   0.70   2.09     3.01     2.09NA   3.01 NA  0.09   2.88   3.80   2.88   3.80  1XXX.00.00.0000000             38.0870 090 99    15.40  15.40   0.53
75820TCVein x-ray, arm/leg                               A   0.00   1.83     2.72     1.83NA   2.72 NA  0.06   1.89   2.78   1.89   2.78  1XXX.00.00.0000000             38.0870 030 99    15.14  15.14   0.50
7582026Vein x-ray, arm/leg                               A   0.70   0.26     0.29     0.26     0.29     0.03   0.99   1.02   0.99   1.02  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75822  Vein x-ray, arms/legs                             A   1.06   2.50     3.18     2.50NA   3.18 NA  0.13   3.69   4.37   3.69   4.37  1XXX.00.00.0002000             38.0870 090 99    15.43  15.43   0.61
75822TCVein x-ray, arms/legs                             A   0.00   2.14     2.81     2.14NA   2.81 NA  0.08   2.22   2.89   2.22   2.89  1XXX.00.00.0002000             38.0870 030 99    15.07  15.07   0.56
7582226Vein x-ray, arms/legs                             A   1.06   0.36     0.37     0.36     0.37     0.05   1.47   1.48   1.47   1.48  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
75825  Vein x-ray, trunk                                 A   1.14   7.96     2.93     7.96NA   2.93 NA  0.72   9.82   4.79   9.82   4.79  1XXX.00.00.0000000             38.0870 090 99    44.86  44.86   3.88
75825TCVein x-ray, trunk                                 A   0.00   7.58     2.55     7.58NA   2.55 NA  0.65   8.23   3.20   8.23   3.20  1XXX.00.00.0000000             38.0870 030 99    44.48  44.48   3.81
7582526Vein x-ray, trunk                                 A   1.14   0.38     0.38     0.38     0.38     0.07   1.59   1.59   1.59   1.59  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75827  Vein x-ray, chest                                 A   1.14   7.97     2.95     7.97NA   2.95 NA  0.70   9.81   4.79   9.81   4.79  1XXX.00.00.0000000             38.0870 090 99    14.78  14.78   1.28
75827TCVein x-ray, chest                                 A   0.00   7.60     2.58     7.60NA   2.58 NA  0.65   8.25   3.23   8.25   3.23  1XXX.00.00.0000000             38.0870 030 99    14.41  14.41   1.23
7582726Vein x-ray, chest                                 A   1.14   0.37     0.37     0.37     0.37     0.05   1.56   1.56   1.56   1.56  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75831  Vein x-ray, kidney                                A   1.14   8.01     3.05     8.01NA   3.05 NA  0.71   9.86   4.90   9.86   4.90  1XXX.00.00.0000000             38.0870 090 99    44.88  44.88   3.85
75831TCVein x-ray, kidney                                A   0.00   7.64     2.67     7.64NA   2.67 NA  0.65   8.29   3.32   8.29   3.32  1XXX.00.00.0000000             38.0870 030 99    44.51  44.51   3.79
7583126Vein x-ray, kidney                                A   1.14   0.37     0.38     0.37     0.38     0.06   1.57   1.58   1.57   1.58  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75833  Vein x-ray, kidneys                               A   1.49   8.39     3.68     8.39NA   3.68 NA  0.74  10.62   5.91  10.62   5.91  1XXX.00.00.0002000             38.0870 090 99    45.12  45.12   3.77
75833TCVein x-ray, kidneys                               A   0.00   7.89     3.18     7.89NA   3.18 NA  0.65   8.54   3.83   8.54   3.83  1XXX.00.00.0002000             38.0870 030 99    44.62  44.62   3.68
7583326Vein x-ray, kidneys                               A   1.49   0.50     0.50     0.50     0.50     0.09   2.08   2.08   2.08   2.08  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
75840  Vein x-ray, adrenal gland                         A   1.14   7.98     2.96     7.98NA   2.96 NA  0.72   9.84   4.82   9.84   4.82  1XXX.00.00.0000000             38.0870 090 99    44.86  44.86   3.87
75840TCVein x-ray, adrenal gland                         A   0.00   7.61     2.60     7.61NA   2.60 NA  0.65   8.26   3.25   8.26   3.25  1XXX.00.00.0000000             38.0870 030 99    44.49  44.49   3.80
7584026Vein x-ray, adrenal gland                         A   1.14   0.37     0.36     0.37     0.36     0.07   1.58   1.57   1.58   1.57  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75842  Vein x-ray, adrenal glands                        A   1.49   8.42     3.75     8.42NA   3.75 NA  0.72  10.63   5.96  10.63   5.96  1XXX.00.00.0002000             38.0870 090 99    45.14  45.14   3.74
75842TCVein x-ray, adrenal glands                        A   0.00   7.91     3.20     7.91NA   3.20 NA  0.65   8.56   3.85   8.56   3.85  1XXX.00.00.0002000             38.0870 030 99    44.63  44.63   3.67
7584226Vein x-ray, adrenal glands                        A   1.49   0.51     0.55     0.51     0.55     0.07   2.07   2.11   2.07   2.11  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
75860  Vein x-ray, neck                                  A   1.14   8.20     3.40     8.20NA   3.40 NA  0.69  10.03   5.23  10.03   5.23  1XXX.00.00.0000000             38.0870 090 99    14.87  14.87   1.25
75860TCVein x-ray, neck                                  A   0.00   7.76     2.91     7.76NA   2.91 NA  0.65   8.41   3.56   8.41   3.56  1XXX.00.00.0000000             38.0870 030 99    14.43  14.43   1.21
7586026Vein x-ray, neck                                  A   1.14   0.44     0.49     0.44     0.49     0.04   1.62   1.67   1.62   1.67  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75870  Vein x-ray, skull                                 A   1.14   8.15     3.29     8.15NA   3.29 NA  0.70   9.99   5.13   9.99   5.13  1XXX.00.00.0000000             38.0870 090 99    14.83  14.83   1.26
75870TCVein x-ray, skull                                 A   0.00   7.75     2.89     7.75NA   2.89 NA  0.65   8.40   3.54   8.40   3.54  1XXX.00.00.0000000             38.0870 030 99    14.43  14.43   1.21
7587026Vein x-ray, skull                                 A   1.14   0.40     0.40     0.40     0.40     0.05   1.59   1.59   1.59   1.59  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75872  Vein x-ray, skull                                 A   1.14   8.52     4.04     8.52NA   4.04 NA  0.79  10.45   5.97  10.45   5.97  1XXX.00.00.0000000             38.0870 090 99    14.89  14.89   1.30
75872TCVein x-ray, skull                                 A   0.00   8.11     3.60     8.11NA   3.60 NA  0.65   8.76   4.25   8.76   4.25  1XXX.00.00.0000000             38.0870 030 99    14.48  14.48   1.16
7587226Vein x-ray, skull                                 A   1.14   0.41     0.44     0.41     0.44     0.14   1.69   1.72   1.69   1.72  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75880  Vein x-ray, eye socket                            A   0.70   2.20     3.21     2.20NA   3.21 NA  0.09   2.99   4.00   2.99   4.00  1XXX.00.00.0000000             38.0870 090 99    15.42  15.42   0.50
75880TCVein x-ray, eye socket                            A   0.00   1.95     2.94     1.95NA   2.94 NA  0.06   2.01   3.00   2.01   3.00  1XXX.00.00.0000000             38.0870 030 99    15.17  15.17   0.47
7588026Vein x-ray, eye socket                            A   0.70   0.25     0.27     0.25     0.27     0.03   0.98   1.00   0.98   1.00  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75885  Vein x-ray, liver                                 A   1.44   8.13     3.18     8.13NA   3.18 NA  0.71  10.28   5.33  10.28   5.33  1XXX.00.00.0000000             38.0870 090 99    45.00  45.00   3.85
75885TCVein x-ray, liver                                 A   0.00   7.64     2.66     7.64NA   2.66 NA  0.65   8.29   3.31   8.29   3.31  1XXX.00.00.0000000             38.0870 030 99    44.51  44.51   3.79
7588526Vein x-ray, liver                                 A   1.44   0.49     0.52     0.49     0.52     0.06   1.99   2.02   1.99   2.02  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75887  Vein x-ray, liver                                 A   1.44   8.25     3.42     8.25NA   3.42 NA  0.71  10.40   5.57  10.40   5.57  1XXX.00.00.0000000             38.0870 090 99    14.94  14.94   1.27
75887TCVein x-ray, liver                                 A   0.00   7.73     2.85     7.73NA   2.85 NA  0.65   8.38   3.50   8.38   3.50  1XXX.00.00.0000000             38.0870 030 99    14.42  14.42   1.21
7588726Vein x-ray, liver                                 A   1.44   0.52     0.57     0.52     0.57     0.06   2.02   2.07   2.02   2.07  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75889  Vein x-ray, liver                                 A   1.14   8.03     3.07     8.03NA   3.07 NA  0.70   9.87   4.91   9.87   4.91  1XXX.00.00.0000000             38.0870 090 99    44.90  44.90   3.84
75889TCVein x-ray, liver                                 A   0.00   7.64     2.66     7.64NA   2.66 NA  0.65   8.29   3.31   8.29   3.31  1XXX.00.00.0000000             38.0870 030 99    44.51  44.51   3.79
7588926Vein x-ray, liver                                 A   1.14   0.39     0.41     0.39     0.41     0.05   1.58   1.60   1.58   1.60  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75891  Vein x-ray, liver                                 A   1.14   8.02     3.07     8.02NA   3.07 NA  0.70   9.86   4.91   9.86   4.91  1XXX.00.00.0000000             38.0870 090 99    44.89  44.89   3.84
75891TCVein x-ray, liver                                 A   0.00   7.63     2.66     7.63NA   2.66 NA  0.65   8.28   3.31   8.28   3.31  1XXX.00.00.0000000             38.0870 030 99    44.50  44.50   3.79
7589126Vein x-ray, liver                                 A   1.14   0.39     0.41     0.39     0.41     0.05   1.58   1.60   1.58   1.60  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75893  Venous sampling by catheter                       A   0.54   7.83     2.86     7.83NA   2.86 NA  0.67   9.04   4.07   9.04   4.07  1XXX.00.00.0000000             38.0870 090 99    44.70  44.70   3.81
75893TCVenous sampling by catheter                       A   0.00   7.64     2.66     7.64NA   2.66 NA  0.65   8.29   3.31   8.29   3.31  1XXX.00.00.0000000             38.0870 030 99    44.51  44.51   3.79
7589326Venous sampling by catheter                       A   0.54   0.19     0.20     0.19     0.20     0.02   0.75   0.76   0.75   0.76  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75894  X-rays, transcath therapy                         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             38.0870 090 99     0.00   0.00   0.00
75894TCX-rays, transcath therapy                         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             38.0870 030 99     0.00   0.00   0.00
7589426X-rays, transcath therapy                         A   1.31   0.44     0.46     0.44     0.46     0.08   1.83   1.85   1.83   1.85  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75896  X-rays, transcath therapy                         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             38.0870 090 99     0.00   0.00   0.00
75896TCX-rays, transcath therapy                         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             38.0870 030 99     0.00   0.00   0.00
7589626X-rays, transcath therapy                         A   1.31   0.48     0.52     0.48     0.52     0.05   1.84   1.88   1.84   1.88  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75898  Follow-up angiography                             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             38.0870 090 99     4.84   4.84   0.31
75898TCFollow-up angiography                             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             38.0870 030 99     4.25   4.25   0.24
7589826Follow-up angiography                             A   1.65   0.59     0.63     0.59     0.63     0.07   2.31   2.35   2.31   2.35  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75900  Intravascular cath exchange                       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             38.0870 090 99     0.00   0.00   0.00
75900TCIntravascular cath exchange                       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             38.0870 030 99     0.00   0.00   0.00
7590026Intravascular cath exchange                       A   0.49   0.16     0.17     0.16     0.17     0.03   0.68   0.69   0.68   0.69  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75901  Remove cva device obstruct                        A   0.49   2.81     4.15     2.81NA   4.15 NA  0.85   4.15   5.49   4.15   5.49  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
75901TCRemove cva device obstruct                        A   0.00   2.64     3.98     2.64NA   3.98 NA  0.83   3.47   4.81   3.47   4.81  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7590126Remove cva device obstruct                        A   0.49   0.17     0.17     0.17     0.17     0.02   0.68   0.68   0.68   0.68  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75902  Remove cva lumen obstruct                         A   0.39   1.53     1.63     1.53NA   1.63 NA  0.85   2.77   2.87   2.77   2.87  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
75902TCRemove cva lumen obstruct                         A   0.00   1.40     1.50     1.40NA   1.50 NA  0.83   2.23   2.33   2.23   2.33  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7590226Remove cva lumen obstruct                         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             38.0870 090 99     0.00   0.00   0.00
75940  X-ray placement, vein filter                      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             38.0870 090 99     0.00   0.00   0.00
75940TCX-ray placement, vein filter                      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             38.0870 030 99     0.00   0.00   0.00
7594026X-ray placement, vein filter                      A   0.54   0.18     0.18     0.18     0.18     0.04   0.76   0.76   0.76   0.76  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75945  Intravascular us                                  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             38.0870 090 99     3.91   3.91   0.25
75945TCIntravascular us                                  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             38.0870 030 99     3.77   3.77   0.21
7594526Intravascular us                                  A   0.40   0.14     0.14     0.14     0.14     0.04   0.58   0.58   0.58   0.58  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75946  Intravascular us add-on                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75946TCIntravascular us add-on                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7594626Intravascular us add-on                           A   0.40   0.13     0.12     0.13     0.12     0.05   0.58   0.57   0.58   0.57  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75952  Endovasc repair abdom aorta                       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             38.0870 090 99     0.00   0.00   0.00
75952TCEndovasc repair abdom aorta                       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             38.0870 030 99     0.00   0.00   0.00
7595226Endovasc repair abdom aorta                       A   4.49   1.39     1.30     1.39     1.30     0.43   6.31   6.22   6.31   6.22  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75953  Abdom aneurysm endovas rpr                        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             38.0870 090 99     0.00   0.00   0.00
75953TCAbdom aneurysm endovas rpr                        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             38.0870 030 99     0.00   0.00   0.00
7595326Abdom aneurysm endovas rpr                        A   1.36   0.42     0.40     0.42     0.40     0.13   1.91   1.89   1.91   1.89  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75954  Iliac aneurysm endovas rpr                        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             38.0870 030 99     0.00   0.00   0.00
75954TCIliac aneurysm endovas rpr                        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             38.0870 030 99     0.00   0.00   0.00
7595426Iliac aneurysm endovas rpr                        A   2.25   0.70     0.63     0.70     0.63     0.15   3.10   3.03   3.10   3.03  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75956  Xray, endovasc thor ao repr                       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             38.0870 090 99     0.00   0.00   0.00
75956TCXray, endovasc thor ao repr                       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             38.0870 030 99     0.00   0.00   0.00
7595626Xray, endovasc thor ao repr                       A   7.00   2.29     1.88     2.29     1.88     0.69   9.98   9.57   9.98   9.57  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75957  Xray, endovasc thor ao repr                       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             38.0870 090 99     0.00   0.00   0.00
75957TCXray, endovasc thor ao repr                       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             38.0870 030 99     0.00   0.00   0.00
7595726Xray, endovasc thor ao repr                       A   6.00   1.97     1.63     1.97     1.63     0.59   8.56   8.22   8.56   8.22  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75958  Xray, place prox ext thor ao                      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             38.0870 090 99     0.00   0.00   0.00
75958TCXray, place prox ext thor ao                      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             38.0870 030 99     0.00   0.00   0.00
7595826Xray, place prox ext thor ao                      A   4.00   1.30     1.05     1.30     1.05     0.39   5.69   5.44   5.69   5.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75959  Xray, place dist ext thor ao                      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             38.0870 090 99     0.00   0.00   0.00
75959TCXray, place dist ext thor ao                      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             38.0870 030 99     0.00   0.00   0.00
7595926Xray, place dist ext thor ao                      A   3.50   1.14     0.92     1.14     0.92     0.34   4.98   4.76   4.98   4.76  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75960  Transcath iv stent rs&i                           A   0.82   8.95     2.71     8.95NA   2.71 NA  0.82  10.59   4.35  10.59   4.35  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75960TCTranscath iv stent rs&i                           A   0.00   8.65     2.39     8.65NA   2.39 NA  0.77   9.42   3.16   9.42   3.16  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7596026Transcath iv stent rs&i                           A   0.82   0.30     0.32     0.30     0.32     0.05   1.17   1.19   1.17   1.19  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75961  Retrieval, broken catheter                        A   4.24   8.29     4.68     8.29NA   4.68 NA  0.73  13.26   9.65  13.26   9.65  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75961TCRetrieval, broken catheter                        A   0.00   6.85     3.19     6.85NA   3.19 NA  0.55   7.40   3.74   7.40   3.74  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7596126Retrieval, broken catheter                        A   4.24   1.44     1.49     1.44     1.49     0.18   5.86   5.91   5.86   5.91  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75962  Repair arterial blockage                          A   0.54   9.72     3.50     9.72NA   3.50 NA  0.86  11.12   4.90  11.12   4.90  1XXX.00.00.0000000             38.0870 090 99    70.01  70.01   6.11
75962TCRepair arterial blockage                          A   0.00   9.53     3.30     9.53NA   3.30 NA  0.83  10.36   4.13  10.36   4.13  1XXX.00.00.0000000             38.0870 030 99    69.82  69.82   6.08
7596226Repair arterial blockage                          A   0.54   0.19     0.20     0.19     0.20     0.03   0.76   0.77   0.76   0.77  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75964  Repair artery blockage, each                      A   0.36   5.43     2.35     5.43NA   2.35 NA  0.46   6.25   3.17   6.25   3.17  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75964TCRepair artery blockage, each                      A   0.00   5.31     2.22     5.31NA   2.22 NA  0.43   5.74   2.65   5.74   2.65  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7596426Repair artery blockage, each                      A   0.36   0.12     0.13     0.12     0.13     0.03   0.51   0.52   0.51   0.52  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75966  Repair arterial blockage                          A   1.31  10.19     4.17    10.19NA   4.17 NA  0.89  12.39   6.37  12.39   6.37  1XXX.00.00.0000000             38.0870 090 99    70.41  70.41   6.05
75966TCRepair arterial blockage                          A   0.00   9.68     3.60     9.68NA   3.60 NA  0.83  10.51   4.43  10.51   4.43  1XXX.00.00.0000000             38.0870 030 99    69.90  69.90   5.99
7596626Repair arterial blockage                          A   1.31   0.51     0.57     0.51     0.57     0.06   1.88   1.94   1.88   1.94  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75968  Repair artery blockage, each                      A   0.36   5.46     2.41     5.46NA   2.41 NA  0.45   6.27   3.22   6.27   3.22  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75968TCRepair artery blockage, each                      A   0.00   5.32     2.25     5.32NA   2.25 NA  0.43   5.75   2.68   5.75   2.68  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7596826Repair artery blockage, each                      A   0.36   0.14     0.16     0.14     0.16     0.02   0.52   0.54   0.52   0.54  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75970  Vascular biopsy                                   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             38.0870 090 99     0.00   0.00   0.00
75970TCVascular biopsy                                   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             38.0870 030 99     0.00   0.00   0.00
7597026Vascular biopsy                                   A   0.83   0.29     0.31     0.29     0.31     0.04   1.16   1.18   1.16   1.18  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75978  Repair venous blockage                            A   0.54   9.60     3.27     9.60NA   3.27 NA  0.85  10.99   4.66  10.99   4.66  1XXX.00.00.0000000             38.0870 090 99    69.93  69.93   6.17
75978TCRepair venous blockage                            A   0.00   9.42     3.09     9.42NA   3.09 NA  0.83  10.25   3.92  10.25   3.92  1XXX.00.00.0000000             38.0870 030 99    69.75  69.75   6.15
7597826Repair venous blockage                            A   0.54   0.18     0.18     0.18     0.18     0.02   0.74   0.74   0.74   0.74  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75980  Contrast xray exam bile duct                      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             38.0870 090 99     0.00   0.00   0.00
75980TCContrast xray exam bile duct                      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             38.0870 030 99     0.00   0.00   0.00
7598026Contrast xray exam bile duct                      A   1.44   0.50     0.52     0.50     0.52     0.06   2.00   2.02   2.00   2.02  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75982  Contrast xray exam bile duct                      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             38.0870 090 99     0.00   0.00   0.00
75982TCContrast xray exam bile duct                      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             38.0870 030 99     0.00   0.00   0.00
7598226Contrast xray exam bile duct                      A   1.44   0.50     0.52     0.50     0.52     0.06   2.00   2.02   2.00   2.02  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75984  Xray control catheter change                      A   0.72   2.24     2.31     2.24NA   2.31 NA  0.14   3.10   3.17   3.10   3.17  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75984TCXray control catheter change                      A   0.00   2.00     2.05     2.00NA   2.05 NA  0.11   2.11   2.16   2.11   2.16  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7598426Xray control catheter change                      A   0.72   0.24     0.26     0.24     0.26     0.03   0.99   1.01   0.99   1.01  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75989  Abscess drainage under x-ray                      A   1.19   2.90     2.24     2.90NA   2.24 NA  0.22   4.31   3.65   4.31   3.65  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75989TCAbscess drainage under x-ray                      A   0.00   2.49     1.82     2.49NA   1.82 NA  0.17   2.66   1.99   2.66   1.99  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7598926Abscess drainage under x-ray                      A   1.19   0.41     0.42     0.41     0.42     0.05   1.65   1.66   1.65   1.66  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75992  Atherectomy, x-ray exam                           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             38.0870 090 99     0.00   0.00   0.00
75992TCAtherectomy, x-ray exam                           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             38.0870 030 99     0.00   0.00   0.00
7599226Atherectomy, x-ray exam                           A   0.54   0.21     0.22     0.21     0.22     0.03   0.78   0.79   0.78   0.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75993  Atherectomy, x-ray exam                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75993TCAtherectomy, x-ray exam                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7599326Atherectomy, 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             38.0870 090 99     0.00   0.00   0.00
75994  Atherectomy, x-ray exam                           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             38.0870 090 99     0.00   0.00   0.00
75994TCAtherectomy, x-ray exam                           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             38.0870 030 99     0.00   0.00   0.00
7599426Atherectomy, x-ray exam                           A   1.31   0.50     0.54     0.50     0.54     0.07   1.88   1.92   1.88   1.92  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75995  Atherectomy, x-ray exam                           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             38.0870 090 99     0.00   0.00   0.00
75995TCAtherectomy, x-ray exam                           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             38.0870 030 99     0.00   0.00   0.00
7599526Atherectomy, x-ray exam                           A   1.31   0.47     0.48     0.47     0.48     0.05   1.83   1.84   1.83   1.84  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75996  Atherectomy, x-ray exam                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
75996TCAtherectomy, x-ray exam                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7599626Atherectomy, x-ray exam                           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             38.0870 090 99     0.00   0.00   0.00
76000  Fluoroscope examination                           A   0.17   2.06     2.77     2.06NA   2.77 NA  0.08   2.31   3.02   2.31   3.02  1XXX.00.00.0000000             38.0870 090 99     2.19   2.19   0.08
76000TCFluoroscope examination                           A   0.00   2.01     2.71     2.01NA   2.71 NA  0.07   2.08   2.78   2.08   2.78  1XXX.00.00.0000000             38.0870 030 99     2.14   2.14   0.07
7600026Fluoroscope examination                           A   0.17   0.05     0.06     0.05     0.06     0.01   0.23   0.24   0.23   0.24  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76001  Fluoroscope exam, extensive                       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             38.0870 090 99     0.00   0.00   0.00
76001TCFluoroscope exam, extensive                       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             38.0870 030 99     0.00   0.00   0.00
7600126Fluoroscope exam, extensive                       A   0.67   0.23     0.24     0.23     0.24     0.05   0.95   0.96   0.95   0.96  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76010  X-ray, nose to rectum                             A   0.18   0.56     0.54     0.56NA   0.54 NA  0.03   0.77   0.75   0.77   0.75  1XXX.00.00.0000000             38.0870 090 99     1.18   1.18   0.05
76010TCX-ray, nose to rectum                             A   0.00   0.50     0.48     0.50NA   0.48 NA  0.02   0.52   0.50   0.52   0.50  1XXX.00.00.0000000             38.0870 010 99     1.12   1.12   0.04
7601026X-ray, nose to rectum                             A   0.18   0.06     0.06     0.06     0.06     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76080  X-ray exam of fistula                             A   0.54   1.16     1.10     1.16NA   1.10 NA  0.08   1.78   1.72   1.78   1.72  1XXX.00.00.0000000             38.0870 090 99     4.42   4.42   0.28
76080TCX-ray exam of fistula                             A   0.00   0.97     0.90     0.97NA   0.90 NA  0.06   1.03   0.96   1.03   0.96  1XXX.00.00.0000000             38.0870 030 99     4.23   4.23   0.26
7608026X-ray exam of fistula                             A   0.54   0.19     0.20     0.19     0.20     0.02   0.75   0.76   0.75   0.76  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76098  X-ray exam, breast specimen                       A   0.16   0.39     0.32     0.39NA   0.32 NA  0.03   0.58   0.51   0.58   0.51  1XXX.00.00.0000000             38.0870 090 99     1.15   1.15   0.07
76098TCX-ray exam, breast specimen                       A   0.00   0.34     0.27     0.34NA   0.27 NA  0.02   0.36   0.29   0.36   0.29  1XXX.00.00.0000000             38.0870 010 99     1.10   1.10   0.06
7609826X-ray exam, breast specimen                       A   0.16   0.05     0.05     0.05     0.05     0.01   0.22   0.22   0.22   0.22  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76100  X-ray exam of body section                        A   0.58   2.50     3.55     2.50NA   3.55 NA  0.10   3.18   4.23   3.18   4.23  1XXX.00.00.0000000             38.0870 090 99     2.08   2.08   0.09
76100TCX-ray exam of body section                        A   0.00   2.30     3.35     2.30NA   3.35 NA  0.07   2.37   3.42   2.37   3.42  1XXX.00.00.0000000             38.0870 010 99     1.88   1.88   0.06
7610026X-ray exam of body section                        A   0.58   0.20     0.20     0.20     0.20     0.03   0.81   0.81   0.81   0.81  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76101  Complex body section x-ray                        A   0.58   3.54     5.47     3.54NA   5.47 NA  0.11   4.23   6.16   4.23   6.16  1XXX.00.00.0000000             38.0870 090 99     4.57   4.57   0.13
76101TCComplex body section x-ray                        A   0.00   3.35     5.28     3.35NA   5.28 NA  0.08   3.43   5.36   3.43   5.36  1XXX.00.00.0000000             38.0870 020 99     4.38   4.38   0.10
7610126Complex body section x-ray                        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             38.0870 090 99     0.00   0.00   0.00
76102  Complex body section x-rays                       A   0.58   4.78     7.65     4.78NA   7.65 NA  0.14   5.50   8.37   5.50   8.37  1XXX.00.00.0002000             38.0870 090 99     4.56   4.56   0.13
76102TCComplex body section x-rays                       A   0.00   4.60     7.47     4.60NA   7.47 NA  0.11   4.71   7.58   4.71   7.58  1XXX.00.00.0002000             38.0870 020 99     4.38   4.38   0.10
7610226Complex body section x-rays                       A   0.58   0.18     0.18     0.18     0.18     0.03   0.79   0.79   0.79   0.79  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
76120  Cine/video x-rays                                 A   0.38   1.53     1.87     1.53NA   1.87 NA  0.08   1.99   2.33   1.99   2.33  1XXX.00.00.0000000             38.0870 090 99     2.26   2.26   0.11
76120TCCine/video x-rays                                 A   0.00   1.40     1.74     1.40NA   1.74 NA  0.06   1.46   1.80   1.46   1.80  1XXX.00.00.0000000             38.0870 020 99     2.13   2.13   0.09
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             38.0870 090 99     0.00   0.00   0.00
76125  Cine/video x-rays add-on                          C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76125TCCine/video x-rays add-on                          C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
7612526Cine/video x-rays add-on                          A   0.27   0.11     0.12     0.11     0.12     0.01   0.39   0.40   0.39   0.40  1ZZZ.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
76150  X-ray exam, dry process                           A   0.00   0.55     0.68     0.55NA   0.68 NA  0.02   0.57   0.70   0.57   0.70  3XXX.00.00.0000000             38.0870 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             38.0870 020 99     0.00   0.00   0.00
76376  3d render w/o postprocess                         A   0.20   2.45     1.41     2.45NA   1.41 NA  0.10   2.75   1.71   2.75   1.71  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76376TC3d render w/o postprocess                         A   0.00   2.38     1.34     2.38NA   1.34 NA  0.08   2.46   1.42   2.46   1.42  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
76376263d render w/o postprocess                         A   0.20   0.07     0.07     0.07     0.07     0.02   0.29   0.29   0.29   0.29  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76377  3d rendering w/postprocess                        A   0.79   2.54     1.40     2.54NA   1.40 NA  0.39   3.72   2.58   3.72   2.58  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76377TC3d rendering w/postprocess                        A   0.00   2.27     1.12     2.27NA   1.12 NA  0.31   2.58   1.43   2.58   1.43  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
76377263d rendering w/postprocess                        A   0.79   0.27     0.28     0.27     0.28     0.08   1.14   1.15   1.14   1.15  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76380  CAT scan follow-up study                          A   0.98   4.27     4.72     4.27NA   4.72 NA  0.22   5.47   5.92   5.47   5.92  1XXX.00.00.0000000             38.0870 090 99     2.86   2.86   0.16
76380TCCAT scan follow-up study                          A   0.00   3.94     4.38     3.94NA   4.38 NA  0.18   4.12   4.56   4.12   4.56  1XXX.00.00.0000000             38.0870 010 99     2.53   2.53   0.12
7638026CAT scan follow-up study                          A   0.98   0.33     0.34     0.33     0.34     0.04   1.35   1.36   1.35   1.36  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76390  Mr spectroscopy                                   N+  1.40  10.46     9.43    10.46NA   9.43 NA  0.66  12.52  11.49  12.52  11.49  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
76390TCMr spectroscopy                                   N+  0.00  10.06     9.11    10.06NA   9.11 NA  0.59  10.65   9.70  10.65   9.70  1XXX.00.00.0099999             38.0870 010 99     0.00   0.00   0.00
7639026Mr spectroscopy                                   N+  1.40   0.40     0.32     0.40     0.32     0.07   1.87   1.79   1.87   1.79  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
76496  Fluoroscopic procedure                            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             38.0870 030 99     0.00   0.00   0.00
76496TCFluoroscopic procedure                            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             38.0870 030 99     2.04   2.04   0.18
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             38.0870 090 99     0.00   0.00   0.00
76497  Ct procedure                                      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             38.0870 020 99     0.00   0.00   0.00
76497TCCt procedure                                      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             38.0870 020 99     2.44   2.44   0.21
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             38.0870 090 99     0.00   0.00   0.00
76498  Mri procedure                                     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             38.0870 020 99     0.00   0.00   0.00
76498TCMri procedure                                     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             38.0870 020 99     7.51   7.51   0.65
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             38.0870 090 99     0.00   0.00   0.00
76499  Radiographic procedure                            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             38.0870 090 99     0.00   0.00   0.00
76499TCRadiographic procedure                            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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
76506  Echo exam of head                                 A   0.63   2.21     2.76     2.21NA   2.76 NA  0.14   2.98   3.53   2.98   3.53  1XXX.00.00.0000000             38.0870 090 99     1.76   1.76   0.12
76506TCEcho exam of head                                 A   0.00   1.99     2.56     1.99NA   2.56 NA  0.08   2.07   2.64   2.07   2.64  1XXX.00.00.0000000             38.0870 010 99     1.54   1.54   0.06
7650626Echo exam of head                                 A   0.63   0.22     0.20     0.22     0.20     0.06   0.91   0.89   0.91   0.89  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76510  Ophth us, b & quant a                             A   1.55   2.55     2.25     2.55NA   2.25 NA  0.10   4.20   3.90   4.20   3.90  1XXX.00.00.0003000             38.0870 090 99     8.87   8.87   0.33
76510TCOphth us, b & quant a                             A   0.00   1.94     1.70     1.94NA   1.70 NA  0.07   2.01   1.77   2.01   1.77  1XXX.00.00.0003000             38.0870 020 99     8.26   8.26   0.30
7651026Ophth us, b & quant a                             A   1.55   0.61     0.55     0.61     0.55     0.03   2.19   2.13   2.19   2.13  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
76511  Ophth us, quant a only                            A   0.94   1.89     1.35     1.89NA   1.35 NA  0.10   2.93   2.39   2.93   2.39  1XXX.00.00.0003000             38.0870 090 99     2.77   2.77   0.14
76511TCOphth us, quant a only                            A   0.00   1.53     1.02     1.53NA   1.02 NA  0.07   1.60   1.09   1.60   1.09  1XXX.00.00.0003000             38.0870 020 99     2.41   2.41   0.11
7651126Ophth us, quant a only                            A   0.94   0.36     0.33     0.36     0.33     0.03   1.33   1.30   1.33   1.30  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
76512  Ophth us, b w/non-quant a                         A   0.94   1.69     1.16     1.69NA   1.16 NA  0.12   2.75   2.22   2.75   2.22  1XXX.00.00.0003000             38.0870 090 99     2.72   2.72   0.20
76512TCOphth us, b w/non-quant a                         A   0.00   1.32     0.83     1.32NA   0.83 NA  0.10   1.42   0.93   1.42   0.93  1XXX.00.00.0003000             38.0870 020 99     2.35   2.35   0.18
7651226Ophth us, b w/non-quant a                         A   0.94   0.37     0.33     0.37     0.33     0.02   1.33   1.29   1.33   1.29  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
76513  Echo exam of eye, water bath                      A   0.66   1.67     1.52     1.67NA   1.52 NA  0.12   2.45   2.30   2.45   2.30  1XXX.00.00.0003000             38.0870 090 99     2.62   2.62   0.19
76513TCEcho exam of eye, water bath                      A   0.00   1.41     1.29     1.41NA   1.29 NA  0.10   1.51   1.39   1.51   1.39  1XXX.00.00.0003000             38.0870 020 99     2.36   2.36   0.17
7651326Echo exam of eye, water bath                      A   0.66   0.26     0.23     0.26     0.23     0.02   0.94   0.91   0.94   0.91  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
76514  Echo exam of eye, thickness                       A   0.17   0.15     0.16     0.15NA   0.16 NA  0.02   0.34   0.35   0.34   0.35  1XXX.00.00.0002000             38.0870 090 99     0.95   0.95   0.12
76514TCEcho exam of eye, thickness                       A   0.00   0.08     0.10     0.08NA   0.10 NA  0.01   0.09   0.11   0.09   0.11  1XXX.00.00.0002000             38.0870 010 99     0.88   0.88   0.11
7651426Echo exam of eye, thickness                       A   0.17   0.07     0.06     0.07     0.06     0.01   0.25   0.24   0.25   0.24  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
76516  Echo exam of eye                                  A   0.54   1.31     1.15     1.31NA   1.15 NA  0.08   1.93   1.77   1.93   1.77  1XXX.00.00.0002000             38.0870 090 99     1.71   1.71   0.11
76516TCEcho exam of eye                                  A   0.00   1.10     0.97     1.10NA   0.97 NA  0.07   1.17   1.04   1.17   1.04  1XXX.00.00.0002000             38.0870 010 99     1.50   1.50   0.10
7651626Echo exam of eye                                  A   0.54   0.21     0.18     0.21     0.18     0.01   0.76   0.73   0.76   0.73  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
76519  Echo exam of eye                                  A   0.54   1.42     1.29     1.42NA   1.29 NA  0.08   2.04   1.91   2.04   1.91  1XXX.00.00.0002000             38.0870 090 99     2.61   2.61   0.15
76519TCEcho exam of eye                                  A   0.00   1.20     1.10     1.20NA   1.10 NA  0.07   1.27   1.17   1.27   1.17  1XXX.00.00.0002000             38.0870 010 99     2.39   2.39   0.14
7651926Echo exam of eye                                  A   0.54   0.22     0.19     0.22     0.19     0.01   0.77   0.74   0.77   0.74  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
76529  Echo exam of eye                                  A   0.57   1.26     1.15     1.26NA   1.15 NA  0.10   1.93   1.82   1.93   1.82  1XXX.00.00.0003000             38.0870 090 99     1.71   1.71   0.13
76529TCEcho exam of eye                                  A   0.00   1.04     0.95     1.04NA   0.95 NA  0.08   1.12   1.03   1.12   1.03  1XXX.00.00.0003000             38.0870 010 99     1.49   1.49   0.11
7652926Echo exam of eye                                  A   0.57   0.22     0.20     0.22     0.20     0.02   0.81   0.79   0.81   0.79  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
76536  Us exam of head and neck                          A   0.56   2.14     2.68     2.14NA   2.68 NA  0.10   2.80   3.34   2.80   3.34  1XXX.00.00.0000000             38.0870 090 99     2.61   2.61   0.12
76536TCUs exam of head and neck                          A   0.00   1.96     2.50     1.96NA   2.50 NA  0.08   2.04   2.58   2.04   2.58  1XXX.00.00.0000000             38.0870 010 99     2.43   2.43   0.10
7653626Us exam of head and neck                          A   0.56   0.18     0.18     0.18     0.18     0.02   0.76   0.76   0.76   0.76  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76604  Us exam, chest                                    A   0.55   1.66     1.83     1.66NA   1.83 NA  0.09   2.30   2.47   2.30   2.47  1XXX.00.00.0040000             38.0870 090 01     1.72   1.72   0.09
76604TCUs exam, chest                                    A   0.00   1.47     1.64     1.47NA   1.64 NA  0.07   1.54   1.71   1.54   1.71  1XXX.00.00.0040000             38.0870 010 01     1.53   1.53   0.07
7660426Us exam, chest                                    A   0.55   0.19     0.19     0.19     0.19     0.02   0.76   0.76   0.76   0.76  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76645  Us exam, breast(s)                                A   0.54   1.67     2.12     1.67NA   2.12 NA  0.08   2.29   2.74   2.29   2.74  1XXX.00.00.0002000             38.0870 090 99     1.72   1.72   0.08
76645TCUs exam, breast(s)                                A   0.00   1.49     1.93     1.49NA   1.93 NA  0.06   1.55   1.99   1.55   1.99  1XXX.00.00.0002000             38.0870 010 99     1.54   1.54   0.06
7664526Us exam, breast(s)                                A   0.54   0.18     0.19     0.18     0.19     0.02   0.74   0.75   0.74   0.75  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
76700  Us exam, abdom, complete                          A   0.81   2.63     3.02     2.63NA   3.02 NA  0.15   3.59   3.98   3.59   3.98  1XXX.00.00.0040000             38.0870 090 01     2.68   2.68   0.15
76700TCUs exam, abdom, complete                          A   0.00   2.36     2.75     2.36NA   2.75 NA  0.11   2.47   2.86   2.47   2.86  1XXX.00.00.0040000             38.0870 010 01     2.41   2.41   0.11
7670026Us exam, abdom, complete                          A   0.81   0.27     0.27     0.27     0.27     0.04   1.12   1.12   1.12   1.12  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76705  Echo exam of abdomen                              A   0.59   1.98     2.36     1.98NA   2.36 NA  0.11   2.68   3.06   2.68   3.06  1XXX.00.00.0040000             38.0870 090 01     2.62   2.62   0.14
76705TCEcho exam of abdomen                              A   0.00   1.78     2.15     1.78NA   2.15 NA  0.08   1.86   2.23   1.86   2.23  1XXX.00.00.0040000             38.0870 010 01     2.42   2.42   0.11
7670526Echo exam of abdomen                              A   0.59   0.20     0.21     0.20     0.21     0.03   0.82   0.83   0.82   0.83  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76770  Us exam abdo back wall, comp                      A   0.74   2.57     2.93     2.57NA   2.93 NA  0.14   3.45   3.81   3.45   3.81  1XXX.00.00.0040000             38.0870 090 01     2.66   2.66   0.14
76770TCUs exam abdo back wall, comp                      A   0.00   2.32     2.67     2.32NA   2.67 NA  0.11   2.43   2.78   2.43   2.78  1XXX.00.00.0040000             38.0870 010 01     2.41   2.41   0.11
7677026Us exam abdo back wall, comp                      A   0.74   0.25     0.26     0.25     0.26     0.03   1.02   1.03   1.02   1.03  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76775  Us exam abdo back wall, lim                       A   0.58   2.01     2.42     2.01NA   2.42 NA  0.11   2.70   3.11   2.70   3.11  1XXX.00.00.0040000             38.0870 090 01     2.62   2.62   0.14
76775TCUs exam abdo back wall, lim                       A   0.00   1.81     2.21     1.81NA   2.21 NA  0.08   1.89   2.29   1.89   2.29  1XXX.00.00.0040000             38.0870 010 01     2.42   2.42   0.11
7677526Us exam abdo back wall, lim                       A   0.58   0.20     0.21     0.20     0.21     0.03   0.81   0.82   0.81   0.82  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76776  Us exam k transpl w/doppler                       A   0.76   2.83     3.43     2.83NA   3.43 NA  0.14   3.73   4.33   3.73   4.33  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76776TCUs exam k transpl w/doppler                       A   0.00   2.57     3.16     2.57NA   3.16 NA  0.11   2.68   3.27   2.68   3.27  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7677626Us exam k transpl w/doppler                       A   0.76   0.26     0.27     0.26     0.27     0.03   1.05   1.06   1.05   1.06  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76800  Us exam, spinal canal                             A   1.13   2.03     2.31     2.03NA   2.31 NA  0.13   3.29   3.57   3.29   3.57  1XXX.00.00.0000000             38.0870 090 99     2.72   2.72   0.16
76800TCUs exam, spinal canal                             A   0.00   1.72     2.03     1.72NA   2.03 NA  0.08   1.80   2.11   1.80   2.11  1XXX.00.00.0000000             38.0870 010 99     2.41   2.41   0.11
7680026Us exam, spinal canal                             A   1.13   0.31     0.28     0.31     0.28     0.05   1.49   1.46   1.49   1.46  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76801  Ob us < 14 wks, single fetus                      A   0.99   2.45     2.46     2.45NA   2.46 NA  0.16   3.60   3.61   3.60   3.61  1XXX.00.00.0000000             38.0870 010 99     2.71   2.71   0.17
76801TCOb us < 14 wks, single fetus                      A   0.00   2.13     2.16     2.13NA   2.16 NA  0.12   2.25   2.28   2.25   2.28  1XXX.00.00.0000000             38.0870 010 99     2.39   2.39   0.13
7680126Ob us < 14 wks, single fetus                      A   0.99   0.32     0.30     0.32     0.30     0.04   1.35   1.33   1.35   1.33  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76802  Ob us < 14 wks, addl fetus                       A   0.83   1.16     0.97     1.16NA   0.97 NA  0.16   2.15   1.96   2.15   1.96  1ZZZ.00.00.0000000             38.0870 010 99     1.69   1.69   0.23
76802TCOb us < 14 wks, addl fetus                       A   0.00   0.88     0.71     0.88NA   0.71 NA  0.12   1.00   0.83   1.00   0.83  1ZZZ.00.00.0000000             38.0870 010 99     1.41   1.41   0.19
7680226Ob us < 14 wks, addl fetus                       A   0.83   0.28     0.26     0.28     0.26     0.04   1.15   1.13   1.15   1.13  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76805  Ob us >/= 14 wks, sngl fetus                      A   0.99   2.74     3.05     2.74NA   3.05 NA  0.16   3.89   4.20   3.89   4.20  1XXX.00.00.0000000             38.0870 090 99     2.72   2.72   0.16
76805TCOb us >/= 14 wks, sngl fetus                      A   0.00   2.42     2.74     2.42NA   2.74 NA  0.12   2.54   2.86   2.54   2.86  1XXX.00.00.0000000             38.0870 010 99     2.40   2.40   0.12
7680526Ob us >/= 14 wks, sngl fetus                      A   0.99   0.32     0.31     0.32     0.31     0.04   1.35   1.34   1.35   1.34  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76810  Ob us >/= 14 wks, addl fetus                      A   0.98   1.52     1.65     1.52NA   1.65 NA  0.26   2.76   2.89   2.76   2.89  1ZZZ.00.00.0000000             38.0870 090 99     2.45   2.45   0.43
76810TCOb us >/= 14 wks, addl fetus                      A   0.00   1.20     1.35     1.20NA   1.35 NA  0.22   1.42   1.57   1.42   1.57  1ZZZ.00.00.0000000             38.0870 010 99     2.13   2.13   0.39
7681026Ob us >/= 14 wks, addl fetus                      A   0.98   0.32     0.30     0.32     0.30     0.04   1.34   1.32   1.34   1.32  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76811  Ob us, detailed, sngl fetus                       A   1.90   3.64     3.05     3.64NA   3.05 NA  0.52   6.06   5.47   6.06   5.47  1XXX.00.00.0000000             38.0870 010 99     4.10   4.10   0.59
76811TCOb us, detailed, sngl fetus                       A   0.00   3.02     2.51     3.02NA   2.51 NA  0.43   3.45   2.94   3.45   2.94  1XXX.00.00.0000000             38.0870 010 99     3.48   3.48   0.50
7681126Ob us, detailed, sngl fetus                       A   1.90   0.62     0.54     0.62     0.54     0.09   2.61   2.53   2.61   2.53  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76812  Ob us, detailed, addl fetus                       A   1.78   2.84     3.98     2.84NA   3.98 NA  0.49   5.11   6.25   5.11   6.25  1ZZZ.00.00.0000000             38.0870 010 99     1.93   1.93   0.33
76812TCOb us, detailed, addl fetus                       A   0.00   2.26     3.48     2.26NA   3.48 NA  0.41   2.67   3.89   2.67   3.89  1ZZZ.00.00.0000000             38.0870 010 99     1.35   1.35   0.25
7681226Ob us, detailed, addl fetus                       A   1.78   0.58     0.50     0.58     0.50     0.08   2.44   2.36   2.44   2.36  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76813  Ob us nuchal meas, 1 gest                         A   1.18   2.21     2.21     2.21NA   2.21 NA  0.19   3.58   3.58   3.58   3.58  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
76813TCOb us nuchal meas, 1 gest                         A   0.00   1.81     1.81     1.81NA   1.81 NA  0.14   1.95   1.95   1.95   1.95  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7681326Ob us nuchal meas, 1 gest                         A   1.18   0.40     0.40     0.40     0.40     0.05   1.63   1.63   1.63   1.63  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76814  Ob us nuchal meas, add-on                         A   0.99   1.15     1.15     1.15NA   1.15 NA  0.19   2.33   2.33   2.33   2.33  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
76814TCOb us nuchal meas, add-on                         A   0.00   0.86     0.86     0.86NA   0.86 NA  0.14   1.00   1.00   1.00   1.00  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7681426Ob us nuchal meas, add-on                         A   0.99   0.29     0.29     0.29     0.29     0.05   1.33   1.33   1.33   1.33  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76815  Ob us, limited, fetus(s)                          A   0.65   1.72     1.80     1.72NA   1.80 NA  0.11   2.48   2.56   2.48   2.56  1XXX.00.00.0000000             38.0870 090 99     1.73   1.73   0.11
76815TCOb us, limited, fetus(s)                          A   0.00   1.51     1.60     1.51NA   1.60 NA  0.08   1.59   1.68   1.59   1.68  1XXX.00.00.0000000             38.0870 010 99     1.52   1.52   0.08
7681526Ob us, limited, fetus(s)                          A   0.65   0.21     0.20     0.21     0.20     0.03   0.89   0.88   0.89   0.88  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76816  Ob us, follow-up, per fetus                       A   0.85   1.90     2.38     1.90NA   2.38 NA  0.10   2.85   3.33   2.85   3.33  1XXX.00.00.0000000             38.0870 090 99     1.82   1.82   0.10
76816TCOb us, follow-up, per fetus                       A   0.00   1.62     2.13     1.62NA   2.13 NA  0.06   1.68   2.19   1.68   2.19  1XXX.00.00.0000000             38.0870 010 99     1.54   1.54   0.06
7681626Ob us, follow-up, per fetus                       A   0.85   0.28     0.25     0.28     0.25     0.04   1.17   1.14   1.17   1.14  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76817  Transvaginal us, obstetric                        A   0.75   1.89     2.02     1.89NA   2.02 NA  0.09   2.73   2.86   2.73   2.86  1XXX.00.00.0000000             38.0870 010 99     1.78   1.78   0.09
76817TCTransvaginal us, obstetric                        A   0.00   1.65     1.79     1.65NA   1.79 NA  0.06   1.71   1.85   1.71   1.85  1XXX.00.00.0000000             38.0870 010 99     1.54   1.54   0.06
7681726Transvaginal us, obstetric                        A   0.75   0.24     0.23     0.24     0.23     0.03   1.02   1.01   1.02   1.01  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76818  Fetal biophys profile w/nst                       A   1.05   2.11     2.22     2.11NA   2.22 NA  0.15   3.31   3.42   3.31   3.42  1XXX.00.00.0000000             38.0870 090 99     2.74   2.74   0.19
76818TCFetal biophys profile w/nst                       A   0.00   1.76     1.92     1.76NA   1.92 NA  0.10   1.86   2.02   1.86   2.02  1XXX.00.00.0000000             38.0870 010 99     2.39   2.39   0.14
7681826Fetal biophys profile w/nst                       A   1.05   0.35     0.30     0.35     0.30     0.05   1.45   1.40   1.45   1.40  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76819  Fetal biophys profil w/o nst                      A   0.77   1.76     1.63     1.76NA   1.63 NA  0.13   2.66   2.53   2.66   2.53  1XXX.00.00.0000000             38.0870 090 99     2.63   2.63   0.19
76819TCFetal biophys profil w/o nst                      A   0.00   1.50     1.40     1.50NA   1.40 NA  0.10   1.60   1.50   1.60   1.50  1XXX.00.00.0000000             38.0870 010 99     2.37   2.37   0.16
7681926Fetal biophys profil w/o nst                      A   0.77   0.26     0.23     0.26     0.23     0.03   1.06   1.03   1.06   1.03  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76820  Umbilical artery echo                             A   0.50   1.18     0.56     1.18NA   0.56 NA  0.15   1.83   1.21   1.83   1.21  1XXX.00.00.0000000             38.0870 090 99     2.37   2.37   0.29
76820TCUmbilical artery echo                             A   0.00   1.01     0.42     1.01NA   0.42 NA  0.12   1.13   0.54   1.13   0.54  1XXX.00.00.0000000             38.0870 010 99     2.20   2.20   0.26
7682026Umbilical artery echo                             A   0.50   0.17     0.14     0.17     0.14     0.03   0.70   0.67   0.70   0.67  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76821  Middle cerebral artery echo                       A   0.70   1.88     1.87     1.88NA   1.87 NA  0.15   2.73   2.72   2.73   2.72  1XXX.00.00.0000000             38.0870 090 99     2.53   2.53   0.20
76821TCMiddle cerebral artery echo                       A   0.00   1.64     1.67     1.64NA   1.67 NA  0.12   1.76   1.79   1.76   1.79  1XXX.00.00.0000000             38.0870 010 99     2.29   2.29   0.17
7682126Middle cerebral artery echo                       A   0.70   0.24     0.20     0.24     0.20     0.03   0.97   0.93   0.97   0.93  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76825  Echo exam of fetal heart                          A   1.67   3.47     4.37     3.47NA   4.37 NA  0.18   5.32   6.22   5.32   6.22  1XXX.00.00.0000000             38.0870 090 99     2.98   2.98   0.16
76825TCEcho exam of fetal heart                          A   0.00   2.92     3.87     2.92NA   3.87 NA  0.11   3.03   3.98   3.03   3.98  1XXX.00.00.0000000             38.0870 010 99     2.43   2.43   0.09
7682526Echo exam of fetal heart                          A   1.67   0.55     0.50     0.55     0.50     0.07   2.29   2.24   2.29   2.24  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76826  Echo exam of fetal heart                          A   0.83   1.88     2.76     1.88NA   2.76 NA  0.08   2.79   3.67   2.79   3.67  1XXX.00.00.0000000             38.0870 090 99     1.82   1.82   0.08
76826TCEcho exam of fetal heart                          A   0.00   1.61     2.52     1.61NA   2.52 NA  0.05   1.66   2.57   1.66   2.57  1XXX.00.00.0000000             38.0870 010 99     1.55   1.55   0.05
7682626Echo exam of fetal heart                          A   0.83   0.27     0.24     0.27     0.24     0.03   1.13   1.10   1.13   1.10  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76827  Echo exam of fetal heart                          A   0.58   1.50     1.07     1.50NA   1.07 NA  0.14   2.22   1.79   2.22   1.79  1XXX.00.00.0000000             38.0870 090 99     1.66   1.66   0.15
76827TCEcho exam of fetal heart                          A   0.00   1.31     0.90     1.31NA   0.90 NA  0.12   1.43   1.02   1.43   1.02  1XXX.00.00.0000000             38.0870 010 99     1.47   1.47   0.13
7682726Echo exam of fetal heart                          A   0.58   0.19     0.17     0.19     0.17     0.02   0.79   0.77   0.79   0.77  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76828  Echo exam of fetal heart                          A   0.56   0.98     0.63     0.98NA   0.63 NA  0.11   1.65   1.30   1.65   1.30  1XXX.00.00.0000000             38.0870 090 99     1.64   1.64   0.18
76828TCEcho exam of fetal heart                          A   0.00   0.79     0.48     0.79NA   0.48 NA  0.08   0.87   0.56   0.87   0.56  1XXX.00.00.0000000             38.0870 010 99     1.45   1.45   0.15
7682826Echo exam of fetal heart                          A   0.56   0.19     0.15     0.19     0.15     0.03   0.78   0.74   0.78   0.74  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76830  Transvaginal us, non-ob                           A   0.69   2.26     2.76     2.26NA   2.76 NA  0.13   3.08   3.58   3.08   3.58  1XXX.00.00.0000000             38.0870 090 99     2.64   2.64   0.15
76830TCTransvaginal us, non-ob                           A   0.00   2.03     2.54     2.03NA   2.54 NA  0.10   2.13   2.64   2.13   2.64  1XXX.00.00.0000000             38.0870 010 99     2.41   2.41   0.12
7683026Transvaginal us, non-ob                           A   0.69   0.23     0.22     0.23     0.22     0.03   0.95   0.94   0.95   0.94  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76831  Echo exam, uterus                                 A   0.72   2.25     2.74     2.25NA   2.74 NA  0.13   3.10   3.59   3.10   3.59  1XXX.00.00.0040000             38.0870 090 01     4.02   4.02   0.22
76831TCEcho exam, uterus                                 A   0.00   2.02     2.53     2.02NA   2.53 NA  0.10   2.12   2.63   2.12   2.63  1XXX.00.00.0040000             38.0870 030 01     3.79   3.79   0.19
7683126Echo exam, uterus                                 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             38.0870 090 99     0.00   0.00   0.00
76856  Us exam, pelvic, complete                         A   0.69   2.27     2.80     2.27NA   2.80 NA  0.13   3.09   3.62   3.09   3.62  1XXX.00.00.0040000             38.0870 090 01     2.64   2.64   0.15
76856TCUs exam, pelvic, complete                         A   0.00   2.04     2.56     2.04NA   2.56 NA  0.10   2.14   2.66   2.14   2.66  1XXX.00.00.0040000             38.0870 010 01     2.41   2.41   0.12
7685626Us exam, pelvic, complete                         A   0.69   0.23     0.24     0.23     0.24     0.03   0.95   0.96   0.95   0.96  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76857  Us exam, pelvic, limited                          A   0.38   2.16     2.49     2.16NA   2.49 NA  0.08   2.62   2.95   2.62   2.95  1XXX.00.00.0040000             38.0870 090 01     1.68   1.68   0.07
76857TCUs exam, pelvic, limited                          A   0.00   2.03     2.35     2.03NA   2.35 NA  0.06   2.09   2.41   2.09   2.41  1XXX.00.00.0040000             38.0870 010 01     1.55   1.55   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             38.0870 090 99     0.00   0.00   0.00
76870  Us exam, scrotum                                  A   0.64   2.28     2.83     2.28NA   2.83 NA  0.13   3.05   3.60   3.05   3.60  1XXX.00.00.0000000             38.0870 090 99     2.63   2.63   0.15
76870TCUs exam, scrotum                                  A   0.00   2.06     2.60     2.06NA   2.60 NA  0.10   2.16   2.70   2.16   2.70  1XXX.00.00.0000000             38.0870 010 99     2.41   2.41   0.12
7687026Us exam, scrotum                                  A   0.64   0.22     0.23     0.22     0.23     0.03   0.89   0.90   0.89   0.90  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76872  Us, transrectal                                   A   0.69   2.82     3.41     2.82NA   3.41 NA  0.14   3.65   4.24   3.65   4.24  1XXX.00.00.0000000             38.0870 090 99     2.67   2.67   0.13
76872TCUs, transrectal                                   A   0.00   2.58     3.14     2.58NA   3.14 NA  0.10   2.68   3.24   2.68   3.24  1XXX.00.00.0000000             38.0870 010 99     2.43   2.43   0.09
7687226Us, transrectal                                   A   0.69   0.24     0.27     0.24     0.27     0.04   0.97   1.00   0.97   1.00  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76873  Echograp trans r, pros study                      A   1.55   3.00     3.40     3.00NA   3.40 NA  0.25   4.80   5.20   4.80   5.20  1XXX.00.00.0099999             38.0870 090 99     2.89   2.89   0.24
76873TCEchograp trans r, pros study                      A   0.00   2.48     2.85     2.48NA   2.85 NA  0.16   2.64   3.01   2.64   3.01  1XXX.00.00.0099999             38.0870 020 99     2.37   2.37   0.15
7687326Echograp trans r, pros study                      A   1.55   0.52     0.55     0.52     0.55     0.09   2.16   2.19   2.16   2.19  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
76880  Us exam, extremity                                A   0.59   2.40     3.19     2.40NA   3.19 NA  0.11   3.10   3.89   3.10   3.89  1XXX.00.00.0000000             38.0870 090 99     2.63   2.63   0.12
76880TCUs exam, extremity                                A   0.00   2.21     3.01     2.21NA   3.01 NA  0.08   2.29   3.09   2.29   3.09  1XXX.00.00.0000000             38.0870 010 99     2.44   2.44   0.09
7688026Us exam, extremity                                A   0.59   0.19     0.18     0.19     0.18     0.03   0.81   0.80   0.81   0.80  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76885  Us exam infant hips, dynamic                      A   0.74   2.50     3.26     2.50NA   3.26 NA  0.13   3.37   4.13   3.37   4.13  1XXX.00.00.0000000             38.0870 090 99     1.77   1.77   0.10
76885TCUs exam infant hips, dynamic                      A   0.00   2.26     3.01     2.26NA   3.01 NA  0.10   2.36   3.11   2.36   3.11  1XXX.00.00.0000000             38.0870 010 99     1.53   1.53   0.07
7688526Us exam infant hips, dynamic                      A   0.74   0.24     0.25     0.24     0.25     0.03   1.01   1.02   1.01   1.02  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76886  Us exam infant hips, static                       A   0.62   1.95     2.28     1.95NA   2.28 NA  0.11   2.68   3.01   2.68   3.01  1XXX.00.00.0000000             38.0870 090 99     1.74   1.74   0.10
76886TCUs exam infant hips, static                       A   0.00   1.74     2.06     1.74NA   2.06 NA  0.08   1.82   2.14   1.82   2.14  1XXX.00.00.0000000             38.0870 010 99     1.53   1.53   0.07
7688626Us exam infant hips, static                       A   0.62   0.21     0.22     0.21     0.22     0.03   0.86   0.87   0.86   0.87  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76930  Echo guide, cardiocentesis                        A   0.67   1.92     2.08     1.92NA   2.08 NA  0.12   2.71   2.87   2.71   2.87  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76930TCEcho guide, cardiocentesis                        A   0.00   1.63     1.74     1.63NA   1.74 NA  0.10   1.73   1.84   1.73   1.84  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7693026Echo guide, cardiocentesis                        A   0.67   0.29     0.34     0.29     0.34     0.02   0.98   1.03   0.98   1.03  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76932  Echo guide for heart biopsy                       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             38.0870 090 99     0.00   0.00   0.00
76932TCEcho guide for heart biopsy                       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             38.0870 030 99     0.00   0.00   0.00
7693226Echo guide for heart biopsy                       A   0.67   0.30     0.35     0.30     0.35     0.02   0.99   1.04   0.99   1.04  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76936  Echo guide for artery repair                      A   1.99   6.55     6.13     6.55NA   6.13 NA  0.47   9.01   8.59   9.01   8.59  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76936TCEcho guide for artery repair                      A   0.00   5.86     5.42     5.86NA   5.42 NA  0.34   6.20   5.76   6.20   5.76  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7693626Echo guide for artery repair                      A   1.99   0.69     0.71     0.69     0.71     0.13   2.81   2.83   2.81   2.83  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76937  Us guide, vascular access                         A   0.30   0.55     0.62     0.55NA   0.62 NA  0.13   0.98   1.05   0.98   1.05  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76937TCUs guide, vascular access                         A   0.00   0.45     0.52     0.45NA   0.52 NA  0.10   0.55   0.62   0.55   0.62  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7693726Us guide, vascular access                         A   0.30   0.10     0.10     0.10     0.10     0.03   0.43   0.43   0.43   0.43  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76940  Us guide, tissue ablation                         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             38.0870 090 99     0.00   0.00   0.00
76940TCUs guide, tissue ablation                         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             38.0870 030 99     0.00   0.00   0.00
7694026Us guide, tissue ablation                         A   2.00   0.65     0.65     0.65     0.65     0.31   2.96   2.96   2.96   2.96  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76941  Echo guide for transfusion                        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             38.0870 090 99     0.00   0.00   0.00
76941TCEcho guide for transfusion                        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             38.0870 030 99     0.00   0.00   0.00
7694126Echo guide for transfusion                        A   1.34   0.43     0.38     0.43     0.38     0.07   1.84   1.79   1.84   1.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76942  Echo guide for biopsy                             A   0.67   3.91     4.80     3.91NA   4.80 NA  0.13   4.71   5.60   4.71   5.60  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76942TCEcho guide for biopsy                             A   0.00   3.68     4.56     3.68NA   4.56 NA  0.10   3.78   4.66   3.78   4.66  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7694226Echo guide for biopsy                             A   0.67   0.23     0.24     0.23     0.24     0.03   0.93   0.94   0.93   0.94  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76945  Echo guide, villus sampling                       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             38.0870 090 99     0.00   0.00   0.00
76945TCEcho guide, villus sampling                       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             38.0870 030 99     0.00   0.00   0.00
7694526Echo guide, villus sampling                       A   0.67   0.21     0.21     0.21     0.21     0.03   0.91   0.91   0.91   0.91  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76946  Echo guide for amniocentesis                      A   0.38   1.05     0.45     1.05NA   0.45 NA  0.12   1.55   0.95   1.55   0.95  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76946TCEcho guide for amniocentesis                      A   0.00   0.93     0.34     0.93NA   0.34 NA  0.10   1.03   0.44   1.03   0.44  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7694626Echo guide for amniocentesis                      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             38.0870 090 99     0.00   0.00   0.00
76948  Echo guide, ova aspiration                        A   0.38   1.04     0.45     1.04NA   0.45 NA  0.12   1.54   0.95   1.54   0.95  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76948TCEcho guide, ova aspiration                        A   0.00   0.93     0.35     0.93NA   0.35 NA  0.10   1.03   0.45   1.03   0.45  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7694826Echo guide, ova aspiration                        A   0.38   0.11     0.10     0.11     0.10     0.02   0.51   0.50   0.51   0.50  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76950  Echo guidance radiotherapy                        A   0.58   1.35     1.21     1.35NA   1.21 NA  0.10   2.03   1.89   2.03   1.89  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76950TCEcho guidance radiotherapy                        A   0.00   1.16     1.02     1.16NA   1.02 NA  0.07   1.23   1.09   1.23   1.09  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7695026Echo guidance radiotherapy                        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             38.0870 090 99     0.00   0.00   0.00
76965  Echo guidance radiotherapy                        A   1.34   3.60     1.20     3.60NA   1.20 NA  0.37   5.31   2.91   5.31   2.91  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76965TCEcho guidance radiotherapy                        A   0.00   3.14     0.70     3.14NA   0.70 NA  0.29   3.43   0.99   3.43   0.99  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7696526Echo guidance radiotherapy                        A   1.34   0.46     0.50     0.46     0.50     0.08   1.88   1.92   1.88   1.92  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76970  Ultrasound exam follow-up                         A   0.40   1.58     1.99     1.58NA   1.99 NA  0.08   2.06   2.47   2.06   2.47  1XXX.00.00.0000000             38.0870 090 99     1.66   1.66   0.08
76970TCUltrasound exam follow-up                         A   0.00   1.46     1.88     1.46NA   1.88 NA  0.06   1.52   1.94   1.52   1.94  1XXX.00.00.0000000             38.0870 010 99     1.54   1.54   0.06
7697026Ultrasound exam follow-up                         A   0.40   0.12     0.11     0.12     0.11     0.02   0.54   0.53   0.54   0.53  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76975  GI endoscopic ultrasound                          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             38.0870 090 99     3.98   3.98   0.33
76975TCGI endoscopic ultrasound                          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             38.0870 030 99     3.69   3.69   0.29
7697526GI endoscopic ultrasound                          A   0.81   0.29     0.30     0.29     0.30     0.04   1.14   1.15   1.14   1.15  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76977  Us bone density measure                           A   0.05   0.48     0.10     0.48NA   0.10 NA  0.06   0.59   0.21   0.59   0.21  1XXX.00.00.0000000             38.0870 090 99     0.97   0.97   0.11
76977TCUs bone density measure                           A   0.00   0.46     0.09     0.46NA   0.09 NA  0.05   0.51   0.14   0.51   0.14  1XXX.00.00.0000000             38.0870 010 99     0.95   0.95   0.10
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             38.0870 090 99     0.00   0.00   0.00
76998  Us guide, intraop                                 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             38.0870 090 99     0.00   0.00   0.00
76998TCUs guide, intraop                                 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             38.0870 030 99     0.00   0.00   0.00
7699826Us guide, intraop                                 A   1.20   0.38     0.35     0.38     0.35     0.13   1.71   1.68   1.71   1.68  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
76999  Echo examination procedure                        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             38.0870 090 99     0.00   0.00   0.00
76999TCEcho examination procedure                        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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
77001  Fluoroguide for vein device                       A   0.38   2.08     2.73     2.08NA   2.73 NA  0.11   2.57   3.22   2.57   3.22  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77001TCFluoroguide for vein device                       A   0.00   1.95     2.60     1.95NA   2.60 NA  0.10   2.05   2.70   2.05   2.70  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7700126Fluoroguide for vein device                       A   0.38   0.13     0.13     0.13     0.13     0.01   0.52   0.52   0.52   0.52  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77002  Needle localization by xray                       A   0.54   1.35     1.23     1.35NA   1.23 NA  0.09   1.98   1.86   1.98   1.86  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77002TCNeedle localization by xray                       A   0.00   1.19     1.07     1.19NA   1.07 NA  0.07   1.26   1.14   1.26   1.14  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7700226Needle localization by xray                       A   0.54   0.16     0.16     0.16     0.16     0.02   0.72   0.72   0.72   0.72  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77003  Fluoroguide for spine inject                      A   0.60   1.11     0.76     1.11NA   0.76 NA  0.10   1.81   1.46   1.81   1.46  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
77003TCFluoroguide for spine inject                      A   0.00   0.96     0.62     0.96NA   0.62 NA  0.07   1.03   0.69   1.03   0.69  1XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
77011  Ct scan for localization                          A   1.21  14.47    20.28    14.47NA  20.28 NA  0.47  16.15  21.96  16.15  21.96  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77011TCCt scan for localization                          A   0.00  14.07    19.88    14.07NA  19.88 NA  0.42  14.49  20.30  14.49  20.30  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7701126Ct scan for localization                          A   1.21   0.40     0.40     0.40     0.40     0.05   1.66   1.66   1.66   1.66  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77012  Ct scan for needle biopsy                         A   1.16   5.49     2.33     5.49NA   2.33 NA  0.47   7.12   3.96   7.12   3.96  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77012TCCt scan for needle biopsy                         A   0.00   5.09     1.92     5.09NA   1.92 NA  0.42   5.51   2.34   5.51   2.34  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7701226Ct scan for needle biopsy                         A   1.16   0.40     0.41     0.40     0.41     0.05   1.61   1.62   1.61   1.62  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77013  Ct guide for tissue ablation                      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             38.0870 090 99     0.00   0.00   0.00
77013TCCt guide for tissue ablation                      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             38.0870 090 99     0.00   0.00   0.00
7701326Ct guide for tissue ablation                      A   3.99   1.36     1.43     1.36     1.43     0.18   5.53   5.60   5.53   5.60  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77014  Ct scan for therapy guide                         A   0.85   3.86     4.48     3.86NA   4.48 NA  0.20   4.91   5.53   4.91   5.53  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77014TCCt scan for therapy guide                         A   0.00   3.58     4.20     3.58NA   4.20 NA  0.16   3.74   4.36   3.74   4.36  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
7701426Ct scan for therapy guide                         A   0.85   0.28     0.28     0.28     0.28     0.04   1.17   1.17   1.17   1.17  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77021  Mr guidance for needle place                      A   1.50  10.71     9.71    10.71NA   9.71 NA  0.64  12.85  11.85  12.85  11.85  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77021TCMr guidance for needle place                      A   0.00  10.20     9.19    10.20NA   9.19 NA  0.55  10.75   9.74  10.75   9.74  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7702126Mr guidance for needle place                      A   1.50   0.51     0.52     0.51     0.52     0.09   2.10   2.11   2.10   2.11  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77022  Mri for tissue ablation                           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             38.0870 090 99     0.00   0.00   0.00
77022TCMri for tissue ablation                           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             38.0870 090 99     0.00   0.00   0.00
7702226Mri for tissue ablation                           A   4.24   1.45     1.52     1.45     1.52     0.24   5.93   6.00   5.93   6.00  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77031  Stereotact guide for brst bx                      A   1.59   4.78     1.87     4.78NA   1.87 NA  0.46   6.83   3.92   6.83   3.92  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77031TCStereotact guide for brst bx                      A   0.00   4.25     1.34     4.25NA   1.34 NA  0.37   4.62   1.71   4.62   1.71  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7703126Stereotact guide for brst bx                      A   1.59   0.53     0.53     0.53     0.53     0.09   2.21   2.21   2.21   2.21  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77032  Guidance for needle, breast                       A   0.56   1.17     0.84     1.17NA   0.84 NA  0.09   1.82   1.49   1.82   1.49  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77032TCGuidance for needle, breast                       A   0.00   0.98     0.64     0.98NA   0.64 NA  0.07   1.05   0.71   1.05   0.71  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
7703226Guidance for needle, breast                       A   0.56   0.19     0.20     0.19     0.20     0.02   0.77   0.78   0.77   0.78  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77051  Computer dx mammogram add-on                      A   0.06   0.32     0.20     0.32NA   0.20 NA  0.02   0.40   0.28   0.40   0.28  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77051TCComputer dx mammogram add-on                      A   0.00   0.30     0.18     0.30NA   0.18 NA  0.01   0.31   0.19   0.31   0.19  1ZZZ.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
77052  Comp screen mammogram add-on                      A   0.06   0.32     0.20     0.32NA   0.20 NA  0.02   0.40   0.28   0.40   0.28  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77052TCComp screen mammogram add-on                      A   0.00   0.30     0.18     0.30NA   0.18 NA  0.01   0.31   0.19   0.31   0.19  1ZZZ.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
77053  X-ray of mammary duct                             A   0.36   1.99     1.24     1.99NA   1.24 NA  0.16   2.51   1.76   2.51   1.76  1XXX.00.00.0000000             38.0870 090 99     4.30   4.30   0.33
77053TCX-ray of mammary duct                             A   0.00   1.87     1.11     1.87NA   1.11 NA  0.14   2.01   1.25   2.01   1.25  1XXX.00.00.0000000             38.0870 030 99     4.18   4.18   0.31
7705326X-ray of mammary duct                             A   0.36   0.12     0.13     0.12     0.13     0.02   0.50   0.51   0.50   0.51  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77054  X-ray of mammary ducts                            A   0.45   2.74     1.68     2.74NA   1.68 NA  0.21   3.40   2.34   3.40   2.34  1XXX.00.00.0000000             38.0870 090 99     4.33   4.33   0.33
77054TCX-ray of mammary ducts                            A   0.00   2.59     1.52     2.59NA   1.52 NA  0.19   2.78   1.71   2.78   1.71  1XXX.00.00.0000000             38.0870 030 99     4.18   4.18   0.31
7705426X-ray of mammary ducts                            A   0.45   0.15     0.16     0.15     0.16     0.02   0.62   0.63   0.62   0.63  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77055  Mammogram, one breast                             A   0.70   1.46     1.65     1.46NA   1.65 NA  0.09   2.25   2.44   2.25   2.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77055TCMammogram, one breast                             A   0.00   1.22     1.40     1.22NA   1.40 NA  0.06   1.28   1.46   1.28   1.46  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7705526Mammogram, one breast                             A   0.70   0.24     0.25     0.24     0.25     0.03   0.97   0.98   0.97   0.98  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77056  Mammogram, both breasts                           A   0.87   1.86     2.15     1.86NA   2.15 NA  0.11   2.84   3.13   2.84   3.13  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77056TCMammogram, both breasts                           A   0.00   1.57     1.84     1.57NA   1.84 NA  0.07   1.64   1.91   1.64   1.91  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7705626Mammogram, both breasts                           A   0.87   0.29     0.31     0.29     0.31     0.04   1.20   1.22   1.20   1.22  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77057  Mammogram, screening                              A   0.70   1.46     1.44     1.46NA   1.44 NA  0.10   2.26   2.24   2.26   2.24  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
77057TCMammogram, screening                              A   0.00   1.22     1.20     1.22NA   1.20 NA  0.07   1.29   1.27   1.29   1.27  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
7705726Mammogram, screening                              A   0.70   0.24     0.24     0.24     0.24     0.03   0.97   0.97   0.97   0.97  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
77058  Mri, one breast                                   A   1.63  19.91    21.65    19.91NA  21.65 NA  0.99  22.53  24.27  22.53  24.27  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77058TCMri, one breast                                   A   0.00  19.36    21.09    19.36NA  21.09 NA  0.92  20.28  22.01  20.28  22.01  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
7705826Mri, one breast                                   A   1.63   0.55     0.56     0.55     0.56     0.07   2.25   2.26   2.25   2.26  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77059  Mri, both breasts                                 A   1.63  23.02    21.58    23.02NA  21.58 NA  1.31  25.96  24.52  25.96  24.52  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
77059TCMri, both breasts                                 A   0.00  22.47    21.01    22.47NA  21.01 NA  1.24  23.71  22.25  23.71  22.25  1XXX.00.00.0002000             38.0870 020 99     0.00   0.00   0.00
7705926Mri, both breasts                                 A   1.63   0.55     0.57     0.55     0.57     0.07   2.25   2.27   2.25   2.27  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
77071  X-ray stress view                                 A   0.41   0.48     0.77     0.48     0.77     0.06   0.95   1.24   0.95   1.24  2XXX.00.00.0003000             38.0870 030 99     0.00   0.00   0.00
77072  X-rays for bone age                               A   0.19   0.42     0.42     0.42NA   0.42 NA  0.03   0.64   0.64   0.64   0.64  1XXX.00.00.0000000             38.0870 090 99     1.16   1.16   0.07
77072TCX-rays for bone age                               A   0.00   0.36     0.36     0.36NA   0.36 NA  0.02   0.38   0.38   0.38   0.38  1XXX.00.00.0000000             38.0870 010 99     1.10   1.10   0.06
7707226X-rays for bone age                               A   0.19   0.06     0.06     0.06     0.06     0.01   0.26   0.26   0.26   0.26  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77073  X-rays, bone length studies                       A   0.27   0.78     0.67     0.78NA   0.67 NA  0.06   1.11   1.00   1.11   1.00  1XXX.00.00.0000000             38.0870 090 99     1.18   1.18   0.09
77073TCX-rays, bone length studies                       A   0.00   0.68     0.57     0.68NA   0.57 NA  0.05   0.73   0.62   0.73   0.62  1XXX.00.00.0000000             38.0870 010 99     1.08   1.08   0.08
7707326X-rays, bone length studies                       A   0.27   0.10     0.10     0.10     0.10     0.01   0.38   0.38   0.38   0.38  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77074  X-rays, bone survey, limited                      A   0.45   1.30     1.45     1.30NA   1.45 NA  0.08   1.83   1.98   1.83   1.98  1XXX.00.00.0000000             38.0870 090 99     2.00   2.00   0.12
77074TCX-rays, bone survey, limited                      A   0.00   1.14     1.29     1.14NA   1.29 NA  0.06   1.20   1.35   1.20   1.35  1XXX.00.00.0000000             38.0870 010 99     1.84   1.84   0.10
7707426X-rays, bone survey, limited                      A   0.45   0.16     0.16     0.16     0.16     0.02   0.63   0.63   0.63   0.63  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77075  X-rays, bone survey complete                      A   0.54   1.96     2.29     1.96NA   2.29 NA  0.10   2.60   2.93   2.60   2.93  1XXX.00.00.0000000             38.0870 090 99     2.04   2.04   0.10
77075TCX-rays, bone survey complete                      A   0.00   1.77     2.10     1.77NA   2.10 NA  0.08   1.85   2.18   1.85   2.18  1XXX.00.00.0000000             38.0870 010 99     1.85   1.85   0.08
7707526X-rays, bone survey complete                      A   0.54   0.19     0.19     0.19     0.19     0.02   0.75   0.75   0.75   0.75  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77076  X-rays, bone survey, infant                       A   0.70   1.55     2.13     1.55NA   2.13 NA  0.08   2.33   2.91   2.33   2.91  1XXX.00.00.0000000             38.0870 090 99     1.35   1.35   0.07
77076TCX-rays, bone survey, infant                       A   0.00   1.32     1.90     1.32NA   1.90 NA  0.05   1.37   1.95   1.37   1.95  1XXX.00.00.0000000             38.0870 010 99     1.12   1.12   0.04
7707626X-rays, bone survey, infant                       A   0.70   0.23     0.23     0.23     0.23     0.03   0.96   0.96   0.96   0.96  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77077  Joint survey, single view                         A   0.31   0.93     0.66     0.93NA   0.66 NA  0.08   1.32   1.05   1.32   1.05  1XXX.00.00.0000000             38.0870 090 99     1.18   1.18   0.10
77077TCJoint survey, single view                         A   0.00   0.83     0.55     0.83NA   0.55 NA  0.06   0.89   0.61   0.89   0.61  1XXX.00.00.0000000             38.0870 010 99     1.08   1.08   0.08
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             38.0870 090 99     0.00   0.00   0.00
77078  Ct bone density, axial                            A   0.25   3.88     4.75     3.88NA   4.75 NA  0.17   4.30   5.17   4.30   5.17  1XXX.00.00.0000000             38.0870 090 99     1.91   1.91   0.09
77078TCCt bone density, axial                            A   0.00   3.80     4.66     3.80NA   4.66 NA  0.16   3.96   4.82   3.96   4.82  1XXX.00.00.0000000             38.0870 010 99     1.83   1.83   0.08
7707826Ct bone density, axial                            A   0.25   0.08     0.09     0.08     0.09     0.01   0.34   0.35   0.34   0.35  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77079  Ct bone density, peripheral                       A   0.22   1.92     0.83     1.92NA   0.83 NA  0.06   2.20   1.11   2.20   1.11  1XXX.00.00.0000000             38.0870 010 99     2.65   2.65   0.08
77079TCCt bone density, peripheral                       A   0.00   1.85     0.75     1.85NA   0.75 NA  0.05   1.90   0.80   1.90   0.80  1XXX.00.00.0000000             38.0870 010 99     2.58   2.58   0.07
7707926Ct bone density, peripheral                       A   0.22   0.07     0.08     0.07     0.08     0.01   0.30   0.31   0.30   0.31  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77080  Dxa bone density, axial                           A   0.20   2.15     1.10     2.15NA   1.10 NA  0.18   2.53   1.48   2.53   1.48  1XXX.00.00.0000000             38.0870 090 99     1.84   1.84   0.15
77080TCDxa bone density, axial                           A   0.00   2.07     1.04     2.07NA   1.04 NA  0.17   2.24   1.21   2.24   1.21  1XXX.00.00.0000000             38.0870 010 99     1.76   1.76   0.14
7708026Dxa bone density, axial                           A   0.20   0.08     0.06     0.08     0.06     0.01   0.29   0.27   0.29   0.27  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77081  Dxa bone density/peripheral                       A   0.22   0.65     0.47     0.65NA   0.47 NA  0.06   0.93   0.75   0.93   0.75  1XXX.00.00.0000000             38.0870 090 99     0.85   0.85   0.08
77081TCDxa bone density/peripheral                       A   0.00   0.58     0.41     0.58NA   0.41 NA  0.05   0.63   0.46   0.63   0.46  1XXX.00.00.0000000             38.0870 010 99     0.78   0.78   0.07
7708126Dxa 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             38.0870 090 99     0.00   0.00   0.00
77082  Dxa bone density, vert fx                         A   0.17   0.66     0.53     0.66NA   0.53 NA  0.06   0.89   0.76   0.89   0.76  1XXX.00.00.0000000             38.0870 090 99     1.12   1.12   0.10
77082TCDxa bone density, vert fx                         A   0.00   0.61     0.48     0.61NA   0.48 NA  0.05   0.66   0.53   0.66   0.53  1XXX.00.00.0000000             38.0870 010 99     1.07   1.07   0.09
7708226Dxa bone density, vert fx                         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             38.0870 090 99     0.00   0.00   0.00
77083  Radiographic absorptiometry                       A   0.20   0.59     0.37     0.59NA   0.37 NA  0.06   0.85   0.63   0.85   0.63  1XXX.00.00.0000000             38.0870 090 99     1.83   1.83   0.18
77083TCRadiographic absorptiometry                       A   0.00   0.53     0.32     0.53NA   0.32 NA  0.05   0.58   0.37   0.58   0.37  1XXX.00.00.0000000             38.0870 010 99     1.77   1.77   0.17
7708326Radiographic absorptiometry                       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             38.0870 090 99     0.00   0.00   0.00
77084  Magnetic image, bone marrow                       A   1.60  12.65    13.57    12.65NA  13.57 NA  0.66  14.91  15.83  14.91  15.83  1XXX.00.00.0000000             38.0870 090 99     8.31   8.31   0.45
77084TCMagnetic image, bone marrow                       A   0.00  12.13    13.05    12.13NA  13.05 NA  0.59  12.72  13.64  12.72  13.64  1XXX.00.00.0000000             38.0870 010 99     7.79   7.79   0.38
7708426Magnetic image, bone marrow                       A   1.60   0.52     0.52     0.52     0.52     0.07   2.19   2.19   2.19   2.19  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77261  Radiation therapy planning                        A   1.39   0.49     0.48     0.49     0.48     0.07   1.95   1.94   1.95   1.94  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77262  Radiation therapy planning                        A   2.11   0.72     0.69     0.72     0.69     0.11   2.94   2.91   2.94   2.91  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77263  Radiation therapy planning                        A   3.14   1.07     1.03     1.07     1.03     0.16   4.37   4.33   4.37   4.33  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77280  Set radiation therapy field                       A   0.70   4.07     4.43     4.07NA   4.43 NA  0.22   4.99   5.35   4.99   5.35  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77280TCSet radiation therapy field                       A   0.00   3.84     4.20     3.84NA   4.20 NA  0.18   4.02   4.38   4.02   4.38  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7728026Set radiation therapy field                       A   0.70   0.23     0.23     0.23     0.23     0.04   0.97   0.97   0.97   0.97  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77285  Set radiation therapy field                       A   1.05   6.97     8.02     6.97NA   8.02 NA  0.35   8.37   9.42   8.37   9.42  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77285TCSet radiation therapy field                       A   0.00   6.63     7.68     6.63NA   7.68 NA  0.30   6.93   7.98   6.93   7.98  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7728526Set radiation therapy field                       A   1.05   0.34     0.34     0.34     0.34     0.05   1.44   1.44   1.44   1.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77290  Set radiation therapy field                       A   1.56  10.22    13.43    10.22NA  13.43 NA  0.43  12.21  15.42  12.21  15.42  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77290TCSet radiation therapy field                       A   0.00   9.72    12.92     9.72NA  12.92 NA  0.35  10.07  13.27  10.07  13.27  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7729026Set radiation therapy field                       A   1.56   0.50     0.51     0.50     0.51     0.08   2.14   2.15   2.14   2.15  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77295  Set radiation therapy field                       A   4.56  18.43     7.46    18.43NA   7.46 NA  1.71  24.70  13.73  24.70  13.73  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77295TCSet radiation therapy field                       A   0.00  16.95     5.96    16.95NA   5.96 NA  1.48  18.43   7.44  18.43   7.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7729526Set radiation therapy field                       A   4.56   1.48     1.50     1.48     1.50     0.23   6.27   6.29   6.27   6.29  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77299  Radiation therapy planning                        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             38.0870 090 99     0.00   0.00   0.00
77299TCRadiation therapy planning                        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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
77300  Radiation therapy dose plan                       A   0.62   1.36     1.18     1.36NA   1.18 NA  0.10   2.08   1.90   2.08   1.90  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77300TCRadiation therapy dose plan                       A   0.00   1.16     0.98     1.16NA   0.98 NA  0.07   1.23   1.05   1.23   1.05  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7730026Radiation therapy dose plan                       A   0.62   0.20     0.20     0.20     0.20     0.03   0.85   0.85   0.85   0.85  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77301  Radiotherapy dose plan, imrt                      A   7.99  43.99    57.48    43.99NA  57.48 NA  1.88  53.86  67.35  53.86  67.35  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77301TCRadiotherapy dose plan, imrt                      A   0.00  41.40    54.86    41.40NA  54.86 NA  1.48  42.88  56.34  42.88  56.34  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7730126Radiotherapy dose plan, imrt                      A   7.99   2.59     2.62     2.59     2.62     0.40  10.98  11.01  10.98  11.01  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77305  Teletx isodose plan simple                        A   0.70   1.50     0.90     1.50NA   0.90 NA  0.15   2.35   1.75   2.35   1.75  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77305TCTeletx isodose plan simple                        A   0.00   1.27     0.67     1.27NA   0.67 NA  0.11   1.38   0.78   1.38   0.78  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7730526Teletx isodose plan simple                        A   0.70   0.23     0.23     0.23     0.23     0.04   0.97   0.97   0.97   0.97  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77310  Teletx isodose plan intermed                      A   1.05   1.96     1.24     1.96NA   1.24 NA  0.18   3.19   2.47   3.19   2.47  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77310TCTeletx isodose plan intermed                      A   0.00   1.62     0.90     1.62NA   0.90 NA  0.13   1.75   1.03   1.75   1.03  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7731026Teletx isodose plan intermed                      A   1.05   0.34     0.34     0.34     0.34     0.05   1.44   1.44   1.44   1.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77315  Teletx isodose plan complex                       A   1.56   2.62     2.08     2.62NA   2.08 NA  0.22   4.40   3.86   4.40   3.86  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77315TCTeletx isodose plan complex                       A   0.00   2.12     1.57     2.12NA   1.57 NA  0.14   2.26   1.71   2.26   1.71  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7731526Teletx isodose plan complex                       A   1.56   0.50     0.51     0.50     0.51     0.08   2.14   2.15   2.14   2.15  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77321  Special teletx port plan                          A   0.95   2.93     1.51     2.93NA   1.51 NA  0.26   4.14   2.72   4.14   2.72  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77321TCSpecial teletx port plan                          A   0.00   2.62     1.20     2.62NA   1.20 NA  0.21   2.83   1.41   2.83   1.41  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7732126Special teletx port plan                          A   0.95   0.31     0.31     0.31     0.31     0.05   1.31   1.31   1.31   1.31  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77326  Brachytx isodose calc simp                        A   0.93   2.82     2.98     2.82NA   2.98 NA  0.18   3.93   4.09   3.93   4.09  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77326TCBrachytx isodose calc simp                        A   0.00   2.52     2.68     2.52NA   2.68 NA  0.13   2.65   2.81   2.65   2.81  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7732626Brachytx isodose calc simp                        A   0.93   0.30     0.30     0.30     0.30     0.05   1.28   1.28   1.28   1.28  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77327  Brachytx isodose calc interm                      A   1.39   4.01     4.09     4.01NA   4.09 NA  0.25   5.65   5.73   5.65   5.73  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77327TCBrachytx isodose calc interm                      A   0.00   3.56     3.64     3.56NA   3.64 NA  0.18   3.74   3.82   3.74   3.82  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7732726Brachytx isodose calc interm                      A   1.39   0.45     0.45     0.45     0.45     0.07   1.91   1.91   1.91   1.91  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77328  Brachytx isodose plan compl                       A   2.09   5.44     5.26     5.44NA   5.26 NA  0.36   7.89   7.71   7.89   7.71  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77328TCBrachytx isodose plan compl                       A   0.00   4.76     4.57     4.76NA   4.57 NA  0.25   5.01   4.82   5.01   4.82  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7732826Brachytx isodose plan compl                       A   2.09   0.68     0.69     0.68     0.69     0.11   2.88   2.89   2.88   2.89  1XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
77332  Radiation treatment aid(s)                        A   0.54   1.53     1.55     1.53NA   1.55 NA  0.10   2.17   2.19   2.17   2.19  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77332TCRadiation treatment aid(s)                        A   0.00   1.36     1.37     1.36NA   1.37 NA  0.07   1.43   1.44   1.43   1.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7733226Radiation treatment aid(s)                        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             38.0870 090 99     0.00   0.00   0.00
77333  Radiation treatment aid(s)                        A   0.84   1.34     0.52     1.34NA   0.52 NA  0.15   2.33   1.51   2.33   1.51  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77333TCRadiation treatment aid(s)                        A   0.00   1.07     0.24     1.07NA   0.24 NA  0.11   1.18   0.35   1.18   0.35  1XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
77334  Radiation treatment aid(s)                        A   1.24   3.18     2.72     3.18NA   2.72 NA  0.23   4.65   4.19   4.65   4.19  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77334TCRadiation treatment aid(s)                        A   0.00   2.78     2.31     2.78NA   2.31 NA  0.17   2.95   2.48   2.95   2.48  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7733426Radiation treatment aid(s)                        A   1.24   0.40     0.41     0.40     0.41     0.06   1.70   1.71   1.70   1.71  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77336  Radiation physics consult                         A   0.00   2.06     1.14     2.06NA   1.14 NA  0.16   2.22   1.30   2.22   1.30  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77370  Radiation physics consult                         A   0.00   3.27     3.05     3.27NA   3.05 NA  0.18   3.45   3.23   3.45   3.23  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77371  Srs, multisource                                  A   0.00  30.11    30.11    30.11NA  30.11 NA  0.13  30.24  30.24  30.24  30.24  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77372  Srs, linear based                                 A   0.00  22.83    22.83    22.83NA  22.83 NA  0.13  22.96  22.96  22.96  22.96  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77373  Sbrt delivery                                     A   0.00  42.67    42.67    42.67NA  42.67 NA  0.13  42.80  42.80  42.80  42.80  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77399  External radiation dosimetry                      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             38.0870 090 99     0.00   0.00   0.00
77399TCExternal radiation dosimetry                      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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
77401  Radiation treatment delivery                      A   0.00   1.12     0.47     1.12NA   0.47 NA  0.11   1.23   0.58   1.23   0.58  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77402  Radiation treatment delivery                      A   0.00   3.06     4.35     3.06NA   4.35 NA  0.11   3.17   4.46   3.17   4.46  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77403  Radiation treatment delivery                      A   0.00   2.77     3.76     2.77NA   3.76 NA  0.11   2.88   3.87   2.88   3.87  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77404  Radiation treatment delivery                      A   0.00   2.99     4.21     2.99NA   4.21 NA  0.11   3.10   4.32   3.10   4.32  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77406  Radiation treatment delivery                      A   0.00   3.01     4.24     3.01NA   4.24 NA  0.11   3.12   4.35   3.12   4.35  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77407  Radiation treatment delivery                      A   0.00   3.94     5.78     3.94NA   5.78 NA  0.12   4.06   5.90   4.06   5.90  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77408  Radiation treatment delivery                      A   0.00   3.64     5.19     3.64NA   5.19 NA  0.12   3.76   5.31   3.76   5.31  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77409  Radiation treatment delivery                      A   0.00   3.93     5.77     3.93NA   5.77 NA  0.12   4.05   5.89   4.05   5.89  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77411  Radiation treatment delivery                      A   0.00   3.92     5.74     3.92NA   5.74 NA  0.12   4.04   5.86   4.04   5.86  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77412  Radiation treatment delivery                      A   0.00   4.56     6.79     4.56NA   6.79 NA  0.13   4.69   6.92   4.69   6.92  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77413  Radiation treatment delivery                      A   0.00   4.60     6.86     4.60NA   6.86 NA  0.13   4.73   6.99   4.73   6.99  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77414  Radiation treatment delivery                      A   0.00   5.03     7.72     5.03NA   7.72 NA  0.13   5.16   7.85   5.16   7.85  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77416  Radiation treatment delivery                      A   0.00   5.03     7.73     5.03NA   7.73 NA  0.13   5.16   7.86   5.16   7.86  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77417  Radiology port film(s)                            A   0.00   0.48     0.36     0.48NA   0.36 NA  0.04   0.52   0.40   0.52   0.40  3XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
77418  Radiation tx delivery, imrt                       A   0.00  15.60    13.17    15.60NA  13.17 NA  0.13  15.73  13.30  15.73  13.30  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77421  Stereoscopic x-ray guidance                       A   0.39   2.93     2.39     2.93NA   2.39 NA  0.12   3.44   2.90   3.44   2.90  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77421TCStereoscopic x-ray guidance                       A   0.00   2.80     2.26     2.80NA   2.26 NA  0.10   2.90   2.36   2.90   2.36  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
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             38.0870 090 99     0.00   0.00   0.00
77422  Neutron beam tx, simple                           A   0.00   3.53     5.36     3.53NA   5.36 NA  0.13   3.66   5.49   3.66   5.49  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77423  Neutron beam tx, complex                          A   0.00   4.86     7.47     4.86NA   7.47 NA  0.13   4.99   7.60   4.99   7.60  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77427  Radiation tx management, x5                       A   3.70   1.22     1.39     1.22     1.39     0.17   5.09   5.26   5.09   5.26  2XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
77431  Radiation therapy management                      A   1.81   0.73     0.78     0.73     0.78     0.09   2.63   2.68   2.63   2.68  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77432  Stereotactic radiation trmt                       A   7.92   2.75     2.59     2.75     2.59     0.41  11.08  10.92  11.08  10.92  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77435  Sbrt management                                   A  13.00   4.76     4.76     4.76NA   4.76 NA  0.67  18.43  18.43  18.43  18.43  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77470  Special radiation treatment                       A   2.09   6.88     1.92     6.88NA   1.92 NA  0.70   9.67   4.71   9.67   4.71  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77470TCSpecial radiation treatment                       A   0.00   6.20     1.24     6.20NA   1.24 NA  0.59   6.79   1.83   6.79   1.83  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7747026Special radiation treatment                       A   2.09   0.68     0.68     0.68     0.68     0.11   2.88   2.88   2.88   2.88  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77499  Radiation therapy management                      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             38.0870 090 99     0.00   0.00   0.00
77499TCRadiation therapy management                      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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
77600  Hyperthermia treatment                            R   1.56   6.90    10.24     6.90NA  10.24 NA  0.24   8.70  12.04   8.70  12.04  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77600TCHyperthermia treatment                            R   0.00   6.40     9.74     6.40NA   9.74 NA  0.16   6.56   9.90   6.56   9.90  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7760026Hyperthermia treatment                            R   1.56   0.50     0.50     0.50     0.50     0.08   2.14   2.14   2.14   2.14  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77605  Hyperthermia treatment                            R   2.09  11.60    18.48    11.60NA  18.48 NA  0.38  14.07  20.95  14.07  20.95  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77605TCHyperthermia treatment                            R   0.00  11.00    17.93    11.00NA  17.93 NA  0.22  11.22  18.15  11.22  18.15  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7760526Hyperthermia treatment                            R   2.09   0.60     0.55     0.60     0.55     0.16   2.85   2.80   2.85   2.80  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77610  Hyperthermia treatment                            R   1.56  10.75    17.94    10.75NA  17.94 NA  0.24  12.55  19.74  12.55  19.74  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77610TCHyperthermia treatment                            R   0.00  10.32    17.58    10.32NA  17.58 NA  0.16  10.48  17.74  10.48  17.74  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7761026Hyperthermia treatment                            R   1.56   0.43     0.36     0.43     0.36     0.08   2.07   2.00   2.07   2.00  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77615  Hyperthermia treatment                            R   2.09  15.32    25.93    15.32NA  25.93 NA  0.33  17.74  28.35  17.74  28.35  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77615TCHyperthermia treatment                            R   0.00  14.67    25.29    14.67NA  25.29 NA  0.22  14.89  25.51  14.89  25.51  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7761526Hyperthermia treatment                            R   2.09   0.65     0.64     0.65     0.64     0.11   2.85   2.84   2.85   2.84  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77620  Hyperthermia treatment                            R   1.56   7.04    10.50     7.04NA  10.50 NA  0.36   8.96  12.42   8.96  12.42  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77620TCHyperthermia treatment                            R   0.00   6.58    10.10     6.58NA  10.10 NA  0.16   6.74  10.26   6.74  10.26  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7762026Hyperthermia treatment                            R   1.56   0.46     0.40     0.46     0.40     0.20   2.22   2.16   2.22   2.16  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77750  Infuse radioactive materials                      A   4.94   3.73     4.55     3.73NA   4.55 NA  0.32   8.99   9.81   8.99   9.81  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77750TCInfuse radioactive materials                      A   0.00   2.13     2.93     2.13NA   2.93 NA  0.07   2.20   3.00   2.20   3.00  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7775026Infuse radioactive materials                      A   4.94   1.60     1.62     1.60     1.62     0.25   6.79   6.81   6.79   6.81  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77761  Apply intrcav radiat simple                       A   3.82   4.97     6.34     4.97NA   6.34 NA  0.33   9.12  10.49   9.12  10.49  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77761TCApply intrcav radiat simple                       A   0.00   3.80     5.10     3.80NA   5.10 NA  0.14   3.94   5.24   3.94   5.24  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7776126Apply intrcav radiat simple                       A   3.82   1.17     1.24     1.17     1.24     0.19   5.18   5.25   5.18   5.25  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77762  Apply intrcav radiat interm                       A   5.73   6.54     7.63     6.54NA   7.63 NA  0.48  12.75  13.84  12.75  13.84  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77762TCApply intrcav radiat interm                       A   0.00   4.68     5.75     4.68NA   5.75 NA  0.19   4.87   5.94   4.87   5.94  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7776226Apply intrcav radiat interm                       A   5.73   1.86     1.88     1.86     1.88     0.29   7.88   7.90   7.88   7.90  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77763  Apply intrcav radiat compl                        A   8.60   8.79    10.35     8.79NA  10.35 NA  0.66  18.05  19.61  18.05  19.61  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77763TCApply intrcav radiat compl                        A   0.00   6.01     7.53     6.01NA   7.53 NA  0.23   6.24   7.76   6.24   7.76  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7776326Apply intrcav radiat compl                        A   8.60   2.78     2.82     2.78     2.82     0.43  11.81  11.85  11.81  11.85  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77776  Apply interstit radiat simpl                      A   4.67   5.30     7.46     5.30NA   7.46 NA  0.57  10.54  12.70  10.54  12.70  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77776TCApply interstit radiat simpl                      A   0.00   3.99     5.79     3.99NA   5.79 NA  0.13   4.12   5.92   4.12   5.92  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7777626Apply interstit radiat simpl                      A   4.67   1.31     1.67     1.31     1.67     0.44   6.42   6.78   6.42   6.78  1090.00.00.0000020             38.0870 090 99     0.00   0.00   0.00
77777  Apply interstit radiat inter                      A   7.49   7.26     7.92     7.26NA   7.92 NA  0.61  15.36  16.02  15.36  16.02  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77777TCApply interstit radiat inter                      A   0.00   4.85     5.47     4.85NA   5.47 NA  0.22   5.07   5.69   5.07   5.69  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7777726Apply interstit radiat inter                      A   7.49   2.41     2.45     2.41     2.45     0.39  10.29  10.33  10.29  10.33  1090.00.00.0000020             38.0870 090 99     0.00   0.00   0.00
77778  Apply interstit radiat compl                      A  11.23  10.01    11.33    10.01NA  11.33 NA  0.84  22.08  23.40  22.08  23.40  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77778TCApply interstit radiat compl                      A   0.00   6.38     7.63     6.38NA   7.63 NA  0.27   6.65   7.90   6.65   7.90  1090.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7777826Apply interstit radiat compl                      A  11.23   3.63     3.70     3.63     3.70     0.57  15.43  15.50  15.43  15.50  1090.00.00.0000020             38.0870 090 99     0.00   0.00   0.00
77781  High intensity brachytherapy                      A   1.21  12.62     4.41    12.62NA   4.41 NA  1.14  14.97   6.76  14.97   6.76  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77781TCHigh intensity brachytherapy                      A   0.00  12.16     4.01    12.16NA   4.01 NA  1.06  13.22   5.07  13.22   5.07  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7778126High intensity brachytherapy                      A   1.21   0.46     0.40     0.46     0.40     0.08   1.75   1.69   1.75   1.69  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77782  High intensity brachytherapy                      A   2.04  16.76    12.42    16.76NA  12.42 NA  1.19  19.99  15.65  19.99  15.65  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77782TCHigh intensity brachytherapy                      A   0.00  16.03    11.75    16.03NA  11.75 NA  1.06  17.09  12.81  17.09  12.81  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7778226High intensity brachytherapy                      A   2.04   0.73     0.67     0.73     0.67     0.13   2.90   2.84   2.90   2.84  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77783  High intensity brachytherapy                      A   3.27  22.86    24.21    22.86NA  24.21 NA  1.25  27.38  28.73  27.38  28.73  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77783TCHigh intensity brachytherapy                      A   0.00  21.73    23.14    21.73NA  23.14 NA  1.06  22.79  24.20  22.79  24.20  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7778326High intensity brachytherapy                      A   3.27   1.13     1.07     1.13     1.07     0.19   4.59   4.53   4.59   4.53  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77784  High intensity brachytherapy                      A   5.15  33.91    45.71    33.91NA  45.71 NA  1.35  40.41  52.21  40.41  52.21  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77784TCHigh intensity brachytherapy                      A   0.00  32.17    44.03    32.17NA  44.03 NA  1.06  33.23  45.09  33.23  45.09  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7778426High intensity brachytherapy                      A   5.15   1.74     1.68     1.74     1.68     0.29   7.18   7.12   7.18   7.12  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77789  Apply surface radiation                           A   1.14   1.42     2.02     1.42NA   2.02 NA  0.08   2.64   3.24   2.64   3.24  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77789TCApply surface radiation                           A   0.00   1.04     1.64     1.04NA   1.64 NA  0.02   1.06   1.66   1.06   1.66  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7778926Apply surface radiation                           A   1.14   0.38     0.38     0.38     0.38     0.06   1.58   1.58   1.58   1.58  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77790  Radiation handling                                A   1.05   1.15     1.46     1.15NA   1.46 NA  0.07   2.27   2.58   2.27   2.58  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77790TCRadiation handling                                A   0.00   0.81     1.12     0.81NA   1.12 NA  0.02   0.83   1.14   0.83   1.14  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7779026Radiation handling                                A   1.05   0.34     0.34     0.34     0.34     0.05   1.44   1.44   1.44   1.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
77799  Radium/radioisotope therapy                       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             38.0870 090 99     0.00   0.00   0.00
77799TCRadium/radioisotope therapy                       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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
78000  Thyroid, single uptake                            A   0.19   1.44     1.85     1.44NA   1.85 NA  0.07   1.70   2.11   1.70   2.11  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78000TCThyroid, single uptake                            A   0.00   1.38     1.79     1.38NA   1.79 NA  0.06   1.44   1.85   1.44   1.85  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7800026Thyroid, single uptake                            A   0.19   0.06     0.06     0.06     0.06     0.01   0.26   0.26   0.26   0.26  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78001  Thyroid, multiple uptakes                         A   0.26   1.85     2.31     1.85NA   2.31 NA  0.08   2.19   2.65   2.19   2.65  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78001TCThyroid, multiple uptakes                         A   0.00   1.76     2.22     1.76NA   2.22 NA  0.07   1.83   2.29   1.83   2.29  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7800126Thyroid, multiple uptakes                         A   0.26   0.09     0.09     0.09     0.09     0.01   0.36   0.36   0.36   0.36  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78003  Thyroid suppress/stimul                           A   0.33   1.50     1.94     1.50NA   1.94 NA  0.07   1.90   2.34   1.90   2.34  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78003TCThyroid suppress/stimul                           A   0.00   1.39     1.82     1.39NA   1.82 NA  0.06   1.45   1.88   1.45   1.88  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7800326Thyroid suppress/stimul                           A   0.33   0.11     0.12     0.11     0.12     0.01   0.45   0.46   0.45   0.46  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78006  Thyroid imaging with uptake                       A   0.49   4.38     6.23     4.38NA   6.23 NA  0.15   5.02   6.87   5.02   6.87  1XXX.00.00.0000000             38.0870 090 99     5.76   5.76   0.19
78006TCThyroid imaging with uptake                       A   0.00   4.22     6.06     4.22NA   6.06 NA  0.13   4.35   6.19   4.35   6.19  1XXX.00.00.0000000             38.0870 010 99     5.60   5.60   0.17
7800626Thyroid imaging with uptake                       A   0.49   0.16     0.17     0.16     0.17     0.02   0.67   0.68   0.67   0.68  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78007  Thyroid image, mult uptakes                       A   0.50   2.90     3.06     2.90NA   3.06 NA  0.16   3.56   3.72   3.56   3.72  1XXX.00.00.0000000             38.0870 090 99     5.66   5.66   0.30
78007TCThyroid image, mult uptakes                       A   0.00   2.73     2.89     2.73NA   2.89 NA  0.14   2.87   3.03   2.87   3.03  1XXX.00.00.0000000             38.0870 010 99     5.49   5.49   0.28
7800726Thyroid image, mult uptakes                       A   0.50   0.17     0.17     0.17     0.17     0.02   0.69   0.69   0.69   0.69  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78010  Thyroid imaging                                   A   0.39   3.07     4.19     3.07NA   4.19 NA  0.13   3.59   4.71   3.59   4.71  1XXX.00.00.0000000             38.0870 090 99     3.43   3.43   0.14
78010TCThyroid imaging                                   A   0.00   2.94     4.06     2.94NA   4.06 NA  0.11   3.05   4.17   3.05   4.17  1XXX.00.00.0000000             38.0870 010 99     3.30   3.30   0.12
7801026Thyroid imaging                                   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             38.0870 090 99     0.00   0.00   0.00
78011  Thyroid imaging with flow                         A   0.45   3.55     4.55     3.55NA   4.55 NA  0.15   4.15   5.15   4.15   5.15  1XXX.00.00.0000000             38.0870 090 99     3.45   3.45   0.15
78011TCThyroid imaging with flow                         A   0.00   3.40     4.39     3.40NA   4.39 NA  0.13   3.53   4.52   3.53   4.52  1XXX.00.00.0000000             38.0870 010 99     3.30   3.30   0.13
7801126Thyroid imaging with flow                         A   0.45   0.15     0.16     0.15     0.16     0.02   0.62   0.63   0.62   0.63  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78015  Thyroid met imaging                               A   0.67   4.08     5.34     4.08NA   5.34 NA  0.17   4.92   6.18   4.92   6.18  1XXX.00.00.0000000             38.0870 090 99     8.41   8.41   0.33
78015TCThyroid met imaging                               A   0.00   3.85     5.12     3.85NA   5.12 NA  0.14   3.99   5.26   3.99   5.26  1XXX.00.00.0000000             38.0870 010 99     8.18   8.18   0.30
7801526Thyroid met imaging                               A   0.67   0.23     0.22     0.23     0.22     0.03   0.93   0.92   0.93   0.92  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78016  Thyroid met imaging/studies                       A   0.82   6.15     8.54     6.15NA   8.54 NA  0.21   7.18   9.57   7.18   9.57  1XXX.00.00.0000000             38.0870 090 99     8.50   8.50   0.28
78016TCThyroid met imaging/studies                       A   0.00   5.87     8.26     5.87NA   8.26 NA  0.18   6.05   8.44   6.05   8.44  1XXX.00.00.0000000             38.0870 010 99     8.22   8.22   0.25
7801626Thyroid met imaging/studies                       A   0.82   0.28     0.28     0.28     0.28     0.03   1.13   1.13   1.13   1.13  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78018  Thyroid met imaging, body                         A   0.86   6.83     7.94     6.83NA   7.94 NA  0.33   8.02   9.13   8.02   9.13  1XXX.00.00.0000000             38.0870 090 99     8.42   8.42   0.40
78018TCThyroid met imaging, body                         A   0.00   6.53     7.64     6.53NA   7.64 NA  0.29   6.82   7.93   6.82   7.93  1XXX.00.00.0000000             38.0870 010 99     8.12   8.12   0.36
7801826Thyroid met imaging, body                         A   0.86   0.30     0.30     0.30     0.30     0.04   1.20   1.20   1.20   1.20  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78020  Thyroid met uptake                                A   0.60   1.66     1.80     1.66NA   1.80 NA  0.16   2.42   2.56   2.42   2.56  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78020TCThyroid met uptake                                A   0.00   1.45     1.60     1.45NA   1.60 NA  0.14   1.59   1.74   1.59   1.74  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7802026Thyroid met uptake                                A   0.60   0.21     0.20     0.21     0.20     0.02   0.83   0.82   0.83   0.82  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78070  Parathyroid nuclear imaging                       A   0.82   4.02     3.48     4.02NA   3.48 NA  0.15   4.99   4.45   4.99   4.45  1XXX.00.00.0000000             38.0870 090 99     5.89   5.89   0.20
78070TCParathyroid nuclear imaging                       A   0.00   3.74     3.20     3.74NA   3.20 NA  0.11   3.85   3.31   3.85   3.31  1XXX.00.00.0000000             38.0870 010 99     5.61   5.61   0.16
7807026Parathyroid nuclear imaging                       A   0.82   0.28     0.28     0.28     0.28     0.04   1.14   1.14   1.14   1.14  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78075  Adrenal nuclear imaging                           A   0.74   8.65    11.63     8.65NA  11.63 NA  0.32   9.71  12.69   9.71  12.69  1XXX.00.00.0000000             38.0870 090 99    25.15  25.15   0.89
78075TCAdrenal nuclear imaging                           A   0.00   8.40    11.38     8.40NA  11.38 NA  0.29   8.69  11.67   8.69  11.67  1XXX.00.00.0000000             38.0870 010 99    24.90  24.90   0.86
7807526Adrenal nuclear imaging                           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             38.0870 090 99     0.00   0.00   0.00
78099  Endocrine nuclear procedure                       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             38.0870 090 99     0.00   0.00   0.00
78099TCEndocrine nuclear procedure                       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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
78102  Bone marrow imaging, ltd                          A   0.55   3.21     4.18     3.21NA   4.18 NA  0.14   3.90   4.87   3.90   4.87  1XXX.00.00.0000000             38.0870 090 99     6.51   6.51   0.27
78102TCBone marrow imaging, ltd                          A   0.00   3.02     3.99     3.02NA   3.99 NA  0.12   3.14   4.11   3.14   4.11  1XXX.00.00.0000000             38.0870 010 99     6.32   6.32   0.25
7810226Bone marrow imaging, ltd                          A   0.55   0.19     0.19     0.19     0.19     0.02   0.76   0.76   0.76   0.76  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78103  Bone marrow imaging, mult                         A   0.75   4.44     5.44     4.44NA   5.44 NA  0.20   5.39   6.39   5.39   6.39  1XXX.00.00.0000000             38.0870 090 99     6.57   6.57   0.29
78103TCBone marrow imaging, mult                         A   0.00   4.18     5.18     4.18NA   5.18 NA  0.17   4.35   5.35   4.35   5.35  1XXX.00.00.0000000             38.0870 010 99     6.31   6.31   0.26
7810326Bone marrow imaging, mult                         A   0.75   0.26     0.26     0.26     0.26     0.03   1.04   1.04   1.04   1.04  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78104  Bone marrow imaging, body                         A   0.80   5.29     6.23     5.29NA   6.23 NA  0.25   6.34   7.28   6.34   7.28  1XXX.00.00.0000000             38.0870 090 99     6.57   6.57   0.31
78104TCBone marrow imaging, body                         A   0.00   5.01     5.94     5.01NA   5.94 NA  0.22   5.23   6.16   5.23   6.16  1XXX.00.00.0000000             38.0870 010 99     6.29   6.29   0.28
7810426Bone marrow imaging, body                         A   0.80   0.28     0.29     0.28     0.29     0.03   1.11   1.12   1.11   1.12  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78110  Plasma volume, single                             A   0.19   1.58     2.13     1.58NA   2.13 NA  0.07   1.84   2.39   1.84   2.39  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78110TCPlasma volume, single                             A   0.00   1.51     2.06     1.51NA   2.06 NA  0.06   1.57   2.12   1.57   2.12  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7811026Plasma volume, single                             A   0.19   0.07     0.07     0.07     0.07     0.01   0.27   0.27   0.27   0.27  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78111  Plasma volume, multiple                           A   0.22   2.40     2.14     2.40NA   2.14 NA  0.15   2.77   2.51   2.77   2.51  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78111TCPlasma volume, multiple                           A   0.00   2.32     2.07     2.32NA   2.07 NA  0.14   2.46   2.21   2.46   2.21  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7811126Plasma volume, multiple                           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             38.0870 090 99     0.00   0.00   0.00
78120  Red cell mass, single                             A   0.23   1.96     2.10     1.96NA   2.10 NA  0.12   2.31   2.45   2.31   2.45  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78120TCRed cell mass, single                             A   0.00   1.88     2.02     1.88NA   2.02 NA  0.11   1.99   2.13   1.99   2.13  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7812026Red cell mass, single                             A   0.23   0.08     0.08     0.08     0.08     0.01   0.32   0.32   0.32   0.32  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78121  Red cell mass, multiple                           A   0.32   2.62     2.20     2.62NA   2.20 NA  0.15   3.09   2.67   3.09   2.67  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78121TCRed cell mass, multiple                           A   0.00   2.51     2.10     2.51NA   2.10 NA  0.14   2.65   2.24   2.65   2.24  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7812126Red cell mass, multiple                           A   0.32   0.11     0.10     0.11     0.10     0.01   0.44   0.43   0.44   0.43  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78122  Blood volume                                      A   0.45   3.51     2.25     3.51NA   2.25 NA  0.26   4.22   2.96   4.22   2.96  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78122TCBlood volume                                      A   0.00   3.35     2.10     3.35NA   2.10 NA  0.24   3.59   2.34   3.59   2.34  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7812226Blood volume                                      A   0.45   0.16     0.15     0.16     0.15     0.02   0.63   0.62   0.63   0.62  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78130  Red cell survival study                           A   0.61   3.28     3.50     3.28NA   3.50 NA  0.17   4.06   4.28   4.06   4.28  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78130TCRed cell survival study                           A   0.00   3.07     3.29     3.07NA   3.29 NA  0.14   3.21   3.43   3.21   3.43  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7813026Red cell survival study                           A   0.61   0.21     0.21     0.21     0.21     0.03   0.85   0.85   0.85   0.85  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78135  Red cell survival kinetics                        A   0.64   6.89     8.68     6.89NA   8.68 NA  0.28   7.81   9.60   7.81   9.60  1XXX.00.00.0000000             38.0870 090 99     9.40   9.40   0.37
78135TCRed cell survival kinetics                        A   0.00   6.67     8.46     6.67NA   8.46 NA  0.25   6.92   8.71   6.92   8.71  1XXX.00.00.0000000             38.0870 010 99     9.18   9.18   0.34
7813526Red cell survival kinetics                        A   0.64   0.22     0.22     0.22     0.22     0.03   0.89   0.89   0.89   0.89  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78140  Red cell sequestration                            A   0.61   3.54     2.95     3.54NA   2.95 NA  0.24   4.39   3.80   4.39   3.80  1XXX.00.00.0000000             38.0870 090 99     9.16   9.16   0.59
78140TCRed cell sequestration                            A   0.00   3.33     2.73     3.33NA   2.73 NA  0.21   3.54   2.94   3.54   2.94  1XXX.00.00.0000000             38.0870 010 99     8.95   8.95   0.56
7814026Red cell sequestration                            A   0.61   0.21     0.22     0.21     0.22     0.03   0.85   0.86   0.85   0.86  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78185  Spleen imaging                                    A   0.40   3.85     5.20     3.85NA   5.20 NA  0.15   4.40   5.75   4.40   5.75  1XXX.00.00.0000000             38.0870 090 99     6.49   6.49   0.24
78185TCSpleen imaging                                    A   0.00   3.71     5.06     3.71NA   5.06 NA  0.13   3.84   5.19   3.84   5.19  1XXX.00.00.0000000             38.0870 010 99     6.35   6.35   0.22
7818526Spleen imaging                                    A   0.40   0.14     0.14     0.14     0.14     0.02   0.56   0.56   0.56   0.56  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78190  Platelet survival, kinetics                       A   1.09   7.24     8.38     7.24NA   8.38 NA  0.38   8.71   9.85   8.71   9.85  1XXX.00.00.0000000             38.0870 090 99     4.97   4.97   0.28
78190TCPlatelet survival, kinetics                       A   0.00   6.92     8.13     6.92NA   8.13 NA  0.30   7.22   8.43   7.22   8.43  1XXX.00.00.0000000             38.0870 010 99     4.65   4.65   0.20
7819026Platelet survival, kinetics                       A   1.09   0.32     0.25     0.32     0.25     0.08   1.49   1.42   1.49   1.42  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78191  Platelet survival                                 A   0.61   5.53     3.52     5.53NA   3.52 NA  0.40   6.54   4.53   6.54   4.53  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78191TCPlatelet survival                                 A   0.00   5.32     3.31     5.32NA   3.31 NA  0.37   5.69   3.68   5.69   3.68  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7819126Platelet survival                                 A   0.61   0.21     0.21     0.21     0.21     0.03   0.85   0.85   0.85   0.85  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78195  Lymph system imaging                              A   1.20   6.58     8.69     6.58NA   8.69 NA  0.28   8.06  10.17   8.06  10.17  1XXX.00.00.0000000             38.0870 090 99     6.75   6.75   0.29
78195TCLymph system imaging                              A   0.00   6.17     8.28     6.17NA   8.28 NA  0.22   6.39   8.50   6.39   8.50  1XXX.00.00.0000000             38.0870 010 99     6.34   6.34   0.23
7819526Lymph system imaging                              A   1.20   0.41     0.41     0.41     0.41     0.06   1.67   1.67   1.67   1.67  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78199  Blood/lymph nuclear exam                          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             38.0870 090 99     0.00   0.00   0.00
78199TCBlood/lymph nuclear exam                          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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
78201  Liver imaging                                     A   0.44   3.56     4.60     3.56NA   4.60 NA  0.15   4.15   5.19   4.15   5.19  1XXX.00.00.0000000             38.0870 090 99     7.33   7.33   0.29
78201TCLiver imaging                                     A   0.00   3.42     4.47     3.42NA   4.47 NA  0.13   3.55   4.60   3.55   4.60  1XXX.00.00.0000000             38.0870 010 99     7.19   7.19   0.27
7820126Liver imaging                                     A   0.44   0.14     0.13     0.14     0.13     0.02   0.60   0.59   0.60   0.59  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78202  Liver imaging with flow                           A   0.51   4.20     5.35     4.20NA   5.35 NA  0.16   4.87   6.02   4.87   6.02  1XXX.00.00.0000000             38.0870 090 99     7.38   7.38   0.27
78202TCLiver imaging with flow                           A   0.00   4.03     5.18     4.03NA   5.18 NA  0.14   4.17   5.32   4.17   5.32  1XXX.00.00.0000000             38.0870 010 99     7.21   7.21   0.25
7820226Liver imaging with flow                           A   0.51   0.17     0.17     0.17     0.17     0.02   0.70   0.70   0.70   0.70  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78205  Liver imaging (3D)                                A   0.71   5.71     5.27     5.71NA   5.27 NA  0.34   6.76   6.32   6.76   6.32  1XXX.00.00.0000000             38.0870 090 99     7.30   7.30   0.43
78205TCLiver imaging (3D)                                A   0.00   5.47     5.02     5.47NA   5.02 NA  0.31   5.78   5.33   5.78   5.33  1XXX.00.00.0000000             38.0870 010 99     7.06   7.06   0.40
7820526Liver imaging (3D)                                A   0.71   0.24     0.25     0.24     0.25     0.03   0.98   0.99   0.98   0.99  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78206  Liver image (3d) with flow                        A   0.96   7.42     8.61     7.42NA   8.61 NA  0.15   8.53   9.72   8.53   9.72  1XXX.00.00.0000000             38.0870 090 99     7.68   7.68   0.15
78206TCLiver image (3d) with flow                        A   0.00   7.09     8.27     7.09NA   8.27 NA  0.11   7.20   8.38   7.20   8.38  1XXX.00.00.0000000             38.0870 010 99     7.35   7.35   0.11
7820626Liver image (3d) with flow                        A   0.96   0.33     0.34     0.33     0.34     0.04   1.33   1.34   1.33   1.34  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78215  Liver and spleen imaging                          A   0.49   3.97     4.82     3.97NA   4.82 NA  0.16   4.62   5.47   4.62   5.47  1XXX.00.00.0000000             38.0870 090 99     7.36   7.36   0.29
78215TCLiver and spleen imaging                          A   0.00   3.80     4.65     3.80NA   4.65 NA  0.14   3.94   4.79   3.94   4.79  1XXX.00.00.0000000             38.0870 010 99     7.19   7.19   0.27
7821526Liver and spleen imaging                          A   0.49   0.17     0.17     0.17     0.17     0.02   0.68   0.68   0.68   0.68  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78216  Liver & spleen image/flow                         A   0.57   3.26     2.86     3.26NA   2.86 NA  0.20   4.03   3.63   4.03   3.63  1XXX.00.00.0000000             38.0870 090 99     7.24   7.24   0.43
78216TCLiver & spleen image/flow                         A   0.00   3.07     2.66     3.07NA   2.66 NA  0.18   3.25   2.84   3.25   2.84  1XXX.00.00.0000000             38.0870 010 99     7.05   7.05   0.41
7821626Liver & spleen image/flow                         A   0.57   0.19     0.20     0.19     0.20     0.02   0.78   0.79   0.78   0.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78220  Liver function study                              A   0.49   3.48     3.08     3.48NA   3.08 NA  0.21   4.18   3.78   4.18   3.78  1XXX.00.00.0000000             38.0870 090 99     7.22   7.22   0.42
78220TCLiver function study                              A   0.00   3.32     2.91     3.32NA   2.91 NA  0.19   3.51   3.10   3.51   3.10  1XXX.00.00.0000000             38.0870 010 99     7.06   7.06   0.40
7822026Liver function study                              A   0.49   0.16     0.17     0.16     0.17     0.02   0.67   0.68   0.67   0.68  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78223  Hepatobiliary imaging                             A   0.84   6.23     8.51     6.23NA   8.51 NA  0.23   7.30   9.58   7.30   9.58  1XXX.00.00.0000000             38.0870 090 99     7.52   7.52   0.27
78223TCHepatobiliary imaging                             A   0.00   5.94     8.22     5.94NA   8.22 NA  0.19   6.13   8.41   6.13   8.41  1XXX.00.00.0000000             38.0870 010 99     7.23   7.23   0.23
7822326Hepatobiliary imaging                             A   0.84   0.29     0.29     0.29     0.29     0.04   1.17   1.17   1.17   1.17  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78230  Salivary gland imaging                            A   0.45   3.25     4.17     3.25NA   4.17 NA  0.15   3.85   4.77   3.85   4.77  1XXX.00.00.0000000             38.0870 090 99     6.23   6.23   0.28
78230TCSalivary gland imaging                            A   0.00   3.10     4.01     3.10NA   4.01 NA  0.13   3.23   4.14   3.23   4.14  1XXX.00.00.0000000             38.0870 010 99     6.08   6.08   0.26
7823026Salivary gland imaging                            A   0.45   0.15     0.16     0.15     0.16     0.02   0.62   0.63   0.62   0.63  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78231  Serial salivary imaging                           A   0.52   3.07     2.81     3.07NA   2.81 NA  0.19   3.78   3.52   3.78   3.52  1XXX.00.00.0000000             38.0870 090 99     6.16   6.16   0.37
78231TCSerial salivary imaging                           A   0.00   2.90     2.64     2.90NA   2.64 NA  0.17   3.07   2.81   3.07   2.81  1XXX.00.00.0000000             38.0870 010 99     5.99   5.99   0.35
7823126Serial salivary imaging                           A   0.52   0.17     0.17     0.17     0.17     0.02   0.71   0.71   0.71   0.71  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78232  Salivary gland function exam                      A   0.47   3.24     2.78     3.24NA   2.78 NA  0.20   3.91   3.45   3.91   3.45  1XXX.00.00.0000000             38.0870 090 99     6.15   6.15   0.37
78232TCSalivary gland function exam                      A   0.00   3.08     2.63     3.08NA   2.63 NA  0.18   3.26   2.81   3.26   2.81  1XXX.00.00.0000000             38.0870 010 99     5.99   5.99   0.35
7823226Salivary gland function exam                      A   0.47   0.16     0.15     0.16     0.15     0.02   0.65   0.64   0.65   0.64  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78258  Esophageal motility study                         A   0.74   4.33     5.52     4.33NA   5.52 NA  0.17   5.24   6.43   5.24   6.43  1XXX.00.00.0000000             38.0870 090 99     6.39   6.39   0.24
78258TCEsophageal motility study                         A   0.00   4.07     5.25     4.07NA   5.25 NA  0.14   4.21   5.39   4.21   5.39  1XXX.00.00.0000000             38.0870 010 99     6.13   6.13   0.21
7825826Esophageal motility study                         A   0.74   0.26     0.27     0.26     0.27     0.03   1.03   1.04   1.03   1.04  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78261  Gastric mucosa imaging                            A   0.69   5.17     6.01     5.17NA   6.01 NA  0.25   6.11   6.95   6.11   6.95  1XXX.00.00.0000000             38.0870 090 99     6.31   6.31   0.30
78261TCGastric mucosa imaging                            A   0.00   4.93     5.77     4.93NA   5.77 NA  0.22   5.15   5.99   5.15   5.99  1XXX.00.00.0000000             38.0870 010 99     6.07   6.07   0.27
7826126Gastric mucosa imaging                            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             38.0870 090 99     0.00   0.00   0.00
78262  Gastroesophageal reflux exam                      A   0.68   5.22     5.96     5.22NA   5.96 NA  0.25   6.15   6.89   6.15   6.89  1XXX.00.00.0000000             38.0870 090 99     6.29   6.29   0.30
78262TCGastroesophageal reflux exam                      A   0.00   5.00     5.74     5.00NA   5.74 NA  0.22   5.22   5.96   5.22   5.96  1XXX.00.00.0000000             38.0870 010 99     6.07   6.07   0.27
7826226Gastroesophageal reflux exam                      A   0.68   0.22     0.22     0.22     0.22     0.03   0.93   0.93   0.93   0.93  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78264  Gastric emptying study                            A   0.78   5.78     7.16     5.78NA   7.16 NA  0.25   6.81   8.19   6.81   8.19  1XXX.00.00.0000000             38.0870 090 99     6.37   6.37   0.27
78264TCGastric emptying study                            A   0.00   5.51     6.89     5.51NA   6.89 NA  0.22   5.73   7.11   5.73   7.11  1XXX.00.00.0000000             38.0870 010 99     6.10   6.10   0.24
7826426Gastric emptying study                            A   0.78   0.27     0.27     0.27     0.27     0.03   1.08   1.08   1.08   1.08  1XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
78270  Vit B-12 absorption exam                          A   0.20   1.78     1.95     1.78NA   1.95 NA  0.11   2.09   2.26   2.09   2.26  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78270TCVit B-12 absorption exam                          A   0.00   1.71     1.88     1.71NA   1.88 NA  0.10   1.81   1.98   1.81   1.98  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7827026Vit B-12 absorption exam                          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             38.0870 090 99     0.00   0.00   0.00
78271  Vit b-12 absrp exam, int fac                      A   0.20   1.80     1.89     1.80NA   1.89 NA  0.11   2.11   2.20   2.11   2.20  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78271TCVit b-12 absrp exam, int fac                      A   0.00   1.74     1.84     1.74NA   1.84 NA  0.10   1.84   1.94   1.84   1.94  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7827126Vit b-12 absrp exam, int fac                      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             38.0870 090 99     0.00   0.00   0.00
78272  Vit B-12 absorp, combined                         A   0.27   2.24     2.06     2.24NA   2.06 NA  0.14   2.65   2.47   2.65   2.47  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78272TCVit B-12 absorp, combined                         A   0.00   2.16     1.99     2.16NA   1.99 NA  0.13   2.29   2.12   2.29   2.12  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7827226Vit B-12 absorp, combined                         A   0.27   0.08     0.07     0.08     0.07     0.01   0.36   0.35   0.36   0.35  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78278  Acute GI blood loss imaging                       A   0.99   6.91     8.61     6.91NA   8.61 NA  0.29   8.19   9.89   8.19   9.89  1XXX.00.00.0000000             38.0870 090 99     6.45   6.45   0.27
78278TCAcute GI blood loss imaging                       A   0.00   6.57     8.26     6.57NA   8.26 NA  0.25   6.82   8.51   6.82   8.51  1XXX.00.00.0000000             38.0870 010 99     6.11   6.11   0.23
7827826Acute GI blood loss imaging                       A   0.99   0.34     0.35     0.34     0.35     0.04   1.37   1.38   1.37   1.38  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78282  GI protein loss exam                              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             38.0870 090 99     5.96   5.96   0.53
78282TCGI protein loss exam                              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             38.0870 010 99     5.83   5.83   0.51
7828226GI protein loss exam                              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             38.0870 090 99     0.00   0.00   0.00
78290  Meckels divert exam                              A   0.68   5.91     8.52     5.91NA   8.52 NA  0.19   6.78   9.39   6.78   9.39  1XXX.00.00.0000000             38.0870 090 99     6.41   6.41   0.20
78290TCMeckels divert exam                              A   0.00   5.67     8.28     5.67NA   8.28 NA  0.16   5.83   8.44   5.83   8.44  1XXX.00.00.0000000             38.0870 010 99     6.17   6.17   0.17
7829026Meckels divert exam                              A   0.68   0.24     0.24     0.24     0.24     0.03   0.95   0.95   0.95   0.95  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78291  Leveen/shunt patency exam                         A   0.88   4.76     6.15     4.76NA   6.15 NA  0.20   5.84   7.23   5.84   7.23  1XXX.00.00.0000000             38.0870 090 99     6.42   6.42   0.26
78291TCLeveen/shunt patency exam                         A   0.00   4.46     5.85     4.46NA   5.85 NA  0.16   4.62   6.01   4.62   6.01  1XXX.00.00.0000000             38.0870 010 99     6.12   6.12   0.22
7829126Leveen/shunt patency exam                         A   0.88   0.30     0.30     0.30     0.30     0.04   1.22   1.22   1.22   1.22  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78299  GI nuclear procedure                              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             38.0870 090 99     0.00   0.00   0.00
78299TCGI nuclear procedure                              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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
78300  Bone imaging, limited area                        A   0.62   3.46     4.23     3.46NA   4.23 NA  0.17   4.25   5.02   4.25   5.02  1XXX.00.00.0000000             38.0870 090 99     6.31   6.31   0.29
78300TCBone imaging, limited area                        A   0.00   3.25     4.01     3.25NA   4.01 NA  0.14   3.39   4.15   3.39   4.15  1XXX.00.00.0000000             38.0870 010 99     6.10   6.10   0.26
7830026Bone imaging, limited area                        A   0.62   0.21     0.22     0.21     0.22     0.03   0.86   0.87   0.86   0.87  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78305  Bone imaging, multiple areas                      A   0.83   4.71     5.48     4.71NA   5.48 NA  0.23   5.77   6.54   5.77   6.54  1XXX.00.00.0000000             38.0870 090 99     6.38   6.38   0.30
78305TCBone imaging, multiple areas                      A   0.00   4.43     5.20     4.43NA   5.20 NA  0.19   4.62   5.39   4.62   5.39  1XXX.00.00.0000000             38.0870 010 99     6.10   6.10   0.26
7830526Bone imaging, multiple areas                      A   0.83   0.28     0.28     0.28     0.28     0.04   1.15   1.15   1.15   1.15  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78306  Bone imaging, whole body                          A   0.86   5.32     6.07     5.32NA   6.07 NA  0.26   6.44   7.19   6.44   7.19  1XXX.00.00.0000000             38.0870 090 99     6.39   6.39   0.31
78306TCBone imaging, whole body                          A   0.00   5.02     5.77     5.02NA   5.77 NA  0.22   5.24   5.99   5.24   5.99  1XXX.00.00.0000000             38.0870 010 99     6.09   6.09   0.27
7830626Bone imaging, whole body                          A   0.86   0.30     0.30     0.30     0.30     0.04   1.20   1.20   1.20   1.20  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78315  Bone imaging, 3 phase                             A   1.02   6.86     8.60     6.86NA   8.60 NA  0.29   8.17   9.91   8.17   9.91  1XXX.00.00.0000000             38.0870 090 99     6.48   6.48   0.28
78315TCBone imaging, 3 phase                             A   0.00   6.51     8.24     6.51NA   8.24 NA  0.25   6.76   8.49   6.76   8.49  1XXX.00.00.0000000             38.0870 010 99     6.13   6.13   0.24
7831526Bone imaging, 3 phase                             A   1.02   0.35     0.36     0.35     0.36     0.04   1.41   1.42   1.41   1.42  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78320  Bone imaging (3D)                                 A   1.04   5.82     5.35     5.82NA   5.35 NA  0.35   7.21   6.74   7.21   6.74  1XXX.00.00.0000000             38.0870 090 99     6.38   6.38   0.38
78320TCBone imaging (3D)                                 A   0.00   5.46     4.99     5.46NA   4.99 NA  0.31   5.77   5.30   5.77   5.30  1XXX.00.00.0000000             38.0870 010 99     6.02   6.02   0.34
7832026Bone imaging (3D)                                 A   1.04   0.36     0.36     0.36     0.36     0.04   1.44   1.44   1.44   1.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78350  Bone mineral, single photon                       N+  0.22   0.67     0.51     0.67NA   0.51 NA  0.06   0.95   0.79   0.95   0.79  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
78350TCBone mineral, single photon                       N+  0.00   0.61     0.46     0.61NA   0.46 NA  0.05   0.66   0.51   0.66   0.51  1XXX.00.00.0099999             38.0870 010 99     0.00   0.00   0.00
7835026Bone mineral, single photon                       N+  0.22   0.06     0.05     0.06     0.05     0.01   0.29   0.28   0.29   0.28  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
78351  Bone mineral, dual photon                         N+  0.30   0.09NA   0.07NA   0.09     0.07     0.01   0.40   0.38   0.40   0.38  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
78399  Musculoskeletal nuclear exam                      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             38.0870 090 99     0.00   0.00   0.00
78399TCMusculoskeletal nuclear exam                      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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
78414  Non-imaging heart function                        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             38.0870 090 99     0.00   0.00   0.00
78414TCNon-imaging heart function                        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             38.0870 010 99     0.00   0.00   0.00
7841426Non-imaging heart function                        A   0.45   0.17     0.17     0.17     0.17     0.02   0.64   0.64   0.64   0.64  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78428  Cardiac shunt imaging                             A   0.78   3.90     5.26     3.90NA   5.26 NA  0.16   4.84   6.20   4.84   6.20  1XXX.00.00.0000000             38.0870 090 99     8.17   8.17   0.31
78428TCCardiac shunt imaging                             A   0.00   3.58     4.90     3.58NA   4.90 NA  0.13   3.71   5.03   3.71   5.03  1XXX.00.00.0000000             38.0870 010 99     7.85   7.85   0.28
7842826Cardiac shunt imaging                             A   0.78   0.32     0.36     0.32     0.36     0.03   1.13   1.17   1.13   1.17  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78445  Vascular flow imaging                             A   0.49   3.26     4.49     3.26NA   4.49 NA  0.13   3.88   5.11   3.88   5.11  1XXX.00.00.0000000             38.0870 090 99     5.25   5.25   0.20
78445TCVascular flow imaging                             A   0.00   3.09     4.32     3.09NA   4.32 NA  0.11   3.20   4.43   3.20   4.43  1XXX.00.00.0000000             38.0870 010 99     5.08   5.08   0.18
7844526Vascular flow imaging                             A   0.49   0.17     0.17     0.17     0.17     0.02   0.68   0.68   0.68   0.68  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78456  Acute venous thrombus image                       A   1.00   6.57     8.81     6.57NA   8.81 NA  0.33   7.90  10.14   7.90  10.14  1XXX.00.00.0099999             38.0870 090 99     5.38   5.38   0.27
78456TCAcute venous thrombus image                       A   0.00   6.21     8.44     6.21NA   8.44 NA  0.29   6.50   8.73   6.50   8.73  1XXX.00.00.0099999             38.0870 090 99     5.02   5.02   0.23
7845626Acute venous thrombus image                       A   1.00   0.36     0.37     0.36     0.37     0.04   1.40   1.41   1.40   1.41  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
78457  Venous thrombosis imaging                         A   0.77   3.79     4.66     3.79NA   4.66 NA  0.17   4.73   5.60   4.73   5.60  1XXX.00.00.0000000             38.0870 090 99     5.31   5.31   0.23
78457TCVenous thrombosis imaging                         A   0.00   3.54     4.41     3.54NA   4.41 NA  0.14   3.68   4.55   3.68   4.55  1XXX.00.00.0000000             38.0870 010 99     5.06   5.06   0.20
7845726Venous thrombosis imaging                         A   0.77   0.25     0.25     0.25     0.25     0.03   1.05   1.05   1.05   1.05  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78458  Ven thrombosis images, bilat                      A   0.90   4.43     4.51     4.43NA   4.51 NA  0.25   5.58   5.66   5.58   5.66  1XXX.00.00.0002000             38.0870 090 99     5.31   5.31   0.29
78458TCVen thrombosis images, bilat                      A   0.00   4.12     4.22     4.12NA   4.22 NA  0.21   4.33   4.43   4.33   4.43  1XXX.00.00.0002000             38.0870 010 99     5.00   5.00   0.25
7845826Ven thrombosis images, bilat                      A   0.90   0.31     0.29     0.31     0.29     0.04   1.25   1.23   1.25   1.23  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
78459  Heart muscle imaging (PET)                        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             38.0870 090 99    34.43  34.43   2.99
78459TCHeart muscle imaging (PET)                        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             38.0870 090 99    33.84  33.84   2.94
7845926Heart muscle imaging (PET)                        A   1.50   0.59     0.61     0.59     0.61     0.05   2.14   2.16   2.14   2.16  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78460  Heart muscle blood, single                        A   0.86   3.65     4.66     3.65NA   4.66 NA  0.17   4.68   5.69   4.68   5.69  1XXX.00.00.0000000             38.0870 090 99    19.38  19.38   0.78
78460TCHeart muscle blood, single                        A   0.00   3.35     4.34     3.35NA   4.34 NA  0.13   3.48   4.47   3.48   4.47  1XXX.00.00.0000000             38.0870 010 99    19.08  19.08   0.74
7846026Heart muscle blood, single                        A   0.86   0.30     0.32     0.30     0.32     0.04   1.20   1.22   1.20   1.22  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78461  Heart muscle blood, multiple                      A   1.23   4.61     4.07     4.61NA   4.07 NA  0.30   6.14   5.60   6.14   5.60  1XXX.00.00.0000000             38.0870 090 99    19.14  19.14   1.17
78461TCHeart muscle blood, multiple                      A   0.00   4.17     3.61     4.17NA   3.61 NA  0.25   4.42   3.86   4.42   3.86  1XXX.00.00.0000000             38.0870 010 99    18.70  18.70   1.12
7846126Heart muscle blood, multiple                      A   1.23   0.44     0.46     0.44     0.46     0.05   1.72   1.74   1.72   1.74  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78464  Heart image (3d), single                          A   1.09   6.66     5.86     6.66NA   5.86 NA  0.41   8.16   7.36   8.16   7.36  1XXX.00.00.0000000             38.0870 090 99    19.15  19.15   1.15
78464TCHeart image (3d), single                          A   0.00   6.22     5.36     6.22NA   5.36 NA  0.37   6.59   5.73   6.59   5.73  1XXX.00.00.0000000             38.0870 010 99    18.71  18.71   1.11
7846426Heart image (3d), single                          A   1.09   0.44     0.50     0.44     0.50     0.04   1.57   1.63   1.57   1.63  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78465  Heart image (3d), multiple                        A   1.46  11.88    11.46    11.88NA  11.46 NA  0.67  14.01  13.59  14.01  13.59  1XXX.00.00.0000000             38.0870 090 99    19.40  19.40   1.08
78465TCHeart image (3d), multiple                        A   0.00  11.27    10.75    11.27NA  10.75 NA  0.62  11.89  11.37  11.89  11.37  1XXX.00.00.0000000             38.0870 010 99    18.79  18.79   1.03
7846526Heart image (3d), multiple                        A   1.46   0.61     0.71     0.61     0.71     0.05   2.12   2.22   2.12   2.22  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78466  Heart infarct image                               A   0.69   3.72     4.58     3.72NA   4.58 NA  0.17   4.58   5.44   4.58   5.44  1XXX.00.00.0000000             38.0870 090 99     8.07   8.07   0.35
78466TCHeart infarct image                               A   0.00   3.46     4.29     3.46NA   4.29 NA  0.14   3.60   4.43   3.60   4.43  1XXX.00.00.0000000             38.0870 010 99     7.81   7.81   0.32
7846626Heart infarct image                               A   0.69   0.26     0.29     0.26     0.29     0.03   0.98   1.01   0.98   1.01  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78468  Heart infarct image (ef)                          A   0.80   4.90     5.88     4.90NA   5.88 NA  0.22   5.92   6.90   5.92   6.90  1XXX.00.00.0000000             38.0870 090 99     8.14   8.14   0.35
78468TCHeart infarct image (ef)                          A   0.00   4.57     5.48     4.57NA   5.48 NA  0.19   4.76   5.67   4.76   5.67  1XXX.00.00.0000000             38.0870 010 99     7.81   7.81   0.32
7846826Heart infarct image (ef)                          A   0.80   0.33     0.40     0.33     0.40     0.03   1.16   1.23   1.16   1.23  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78469  Heart infarct image (3D)                          A   0.92   5.92     6.29     5.92NA   6.29 NA  0.31   7.15   7.52   7.15   7.52  1XXX.00.00.0000000             38.0870 090 99     8.12   8.12   0.42
78469TCHeart infarct image (3D)                          A   0.00   5.54     5.85     5.54NA   5.85 NA  0.28   5.82   6.13   5.82   6.13  1XXX.00.00.0000000             38.0870 010 99     7.74   7.74   0.39
7846926Heart infarct image (3D)                          A   0.92   0.38     0.44     0.38     0.44     0.03   1.33   1.39   1.33   1.39  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78472  Gated heart, planar, single                       A   0.98   5.94     6.03     5.94NA   6.03 NA  0.34   7.26   7.35   7.26   7.35  1XXX.00.00.0000000             38.0870 090 99     8.09   8.09   0.46
78472TCGated heart, planar, single                       A   0.00   5.57     5.62     5.57NA   5.62 NA  0.30   5.87   5.92   5.87   5.92  1XXX.00.00.0000000             38.0870 010 99     7.72   7.72   0.42
7847226Gated heart, planar, single                       A   0.98   0.37     0.41     0.37     0.41     0.04   1.39   1.43   1.39   1.43  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78473  Gated heart, multiple                             A   1.47   8.27     7.76     8.27NA   7.76 NA  0.48  10.22   9.71  10.22   9.71  1XXX.00.00.0000000             38.0870 090 99     8.29   8.29   0.48
78473TCGated heart, multiple                             A   0.00   7.69     7.12     7.69NA   7.12 NA  0.42   8.11   7.54   8.11   7.54  1XXX.00.00.0000000             38.0870 010 99     7.71   7.71   0.42
7847326Gated heart, multiple                             A   1.47   0.58     0.64     0.58     0.64     0.06   2.11   2.17   2.11   2.17  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78478  Heart wall motion add-on                          A   0.50   1.30     0.80     1.30NA   0.80 NA  0.12   1.92   1.42   1.92   1.42  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78478TCHeart wall motion add-on                          A   0.00   1.06     0.56     1.06NA   0.56 NA  0.10   1.16   0.66   1.16   0.66  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7847826Heart wall motion add-on                          A   0.50   0.24     0.24     0.24     0.24     0.02   0.76   0.76   0.76   0.76  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78480  Heart function add-on                             A   0.30   1.24     0.70     1.24NA   0.70 NA  0.12   1.66   1.12   1.66   1.12  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78480TCHeart function add-on                             A   0.00   1.06     0.56     1.06NA   0.56 NA  0.10   1.16   0.66   1.16   0.66  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7848026Heart function add-on                             A   0.30   0.18     0.14     0.18     0.14     0.02   0.50   0.46   0.50   0.46  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78481  Heart first pass, single                          A   0.98   5.33     5.07     5.33NA   5.07 NA  0.31   6.62   6.36   6.62   6.36  1XXX.00.00.0000000             38.0870 090 99     8.12   8.12   0.47
78481TCHeart first pass, single                          A   0.00   4.90     4.58     4.90NA   4.58 NA  0.28   5.18   4.86   5.18   4.86  1XXX.00.00.0000000             38.0870 010 99     7.69   7.69   0.44
7848126Heart first pass, single                          A   0.98   0.43     0.49     0.43     0.49     0.03   1.44   1.50   1.44   1.50  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78483  Heart first pass, multiple                        A   1.47   7.64     6.87     7.64NA   6.87 NA  0.46   9.57   8.80   9.57   8.80  1XXX.00.00.0000000             38.0870 090 99     8.34   8.34   0.50
78483TCHeart first pass, multiple                        A   0.00   6.98     6.09     6.98NA   6.09 NA  0.41   7.39   6.50   7.39   6.50  1XXX.00.00.0000000             38.0870 010 99     7.68   7.68   0.45
7848326Heart first pass, multiple                        A   1.47   0.66     0.78     0.66     0.78     0.05   2.18   2.30   2.18   2.30  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78491  Heart image (pet), single                         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             38.0870 090 99    34.45  34.45   3.00
78491TCHeart image (pet), single                         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             38.0870 010 99    33.84  33.84   2.94
7849126Heart image (pet), single                         A   1.50   0.61     0.63     0.61     0.63     0.06   2.17   2.19   2.17   2.19  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78492  Heart image (pet), multiple                       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             38.0870 090 99    34.66  34.66   3.01
78492TCHeart image (pet), multiple                       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             38.0870 010 99    33.84  33.84   2.94
7849226Heart image (pet), multiple                       A   1.87   0.82     0.91     0.82     0.91     0.07   2.76   2.85   2.76   2.85  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78494  Heart image, spect                                A   1.19   6.86     6.23     6.86NA   6.23 NA  0.35   8.40   7.77   8.40   7.77  1XXX.00.00.0000000             38.0870 090 99     8.25   8.25   0.42
78494TCHeart image, spect                                A   0.00   6.38     5.69     6.38NA   5.69 NA  0.30   6.68   5.99   6.68   5.99  1XXX.00.00.0000000             38.0870 010 99     7.77   7.77   0.37
7849426Heart image, spect                                A   1.19   0.48     0.54     0.48     0.54     0.05   1.72   1.78   1.72   1.78  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78496  Heart first pass add-on                           A   0.50   4.06     0.88     4.06NA   0.88 NA  0.32   4.88   1.70   4.88   1.70  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78496TCHeart first pass add-on                           A   0.00   3.86     0.65     3.86NA   0.65 NA  0.30   4.16   0.95   4.16   0.95  1ZZZ.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7849626Heart first pass add-on                           A   0.50   0.20     0.23     0.20     0.23     0.02   0.72   0.75   0.72   0.75  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78499  Cardiovascular nuclear exam                       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             38.0870 090 99     0.00   0.00   0.00
78499TCCardiovascular nuclear exam                       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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
78580  Lung perfusion imaging                            A   0.74   4.41     5.13     4.41NA   5.13 NA  0.21   5.36   6.08   5.36   6.08  1XXX.00.00.0000000             38.0870 090 99     5.70   5.70   0.27
78580TCLung perfusion imaging                            A   0.00   4.15     4.87     4.15NA   4.87 NA  0.18   4.33   5.05   4.33   5.05  1XXX.00.00.0000000             38.0870 010 99     5.44   5.44   0.24
7858026Lung perfusion imaging                            A   0.74   0.26     0.26     0.26     0.26     0.03   1.03   1.03   1.03   1.03  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78584  Lung V/Q image single breath                      A   0.99   3.28     3.02     3.28NA   3.02 NA  0.21   4.48   4.22   4.48   4.22  1XXX.00.00.0000000             38.0870 090 99     8.17   8.17   0.49
78584TCLung V/Q image single breath                      A   0.00   2.94     2.67     2.94NA   2.67 NA  0.17   3.11   2.84   3.11   2.84  1XXX.00.00.0000000             38.0870 010 99     7.83   7.83   0.45
7858426Lung V/Q image single breath                      A   0.99   0.34     0.35     0.34     0.35     0.04   1.37   1.38   1.37   1.38  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78585  Lung V/Q imaging                                  A   1.09   7.32     8.63     7.32NA   8.63 NA  0.35   8.76  10.07   8.76  10.07  1XXX.00.00.0000000             38.0870 090 99     8.31   8.31   0.39
78585TCLung V/Q imaging                                  A   0.00   6.95     8.25     6.95NA   8.25 NA  0.30   7.25   8.55   7.25   8.55  1XXX.00.00.0000000             38.0870 010 99     7.94   7.94   0.34
7858526Lung V/Q imaging                                  A   1.09   0.37     0.38     0.37     0.38     0.05   1.51   1.52   1.51   1.52  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78586  Aerosol lung image, single                        A   0.40   3.44     4.17     3.44NA   4.17 NA  0.16   4.00   4.73   4.00   4.73  1XXX.00.00.0000000             38.0870 090 99     5.58   5.58   0.25
78586TCAerosol lung image, single                        A   0.00   3.31     4.03     3.31NA   4.03 NA  0.14   3.45   4.17   3.45   4.17  1XXX.00.00.0000000             38.0870 010 99     5.45   5.45   0.23
7858626Aerosol lung image, single                        A   0.40   0.13     0.14     0.13     0.14     0.02   0.55   0.56   0.55   0.56  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78587  Aerosol lung image, multiple                      A   0.49   4.21     5.44     4.21NA   5.44 NA  0.16   4.86   6.09   4.86   6.09  1XXX.00.00.0000000             38.0870 090 99     5.66   5.66   0.21
78587TCAerosol lung image, multiple                      A   0.00   4.04     5.27     4.04NA   5.27 NA  0.14   4.18   5.41   4.18   5.41  1XXX.00.00.0000000             38.0870 010 99     5.49   5.49   0.19
7858726Aerosol lung image, multiple                      A   0.49   0.17     0.17     0.17     0.17     0.02   0.68   0.68   0.68   0.68  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78588  Perfusion lung image                              A   1.09   6.11     8.66     6.11NA   8.66 NA  0.23   7.43   9.98   7.43   9.98  1XXX.00.00.0000000             38.0870 090 99     8.40   8.40   0.30
78588TCPerfusion lung image                              A   0.00   5.74     8.28     5.74NA   8.28 NA  0.18   5.92   8.46   5.92   8.46  1XXX.00.00.0000000             38.0870 010 99     8.03   8.03   0.25
7858826Perfusion lung image                              A   1.09   0.37     0.38     0.37     0.38     0.05   1.51   1.52   1.51   1.52  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78591  Vent image, 1 breath, 1 proj                      A   0.40   3.58     4.17     3.58NA   4.17 NA  0.16   4.14   4.73   4.14   4.73  1XXX.00.00.0000000             38.0870 090 99     5.60   5.60   0.24
78591TCVent image, 1 breath, 1 proj                      A   0.00   3.44     4.03     3.44NA   4.03 NA  0.14   3.58   4.17   3.58   4.17  1XXX.00.00.0000000             38.0870 010 99     5.46   5.46   0.22
7859126Vent image, 1 breath, 1 proj                      A   0.40   0.14     0.14     0.14     0.14     0.02   0.56   0.56   0.56   0.56  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78593  Vent image, 1 proj, gas                           A   0.49   4.21     4.82     4.21NA   4.82 NA  0.20   4.90   5.51   4.90   5.51  1XXX.00.00.0000000             38.0870 090 99     5.60   5.60   0.26
78593TCVent image, 1 proj, gas                           A   0.00   4.05     4.65     4.05NA   4.65 NA  0.18   4.23   4.83   4.23   4.83  1XXX.00.00.0000000             38.0870 010 99     5.44   5.44   0.24
7859326Vent image, 1 proj, gas                           A   0.49   0.16     0.17     0.16     0.17     0.02   0.67   0.68   0.67   0.68  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78594  Vent image, mult proj, gas                        A   0.53   5.23     5.29     5.23NA   5.29 NA  0.27   6.03   6.09   6.03   6.09  1XXX.00.00.0000000             38.0870 090 99     5.59   5.59   0.29
78594TCVent image, mult proj, gas                        A   0.00   5.05     5.11     5.05NA   5.11 NA  0.25   5.30   5.36   5.30   5.36  1XXX.00.00.0000000             38.0870 010 99     5.41   5.41   0.27
7859426Vent image, mult proj, gas                        A   0.53   0.18     0.18     0.18     0.18     0.02   0.73   0.73   0.73   0.73  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78596  Lung differential function                        A   1.27   8.09     8.68     8.09NA   8.68 NA  0.42   9.78  10.37   9.78  10.37  1XXX.00.00.0000000             38.0870 090 99     8.31   8.31   0.43
78596TCLung differential function                        A   0.00   7.68     8.29     7.68NA   8.29 NA  0.37   8.05   8.66   8.05   8.66  1XXX.00.00.0000000             38.0870 010 99     7.90   7.90   0.38
7859626Lung differential function                        A   1.27   0.41     0.39     0.41     0.39     0.05   1.73   1.71   1.73   1.71  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78599  Respiratory nuclear exam                          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             38.0870 090 99     0.00   0.00   0.00
78599TCRespiratory nuclear exam                          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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
78600  Brain image < 4 views                             A   0.44   3.71     4.39     3.71NA   4.39 NA  0.16   4.31   4.99   4.31   4.99  1XXX.00.00.0000000             38.0870 090 99     5.35   5.35   0.22
78600TCBrain image < 4 views                             A   0.00   3.56     4.24     3.56NA   4.24 NA  0.14   3.70   4.38   3.70   4.38  1XXX.00.00.0000000             38.0870 010 99     5.20   5.20   0.20
7860026Brain image < 4 views                             A   0.44   0.15     0.15     0.15     0.15     0.02   0.61   0.61   0.61   0.61  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78601  Brain image w/flow < 4 views                      A   0.51   4.47     5.39     4.47NA   5.39 NA  0.20   5.18   6.10   5.18   6.10  1XXX.00.00.0000000             38.0870 090 99     5.35   5.35   0.24
78601TCBrain image w/flow < 4 views                      A   0.00   4.30     5.21     4.30NA   5.21 NA  0.18   4.48   5.39   4.48   5.39  1XXX.00.00.0000000             38.0870 010 99     5.18   5.18   0.22
7860126Brain image w/flow < 4 views                      A   0.51   0.17     0.18     0.17     0.18     0.02   0.70   0.71   0.70   0.71  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78605  Brain image 4+ views                              A   0.53   4.22     4.85     4.22NA   4.85 NA  0.20   4.95   5.58   4.95   5.58  1XXX.00.00.0000000             38.0870 090 99     5.36   5.36   0.25
78605TCBrain image 4+ views                              A   0.00   4.03     4.66     4.03NA   4.66 NA  0.18   4.21   4.84   4.21   4.84  1XXX.00.00.0000000             38.0870 010 99     5.17   5.17   0.23
7860526Brain image 4+ views                              A   0.53   0.19     0.19     0.19     0.19     0.02   0.74   0.74   0.74   0.74  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78606  Brain image w/flow 4 + views                      A   0.64   6.31     8.54     6.31NA   8.54 NA  0.24   7.19   9.42   7.19   9.42  1XXX.00.00.0000000             38.0870 090 99    14.47  14.47   0.52
78606TCBrain image w/flow 4 + views                      A   0.00   6.10     8.32     6.10NA   8.32 NA  0.21   6.31   8.53   6.31   8.53  1XXX.00.00.0000000             38.0870 010 99    14.26  14.26   0.49
7860626Brain image w/flow 4 + views                      A   0.64   0.21     0.22     0.21     0.22     0.03   0.88   0.89   0.88   0.89  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78607  Brain imaging (3D)                                A   1.23   7.81     8.64     7.81NA   8.64 NA  0.40   9.44  10.27   9.44  10.27  1XXX.00.00.0000000             38.0870 090 99    14.51  14.51   0.72
78607TCBrain imaging (3D)                                A   0.00   7.39     8.23     7.39NA   8.23 NA  0.35   7.74   8.58   7.74   8.58  1XXX.00.00.0000000             38.0870 010 99    14.09  14.09   0.67
7860726Brain imaging (3D)                                A   1.23   0.42     0.41     0.42     0.41     0.05   1.70   1.69   1.70   1.69  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78608  Brain imaging (PET)                               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             38.0870 090 99    26.04  26.04   2.28
78608TCBrain imaging (PET)                               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             38.0870 010 99    25.54  25.54   2.22
7860826Brain imaging (PET)                               A   1.50   0.50     0.49     0.50     0.49     0.06   2.06   2.05   2.06   2.05  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78609  Brain imaging (PET)                               N+  1.50   0.49     0.00     0.49NA   0.00 NA  0.06   2.05   1.56   2.05   1.56  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
78609TCBrain imaging (PET)                               N   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0099999             38.0870 010 99     0.00   0.00   0.00
7860926Brain imaging (PET)                               N+  1.50   0.49     0.00     0.49     0.00     0.06   2.05   1.56   2.05   1.56  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
78610  Brain flow imaging only                           A   0.30   4.24     4.46     4.24NA   4.46 NA  0.11   4.65   4.87   4.65   4.87  1XXX.00.00.0000000             38.0870 090 99    14.54  14.54   0.36
78610TCBrain flow imaging only                           A   0.00   4.11     4.36     4.11NA   4.36 NA  0.10   4.21   4.46   4.21   4.46  1XXX.00.00.0000000             38.0870 010 99    14.41  14.41   0.35
7861026Brain flow imaging only                           A   0.30   0.13     0.10     0.13     0.10     0.01   0.44   0.41   0.44   0.41  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78630  Cerebrospinal fluid scan                          A   0.68   6.96     8.66     6.96NA   8.66 NA  0.30   7.94   9.64   7.94   9.64  1XXX.00.00.0000000             38.0870 090 99    14.42  14.42   0.60
78630TCCerebrospinal fluid scan                          A   0.00   6.73     8.42     6.73NA   8.42 NA  0.27   7.00   8.69   7.00   8.69  1XXX.00.00.0000000             38.0870 010 99    14.19  14.19   0.57
7863026Cerebrospinal fluid scan                          A   0.68   0.23     0.24     0.23     0.24     0.03   0.94   0.95   0.94   0.95  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78635  CSF ventriculography                              A   0.61   5.79     8.80     5.79NA   8.80 NA  0.16   6.56   9.57   6.56   9.57  1XXX.00.00.0000000             38.0870 090 99    14.61  14.61   0.38
78635TCCSF ventriculography                              A   0.00   5.57     8.59     5.57NA   8.59 NA  0.14   5.71   8.73   5.71   8.73  1XXX.00.00.0000000             38.0870 010 99    14.39  14.39   0.36
7863526CSF ventriculography                              A   0.61   0.22     0.21     0.22     0.21     0.02   0.85   0.84   0.85   0.84  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78645  CSF shunt evaluation                              A   0.57   6.05     8.49     6.05NA   8.49 NA  0.20   6.82   9.26   6.82   9.26  1XXX.00.00.0000000             38.0870 090 99     5.43   5.43   0.18
78645TCCSF shunt evaluation                              A   0.00   5.86     8.29     5.86NA   8.29 NA  0.18   6.04   8.47   6.04   8.47  1XXX.00.00.0000000             38.0870 010 99     5.24   5.24   0.16
7864526CSF shunt evaluation                              A   0.57   0.19     0.20     0.19     0.20     0.02   0.78   0.79   0.78   0.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78647  Cerebrospinal fluid scan                          A   0.90   7.38     8.53     7.38NA   8.53 NA  0.35   8.63   9.78   8.63   9.78  1XXX.00.00.0000000             38.0870 090 99    14.44  14.44   0.66
78647TCCerebrospinal fluid scan                          A   0.00   7.08     8.24     7.08NA   8.24 NA  0.31   7.39   8.55   7.39   8.55  1XXX.00.00.0000000             38.0870 010 99    14.14  14.14   0.62
7864726Cerebrospinal fluid scan                          A   0.90   0.30     0.29     0.30     0.29     0.04   1.24   1.23   1.24   1.23  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78650  CSF leakage imaging                               A   0.61   6.71     8.57     6.71NA   8.57 NA  0.27   7.59   9.45   7.59   9.45  1XXX.00.00.0000000             38.0870 090 99    14.44  14.44   0.56
78650TCCSF leakage imaging                               A   0.00   6.50     8.36     6.50NA   8.36 NA  0.24   6.74   8.60   6.74   8.60  1XXX.00.00.0000000             38.0870 010 99    14.23  14.23   0.53
7865026CSF leakage imaging                               A   0.61   0.21     0.21     0.21     0.21     0.03   0.85   0.85   0.85   0.85  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78660  Nuclear exam of tear flow                         A   0.53   3.28     4.26     3.28NA   4.26 NA  0.14   3.95   4.93   3.95   4.93  1XXX.00.00.0000000             38.0870 090 99     5.38   5.38   0.22
78660TCNuclear exam of tear flow                         A   0.00   3.10     4.07     3.10NA   4.07 NA  0.12   3.22   4.19   3.22   4.19  1XXX.00.00.0000000             38.0870 010 99     5.20   5.20   0.20
7866026Nuclear exam of tear flow                         A   0.53   0.18     0.19     0.18     0.19     0.02   0.73   0.74   0.73   0.74  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78699  Nervous system nuclear exam                       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             38.0870 090 99     0.00   0.00   0.00
78699TCNervous system nuclear exam                       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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
78700  Kidney imaging, morphol                           A   0.45   3.80     4.39     3.80NA   4.39 NA  0.18   4.43   5.02   4.43   5.02  1XXX.00.00.0000000             38.0870 090 99     8.30   8.30   0.38
78700TCKidney imaging, morphol                           A   0.00   3.64     4.23     3.64NA   4.23 NA  0.16   3.80   4.39   3.80   4.39  1XXX.00.00.0000000             38.0870 010 99     8.14   8.14   0.36
7870026Kidney imaging, morphol                           A   0.45   0.16     0.16     0.16     0.16     0.02   0.63   0.63   0.63   0.63  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78701  Kidney imaging with flow                          A   0.49   4.56     5.39     4.56NA   5.39 NA  0.20   5.25   6.08   5.25   6.08  1XXX.00.00.0000000             38.0870 090 99     8.33   8.33   0.35
78701TCKidney imaging with flow                          A   0.00   4.39     5.22     4.39NA   5.22 NA  0.18   4.57   5.40   4.57   5.40  1XXX.00.00.0000000             38.0870 010 99     8.16   8.16   0.33
7870126Kidney imaging with flow                          A   0.49   0.17     0.17     0.17     0.17     0.02   0.68   0.68   0.68   0.68  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78707  K flow/funct image w/o drug                       A   0.96   5.14     5.49     5.14NA   5.49 NA  0.27   6.37   6.72   6.37   6.72  1XXX.00.00.0000000             38.0870 090 99     8.44   8.44   0.43
78707TCK flow/funct image w/o drug                       A   0.00   4.81     5.15     4.81NA   5.15 NA  0.23   5.04   5.38   5.04   5.38  1XXX.00.00.0000000             38.0870 010 99     8.11   8.11   0.39
7870726K flow/funct image w/o drug                       A   0.96   0.33     0.34     0.33     0.34     0.04   1.33   1.34   1.33   1.34  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78708  K flow/funct image w/drug                         A   1.21   4.18     3.48     4.18NA   3.48 NA  0.28   5.67   4.97   5.67   4.97  1XXX.00.00.0000000             38.0870 090 99     8.43   8.43   0.54
78708TCK flow/funct image w/drug                         A   0.00   3.76     3.05     3.76NA   3.05 NA  0.23   3.99   3.28   3.99   3.28  1XXX.00.00.0000000             38.0870 010 99     8.01   8.01   0.49
7870826K flow/funct image w/drug                         A   1.21   0.42     0.43     0.42     0.43     0.05   1.68   1.69   1.68   1.69  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78709  K flow/funct image, multiple                      A   1.41   6.91     8.89     6.91NA   8.89 NA  0.29   8.61  10.59   8.61  10.59  1XXX.00.00.0000000             38.0870 090 99     8.69   8.69   0.35
78709TCK flow/funct image, multiple                      A   0.00   6.43     8.40     6.43NA   8.40 NA  0.23   6.66   8.63   6.66   8.63  1XXX.00.00.0000000             38.0870 010 99     8.21   8.21   0.29
7870926K flow/funct image, multiple                      A   1.41   0.48     0.49     0.48     0.49     0.06   1.95   1.96   1.95   1.96  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78710  Kidney imaging (3D)                               A   0.66   5.71     5.28     5.71NA   5.28 NA  0.34   6.71   6.28   6.71   6.28  1XXX.00.00.0000000             38.0870 090 99     8.27   8.27   0.48
78710TCKidney imaging (3D)                               A   0.00   5.49     5.06     5.49NA   5.06 NA  0.31   5.80   5.37   5.80   5.37  1XXX.00.00.0000000             38.0870 010 99     8.05   8.05   0.45
7871026Kidney imaging (3D)                               A   0.66   0.22     0.22     0.22     0.22     0.03   0.91   0.91   0.91   0.91  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78725  Kidney function study                             A   0.38   2.14     2.35     2.14NA   2.35 NA  0.13   2.65   2.86   2.65   2.86  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78725TCKidney function study                             A   0.00   2.01     2.23     2.01NA   2.23 NA  0.11   2.12   2.34   2.12   2.34  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
7872526Kidney function study                             A   0.38   0.13     0.12     0.13     0.12     0.02   0.53   0.52   0.53   0.52  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78730  Urinary bladder retention                         A   0.15   1.78     1.99     1.78NA   1.99 NA  0.10   2.03   2.24   2.03   2.24  1ZZZ.00.00.0000000             38.0870 090 99     2.99   2.99   0.16
78730TCUrinary bladder retention                         A   0.00   1.69     1.93     1.69NA   1.93 NA  0.08   1.77   2.01   1.77   2.01  1ZZZ.00.00.0000000             38.0870 010 99     2.90   2.90   0.14
7873026Urinary bladder retention                         A   0.15   0.09     0.06     0.09     0.06     0.02   0.26   0.23   0.26   0.23  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78740  Ureteral reflux study                             A   0.57   3.98     5.65     3.98NA   5.65 NA  0.15   4.70   6.37   4.70   6.37  1XXX.00.00.0000000             38.0870 090 99     8.43   8.43   0.29
78740TCUreteral reflux study                             A   0.00   3.79     5.46     3.79NA   5.46 NA  0.12   3.91   5.58   3.91   5.58  1XXX.00.00.0000000             38.0870 010 99     8.24   8.24   0.26
7874026Ureteral reflux study                             A   0.57   0.19     0.19     0.19     0.19     0.03   0.79   0.79   0.79   0.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78761  Testicular imaging w/flow                         A   0.71   4.24     5.06     4.24NA   5.06 NA  0.20   5.15   5.97   5.15   5.97  1XXX.00.00.0000000             38.0870 090 99     8.39   8.39   0.38
78761TCTesticular imaging w/flow                         A   0.00   4.00     4.81     4.00NA   4.81 NA  0.17   4.17   4.98   4.17   4.98  1XXX.00.00.0000000             38.0870 010 99     8.15   8.15   0.35
7876126Testicular imaging w/flow                         A   0.71   0.24     0.25     0.24     0.25     0.03   0.98   0.99   0.98   0.99  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78799  Genitourinary nuclear exam                        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             38.0870 090 99     0.00   0.00   0.00
78799TCGenitourinary nuclear exam                        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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
78800  Tumor imaging, limited area                       A   0.66   3.99     4.34     3.99NA   4.34 NA  0.22   4.87   5.22   4.87   5.22  1XXX.00.00.0000000             38.0870 090 99     8.31   8.31   0.43
78800TCTumor imaging, limited area                       A   0.00   3.77     4.13     3.77NA   4.13 NA  0.18   3.95   4.31   3.95   4.31  1XXX.00.00.0000000             38.0870 010 99     8.09   8.09   0.39
7880026Tumor imaging, limited area                       A   0.66   0.22     0.21     0.22     0.21     0.04   0.92   0.91   0.92   0.91  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78801  Tumor imaging, mult areas                         A   0.79   5.27     6.06     5.27NA   6.06 NA  0.27   6.33   7.12   6.33   7.12  1XXX.00.00.0000000             38.0870 090 99     8.39   8.39   0.41
78801TCTumor imaging, mult areas                         A   0.00   5.00     5.79     5.00NA   5.79 NA  0.22   5.22   6.01   5.22   6.01  1XXX.00.00.0000000             38.0870 010 99     8.12   8.12   0.36
7880126Tumor imaging, mult areas                         A   0.79   0.27     0.27     0.27     0.27     0.05   1.11   1.11   1.11   1.11  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78802  Tumor imaging, whole body                         A   0.86   6.98     8.15     6.98NA   8.15 NA  0.34   8.18   9.35   8.18   9.35  1XXX.00.00.0020000             38.0870 090 99    13.76  13.76   0.64
78802TCTumor imaging, whole body                         A   0.00   6.69     7.85     6.69NA   7.85 NA  0.30   6.99   8.15   6.99   8.15  1XXX.00.00.0020000             38.0870 010 99    13.47  13.47   0.60
7880226Tumor imaging, whole body                         A   0.86   0.29     0.30     0.29     0.30     0.04   1.19   1.20   1.19   1.20  1XXX.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
78803  Tumor imaging (3D)                                A   1.09   7.74     8.54     7.74NA   8.54 NA  0.40   9.23  10.03   9.23  10.03  1XXX.00.00.0020000             38.0870 090 99    24.97  24.97   1.22
78803TCTumor imaging (3D)                                A   0.00   7.36     8.17     7.36NA   8.17 NA  0.35   7.71   8.52   7.71   8.52  1XXX.00.00.0020000             38.0870 010 99    24.59  24.59   1.17
7880326Tumor imaging (3D)                                A   1.09   0.38     0.37     0.38     0.37     0.05   1.52   1.51   1.52   1.51  1XXX.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
78804  Tumor imaging, whole body                         A   1.07  13.14    14.85    13.14NA  14.85 NA  0.34  14.55  16.26  14.55  16.26  1XXX.00.00.0000000             38.0870 090 99    25.54  25.54   0.63
78804TCTumor imaging, whole body                         A   0.00  12.77    14.48    12.77NA  14.48 NA  0.30  13.07  14.78  13.07  14.78  1XXX.00.00.0000000             38.0870 010 99    25.17  25.17   0.59
7880426Tumor imaging, whole body                         A   1.07   0.37     0.37     0.37     0.37     0.04   1.48   1.48   1.48   1.48  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78805  Abscess imaging, ltd area                         A   0.73   3.94     4.23     3.94NA   4.23 NA  0.21   4.88   5.17   4.88   5.17  1XXX.00.00.0000000             38.0870 090 99    13.67  13.67   0.68
78805TCAbscess imaging, ltd area                         A   0.00   3.69     3.98     3.69NA   3.98 NA  0.18   3.87   4.16   3.87   4.16  1XXX.00.00.0000000             38.0870 010 99    13.42  13.42   0.65
7880526Abscess imaging, ltd area                         A   0.73   0.25     0.25     0.25     0.25     0.03   1.01   1.01   1.01   1.01  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78806  Abscess imaging, whole body                       A   0.86   7.54     8.36     7.54NA   8.36 NA  0.39   8.79   9.61   8.79   9.61  1XXX.00.00.0020000             38.0870 090 99    13.72  13.72   0.69
78806TCAbscess imaging, whole body                       A   0.00   7.25     8.06     7.25NA   8.06 NA  0.35   7.60   8.41   7.60   8.41  1XXX.00.00.0020000             38.0870 010 99    13.43  13.43   0.65
7880626Abscess imaging, whole body                       A   0.86   0.29     0.30     0.29     0.30     0.04   1.19   1.20   1.19   1.20  1XXX.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
78807  Nuclear localization/abscess                      A   1.09   7.73     8.52     7.73NA   8.52 NA  0.39   9.21  10.00   9.21  10.00  1XXX.00.00.0020000             38.0870 090 99    13.82  13.82   0.68
78807TCNuclear localization/abscess                      A   0.00   7.35     8.15     7.35NA   8.15 NA  0.35   7.70   8.50   7.70   8.50  1XXX.00.00.0020000             38.0870 010 99    13.44  13.44   0.64
7880726Nuclear localization/abscess                      A   1.09   0.38     0.37     0.38     0.37     0.04   1.51   1.50   1.51   1.50  1XXX.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
78811  Pet image, ltd area                               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             38.0870 090 99    26.07  26.07   2.33
78811TCPet image, ltd area                               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             38.0870 010 99    25.54  25.54   2.22
7881126Pet image, ltd area                               A   1.54   0.53     0.54     0.53     0.54     0.11   2.18   2.19   2.18   2.19  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78812  Pet image, skull-thigh                            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             38.0870 090 99    26.20  26.20   2.33
78812TCPet image, skull-thigh                            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             38.0870 010 99    25.54  25.54   2.22
7881226Pet image, skull-thigh                            A   1.93   0.66     0.67     0.66     0.67     0.11   2.70   2.71   2.70   2.71  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78813  Pet image, full body                              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             38.0870 090 99    26.23  26.23   2.33
78813TCPet image, full body                              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             38.0870 010 99    25.54  25.54   2.22
7881326Pet image, full body                              A   2.00   0.69     0.68     0.69     0.68     0.11   2.80   2.79   2.80   2.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78814  Pet image w/ct, lmtd                              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             38.0870 090 99    26.29  26.29   2.33
78814TCPet image w/ct, lmtd                              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             38.0870 010 99    25.54  25.54   2.22
7881426Pet image w/ct, lmtd                              A   2.20   0.75     0.74     0.75     0.74     0.11   3.06   3.05   3.06   3.05  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78815  Pet image w/ct, skull-thigh                       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             38.0870 090 99    26.38  26.38   2.33
78815TCPet image w/ct, skull-thigh                       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             38.0870 010 99    25.54  25.54   2.22
7881526Pet image w/ct, skull-thigh                       A   2.44   0.84     0.84     0.84     0.84     0.11   3.39   3.39   3.39   3.39  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78816  Pet image w/ct, full body                         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             38.0870 090 99    26.40  26.40   2.33
78816TCPet image w/ct, full body                         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             38.0870 010 99    25.54  25.54   2.22
7881626Pet image w/ct, full body                         A   2.50   0.86     0.85     0.86     0.85     0.11   3.47   3.46   3.47   3.46  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
78890  Nuclear medicine data proc                        B+  0.05   0.86     0.39     0.86NA   0.39 NA  0.07   0.98   0.51   0.98   0.51  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
78890TCNuclear medicine data proc                        B+  0.00   0.84     0.38     0.84NA   0.38 NA  0.06   0.90   0.44   0.90   0.44  1XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
78891  Nuclear med data proc                             B+  0.10   1.77     0.88     1.77NA   0.88 NA  0.14   2.01   1.12   2.01   1.12  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
78891TCNuclear med data proc                             B+  0.00   1.74     0.86     1.74NA   0.86 NA  0.13   1.87   0.99   1.87   0.99  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
7889126Nuclear med data proc                             B+  0.10   0.03     0.02     0.03     0.02     0.01   0.14   0.13   0.14   0.13  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
78999  Nuclear diagnostic exam                           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             38.0870 090 99     0.00   0.00   0.00
78999TCNuclear diagnostic exam                           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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
79005  Nuclear rx, oral admin                            A   1.80   2.54     1.85     2.54NA   1.85 NA  0.22   4.56   3.87   4.56   3.87  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
79005TCNuclear rx, oral admin                            A   0.00   1.95     1.27     1.95NA   1.27 NA  0.14   2.09   1.41   2.09   1.41  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7900526Nuclear rx, oral admin                            A   1.80   0.59     0.58     0.59     0.58     0.08   2.47   2.46   2.47   2.46  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
79101  Nuclear rx, iv admin                              A   1.96   2.73     2.17     2.73NA   2.17 NA  0.22   4.91   4.35   4.91   4.35  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
79101TCNuclear rx, iv admin                              A   0.00   2.03     1.43     2.03NA   1.43 NA  0.14   2.17   1.57   2.17   1.57  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7910126Nuclear rx, iv admin                              A   1.96   0.70     0.74     0.70     0.74     0.08   2.74   2.78   2.74   2.78  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
79200  Nuclear rx, intracav admin                        A   1.99   2.77     2.22     2.77NA   2.22 NA  0.23   4.99   4.44   4.99   4.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
79200TCNuclear rx, intracav admin                        A   0.00   2.10     1.57     2.10NA   1.57 NA  0.14   2.24   1.71   2.24   1.71  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7920026Nuclear rx, intracav admin                        A   1.99   0.67     0.65     0.67     0.65     0.09   2.75   2.73   2.75   2.73  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
79300  Nuclr rx, interstit colloid                       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             38.0870 090 99     0.00   0.00   0.00
79300TCNuclr rx, interstit colloid                       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             38.0870 090 99     0.00   0.00   0.00
7930026Nuclr rx, interstit colloid                       A   1.60   0.55     0.54     0.55     0.54     0.13   2.28   2.27   2.28   2.27  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
79403  Hematopoietic nuclear tx                          A   2.25   4.04     2.92     4.04NA   2.92 NA  0.24   6.53   5.41   6.53   5.41  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
79403TCHematopoietic nuclear tx                          A   0.00   3.22     2.17     3.22NA   2.17 NA  0.14   3.36   2.31   3.36   2.31  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7940326Hematopoietic nuclear tx                          A   2.25   0.82     0.75     0.82     0.75     0.10   3.17   3.10   3.17   3.10  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
79440  Nuclear rx, intra-articular                       A   1.99   2.59     1.84     2.59NA   1.84 NA  0.22   4.80   4.05   4.80   4.05  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
79440TCNuclear rx, intra-articular                       A   0.00   1.89     1.16     1.89NA   1.16 NA  0.14   2.03   1.30   2.03   1.30  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
7944026Nuclear rx, intra-articular                       A   1.99   0.70     0.68     0.70     0.68     0.08   2.77   2.75   2.77   2.75  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
79445  Nuclear rx, intra-arterial                        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             38.0870 090 99     0.00   0.00   0.00
79445TCNuclear rx, intra-arterial                        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             38.0870 090 99     0.00   0.00   0.00
7944526Nuclear rx, intra-arterial                        A   2.40   0.83     0.85     0.83     0.85     0.12   3.35   3.37   3.35   3.37  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
79999  Nuclear medicine therapy                          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             38.0870 090 99     0.00   0.00   0.00
79999TCNuclear medicine therapy                          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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
80047  Metabolic panel ionized ca                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
80048  Metabolic panel total ca                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
80500  Lab pathology consultation                        A   0.37   0.20     0.20     0.14     0.11     0.01   0.58   0.58   0.52   0.49  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
80502  Lab pathology consultation                        A   1.33   0.43     0.31     0.40     0.25     0.04   1.80   1.68   1.77   1.62  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
82272  Occult bld feces, 1-3 tests                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
82610  Cystatin 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
82805  Blood gases w/o2 saturation                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
8302026Hemoglobin electrophoresis                        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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
83993  Assay for calprotectin fecal                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
8416526Protein e-phoresis, serum                         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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
8416626Protein e-phoresis/urine/csf                      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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
8418126Western blot test                                 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
8418226Protein, western blot test                        A   0.37   0.14     0.12     0.14     0.12     0.02   0.53   0.51   0.53   0.51  6XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
84704  Hcg, free betachain test                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
85060  Blood smear interpretation                        A   0.45   0.16     0.14     0.16     0.14     0.02   0.63   0.61   0.63   0.61  8XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
85097  Bone marrow interpretation                        A   0.94   1.58     1.25     0.34     0.27     0.04   2.56   2.23   1.32   1.25  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
8539026Fibrinolysins screen                              A   0.37   0.13     0.13     0.13     0.13     0.01   0.51   0.51   0.51   0.51  6XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
85396  Clotting assay, whole blood                       A   0.37   0.13NA   0.10NA   0.13     0.10     0.04   0.54   0.51   0.54   0.51  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
8557626Blood platelet aggregation                        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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
86077  Physician blood bank service                      A   0.94   0.39     0.38     0.34     0.30     0.03   1.36   1.35   1.31   1.27  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
86078  Physician blood bank service                      A   0.94   0.42     0.38     0.35     0.30     0.03   1.39   1.35   1.32   1.27  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
86079  Physician blood bank service                      A   0.94   0.42     0.39     0.36     0.30     0.03   1.39   1.36   1.33   1.27  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
8625526Fluorescent antibody, 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
8632526Other immunoelectrophoresis                       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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
8632726Immunoelectrophoresis assay                       A   0.42   0.15     0.12     0.15     0.12     0.02   0.59   0.56   0.59   0.56  6XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
8633426Immunofix e-phoresis, serum                       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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
8633526Immunfix e-phorsis/urine/csf                      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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
86356  Mononuclear cell 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
86486  Skin test, nos antigen                            A   0.00   0.13     0.13     0.13NA   0.13 NA  0.02   0.15   0.15   0.15   0.15  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
86490  Coccidioidomycosis skin test                      A   0.00   0.21     0.13     0.21NA   0.13 NA  0.02   0.23   0.15   0.23   0.15  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
86510  Histoplasmosis skin test                          A   0.00   0.22     0.13     0.22NA   0.13 NA  0.02   0.24   0.15   0.24   0.15  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
86580  TB intradermal test                               A   0.00   0.20     0.16     0.20NA   0.16 NA  0.02   0.22   0.18   0.22   0.18  3XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
8720726Smear, special stain                              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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
87271  Cytomegalovirus 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
87500  Vanomycin, dna, amp probe                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
87809  Adenovirus assay w/optic                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
88104  Cytopath fl nongyn, smears                        A   0.56   1.02     1.19     1.02NA   1.19 NA  0.04   1.62   1.79   1.62   1.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88104TCCytopath fl nongyn, smears                        A   0.00   0.82     1.03     0.82NA   1.03 NA  0.02   0.84   1.05   0.84   1.05  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8810426Cytopath fl nongyn, smears                        A   0.56   0.20     0.16     0.20     0.16     0.02   0.78   0.74   0.78   0.74  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88106  Cytopath fl nongyn, filter                        A   0.56   1.44     1.52     1.44NA   1.52 NA  0.04   2.04   2.12   2.04   2.12  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88106TCCytopath fl nongyn, filter                        A   0.00   1.24     1.37     1.24NA   1.37 NA  0.02   1.26   1.39   1.26   1.39  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8810626Cytopath fl nongyn, filter                        A   0.56   0.20     0.15     0.20     0.15     0.02   0.78   0.73   0.78   0.73  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88107  Cytopath fl nongyn, sm/fltr                       A   0.76   1.77     2.00     1.77NA   2.00 NA  0.05   2.58   2.81   2.58   2.81  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88107TCCytopath fl nongyn, sm/fltr                       A   0.00   1.49     1.77     1.49NA   1.77 NA  0.02   1.51   1.79   1.51   1.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8810726Cytopath fl nongyn, sm/fltr                       A   0.76   0.28     0.23     0.28     0.23     0.03   1.07   1.02   1.07   1.02  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88108  Cytopath, concentrate tech                        A   0.56   1.34     1.47     1.34NA   1.47 NA  0.04   1.94   2.07   1.94   2.07  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88108TCCytopath, concentrate tech                        A   0.00   1.14     1.32     1.14NA   1.32 NA  0.02   1.16   1.34   1.16   1.34  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8810826Cytopath, concentrate tech                        A   0.56   0.20     0.15     0.20     0.15     0.02   0.78   0.73   0.78   0.73  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88112  Cytopath, cell enhance tech                       A   1.18   1.72     1.47     1.72NA   1.47 NA  0.04   2.94   2.69   2.94   2.69  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88112TCCytopath, cell enhance tech                       A   0.00   1.32     1.18     1.32NA   1.18 NA  0.02   1.34   1.20   1.34   1.20  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8811226Cytopath, cell enhance tech                       A   1.18   0.40     0.29     0.40     0.29     0.02   1.60   1.49   1.60   1.49  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88125  Forensic cytopathology                            A   0.26   0.24     0.21     0.24NA   0.21 NA  0.02   0.52   0.49   0.52   0.49  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88125TCForensic cytopathology                            A   0.00   0.16     0.16     0.16NA   0.16 NA  0.01   0.17   0.17   0.17   0.17  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8812526Forensic cytopathology                            A   0.26   0.08     0.05     0.08     0.05     0.01   0.35   0.32   0.35   0.32  1XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
88141  Cytopath, c/v, interpret                          A   0.42   0.26     0.38     0.26     0.38     0.02   0.70   0.82   0.70   0.82  2XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
88160  Cytopath smear, other source                      A   0.50   0.87     0.91     0.87NA   0.91 NA  0.04   1.41   1.45   1.41   1.45  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88160TCCytopath smear, other source                      A   0.00   0.70     0.78     0.70NA   0.78 NA  0.02   0.72   0.80   0.72   0.80  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8816026Cytopath smear, other source                      A   0.50   0.17     0.13     0.17     0.13     0.02   0.69   0.65   0.69   0.65  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88161  Cytopath smear, other source                      A   0.50   1.00     1.06     1.00NA   1.06 NA  0.04   1.54   1.60   1.54   1.60  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88161TCCytopath smear, other source                      A   0.00   0.82     0.92     0.82NA   0.92 NA  0.02   0.84   0.94   0.84   0.94  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8816126Cytopath smear, other source                      A   0.50   0.18     0.14     0.18     0.14     0.02   0.70   0.66   0.70   0.66  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88162  Cytopath smear, other source                      A   0.76   1.30     1.58     1.30NA   1.58 NA  0.05   2.11   2.39   2.11   2.39  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88162TCCytopath smear, other source                      A   0.00   1.02     1.35     1.02NA   1.35 NA  0.02   1.04   1.37   1.04   1.37  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8816226Cytopath smear, other source                      A   0.76   0.28     0.23     0.28     0.23     0.03   1.07   1.02   1.07   1.02  1XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
88172  Cytopathology eval of fna                         A   0.60   0.77     0.81     0.77NA   0.81 NA  0.04   1.41   1.45   1.41   1.45  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88172TCCytopathology eval of fna                         A   0.00   0.55     0.64     0.55NA   0.64 NA  0.02   0.57   0.66   0.57   0.66  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8817226Cytopathology eval of fna                         A   0.60   0.22     0.17     0.22     0.17     0.02   0.84   0.79   0.84   0.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88173  Cytopath eval, fna, report                        A   1.39   2.16     2.20     2.16NA   2.20 NA  0.07   3.62   3.66   3.62   3.66  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88173TCCytopath eval, fna, report                        A   0.00   1.68     1.82     1.68NA   1.82 NA  0.02   1.70   1.84   1.70   1.84  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8817326Cytopath eval, fna, report                        A   1.39   0.48     0.38     0.48     0.38     0.05   1.92   1.82   1.92   1.82  1XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
88182  Cell marker study                                 A   0.77   1.99     2.02     1.99NA   2.02 NA  0.07   2.83   2.86   2.83   2.86  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88182TCCell marker study                                 A   0.00   1.76     1.88     1.76NA   1.88 NA  0.04   1.80   1.92   1.80   1.92  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8818226Cell marker study                                 A   0.77   0.23     0.14     0.23     0.14     0.03   1.03   0.94   1.03   0.94  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88184  Flowcytometry/ tc, 1 marker                       A   0.00   1.89     2.47     1.89NA   2.47 NA  0.02   1.91   2.49   1.91   2.49  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88185  Flowcytometry/tc, add-on                          A   0.00   1.07     1.50     1.07NA   1.50 NA  0.02   1.09   1.52   1.09   1.52  3ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88187  Flowcytometry/read, 2-8                           A   1.36   0.42     0.40     0.42     0.40     0.01   1.79   1.77   1.79   1.77  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88188  Flowcytometry/read, 9-15                          A   1.69   0.51     0.44     0.51     0.44     0.01   2.21   2.14   2.21   2.14  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88189  Flowcytometry/read, 16 & >                        A   2.23   0.61     0.47     0.61     0.47     0.01   2.85   2.71   2.85   2.71  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88199  Cytopathology procedure                           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             38.0870 090 99     0.00   0.00   0.00
88199TCCytopathology procedure                           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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
88291  Cyto/molecular report                             A   0.52   0.22     0.27     0.22     0.27     0.02   0.76   0.81   0.76   0.81  2XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
88300  Surgical path, gross                              A   0.08   0.51     0.56     0.51NA   0.56 NA  0.02   0.61   0.66   0.61   0.66  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88300TCSurgical path, gross                              A   0.00   0.48     0.54     0.48NA   0.54 NA  0.01   0.49   0.55   0.49   0.55  1XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
88302  Tissue exam by pathologist                        A   0.13   1.16     1.29     1.16NA   1.29 NA  0.03   1.32   1.45   1.32   1.45  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88302TCTissue exam by pathologist                        A   0.00   1.11     1.25     1.11NA   1.25 NA  0.02   1.13   1.27   1.13   1.27  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8830226Tissue exam by pathologist                        A   0.13   0.05     0.04     0.05     0.04     0.01   0.19   0.18   0.19   0.18  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88304  Tissue exam by pathologist                        A   0.22   1.39     1.48     1.39NA   1.48 NA  0.03   1.64   1.73   1.64   1.73  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88304TCTissue exam by pathologist                        A   0.00   1.32     1.42     1.32NA   1.42 NA  0.02   1.34   1.44   1.34   1.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8830426Tissue exam by pathologist                        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             38.0870 090 99     0.00   0.00   0.00
88305  Tissue exam by pathologist                        A   0.75   1.97     2.05     1.97NA   2.05 NA  0.07   2.79   2.87   2.79   2.87  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88305TCTissue exam by pathologist                        A   0.00   1.71     1.85     1.71NA   1.85 NA  0.04   1.75   1.89   1.75   1.89  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8830526Tissue exam by pathologist                        A   0.75   0.26     0.20     0.26     0.20     0.03   1.04   0.98   1.04   0.98  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88307  Tissue exam by pathologist                        A   1.59   3.79     4.41     3.79NA   4.41 NA  0.12   5.50   6.12   5.50   6.12  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88307TCTissue exam by pathologist                        A   0.00   3.21     3.94     3.21NA   3.94 NA  0.06   3.27   4.00   3.27   4.00  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8830726Tissue exam by pathologist                        A   1.59   0.58     0.47     0.58     0.47     0.06   2.23   2.12   2.23   2.12  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88309  Tissue exam by pathologist                        A   2.80   5.28     6.17     5.28NA   6.17 NA  0.14   8.22   9.11   8.22   9.11  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88309TCTissue exam by pathologist                        A   0.00   4.38     5.34     4.38NA   5.34 NA  0.06   4.44   5.40   4.44   5.40  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8830926Tissue exam by pathologist                        A   2.80   0.90     0.83     0.90     0.83     0.08   3.78   3.71   3.78   3.71  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88311  Decalcify tissue                                  A   0.24   0.23     0.24     0.23NA   0.24 NA  0.02   0.49   0.50   0.49   0.50  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88311TCDecalcify tissue                                  A   0.00   0.15     0.17     0.15NA   0.17 NA  0.01   0.16   0.18   0.16   0.18  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8831126Decalcify tissue                                  A   0.24   0.08     0.07     0.08     0.07     0.01   0.33   0.32   0.33   0.32  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88312  Special stains                                    A   0.54   1.90     2.30     1.90NA   2.30 NA  0.03   2.47   2.87   2.47   2.87  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88312TCSpecial stains                                    A   0.00   1.72     2.16     1.72NA   2.16 NA  0.01   1.73   2.17   1.73   2.17  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8831226Special stains                                    A   0.54   0.18     0.14     0.18     0.14     0.02   0.74   0.70   0.74   0.70  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88313  Special stains                                    A   0.24   1.60     1.95     1.60NA   1.95 NA  0.02   1.86   2.21   1.86   2.21  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88313TCSpecial stains                                    A   0.00   1.52     1.89     1.52NA   1.89 NA  0.01   1.53   1.90   1.53   1.90  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8831326Special stains                                    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             38.0870 090 99     0.00   0.00   0.00
88314  Histochemical stain                               A   0.45   2.01     1.96     2.01NA   1.96 NA  0.04   2.50   2.45   2.50   2.45  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88314TCHistochemical stain                               A   0.00   1.85     1.82     1.85NA   1.82 NA  0.02   1.87   1.84   1.87   1.84  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8831426Histochemical stain                               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             38.0870 090 99     0.00   0.00   0.00
88318  Chemical histochemistry                           A   0.42   2.30     2.95     2.30NA   2.95 NA  0.03   2.75   3.40   2.75   3.40  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88318TCChemical histochemistry                           A   0.00   2.15     2.83     2.15NA   2.83 NA  0.01   2.16   2.84   2.16   2.84  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8831826Chemical histochemistry                           A   0.42   0.15     0.12     0.15     0.12     0.02   0.59   0.56   0.59   0.56  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88319  Enzyme histochemistry                             A   0.53   3.32     3.23     3.32NA   3.23 NA  0.04   3.89   3.80   3.89   3.80  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88319TCEnzyme histochemistry                             A   0.00   3.13     3.08     3.13NA   3.08 NA  0.02   3.15   3.10   3.15   3.10  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8831926Enzyme histochemistry                             A   0.53   0.19     0.15     0.19     0.15     0.02   0.74   0.70   0.74   0.70  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88321  Microslide consultation                           A   1.63   0.75     0.71     0.51     0.46     0.05   2.43   2.39   2.19   2.14  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88323  Microslide consultation                           A   1.83   2.00     2.21     2.00NA   2.21 NA  0.07   3.90   4.11   3.90   4.11  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88323TCMicroslide consultation                           A   0.00   1.48     1.75     1.48NA   1.75 NA  0.02   1.50   1.77   1.50   1.77  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8832326Microslide consultation                           A   1.83   0.52     0.46     0.52     0.46     0.05   2.40   2.34   2.40   2.34  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88325  Comprehensive review of data                      A   2.50   2.67     2.40     0.82     0.69     0.07   5.24   4.97   3.39   3.26  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88329  Path consult introp                               A   0.67   0.66     0.66     0.24     0.20     0.02   1.35   1.35   0.93   0.89  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88331  Path consult intraop, 1 bloc                      A   1.19   1.16     1.21     1.16NA   1.21 NA  0.08   2.43   2.48   2.43   2.48  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88331TCPath consult intraop, 1 bloc                      A   0.00   0.72     0.84     0.72NA   0.84 NA  0.04   0.76   0.88   0.76   0.88  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8833126Path consult intraop, 1 bloc                      A   1.19   0.44     0.37     0.44     0.37     0.04   1.67   1.60   1.67   1.60  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88332  Path consult intraop, addl                       A   0.59   0.47     0.48     0.47NA   0.48 NA  0.04   1.10   1.11   1.10   1.11  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88332TCPath consult intraop, addl                       A   0.00   0.25     0.30     0.25NA   0.30 NA  0.02   0.27   0.32   0.27   0.32  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8833226Path consult intraop, addl                       A   0.59   0.22     0.18     0.22     0.18     0.02   0.83   0.79   0.83   0.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88333  Intraop cyto path consult, 1                      A   1.20   1.20     1.32     1.20NA   1.32 NA  0.08   2.48   2.60   2.48   2.60  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88333TCIntraop cyto path consult, 1                      A   0.00   0.75     0.95     0.75NA   0.95 NA  0.04   0.79   0.99   0.79   0.99  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8833326Intraop cyto path consult, 1                      A   1.20   0.45     0.37     0.45     0.37     0.04   1.69   1.61   1.69   1.61  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88334  Intraop cyto path consult, 2                      A   0.73   0.69     0.78     0.69NA   0.78 NA  0.04   1.46   1.55   1.46   1.55  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88334TCIntraop cyto path consult, 2                      A   0.00   0.45     0.56     0.45NA   0.56 NA  0.02   0.47   0.58   0.47   0.58  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8833426Intraop cyto path consult, 2                      A   0.73   0.24     0.22     0.24     0.22     0.02   0.99   0.97   0.99   0.97  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88342  Immunohistochemistry                              A   0.85   1.72     2.00     1.72NA   2.00 NA  0.05   2.62   2.90   2.62   2.90  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88342TCImmunohistochemistry                              A   0.00   1.43     1.77     1.43NA   1.77 NA  0.02   1.45   1.79   1.45   1.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8834226Immunohistochemistry                              A   0.85   0.29     0.23     0.29     0.23     0.03   1.17   1.11   1.17   1.11  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88346  Immunofluorescent study                           A   0.86   1.74     1.91     1.74NA   1.91 NA  0.05   2.65   2.82   2.65   2.82  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88346TCImmunofluorescent study                           A   0.00   1.45     1.68     1.45NA   1.68 NA  0.02   1.47   1.70   1.47   1.70  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8834626Immunofluorescent study                           A   0.86   0.29     0.23     0.29     0.23     0.03   1.18   1.12   1.18   1.12  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88347  Immunofluorescent study                           A   0.86   1.29     1.31     1.29NA   1.31 NA  0.05   2.20   2.22   2.20   2.22  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88347TCImmunofluorescent study                           A   0.00   1.02     1.13     1.02NA   1.13 NA  0.02   1.04   1.15   1.04   1.15  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8834726Immunofluorescent study                           A   0.86   0.27     0.18     0.27     0.18     0.03   1.16   1.07   1.16   1.07  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88348  Electron microscopy                               A   1.51  13.81    18.26    13.81NA  18.26 NA  0.13  15.45  19.90  15.45  19.90  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88348TCElectron microscopy                               A   0.00  13.28    17.84    13.28NA  17.84 NA  0.07  13.35  17.91  13.35  17.91  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8834826Electron microscopy                               A   1.51   0.53     0.42     0.53     0.42     0.06   2.10   1.99   2.10   1.99  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88349  Scanning electron microscopy                      A   0.76   6.48     9.40     6.48NA   9.40 NA  0.09   7.33  10.25   7.33  10.25  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88349TCScanning electron microscopy                      A   0.00   6.20     9.17     6.20NA   9.17 NA  0.06   6.26   9.23   6.26   9.23  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8834926Scanning electron microscopy                      A   0.76   0.28     0.23     0.28     0.23     0.03   1.07   1.02   1.07   1.02  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88355  Analysis, skeletal muscle                         A   1.85   6.00     3.22     6.00NA   3.22 NA  0.13   7.98   5.20   7.98   5.20  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88355TCAnalysis, skeletal muscle                         A   0.00   5.42     2.85     5.42NA   2.85 NA  0.06   5.48   2.91   5.48   2.91  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8835526Analysis, skeletal muscle                         A   1.85   0.58     0.37     0.58     0.37     0.07   2.50   2.29   2.50   2.29  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88356  Analysis, nerve                                   A   3.02   4.77     5.36     4.77NA   5.36 NA  0.19   7.98   8.57   7.98   8.57  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88356TCAnalysis, nerve                                   A   0.00   3.85     4.78     3.85NA   4.78 NA  0.07   3.92   4.85   3.92   4.85  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8835626Analysis, nerve                                   A   3.02   0.92     0.58     0.92     0.58     0.12   4.06   3.72   4.06   3.72  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88358  Analysis, tumor                                   A   0.95   0.97     1.10     0.97NA   1.10 NA  0.17   2.09   2.22   2.09   2.22  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88358TCAnalysis, tumor                                   A   0.00   0.69     0.94     0.69NA   0.94 NA  0.07   0.76   1.01   0.76   1.01  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8835826Analysis, tumor                                   A   0.95   0.28     0.16     0.28     0.16     0.10   1.33   1.21   1.33   1.21  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88360  Tumor immunohistochem/manual                      A   1.10   1.98     2.22     1.98NA   2.22 NA  0.08   3.16   3.40   3.16   3.40  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88360TCTumor immunohistochem/manual                      A   0.00   1.61     1.95     1.61NA   1.95 NA  0.02   1.63   1.97   1.63   1.97  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8836026Tumor immunohistochem/manual                      A   1.10   0.37     0.27     0.37     0.27     0.06   1.53   1.43   1.53   1.43  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88361  Tumor immunohistochem/comput                      A   1.18   2.91     2.80     2.91NA   2.80 NA  0.17   4.26   4.15   4.26   4.15  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88361TCTumor immunohistochem/comput                      A   0.00   2.53     2.53     2.53NA   2.53 NA  0.07   2.60   2.60   2.60   2.60  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8836126Tumor immunohistochem/comput                      A   1.18   0.38     0.27     0.38     0.27     0.10   1.66   1.55   1.66   1.55  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88362  Nerve teasing preparations                        A   2.17   4.85     5.00     4.85NA   5.00 NA  0.15   7.17   7.32   7.17   7.32  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88362TCNerve teasing preparations                        A   0.00   4.10     4.43     4.10NA   4.43 NA  0.06   4.16   4.49   4.16   4.49  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8836226Nerve teasing preparations                        A   2.17   0.75     0.57     0.75     0.57     0.09   3.01   2.83   3.01   2.83  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88365  Insitu hybridization (fish)                       A   1.20   2.73     3.34     2.73NA   3.34 NA  0.05   3.98   4.59   3.98   4.59  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88365TCInsitu hybridization (fish)                       A   0.00   2.33     3.04     2.33NA   3.04 NA  0.02   2.35   3.06   2.35   3.06  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8836526Insitu hybridization (fish)                       A   1.20   0.40     0.30     0.40     0.30     0.03   1.63   1.53   1.63   1.53  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88367  Insitu hybridization, auto                        A   1.30   4.60     5.16     4.60NA   5.16 NA  0.12   6.02   6.58   6.02   6.58  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88367TCInsitu hybridization, auto                        A   0.00   4.22     4.94     4.22NA   4.94 NA  0.06   4.28   5.00   4.28   5.00  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8836726Insitu hybridization, auto                        A   1.30   0.38     0.22     0.38     0.22     0.06   1.74   1.58   1.74   1.58  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88368  Insitu hybridization, manual                      A   1.40   3.69     4.97     3.69NA   4.97 NA  0.12   5.21   6.49   5.21   6.49  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88368TCInsitu hybridization, manual                      A   0.00   3.26     4.72     3.26NA   4.72 NA  0.06   3.32   4.78   3.32   4.78  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8836826Insitu hybridization, manual                      A   1.40   0.43     0.25     0.43     0.25     0.06   1.89   1.71   1.89   1.71  1XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
8837226Protein analysis w/probe                          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             38.0870 090 99     0.00   0.00   0.00
88380  Microdissection, laser                            A   1.56   2.66     2.66     2.66NA   2.66 NA  0.14   4.36   4.36   4.36   4.36  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88380TCMicrodissection, laser                            A   0.00   2.23     2.23     2.23NA   2.23 NA  0.07   2.30   2.30   2.30   2.30  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8838026Microdissection, laser                            A   1.56   0.43     0.43     0.43     0.43     0.07   2.06   2.06   2.06   2.06  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88381  Microdissection, manual                           A   1.18   4.47     4.47     4.47NA   4.47 NA  0.08   5.73   5.73   5.73   5.73  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88381TCMicrodissection, manual                           A   0.00   4.15     4.15     4.15NA   4.15 NA  0.02   4.17   4.17   4.17   4.17  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8838126Microdissection, manual                           A   1.18   0.32     0.32     0.32     0.32     0.06   1.56   1.56   1.56   1.56  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88384  Eval molecular probes, 11-50                      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             38.0870 090 99     0.00   0.00   0.00
88384TCEval molecular probes, 11-50                      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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
88385  Eval  molecul probes, 51-250                      A   1.50  11.32    15.55    11.32NA  15.55 NA  0.12  12.94  17.17  12.94  17.17  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88385TCEval  molecul probes, 51-250                      A   0.00  10.86    15.28    10.86NA  15.28 NA  0.06  10.92  15.34  10.92  15.34  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8838526Eval  molecul probes, 51-250                      A   1.50   0.46     0.27     0.46     0.27     0.06   2.02   1.83   2.02   1.83  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88386  Eval molecul probes, 251-500                      A   1.88  11.25    15.46    11.25NA  15.46 NA  0.16  13.29  17.50  13.29  17.50  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88386TCEval molecul probes, 251-500                      A   0.00  10.67    15.12    10.67NA  15.12 NA  0.08  10.75  15.20  10.75  15.20  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
8838626Eval molecul probes, 251-500                      A   1.88   0.58     0.34     0.58     0.34     0.08   2.54   2.30   2.54   2.30  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
88399  Surgical pathology procedure                      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             38.0870 090 99     0.00   0.00   0.00
88399TCSurgical pathology procedure                      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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
89049  Chct for mal hyperthermia                         A   1.40   3.56     3.56     0.23     0.19     0.06   5.02   5.02   1.69   1.65  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
8906026Exam,synovial fluid crystals                      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             38.0870 090 99     0.00   0.00   0.00
89100  Sample intestinal contents                        A   0.60   4.87     7.90     0.37     0.54     0.03   5.50   8.53   1.00   1.17  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
89105  Sample intestinal contents                        A   0.50   5.04     7.85     0.32     0.46     0.02   5.56   8.37   0.84   0.98  0XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
89130  Sample stomach contents                           A   0.45   4.15     6.55     0.25     0.38     0.02   4.62   7.02   0.72   0.85  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
89132  Sample stomach contents                           A   0.19   4.97     8.39     0.22     0.39     0.01   5.17   8.59   0.42   0.59  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
89135  Sample stomach contents                           A   0.79   5.36     8.83     0.46     0.67     0.04   6.19   9.66   1.29   1.50  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
89136  Sample stomach contents                           A   0.21   3.84     5.95     0.18     0.26     0.01   4.06   6.17   0.40   0.48  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
89140  Sample stomach contents                           A   0.94   4.15     6.22     0.35     0.43     0.04   5.13   7.20   1.33   1.41  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
89141  Sample stomach contents                           A   0.85   4.58     6.36     0.41     0.49     0.03   5.46   7.24   1.29   1.37  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
89220  Sputum specimen collection                        A   0.00   0.40     0.37     0.40NA   0.37 NA  0.02   0.42   0.39   0.42   0.39  3XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
89230  Collect sweat for test                            A   0.00   0.09     0.07     0.09NA   0.07 NA  0.02   0.11   0.09   0.11   0.09  3XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
89320  Semen anal vol/count/mot                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
89321  Semen anal, sperm detection                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
89322  Semen anal, strict criteria                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
89331  Retrograde ejaculation anal                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
90284  Human ig, sc                                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
90465  Immune admin 1 inj, < 8 yrs                       A   0.17   0.38     0.44     0.38NA   0.44 NA  0.01   0.56   0.62   0.56   0.62  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90466  Immune admin addl inj, < 8 y                      A   0.15   0.12     0.12     0.08     0.04     0.01   0.28   0.28   0.24   0.20  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90467  Immune admin o or n, < 8 yrs                      R   0.17   0.17     0.17     0.08     0.07     0.01   0.35   0.35   0.26   0.25  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90468  Immune admin o/n, addl < 8 y                      R   0.15   0.11     0.11     0.05     0.04     0.01   0.27   0.27   0.21   0.20  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90471  Immunization admin                                A   0.17   0.38     0.44     0.38NA   0.44 NA  0.01   0.56   0.62   0.56   0.62  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90472  Immunization admin, each add                      A   0.15   0.13     0.12     0.08     0.04     0.01   0.29   0.28   0.24   0.20  5ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90473  Immune admin oral/nasal                           R   0.17   0.18     0.17     0.06     0.04     0.01   0.36   0.35   0.24   0.22  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90474  Immune admin oral/nasal addl                      R   0.15   0.09     0.08     0.05     0.04     0.01   0.25   0.24   0.21   0.20  0ZZZ.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
90661  Flu vacc cell cult prsv 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             38.0870 090 99     0.00   0.00   0.00
90662  Flu vacc prsv free inc antig                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
90663  Flu vacc pandemic                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
90669  Pneumococcal vacc, ped <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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
90760  Hydration iv infusion, init                       A   0.17   1.37     1.32     1.37NA   1.32 NA  0.07   1.61   1.56   1.61   1.56  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90761  Hydrate iv infusion, add-on                       A   0.09   0.36     0.32     0.36NA   0.32 NA  0.04   0.49   0.45   0.49   0.45  5ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90765  Ther/proph/diag iv inf, init                      A   0.21   1.69     1.62     1.69NA   1.62 NA  0.07   1.97   1.90   1.97   1.90  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90766  Ther/proph/dg iv inf, add-on                      A   0.18   0.42     0.37     0.42NA   0.37 NA  0.04   0.64   0.59   0.64   0.59  5ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90767  Tx/proph/dg addl seq iv inf                       A   0.19   0.79     0.69     0.79NA   0.69 NA  0.04   1.02   0.92   1.02   0.92  5ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90768  Ther/diag concurrent inf                          A   0.17   0.39     0.33     0.39NA   0.33 NA  0.04   0.60   0.54   0.60   0.54  5ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90769  Sc ther infusion, up to 1 hr                      A   0.21   3.93     3.93     3.93NA   3.93 NA  0.06   4.20   4.20   4.20   4.20  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90770  Sc ther infusion, addl hr                         A   0.18   0.22     0.22     0.22NA   0.22 NA  0.04   0.44   0.44   0.44   0.44  5ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90771  Sc ther infusion, reset pump                      A   0.00   1.86     1.86     1.86NA   1.86 NA  0.01   1.87   1.87   1.87   1.87  5ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90772  Ther/proph/diag inj, sc/im                        A   0.17   0.38     0.44     0.38NA   0.44 NA  0.01   0.56   0.62   0.56   0.62  5XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
90774  Ther/proph/diag inj, iv push                      A   0.18   1.32     1.33     1.32NA   1.33 NA  0.04   1.54   1.55   1.54   1.55  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90775  Tx/pro/dx inj new drug addon                      A   0.10   0.54     0.51     0.54NA   0.51 NA  0.04   0.68   0.65   0.68   0.65  5ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90776  Tx/pro/dx inj same drug adon                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9ZZZ.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
90801  Psy dx interview                                  A   2.80   1.33     1.49     0.76     0.60     0.06   4.19   4.35   3.62   3.46  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90802  Intac psy dx interview                            A   3.01   1.37     1.54     0.83     0.68     0.07   4.45   4.62   3.91   3.76  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90804  Psytx, office, 20-30 min                          A   1.21   0.52     0.56     0.30     0.22     0.03   1.76   1.80   1.54   1.46  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90805  Psytx, off, 20-30 min w/e&m                       A   1.37   0.55     0.60     0.33     0.24     0.03   1.95   2.00   1.73   1.64  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90806  Psytx, off, 45-50 min                             A   1.86   0.61     0.53     0.46     0.33     0.04   2.51   2.43   2.36   2.23  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90807  Psytx, off, 45-50 min w/e&m                       A   2.02   0.70     0.70     0.49     0.35     0.05   2.77   2.77   2.56   2.42  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90808  Psytx, office, 75-80 min                          A   2.79   0.86     0.69     0.70     0.49     0.06   3.71   3.54   3.55   3.34  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90809  Psytx, off, 75-80, w/e&m                          A   2.95   0.93     0.86     0.72     0.52     0.07   3.95   3.88   3.74   3.54  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90810  Intac psytx, off, 20-30 min                       A   1.32   0.52     0.54     0.33     0.23     0.04   1.88   1.90   1.69   1.59  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90811  Intac psytx, 20-30, w/e&m                         A   1.48   0.64     0.72     0.36     0.26     0.04   2.16   2.24   1.88   1.78  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90812  Intac psytx, off, 45-50 min                       A   1.97   0.72     0.65     0.49     0.34     0.04   2.73   2.66   2.50   2.35  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90813  Intac psytx, 45-50 min w/e&m                      A   2.13   0.80     0.83     0.52     0.37     0.05   2.98   3.01   2.70   2.55  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90814  Intac psytx, off, 75-80 min                       A   2.90   0.95     0.81     0.75     0.53     0.06   3.91   3.77   3.71   3.49  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90815  Intac psytx, 75-80 w/e&m                          A   3.06   1.02     0.99     0.74     0.53     0.07   4.15   4.12   3.87   3.66  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90816  Psytx, hosp, 20-30 min                            A   1.25   0.39NA   0.33NA   0.39     0.33     0.03   1.67   1.61   1.67   1.61  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90817  Psytx, hosp, 20-30 min w/e&m                      A   1.41   0.40NA   0.35NA   0.40     0.35     0.03   1.84   1.79   1.84   1.79  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90818  Psytx, hosp, 45-50 min                            A   1.89   0.56NA   0.44NA   0.56     0.44     0.04   2.49   2.37   2.49   2.37  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90819  Psytx, hosp, 45-50 min w/e&m                      A   2.05   0.56NA   0.46NA   0.56     0.46     0.05   2.66   2.56   2.66   2.56  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90821  Psytx, hosp, 75-80 min                            A   2.83   0.80NA   0.60NA   0.80     0.60     0.06   3.69   3.49   3.69   3.49  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90822  Psytx, hosp, 75-80 min w/e&m                      A   2.99   0.79NA   0.63NA   0.79     0.63     0.08   3.86   3.70   3.86   3.70  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90823  Intac psytx, hosp, 20-30 min                      A   1.36   0.41NA   0.35NA   0.41     0.35     0.03   1.80   1.74   1.80   1.74  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90824  Intac psytx, hsp 20-30 w/e&m                      A   1.52   0.43NA   0.37NA   0.43     0.37     0.04   1.99   1.93   1.99   1.93  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90826  Intac psytx, hosp, 45-50 min                      A   2.01   0.59NA   0.46NA   0.59     0.46     0.05   2.65   2.52   2.65   2.52  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90827  Intac psytx, hsp 45-50 w/e&m                      A   2.16   0.58NA   0.48NA   0.58     0.48     0.05   2.79   2.69   2.79   2.69  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90828  Intac psytx, hosp, 75-80 min                      A   2.94   0.84NA   0.62NA   0.84     0.62     0.06   3.84   3.62   3.84   3.62  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90829  Intac psytx, hsp 75-80 w/e&m                      A   3.10   0.81NA   0.64NA   0.81     0.64     0.07   3.98   3.81   3.98   3.81  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90845  Psychoanalysis                                    A   1.79   0.48     0.39     0.43     0.32     0.04   2.31   2.22   2.26   2.15  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90846  Family psytx w/o patient                          R   1.83   0.58     0.51     0.54     0.43     0.04   2.45   2.38   2.41   2.30  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90847  Family psytx w/patient                            R   2.21   0.78     0.74     0.63     0.49     0.05   3.04   3.00   2.89   2.75  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90849  Multiple family group psytx                       R   0.59   0.30     0.33     0.22     0.21     0.02   0.91   0.94   0.83   0.82  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90853  Group psychotherapy                               A   0.59   0.26     0.26     0.21     0.20     0.01   0.86   0.86   0.81   0.80  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90857  Intac group psytx                                 A   0.63   0.33     0.38     0.23     0.21     0.01   0.97   1.02   0.87   0.85  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90862  Medication management                             A   0.95   0.51     0.62     0.29     0.27     0.02   1.48   1.59   1.26   1.24  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90865  Narcosynthesis                                    A   2.84   1.26     1.17     0.77     0.63     0.12   4.22   4.13   3.73   3.59  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90870  Electroconvulsive therapy                         A   1.88   1.93     1.92     0.49     0.38     0.04   3.85   3.84   2.41   2.30  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90875  Psychophysiological therapy                       N+  1.20   0.71     0.53     0.37     0.28     0.04   1.95   1.77   1.61   1.52  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
90876  Psychophysiological therapy                       N+  1.90   0.92     0.67     0.58     0.44     0.05   2.87   2.62   2.53   2.39  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
90880  Hypnotherapy                                      A   2.19   0.81     0.58     0.54     0.39     0.05   3.05   2.82   2.78   2.63  0XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
90885  Psy evaluation of records                         B+  0.97   0.30     0.22     0.30     0.22     0.02   1.29   1.21   1.29   1.21  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
90887  Consultation with family                          B+  1.48   0.71     0.61     0.45     0.34     0.04   2.23   2.13   1.97   1.86  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
90901  Biofeedback train, any meth                       A   0.41   0.56     0.46     0.12     0.10     0.02   0.99   0.89   0.55   0.53  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90911  Biofeedback peri/uro/rectal                       A   0.89   1.47     1.37     0.30     0.30     0.06   2.42   2.32   1.25   1.25  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90918  ESRD related services, month                      I+ 11.16   5.41     4.70     4.93     3.74     0.36  16.93  16.22  16.45  15.26  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
90919  ESRD related services, month                      I+  8.53   3.52     3.03     3.28     2.55     0.29  12.34  11.85  12.10  11.37  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
90920  ESRD related services, month                      I+  7.26   3.24     2.74     3.01     2.27     0.23  10.73  10.23  10.50   9.76  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
90921  ESRD related services, month                      I+  4.46   2.08     1.71     2.03     1.61     0.14   6.68   6.31   6.63   6.21  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
90922  ESRD related services, day                        I+  0.37   0.18     0.16     0.17     0.13     0.01   0.56   0.54   0.55   0.51  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
90923  Esrd related services, day                        I+  0.28   0.11     0.10     0.11     0.08     0.01   0.40   0.39   0.40   0.37  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
90924  Esrd related services, day                        I+  0.24   0.10     0.09     0.10     0.07     0.01   0.35   0.34   0.35   0.32  9XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
90935  Hemodialysis, one evaluation                      A   1.22   0.60NA   0.54NA   0.60     0.54     0.04   1.86   1.80   1.86   1.80  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90937  Hemodialysis, repeated eval                       A   2.11   0.87NA   0.77NA   0.87     0.77     0.07   3.05   2.95   3.05   2.95  0000.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
90945  Dialysis, one evaluation                          A   1.28   0.62NA   0.55NA   0.62     0.55     0.04   1.94   1.87   1.94   1.87  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
90947  Dialysis, repeated eval                           A   2.16   0.89NA   0.79NA   0.89     0.79     0.07   3.12   3.02   3.12   3.02  0000.00.00.0000000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
90997  Hemoperfusion                                     A   1.84   0.58NA   0.50NA   0.58     0.50     0.06   2.48   2.40   2.48   2.40  0000.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
91000  Esophageal intubation                             A   0.73   1.23     2.13     1.23NA   2.13 NA  0.04   2.00   2.90   2.00   2.90  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91000TCEsophageal intubation                             A   0.00   0.99     1.91     0.99NA   1.91 NA  0.01   1.00   1.92   1.00   1.92  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9100026Esophageal intubation                             A   0.73   0.24     0.22     0.24     0.22     0.03   1.00   0.98   1.00   0.98  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91010  Esophagus motility study                          A   1.25   4.04     3.67     4.04NA   3.67 NA  0.12   5.41   5.04   5.41   5.04  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91010TCEsophagus motility study                          A   0.00   3.55     3.12     3.55NA   3.12 NA  0.06   3.61   3.18   3.61   3.18  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9101026Esophagus motility study                          A   1.25   0.49     0.55     0.49     0.55     0.06   1.80   1.86   1.80   1.86  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91011  Esophagus motility study                          A   1.50   5.30     5.38     5.30NA   5.38 NA  0.13   6.93   7.01   6.93   7.01  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91011TCEsophagus motility study                          A   0.00   4.68     4.66     4.68NA   4.66 NA  0.06   4.74   4.72   4.74   4.72  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9101126Esophagus motility study                          A   1.50   0.62     0.72     0.62     0.72     0.07   2.19   2.29   2.19   2.29  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91012  Esophagus motility study                          A   1.46   5.60     5.44     5.60NA   5.44 NA  0.13   7.19   7.03   7.19   7.03  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91012TCEsophagus motility study                          A   0.00   5.00     4.76     5.00NA   4.76 NA  0.07   5.07   4.83   5.07   4.83  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9101226Esophagus motility study                          A   1.46   0.60     0.68     0.60     0.68     0.06   2.12   2.20   2.12   2.20  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91020  Gastric motility studies                          A   1.44   4.67     4.82     4.67NA   4.82 NA  0.13   6.24   6.39   6.24   6.39  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91020TCGastric motility studies                          A   0.00   4.12     4.21     4.12NA   4.21 NA  0.06   4.18   4.27   4.18   4.27  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9102026Gastric motility studies                          A   1.44   0.55     0.61     0.55     0.61     0.07   2.06   2.12   2.06   2.12  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91022  Duodenal motility study                           A   1.44   3.76     3.14     3.76NA   3.14 NA  0.13   5.33   4.71   5.33   4.71  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91022TCDuodenal motility study                           A   0.00   3.20     2.52     3.20NA   2.52 NA  0.06   3.26   2.58   3.26   2.58  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9102226Duodenal motility study                           A   1.44   0.56     0.62     0.56     0.62     0.07   2.07   2.13   2.07   2.13  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91030  Acid perfusion of esophagus                       A   0.91   2.67     2.90     2.67NA   2.90 NA  0.06   3.64   3.87   3.64   3.87  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91030TCAcid perfusion of esophagus                       A   0.00   2.30     2.48     2.30NA   2.48 NA  0.02   2.32   2.50   2.32   2.50  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9103026Acid perfusion of esophagus                       A   0.91   0.37     0.42     0.37     0.42     0.04   1.32   1.37   1.32   1.37  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91034  Gastroesophageal reflux test                      A   0.97   4.69     4.15     4.69NA   4.15 NA  0.12   5.78   5.24   5.78   5.24  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91034TCGastroesophageal reflux test                      A   0.00   4.31     3.73     4.31NA   3.73 NA  0.06   4.37   3.79   4.37   3.79  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9103426Gastroesophageal reflux test                      A   0.97   0.38     0.42     0.38     0.42     0.06   1.41   1.45   1.41   1.45  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91035  G-esoph reflx tst w/electrod                      A   1.59  11.10    11.39    11.10NA  11.39 NA  0.12  12.81  13.10  12.81  13.10  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91035TCG-esoph reflx tst w/electrod                      A   0.00  10.47    10.69    10.47NA  10.69 NA  0.06  10.53  10.75  10.53  10.75  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9103526G-esoph reflx tst w/electrod                      A   1.59   0.63     0.70     0.63     0.70     0.06   2.28   2.35   2.28   2.35  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91037  Esoph imped function test                         A   0.97   3.20     3.47     3.20NA   3.47 NA  0.12   4.29   4.56   4.29   4.56  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91037TCEsoph imped function test                         A   0.00   2.81     3.03     2.81NA   3.03 NA  0.06   2.87   3.09   2.87   3.09  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9103726Esoph imped function test                         A   0.97   0.39     0.44     0.39     0.44     0.06   1.42   1.47   1.42   1.47  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91038  Esoph imped funct test > 1h                       A   1.10   2.52     2.81     2.52NA   2.81 NA  0.12   3.74   4.03   3.74   4.03  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91038TCEsoph imped funct test > 1h                       A   0.00   2.07     2.31     2.07NA   2.31 NA  0.06   2.13   2.37   2.13   2.37  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9103826Esoph imped funct test > 1h                       A   1.10   0.45     0.50     0.45     0.50     0.06   1.61   1.66   1.61   1.66  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91040  Esoph balloon distension tst                      A   0.97   9.43     7.73     9.43NA   7.73 NA  0.12  10.52   8.82  10.52   8.82  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91040TCEsoph balloon distension tst                      A   0.00   9.12     7.45     9.12NA   7.45 NA  0.06   9.18   7.51   9.18   7.51  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9104026Esoph balloon distension tst                      A   0.97   0.31     0.28     0.31     0.28     0.06   1.34   1.31   1.34   1.31  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91052  Gastric analysis test                             A   0.79   2.68     2.92     2.68NA   2.92 NA  0.05   3.52   3.76   3.52   3.76  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91052TCGastric analysis test                             A   0.00   2.36     2.55     2.36NA   2.55 NA  0.02   2.38   2.57   2.38   2.57  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9105226Gastric analysis test                             A   0.79   0.32     0.37     0.32     0.37     0.03   1.14   1.19   1.14   1.19  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91055  Gastric intubation for smear                      A   0.94   2.76     2.58     2.76NA   2.58 NA  0.07   3.77   3.59   3.77   3.59  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91055TCGastric intubation for smear                      A   0.00   2.48     2.29     2.48NA   2.29 NA  0.02   2.50   2.31   2.50   2.31  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9105526Gastric intubation for smear                      A   0.94   0.28     0.29     0.28     0.29     0.05   1.27   1.28   1.27   1.28  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91065  Breath hydrogen test                              A   0.20   1.40     1.34     1.40NA   1.34 NA  0.03   1.63   1.57   1.63   1.57  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91065TCBreath hydrogen test                              A   0.00   1.33     1.28     1.33NA   1.28 NA  0.02   1.35   1.30   1.35   1.30  1000.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
91100  Pass intestine bleeding tube                      A   1.08   2.47     2.14     0.30     0.32     0.07   3.62   3.29   1.45   1.47  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91105  Gastric intubation treatment                      A   0.37   1.89     1.67     0.08     0.07     0.03   2.29   2.07   0.48   0.47  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91110  Gi tract capsule endoscopy                        A   3.64  21.42    20.66    21.42NA  20.66 NA  0.16  25.22  24.46  25.22  24.46  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91110TCGi tract capsule endoscopy                        A   0.00  19.95    18.99    19.95NA  18.99 NA  0.07  20.02  19.06  20.02  19.06  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
9111026Gi tract capsule endoscopy                        A   3.64   1.47     1.67     1.47     1.67     0.09   5.20   5.40   5.20   5.40  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91111  Esophageal capsule endoscopy                      A   1.00  18.84    18.84    18.84NA  18.84 NA  0.05  19.89  19.89  19.89  19.89  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91111TCEsophageal capsule endoscopy                      A   0.00  18.39    18.39    18.39NA  18.39 NA  0.02  18.41  18.41  18.41  18.41  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
9111126Esophageal capsule endoscopy                      A   1.00   0.45     0.45     0.45     0.45     0.03   1.48   1.48   1.48   1.48  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91120  Rectal sensation test                             A   0.97   9.94     8.89     9.94NA   8.89 NA  0.11  11.02   9.97  11.02   9.97  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91120TCRectal sensation test                             A   0.00   9.63     8.62     9.63NA   8.62 NA  0.04   9.67   8.66   9.67   8.66  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9112026Rectal sensation test                             A   0.97   0.31     0.27     0.31     0.27     0.07   1.35   1.31   1.35   1.31  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91122  Anal pressure record                              A   1.77   4.70     4.31     4.70NA   4.31 NA  0.21   6.68   6.29   6.68   6.29  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91122TCAnal pressure record                              A   0.00   4.09     3.69     4.09NA   3.69 NA  0.08   4.17   3.77   4.17   3.77  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9112226Anal pressure record                              A   1.77   0.61     0.62     0.61     0.62     0.13   2.51   2.52   2.51   2.52  1000.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
91132  Electrogastrography                               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             38.0870 090 99     0.00   0.00   0.00
91132TCElectrogastrography                               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             38.0870 030 99     0.00   0.00   0.00
9113226Electrogastrography                               A   0.52   0.22     0.25     0.22     0.25     0.02   0.76   0.79   0.76   0.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91133  Electrogastrography w/test                        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             38.0870 090 99     0.00   0.00   0.00
91133TCElectrogastrography w/test                        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             38.0870 030 99     0.00   0.00   0.00
9113326Electrogastrography w/test                        A   0.66   0.28     0.32     0.28     0.32     0.03   0.97   1.01   0.97   1.01  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
91299  Gastroenterology procedure                        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             38.0870 090 99     0.00   0.00   0.00
91299TCGastroenterology procedure                        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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
92002  Eye exam, new patient                             A   0.88   0.95     0.93     0.30     0.25     0.02   1.85   1.83   1.20   1.15  0XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92004  Eye exam, new patient                             A   1.82   1.63     1.57     0.62     0.55     0.04   3.49   3.43   2.48   2.41  0XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92012  Eye exam established pat                          A   0.92   1.01     0.99     0.30     0.31     0.02   1.95   1.93   1.24   1.25  0XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92014  Eye exam & treatment                              A   1.42   1.39     1.37     0.46     0.46     0.03   2.84   2.82   1.91   1.91  0XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92015  Refraction                                        N+  0.38   0.79     0.10     0.12     0.09     0.01   1.18   0.49   0.51   0.48  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
92018  New eye exam & treatment                          A   2.50   0.96NA   0.86NA   0.96     0.86     0.07   3.53   3.43   3.53   3.43  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92019  Eye exam & treatment                              A   1.31   0.46NA   0.35NA   0.46     0.35     0.03   1.80   1.69   1.80   1.69  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92020  Special eye evaluation                            A   0.37   0.29     0.25     0.14     0.13     0.01   0.67   0.63   0.52   0.51  0XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92025  Corneal topography                                A   0.35   0.49     0.49     0.49NA   0.49 NA  0.02   0.86   0.86   0.86   0.86  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92025TCCorneal topography                                A   0.00   0.37     0.37     0.37NA   0.37 NA  0.01   0.38   0.38   0.38   0.38  1XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
92060  Special eye evaluation                            A   0.69   0.75     0.76     0.75NA   0.76 NA  0.03   1.47   1.48   1.47   1.48  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92060TCSpecial eye evaluation                            A   0.00   0.49     0.54     0.49NA   0.54 NA  0.01   0.50   0.55   0.50   0.55  1XXX.00.00.0002000             38.0870 010 99     0.00   0.00   0.00
9206026Special eye evaluation                            A   0.69   0.26     0.22     0.26     0.22     0.02   0.97   0.93   0.97   0.93  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92065  Orthoptic/pleoptic training                       A   0.37   0.69     0.86     0.69NA   0.86 NA  0.02   1.08   1.25   1.08   1.25  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92065TCOrthoptic/pleoptic training                       A   0.00   0.57     0.77     0.57NA   0.77 NA  0.01   0.58   0.78   0.58   0.78  1XXX.00.00.0002000             38.0870 010 99     0.00   0.00   0.00
9206526Orthoptic/pleoptic training                       A   0.37   0.12     0.09     0.12     0.09     0.01   0.50   0.47   0.50   0.47  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92070  Fitting of contact lens                           A   0.70   0.99     0.90     0.27     0.22     0.02   1.71   1.62   0.99   0.94  0XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
92081  Visual field examination(s)                       A   0.36   0.95     0.95     0.95NA   0.95 NA  0.02   1.33   1.33   1.33   1.33  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92081TCVisual field examination(s)                       A   0.00   0.82     0.84     0.82NA   0.84 NA  0.01   0.83   0.85   0.83   0.85  1XXX.00.00.0002000             38.0870 010 99     0.00   0.00   0.00
9208126Visual field examination(s)                       A   0.36   0.13     0.11     0.13     0.11     0.01   0.50   0.48   0.50   0.48  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92082  Visual field examination(s)                       A   0.44   1.27     1.32     1.27NA   1.32 NA  0.02   1.73   1.78   1.73   1.78  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92082TCVisual field examination(s)                       A   0.00   1.11     1.18     1.11NA   1.18 NA  0.01   1.12   1.19   1.12   1.19  1XXX.00.00.0002000             38.0870 010 99     0.00   0.00   0.00
9208226Visual field examination(s)                       A   0.44   0.16     0.14     0.16     0.14     0.01   0.61   0.59   0.61   0.59  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92083  Visual field examination(s)                       A   0.50   1.47     1.51     1.47NA   1.51 NA  0.02   1.99   2.03   1.99   2.03  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92083TCVisual field examination(s)                       A   0.00   1.28     1.35     1.28NA   1.35 NA  0.01   1.29   1.36   1.29   1.36  1XXX.00.00.0002000             38.0870 010 99     0.00   0.00   0.00
9208326Visual field examination(s)                       A   0.50   0.19     0.16     0.19     0.16     0.01   0.70   0.67   0.70   0.67  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92100  Serial tonometry exam(s)                          A   0.92   1.29     1.24     0.32     0.27     0.02   2.23   2.18   1.26   1.21  0XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92120  Tonography & eye evaluation                       A   0.81   1.02     0.97     0.28     0.25     0.02   1.85   1.80   1.11   1.08  0XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92130  Water provocation tonography                      A   0.81   1.23     1.18     0.32     0.27     0.02   2.06   2.01   1.15   1.10  0XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92135  Ophth dx imaging post seg                         A   0.35   0.79     0.79     0.79NA   0.79 NA  0.02   1.16   1.16   1.16   1.16  1XXX.00.00.0003100             38.0870 090 99     1.10   1.10   0.02
92135TCOphth dx imaging post seg                         A   0.00   0.66     0.67     0.66NA   0.67 NA  0.01   0.67   0.68   0.67   0.68  1XXX.00.00.0003100             38.0870 010 99     0.97   0.97   0.01
9213526Ophth dx imaging post seg                         A   0.35   0.13     0.12     0.13     0.12     0.01   0.49   0.48   0.49   0.48  1XXX.00.00.0003100             38.0870 090 99     0.00   0.00   0.00
92136  Ophthalmic biometry                               A   0.54   1.54     1.42     1.54NA   1.42 NA  0.08   2.16   2.04   2.16   2.04  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92136TCOphthalmic biometry                               A   0.00   1.32     1.23     1.32NA   1.23 NA  0.07   1.39   1.30   1.39   1.30  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
9213626Ophthalmic biometry                               A   0.54   0.22     0.19     0.22     0.19     0.01   0.77   0.74   0.77   0.74  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
92140  Glaucoma provocative tests                        A   0.50   0.94     0.89     0.18     0.14     0.01   1.45   1.40   0.69   0.65  0XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92225  Special eye exam, initial                         A   0.38   0.23     0.24     0.14     0.12     0.01   0.62   0.63   0.53   0.51  0XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
92226  Special eye exam, subsequent                      A   0.33   0.22     0.23     0.13     0.11     0.01   0.56   0.57   0.47   0.45  0XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
92230  Eye exam with photos                              A   0.60   1.10     0.68     0.19     0.19     0.02   1.72   1.30   0.81   0.81  0XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
92235  Eye exam with photos                              A   0.81   2.44     2.26     2.44NA   2.26 NA  0.08   3.33   3.15   3.33   3.15  1XXX.00.00.0003000             38.0870 090 99     3.87   3.87   0.12
92235TCEye exam with photos                              A   0.00   2.11     1.97     2.11NA   1.97 NA  0.06   2.17   2.03   2.17   2.03  1XXX.00.00.0003000             38.0870 020 99     3.54   3.54   0.10
9223526Eye exam with photos                              A   0.81   0.33     0.29     0.33     0.29     0.02   1.16   1.12   1.16   1.12  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
92240  Icg angiography                                   A   1.10   5.25     4.38     5.25NA   4.38 NA  0.09   6.44   5.57   6.44   5.57  1XXX.00.00.0003000             38.0870 090 99     4.05   4.05   0.07
92240TCIcg angiography                                   A   0.00   4.80     3.99     4.80NA   3.99 NA  0.06   4.86   4.05   4.86   4.05  1XXX.00.00.0003000             38.0870 020 99     3.60   3.60   0.04
9224026Icg angiography                                   A   1.10   0.45     0.39     0.45     0.39     0.03   1.58   1.52   1.58   1.52  1XXX.00.00.0003000             38.0870 090 99     0.00   0.00   0.00
92250  Eye exam with photos                              A   0.44   1.41     1.30     1.41NA   1.30 NA  0.02   1.87   1.76   1.87   1.76  1XXX.00.00.0002000             38.0870 090 99     1.60   1.60   0.02
92250TCEye exam with photos                              A   0.00   1.25     1.16     1.25NA   1.16 NA  0.01   1.26   1.17   1.26   1.17  1XXX.00.00.0002000             38.0870 010 99     1.44   1.44   0.01
9225026Eye exam with photos                              A   0.44   0.16     0.14     0.16     0.14     0.01   0.61   0.59   0.61   0.59  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92260  Ophthalmoscopy/dynamometry                        A   0.20   0.24     0.23     0.08     0.07     0.01   0.45   0.44   0.29   0.28  0XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92265  Eye muscle evaluation                             A   0.81   1.24     1.00     1.24NA   1.00 NA  0.06   2.11   1.87   2.11   1.87  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92265TCEye muscle evaluation                             A   0.00   0.98     0.76     0.98NA   0.76 NA  0.02   1.00   0.78   1.00   0.78  1XXX.00.00.0002000             38.0870 030 99     0.00   0.00   0.00
9226526Eye muscle evaluation                             A   0.81   0.26     0.24     0.26     0.24     0.04   1.11   1.09   1.11   1.09  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92270  Electro-oculography                               A   0.81   1.42     1.32     1.42NA   1.32 NA  0.05   2.28   2.18   2.28   2.18  1XXX.00.00.0002000             38.0870 010 99     0.00   0.00   0.00
92270TCElectro-oculography                               A   0.00   1.14     1.09     1.14NA   1.09 NA  0.02   1.16   1.11   1.16   1.11  1XXX.00.00.0002000             38.0870 010 99     0.00   0.00   0.00
9227026Electro-oculography                               A   0.81   0.28     0.23     0.28     0.23     0.03   1.12   1.07   1.12   1.07  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92275  Electroretinography                               A   1.01   2.18     2.42     2.18NA   2.42 NA  0.05   3.24   3.48   3.24   3.48  1XXX.00.00.0002000             38.0870 010 99     0.00   0.00   0.00
92275TCElectroretinography                               A   0.00   1.79     2.07     1.79NA   2.07 NA  0.02   1.81   2.09   1.81   2.09  1XXX.00.00.0002000             38.0870 010 99     0.00   0.00   0.00
9227526Electroretinography                               A   1.01   0.39     0.35     0.39     0.35     0.03   1.43   1.39   1.43   1.39  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92283  Color vision examination                          A   0.17   0.91     0.99     0.91NA   0.99 NA  0.02   1.10   1.18   1.10   1.18  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92283TCColor vision examination                          A   0.00   0.85     0.94     0.85NA   0.94 NA  0.01   0.86   0.95   0.86   0.95  1XXX.00.00.0002000             38.0870 010 99     0.00   0.00   0.00
9228326Color vision examination                          A   0.17   0.06     0.05     0.06     0.05     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92284  Dark adaptation eye exam                          A   0.24   1.50     1.13     1.50NA   1.13 NA  0.02   1.76   1.39   1.76   1.39  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92284TCDark adaptation eye exam                          A   0.00   1.43     1.06     1.43NA   1.06 NA  0.01   1.44   1.07   1.44   1.07  1XXX.00.00.0002000             38.0870 010 99     0.00   0.00   0.00
9228426Dark adaptation eye exam                          A   0.24   0.07     0.07     0.07     0.07     0.01   0.32   0.32   0.32   0.32  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92285  Eye photography                                   A   0.20   0.89     0.80     0.89NA   0.80 NA  0.02   1.11   1.02   1.11   1.02  1XXX.00.00.0002000             38.0870 010 99     1.52   1.52   0.03
92285TCEye photography                                   A   0.00   0.81     0.73     0.81NA   0.73 NA  0.01   0.82   0.74   0.82   0.74  1XXX.00.00.0002000             38.0870 010 99     1.44   1.44   0.02
9228526Eye photography                                   A   0.20   0.08     0.07     0.08     0.07     0.01   0.29   0.28   0.29   0.28  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92286  Internal eye photography                          A   0.66   2.56     2.09     2.56NA   2.09 NA  0.04   3.26   2.79   3.26   2.79  1XXX.00.00.0002000             38.0870 010 99     3.86   3.86   0.05
92286TCInternal eye photography                          A   0.00   2.31     1.87     2.31NA   1.87 NA  0.02   2.33   1.89   2.33   1.89  1XXX.00.00.0002000             38.0870 010 99     3.61   3.61   0.03
9228626Internal eye photography                          A   0.66   0.25     0.22     0.25     0.22     0.02   0.93   0.90   0.93   0.90  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92287  Internal eye photography                          A   0.81   2.14     1.90     0.29     0.27     0.02   2.97   2.73   1.12   1.10  0XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92310  Contact lens fitting                              N+  1.17   1.09     1.06     0.36     0.27     0.04   2.30   2.27   1.57   1.48  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
92311  Contact lens fitting                              A   1.08   1.18     1.27     0.33     0.31     0.03   2.29   2.38   1.44   1.42  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92312  Contact lens fitting                              A   1.26   1.27     1.45     0.42     0.33     0.03   2.56   2.74   1.71   1.62  0XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92313  Contact lens fitting                              A   0.92   1.24     1.42     0.30     0.31     0.02   2.18   2.36   1.24   1.25  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92314  Prescription of contact lens                      N+  0.69   1.04     1.14     0.21     0.16     0.01   1.74   1.84   0.91   0.86  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
92315  Prescription of contact lens                      A   0.45   1.08     1.31     0.14     0.13     0.01   1.54   1.77   0.60   0.59  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92316  Prescription of contact lens                      A   0.68   1.27     1.63     0.26     0.22     0.02   1.97   2.33   0.96   0.92  0XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92317  Prescription of contact lens                      A   0.45   1.12     1.31     0.13     0.11     0.01   1.58   1.77   0.59   0.57  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92325  Modification of contact lens                      A   0.00   0.62     0.83     0.62NA   0.83 NA  0.01   0.63   0.84   0.63   0.84  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92326  Replacement of contact lens                       A   0.00   1.18     0.73     1.18NA   0.73 NA  0.06   1.24   0.79   1.24   0.79  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92340  Fitting of spectacles                             N+  0.37   0.57     0.44     0.11     0.09     0.01   0.95   0.82   0.49   0.47  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
92341  Fitting of spectacles                             N+  0.47   0.60     0.46     0.14     0.11     0.01   1.08   0.94   0.62   0.59  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
92342  Fitting of spectacles                             N+  0.53   0.62     0.48     0.17     0.12     0.01   1.16   1.02   0.71   0.66  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
92352  Special spectacles fitting                        B+  0.37   0.62     0.56     0.11     0.09     0.01   1.00   0.94   0.49   0.47  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
92353  Special spectacles fitting                        B+  0.50   0.66     0.59     0.15     0.11     0.02   1.18   1.11   0.67   0.63  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
92354  Special spectacles fitting                        B+  0.00   4.58     0.28     4.58NA   0.28 NA  0.10   4.68   0.38   4.68   0.38  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
92355  Special spectacles fitting                        B+  0.00   2.39     0.44     2.39NA   0.44 NA  0.01   2.40   0.45   2.40   0.45  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
92358  Eye prosthesis service                            B+  0.00   0.60     0.24     0.60NA   0.24 NA  0.05   0.65   0.29   0.65   0.29  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
92370  Repair & adjust spectacles                        N+  0.32   0.47     0.39     0.10     0.07     0.02   0.81   0.73   0.44   0.41  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
92371  Repair & adjust spectacles                        B+  0.00   0.43     0.24     0.43NA   0.24 NA  0.02   0.45   0.26   0.45   0.26  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
92499  Eye service or procedure                          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             38.0870 090 99     0.00   0.00   0.00
92499TCEye service or procedure                          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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
92502  Ear and throat examination                        A   1.51   1.01NA   0.90NA   1.01     0.90     0.05   2.57   2.46   2.57   2.46  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92504  Ear microscopy examination                        A   0.18   0.55     0.60     0.07     0.06     0.01   0.74   0.79   0.26   0.25  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92506  Speech/hearing evaluation                         A   0.86   3.05     3.50     0.34     0.28     0.03   3.94   4.39   1.23   1.17  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92507  Speech/hearing therapy                            A   0.52   1.17     1.23     0.19     0.16     0.02   1.71   1.77   0.73   0.70  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92508  Speech/hearing therapy                            A   0.26   0.53     0.55     0.11     0.09     0.01   0.80   0.82   0.38   0.36  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92511  Nasopharyngoscopy                                 A   0.84   3.22     3.12     0.72     0.67     0.03   4.09   3.99   1.59   1.54  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92512  Nasal function studies                            A   0.55   1.07     1.00     0.18     0.17     0.02   1.64   1.57   0.75   0.74  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92516  Facial nerve function test                        A   0.43   1.21     1.23     0.18     0.14     0.01   1.65   1.67   0.62   0.58  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92520  Laryngeal function studies                        A   0.75   0.72     0.93     0.31     0.24     0.03   1.50   1.71   1.09   1.02  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92526  Oral function therapy                             A   0.55   1.67     1.70     0.18     0.16     0.02   2.24   2.27   0.75   0.73  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
92541  Spontaneous nystagmus test                        A   0.40   1.09     1.15     1.09NA   1.15 NA  0.04   1.53   1.59   1.53   1.59  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92541TCSpontaneous nystagmus test                        A   0.00   0.94     1.04     0.94NA   1.04 NA  0.02   0.96   1.06   0.96   1.06  1XXX.00.00.0000000             38.0870 050 99     0.00   0.00   0.00
9254126Spontaneous nystagmus test                        A   0.40   0.15     0.11     0.15     0.11     0.02   0.57   0.53   0.57   0.53  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92542  Positional nystagmus test                         A   0.33   1.22     1.29     1.22NA   1.29 NA  0.03   1.58   1.65   1.58   1.65  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92542TCPositional nystagmus test                         A   0.00   1.09     1.20     1.09NA   1.20 NA  0.02   1.11   1.22   1.11   1.22  1XXX.00.00.0000000             38.0870 050 99     0.00   0.00   0.00
9254226Positional nystagmus test                         A   0.33   0.13     0.09     0.13     0.09     0.01   0.47   0.43   0.47   0.43  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92543  Caloric vestibular test                           A   0.10   0.61     0.65     0.61NA   0.65 NA  0.02   0.73   0.77   0.73   0.77  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92543TCCaloric vestibular test                           A   0.00   0.57     0.62     0.57NA   0.62 NA  0.01   0.58   0.63   0.58   0.63  1XXX.00.00.0000000             38.0870 050 99     0.00   0.00   0.00
9254326Caloric vestibular test                           A   0.10   0.04     0.03     0.04     0.03     0.01   0.15   0.14   0.15   0.14  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92544  Optokinetic nystagmus test                        A   0.26   0.97     1.03     0.97NA   1.03 NA  0.03   1.26   1.32   1.26   1.32  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92544TCOptokinetic nystagmus test                        A   0.00   0.87     0.96     0.87NA   0.96 NA  0.02   0.89   0.98   0.89   0.98  1XXX.00.00.0000000             38.0870 050 99     0.00   0.00   0.00
9254426Optokinetic nystagmus test                        A   0.26   0.10     0.07     0.10     0.07     0.01   0.37   0.34   0.37   0.34  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92545  Oscillating tracking test                         A   0.23   0.90     1.00     0.90NA   1.00 NA  0.03   1.16   1.26   1.16   1.26  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92545TCOscillating tracking test                         A   0.00   0.81     0.94     0.81NA   0.94 NA  0.02   0.83   0.96   0.83   0.96  1XXX.00.00.0000000             38.0870 050 99     0.00   0.00   0.00
9254526Oscillating tracking test                         A   0.23   0.09     0.06     0.09     0.06     0.01   0.33   0.30   0.33   0.30  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92546  Sinusoidal rotational test                        A   0.29   1.90     1.81     1.90NA   1.81 NA  0.03   2.22   2.13   2.22   2.13  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92546TCSinusoidal rotational test                        A   0.00   1.80     1.73     1.80NA   1.73 NA  0.02   1.82   1.75   1.82   1.75  1XXX.00.00.0000000             38.0870 050 99     0.00   0.00   0.00
9254626Sinusoidal rotational test                        A   0.29   0.10     0.08     0.10     0.08     0.01   0.40   0.38   0.40   0.38  1XXX.00.00.0000000             38.0870 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             38.0870 050 99     0.00   0.00   0.00
92548  Posturography                                     A   0.50   1.98     1.70     1.98NA   1.70 NA  0.15   2.63   2.35   2.63   2.35  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92548TCPosturography                                     A   0.00   1.78     1.56     1.78NA   1.56 NA  0.13   1.91   1.69   1.91   1.69  1XXX.00.00.0000000             38.0870 050 99     0.00   0.00   0.00
9254826Posturography                                     A   0.50   0.20     0.14     0.20     0.14     0.02   0.72   0.66   0.72   0.66  1XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
92552  Pure tone audiometry, air                         A   0.00   0.52     0.61     0.52NA   0.61 NA  0.04   0.56   0.65   0.56   0.65  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92553  Audiometry, air & bone                            A   0.00   0.71     0.77     0.71NA   0.77 NA  0.06   0.77   0.83   0.77   0.83  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92555  Speech threshold audiometry                       A   0.00   0.40     0.41     0.40NA   0.41 NA  0.04   0.44   0.45   0.44   0.45  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92556  Speech audiometry, complete                       A   0.00   0.54     0.51     0.54NA   0.51 NA  0.06   0.60   0.57   0.60   0.57  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92557  Comprehensive hearing test                        A   0.60   0.74     0.29     0.69     0.20     0.12   1.46   1.01   1.41   0.92  0XXX.00.00.0002000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
92561  Bekesy audiometry, diagnosis                      A   0.00   0.71     0.70     0.71NA   0.70 NA  0.06   0.77   0.76   0.77   0.76  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92562  Loudness balance test                             A   0.00   0.51     0.62     0.51NA   0.62 NA  0.04   0.55   0.66   0.55   0.66  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92563  Tone decay hearing test                           A   0.00   0.46     0.55     0.46NA   0.55 NA  0.04   0.50   0.59   0.50   0.59  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92564  Sisi hearing test                                 A   0.00   0.47     0.48     0.47NA   0.48 NA  0.05   0.52   0.53   0.52   0.53  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92565  Stenger test, pure tone                           A   0.00   0.33     0.25     0.33NA   0.25 NA  0.04   0.37   0.29   0.37   0.29  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92567  Tympanometry                                      A   0.20   0.33     0.13     0.29     0.07     0.06   0.59   0.39   0.55   0.33  0XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92568  Acoustic refl threshold tst                       A   0.29   0.24     0.10     0.24     0.09     0.04   0.57   0.43   0.57   0.42  0XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92569  Acoustic reflex decay test                        A   0.20   0.24     0.07     0.24     0.07     0.04   0.48   0.31   0.48   0.31  0XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92571  Filtered speech hearing test                      A   0.00   0.41     0.44     0.41NA   0.44 NA  0.04   0.45   0.48   0.45   0.48  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92572  Staggered spondaic word test                      A   0.00   0.34     0.59     0.34NA   0.59 NA  0.01   0.35   0.60   0.35   0.60  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92575  Sensorineural acuity test                         A   0.00   0.73     1.15     0.73NA   1.15 NA  0.02   0.75   1.17   0.75   1.17  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92576  Synthetic sentence test                           A   0.00   0.51     0.58     0.51NA   0.58 NA  0.05   0.56   0.63   0.56   0.63  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92577  Stenger test, speech                              A   0.00   0.49     0.26     0.49NA   0.26 NA  0.07   0.56   0.33   0.56   0.33  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92579  Visual audiometry (vra)                           A   0.70   0.54     0.35     0.48     0.23     0.06   1.30   1.11   1.24   0.99  0XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92582  Conditioning play audiometry                      A   0.00   0.95     1.17     0.95NA   1.17 NA  0.06   1.01   1.23   1.01   1.23  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92583  Select picture audiometry                         A   0.00   0.81     0.73     0.81NA   0.73 NA  0.08   0.89   0.81   0.89   0.81  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92584  Electrocochleography                              A   0.00   1.92     1.36     1.92NA   1.36 NA  0.21   2.13   1.57   2.13   1.57  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92585  Auditor evoke potent, compre                      A   0.50   2.08     2.10     2.08NA   2.10 NA  0.17   2.75   2.77   2.75   2.77  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92585TCAuditor evoke potent, compre                      A   0.00   1.90     1.95     1.90NA   1.95 NA  0.14   2.04   2.09   2.04   2.09  1XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
9258526Auditor evoke potent, compre                      A   0.50   0.18     0.15     0.18     0.15     0.03   0.71   0.68   0.71   0.68  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92586  Auditor evoke potent, limit                       A   0.00   1.64     1.41     1.64NA   1.41 NA  0.14   1.78   1.55   1.78   1.55  3XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92587  Evoked auditory test                              A   0.13   1.01     0.65     1.01NA   0.65 NA  0.12   1.26   0.90   1.26   0.90  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92587TCEvoked auditory test                              A   0.00   0.96     0.61     0.96NA   0.61 NA  0.11   1.07   0.72   1.07   0.72  1XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
9258726Evoked auditory test                              A   0.13   0.05     0.04     0.05     0.04     0.01   0.19   0.18   0.19   0.18  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92588  Evoked auditory test                              A   0.36   1.38     1.12     1.38NA   1.12 NA  0.14   1.88   1.62   1.88   1.62  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
92588TCEvoked auditory test                              A   0.00   1.24     1.01     1.24NA   1.01 NA  0.13   1.37   1.14   1.37   1.14  1XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
9258826Evoked auditory test                              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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
92596  Ear protector evaluation                          A   0.00   0.80     1.02     0.80NA   1.02 NA  0.06   0.86   1.08   0.86   1.08  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92597  Oral speech device eval                           A   0.86   1.84     1.99     0.37     0.28     0.03   2.73   2.88   1.26   1.17  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92601  Cochlear implt f/up exam < 7                      A   2.30   2.29     1.09     2.07     0.64     0.07   4.66   3.46   4.44   3.01  0XXX.00.00.0000000             38.0870 050 99     0.00   0.00   0.00
92602  Reprogram cochlear implt < 7                      A   1.30   1.61     0.84     1.39     0.40     0.07   2.98   2.21   2.76   1.77  0XXX.00.00.0000000             38.0870 050 99     0.00   0.00   0.00
92603  Cochlear implt f/up exam 7 >                      A   2.25   1.67     1.19     1.44     0.73     0.07   3.99   3.51   3.76   3.05  0XXX.00.00.0000000             38.0870 050 99     0.00   0.00   0.00
92604  Reprogram cochlear implt 7 >                      A   1.25   1.06     0.78     0.88     0.41     0.07   2.38   2.10   2.20   1.73  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
92607  Ex for speech device rx, 1hr                      A   0.00   3.86     4.63     3.86NA   4.63 NA  0.05   3.91   4.68   3.91   4.68  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92608  Ex for speech device rx addl                      A   0.00   0.72     0.88     0.72NA   0.88 NA  0.05   0.77   0.93   0.77   0.93  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92609  Use of speech device service                      A   0.00   2.02     2.45     2.02NA   2.45 NA  0.04   2.06   2.49   2.06   2.49  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92610  Evaluate swallowing function                      A   0.00   2.57     1.70     2.57NA   1.70 NA  0.08   2.65   1.78   2.65   1.78  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92611  Motion fluoroscopy/swallow                        A   0.00   2.69     1.95     2.69NA   1.95 NA  0.08   2.77   2.03   2.77   2.03  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92612  Endoscopy swallow tst (fees)                      A   1.27   2.86     2.97     0.54     0.42     0.04   4.17   4.28   1.85   1.73  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92613  Endoscopy swallow tst (fees)                      A   0.71   0.32     0.24     0.31     0.24     0.05   1.08   1.00   1.07   1.00  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92614  Laryngoscopic sensory test                        A   1.27   2.46     2.42     0.54     0.42     0.04   3.77   3.73   1.85   1.73  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92615  Eval laryngoscopy sense tst                       A   0.63   0.28     0.21     0.28     0.21     0.05   0.96   0.89   0.96   0.89  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92616  Fees w/laryngeal sense test                       A   1.88   3.28     3.16     0.80     0.61     0.06   5.22   5.10   2.74   2.55  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92617  Interprt fees/laryngeal test                      A   0.79   0.35     0.26     0.35     0.26     0.05   1.19   1.10   1.19   1.10  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92620  Auditory function, 60 min                         A   0.00   1.54     1.93     1.54NA   1.93 NA  0.06   1.60   1.99   1.60   1.99  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92621  Auditory function, + 15 min                       A   0.00   0.34     0.44     0.34NA   0.44 NA  0.06   0.40   0.50   0.40   0.50  3ZZZ.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92625  Tinnitus assessment                               A   0.00   1.53     1.94     1.53     1.94     0.06   1.59   2.00   1.59   2.00  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92626  Eval aud rehab status                             A   0.00   2.10     2.01     2.10NA   2.01 NA  0.06   2.16   2.07   2.16   2.07  3XXX.00.00.0002000             38.0870 050 99     0.00   0.00   0.00
92627  Eval aud status rehab add-on                      A   0.00   0.50     0.46     0.50     0.46     0.02   0.52   0.48   0.52   0.48  3ZZZ.00.00.0002000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
92640  Aud brainstem implt programg                      A   0.00   1.34     1.34     1.34     1.34     0.01   1.35   1.35   1.35   1.35  3XXX.00.00.0002000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
92950  Heart/lung resuscitation cpr                      A   3.79   3.72     3.25     0.87     0.77     0.28   7.79   7.32   4.94   4.84  0000.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
92960  Cardioversion electric, ext                       A   2.25   5.34     4.37     1.31     1.45     0.07   7.66   6.69   3.63   3.77  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92961  Cardioversion, electric, int                      A   4.59   2.26NA   2.43NA   2.26     2.43     0.29   7.14   7.31   7.14   7.31  0000.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
92970  Cardioassist, internal                            A   3.51   1.26NA   1.46NA   1.26     1.46     0.16   4.93   5.13   4.93   5.13  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92971  Cardioassist, external                            A   1.77   0.97NA   1.09NA   0.97     1.09     0.06   2.80   2.92   2.80   2.92  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92973  Percut coronary thrombectomy                      A   3.28   1.52NA   1.76NA   1.52     1.76     0.23   5.03   5.27   5.03   5.27  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92974  Cath place, cardio brachytx                       A   3.00   1.40NA   1.62NA   1.40     1.62     0.21   4.61   4.83   4.61   4.83  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92975  Dissolve clot, heart vessel                       A   7.24   3.33NA   3.84NA   3.33     3.84     0.50  11.07  11.58  11.07  11.58  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
92977  Dissolve clot, heart vessel                       A   0.00   4.89     1.73     4.89NA   1.73 NA  0.46   5.35   2.19   5.35   2.19  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92978  Intravasc us, heart add-on                        C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92978TCIntravasc us, heart add-on                        C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9297826Intravasc us, heart add-on                        A   1.80   0.84     0.96     0.84     0.96     0.06   2.70   2.82   2.70   2.82  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92979  Intravasc us, heart add-on                        C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92979TCIntravasc us, heart add-on                        C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9297926Intravasc us, heart add-on                        A   1.44   0.67     0.77     0.67     0.77     0.06   2.17   2.27   2.17   2.27  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92980  Insert intracoronary stent                        A  14.82   7.09NA   8.13NA   7.09     8.13     1.03  22.94  23.98  22.94  23.98  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
92981  Insert intracoronary stent                        A   4.16   1.93NA   2.23NA   1.93     2.23     0.29   6.38   6.68   6.38   6.68  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92982  Coronary artery dilation                          A  10.96   5.29NA   6.06NA   5.29     6.06     0.76  17.01  17.78  17.01  17.78  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
92984  Coronary artery dilation                          A   2.97   1.37NA   1.58NA   1.37     1.58     0.21   4.55   4.76   4.55   4.76  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92986  Revision of aortic valve                          A  22.70  13.59NA  15.34NA  13.59    15.34     1.51  37.80  39.55  37.80  39.55  0090.09.84.0720000             38.0870 090 99     0.00   0.00   0.00
92987  Revision of mitral valve                          A  23.48  14.09NA  15.96NA  14.09    15.96     1.59  39.16  41.03  39.16  41.03  0090.09.84.0720000             38.0870 090 99     0.00   0.00   0.00
92990  Revision of pulmonary valve                       A  18.12  10.57NA  11.34NA  10.57    11.34     1.20  29.89  30.66  29.89  30.66  0090.09.84.0720000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
92995  Coronary atherectomy                              A  12.07   5.80NA   6.65NA   5.80     6.65     0.84  18.71  19.56  18.71  19.56  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
92996  Coronary atherectomy add-on                       A   3.26   1.51NA   1.76NA   1.51     1.76     0.10   4.87   5.12   4.87   5.12  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
92997  Pul art balloon repr, percut                      A  11.98   5.22NA   5.61NA   5.22     5.61     0.40  17.60  17.99  17.60  17.99  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
92998  Pul art balloon repr, percut                      A   5.99   2.60NA   3.00NA   2.60     3.00     0.28   8.87   9.27   8.87   9.27  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93000  Electrocardiogram, complete                       A   0.17   0.42     0.35     0.42NA   0.35 NA  0.03   0.62   0.55   0.62   0.55  4XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
93005  Electrocardiogram, tracing                        A   0.00   0.36     0.28     0.36NA   0.28 NA  0.02   0.38   0.30   0.38   0.30  3XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
93012  Transmission of ecg                               A   0.00   5.09     4.17     5.09NA   4.17 NA  0.18   5.27   4.35   5.27   4.35  3XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
93014  Report on transmitted ecg                         A   0.52   0.21     0.22     0.21     0.22     0.02   0.75   0.76   0.75   0.76  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93015  Cardiovascular stress test                        A   0.75   1.94     1.91     1.94NA   1.91 NA  0.14   2.83   2.80   2.83   2.80  4XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
93016  Cardiovascular stress test                        A   0.45   0.20     0.22     0.20     0.22     0.02   0.67   0.69   0.67   0.69  2XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
93017  Cardiovascular stress test                        A   0.00   1.61     1.54     1.61NA   1.54 NA  0.11   1.72   1.65   1.72   1.65  3XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
93018  Cardiovascular stress test                        A   0.30   0.13     0.15     0.13     0.15     0.01   0.44   0.46   0.44   0.46  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93024  Cardiac drug stress test                          A   1.17   1.98     2.40     1.98NA   2.40 NA  0.12   3.27   3.69   3.27   3.69  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93024TCCardiac drug stress test                          A   0.00   1.47     1.82     1.47NA   1.82 NA  0.08   1.55   1.90   1.55   1.90  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9302426Cardiac drug stress test                          A   1.17   0.51     0.58     0.51     0.58     0.04   1.72   1.79   1.72   1.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93025  Microvolt t-wave assess                           A   0.75   5.77     3.93     5.77NA   3.93 NA  0.14   6.66   4.82   6.66   4.82  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
93025TCMicrovolt t-wave assess                           A   0.00   5.43     3.55     5.43NA   3.55 NA  0.11   5.54   3.66   5.54   3.66  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9302526Microvolt t-wave assess                           A   0.75   0.34     0.38     0.34     0.38     0.03   1.12   1.16   1.12   1.16  1XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
93224  ECG monitor/report, 24 hrs                        A   0.52   2.97     2.31     2.97NA   2.31 NA  0.24   3.73   3.07   3.73   3.07  4XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
93225  ECG monitor/record, 24 hrs                        A   0.00   1.05     0.85     1.05NA   0.85 NA  0.08   1.13   0.93   1.13   0.93  3XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
93226  ECG monitor/report, 24 hrs                        A   0.00   1.69     1.19     1.69NA   1.19 NA  0.14   1.83   1.33   1.83   1.33  3XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
93227  ECG monitor/review, 24 hrs                        A   0.52   0.23     0.27     0.23     0.27     0.02   0.77   0.81   0.77   0.81  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93230  ECG monitor/report, 24 hrs                        A   0.52   3.10     2.30     3.10NA   2.30 NA  0.26   3.88   3.08   3.88   3.08  4XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
93231  Ecg monitor/record, 24 hrs                        A   0.00   1.12     0.72     1.12NA   0.72 NA  0.11   1.23   0.83   1.23   0.83  3XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
93232  ECG monitor/report, 24 hrs                        A   0.00   1.77     1.35     1.77NA   1.35 NA  0.13   1.90   1.48   1.90   1.48  3XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
93233  ECG monitor/review, 24 hrs                        A   0.52   0.21     0.23     0.21     0.23     0.02   0.75   0.77   0.75   0.77  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93235  ECG monitor/report, 24 hrs                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  4XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
93236  ECG monitor/report, 24 hrs                        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             38.0870 010 99     0.00   0.00   0.00
93237  ECG monitor/review, 24 hrs                        A   0.45   0.19     0.22     0.19     0.22     0.02   0.66   0.69   0.66   0.69  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93268  ECG record/review                                 A   0.52   6.61     5.79     6.61NA   5.79 NA  0.28   7.41   6.59   7.41   6.59  4XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
93270  ECG recording                                     A   0.00   0.76     0.29     0.76NA   0.29 NA  0.08   0.84   0.37   0.84   0.37  3XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
93271  Ecg/monitoring and analysis                       A   0.00   5.65     5.28     5.65NA   5.28 NA  0.18   5.83   5.46   5.83   5.46  3XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
93278  ECG/signal-averaged                               A   0.25   0.93     0.62     0.93NA   0.62 NA  0.12   1.30   0.99   1.30   0.99  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93278TCECG/signal-averaged                               A   0.00   0.83     0.52     0.83NA   0.52 NA  0.11   0.94   0.63   0.94   0.63  1XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
93303  Echo transthoracic                                A   1.30   4.41     4.50     4.41NA   4.50 NA  0.27   5.98   6.07   5.98   6.07  1XXX.00.00.0000000             38.0870 090 99    10.57  10.57   0.63
93303TCEcho transthoracic                                A   0.00   3.91     3.97     3.91NA   3.97 NA  0.23   4.14   4.20   4.14   4.20  1XXX.00.00.0000000             38.0870 010 99    10.07  10.07   0.59
9330326Echo transthoracic                                A   1.30   0.50     0.53     0.50     0.53     0.04   1.84   1.87   1.84   1.87  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93304  Echo transthoracic                                A   0.75   2.67     3.10     2.67NA   3.10 NA  0.15   3.57   4.00   3.57   4.00  1XXX.00.00.0000000             38.0870 090 99     5.59   5.59   0.31
93304TCEcho transthoracic                                A   0.00   2.38     2.80     2.38NA   2.80 NA  0.13   2.51   2.93   2.51   2.93  1XXX.00.00.0000000             38.0870 010 99     5.30   5.30   0.29
9330426Echo transthoracic                                A   0.75   0.29     0.30     0.29     0.30     0.02   1.06   1.07   1.06   1.07  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93307  Echo exam of heart                                A   0.92   3.97     3.73     3.97NA   3.73 NA  0.26   5.15   4.91   5.15   4.91  1XXX.00.00.0000000             38.0870 090 99    10.42  10.42   0.68
93307TCEcho exam of heart                                A   0.00   3.57     3.28     3.57NA   3.28 NA  0.23   3.80   3.51   3.80   3.51  1XXX.00.00.0000000             38.0870 010 99    10.02  10.02   0.65
9330726Echo exam of heart                                A   0.92   0.40     0.45     0.40     0.45     0.03   1.35   1.40   1.35   1.40  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93308  Echo exam of heart                                A   0.53   2.38     2.62     2.38NA   2.62 NA  0.15   3.06   3.30   3.06   3.30  1XXX.00.00.0000000             38.0870 090 99     5.50   5.50   0.34
93308TCEcho exam of heart                                A   0.00   2.15     2.35     2.15NA   2.35 NA  0.13   2.28   2.48   2.28   2.48  1XXX.00.00.0000000             38.0870 010 99     5.27   5.27   0.32
9330826Echo exam of heart                                A   0.53   0.23     0.27     0.23     0.27     0.02   0.78   0.82   0.78   0.82  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93312  Echo transesophageal                              A   2.20   5.98     7.39     5.98NA   7.39 NA  0.37   8.55   9.96   8.55   9.96  1XXX.00.00.0000000             38.0870 090 99    13.88  13.88   0.82
93312TCEcho transesophageal                              A   0.00   5.10     6.42     5.10NA   6.42 NA  0.29   5.39   6.71   5.39   6.71  1XXX.00.00.0000000             38.0870 030 99    13.00  13.00   0.74
9331226Echo transesophageal                              A   2.20   0.88     0.97     0.88     0.97     0.08   3.16   3.25   3.16   3.25  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93313  Echo transesophageal                              A   0.95   0.17NA   0.12NA   0.17     0.12     0.06   1.18   1.13   1.18   1.13  0XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
93314  Echo transesophageal                              A   1.25   5.73     7.22     5.73NA   7.22 NA  0.33   7.31   8.80   7.31   8.80  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93314TCEcho transesophageal                              A   0.00   5.22     6.66     5.22NA   6.66 NA  0.29   5.51   6.95   5.51   6.95  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9331426Echo transesophageal                              A   1.25   0.51     0.56     0.51     0.56     0.04   1.80   1.85   1.80   1.85  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93315  Echo transesophageal                              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             38.0870 090 99    13.80  13.80   1.19
93315TCEcho transesophageal                              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             38.0870 030 99    12.64  12.64   1.10
9331526Echo transesophageal                              A   2.78   1.16     1.31     1.16     1.31     0.09   4.03   4.18   4.03   4.18  1XXX.00.00.0000000             38.0870 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             38.0870 030 99     0.00   0.00   0.00
93317  Echo transesophageal                              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             38.0870 090 99     0.00   0.00   0.00
93317TCEcho transesophageal                              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             38.0870 030 99     0.00   0.00   0.00
9331726Echo transesophageal                              A   1.83   0.61     0.55     0.61     0.55     0.08   2.52   2.46   2.52   2.46  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93318  Echo transesophageal intraop                      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             38.0870 090 99    13.31  13.31   1.24
93318TCEcho transesophageal intraop                      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             38.0870 090 99    12.64  12.64   1.10
9331826Echo transesophageal intraop                      A   2.20   0.67     0.86     0.67     0.86     0.14   3.01   3.20   3.01   3.20  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93320  Doppler echo exam, heart                          A   0.38   1.77     1.67     1.77NA   1.67 NA  0.13   2.28   2.18   2.28   2.18  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93320TCDoppler echo exam, heart                          A   0.00   1.60     1.49     1.60NA   1.49 NA  0.12   1.72   1.61   1.72   1.61  1ZZZ.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9332026Doppler echo exam, heart                          A   0.38   0.17     0.18     0.17     0.18     0.01   0.56   0.57   0.56   0.57  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93321  Doppler echo exam, heart                          A   0.15   0.89     0.61     0.89NA   0.61 NA  0.09   1.13   0.85   1.13   0.85  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93321TCDoppler echo exam, heart                          A   0.00   0.82     0.54     0.82NA   0.54 NA  0.08   0.90   0.62   0.90   0.62  1ZZZ.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9332126Doppler echo exam, heart                          A   0.15   0.07     0.07     0.07     0.07     0.01   0.23   0.23   0.23   0.23  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93325  Doppler color flow add-on                         A   0.07   1.80     0.66     1.80NA   0.66 NA  0.22   2.09   0.95   2.09   0.95  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93325TCDoppler color flow add-on                         A   0.00   1.77     0.63     1.77NA   0.63 NA  0.21   1.98   0.84   1.98   0.84  1ZZZ.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
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             38.0870 090 99     0.00   0.00   0.00
93350  Echo transthoracic                                A   1.48   3.71     5.09     3.71NA   5.09 NA  0.18   5.37   6.75   5.37   6.75  1XXX.00.00.0000000             38.0870 090 99    10.89  10.89   0.49
93350TCEcho transthoracic                                A   0.00   3.05     4.33     3.05NA   4.33 NA  0.13   3.18   4.46   3.18   4.46  1XXX.00.00.0000000             38.0870 020 99    10.23  10.23   0.44
9335026Echo transthoracic                                A   1.48   0.66     0.76     0.66     0.76     0.05   2.19   2.29   2.19   2.29  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93501  Right heart catheterization                       A   3.02  18.39    18.71    18.39NA  18.71 NA  1.27  22.68  23.00  22.68  23.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93501TCRight heart catheterization                       A   0.00  17.03    17.14    17.03NA  17.14 NA  1.06  18.09  18.20  18.09  18.20  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9350126Right heart catheterization                       A   3.02   1.36     1.57     1.36     1.57     0.21   4.59   4.80   4.59   4.80  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93503  Insert/place heart catheter                       A   2.91   0.00NA   0.00NA   0.00     0.00     0.20   3.11   3.11   3.11   3.11  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93505  Biopsy of heart lining                            A   4.37  12.29    20.92    12.29NA  20.92 NA  0.46  17.12  25.75  17.12  25.75  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93505TCBiopsy of heart lining                            A   0.00  10.31    18.64    10.31NA  18.64 NA  0.16  10.47  18.80  10.47  18.80  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9350526Biopsy of heart lining                            A   4.37   1.98     2.28     1.98     2.28     0.30   6.65   6.95   6.65   6.95  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93508  Cath placement, angiography                       A   4.09  21.78    28.85    21.78NA  28.85 NA  0.93  26.80  33.87  26.80  33.87  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93508TCCath placement, angiography                       A   0.00  19.65    26.68    19.65NA  26.68 NA  0.65  20.30  27.33  20.30  27.33  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9350826Cath placement, angiography                       A   4.09   2.13     2.17     2.13     2.17     0.28   6.50   6.54   6.50   6.54  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93510  Left heart catheterization                        A   4.32  33.65    28.15    33.65NA  28.15 NA  2.61  40.58  35.08  40.58  35.08  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93510TCLeft heart catheterization                        A   0.00  31.42    25.87    31.42NA  25.87 NA  2.31  33.73  28.18  33.73  28.18  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9351026Left heart catheterization                        A   4.32   2.23     2.28     2.23     2.28     0.30   6.85   6.90   6.85   6.90  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93511  Left heart catheterization                        C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93511TCLeft heart catheterization                        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             38.0870 030 99     0.00   0.00   0.00
9351126Left heart catheterization                        A   5.02   2.55     2.65     2.55     2.65     0.35   7.92   8.02   7.92   8.02  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93514  Left heart catheterization                        C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93514TCLeft heart catheterization                        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             38.0870 030 99     0.00   0.00   0.00
9351426Left heart catheterization                        A   7.04   3.04     2.95     3.04     2.95     0.49  10.57  10.48  10.57  10.48  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93524  Left heart catheterization                        C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93524TCLeft heart catheterization                        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             38.0870 030 99     0.00   0.00   0.00
9352426Left heart catheterization                        A   6.94   3.47     3.78     3.47     3.78     0.48  10.89  11.20  10.89  11.20  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93526  Rt & Lt heart catheters                           A   5.98  43.04    35.14    43.04NA  35.14 NA  3.46  52.48  44.58  52.48  44.58  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93526TCRt & Lt heart catheters                           A   0.00  40.05    31.97    40.05NA  31.97 NA  3.04  43.09  35.01  43.09  35.01  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9352626Rt & Lt heart catheters                           A   5.98   2.99     3.17     2.99     3.17     0.42   9.39   9.57   9.39   9.57  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93527  Rt & Lt heart catheters                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93527TCRt & Lt heart catheters                           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             38.0870 030 99     0.00   0.00   0.00
9352726Rt & Lt heart catheters                           A   7.27   3.59     3.86     3.59     3.86     0.51  11.37  11.64  11.37  11.64  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93528  Rt & Lt heart catheters                           C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93528TCRt & Lt heart catheters                           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             38.0870 030 99     0.00   0.00   0.00
9352826Rt & Lt heart catheters                           A   8.99   4.23     4.43     4.23     4.43     0.62  13.84  14.04  13.84  14.04  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93529  Rt, lt heart catheterization                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93529TCRt, lt heart catheterization                      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             38.0870 030 99     0.00   0.00   0.00
9352926Rt, lt heart catheterization                      A   4.79   2.43     2.58     2.43     2.58     0.33   7.55   7.70   7.55   7.70  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93530  Rt heart cath, congenital                         C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93530TCRt heart cath, congenital                         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             38.0870 030 99     0.00   0.00   0.00
9353026Rt heart cath, congenital                         A   4.22   1.89     1.84     1.89     1.84     0.29   6.40   6.35   6.40   6.35  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93531  R & l heart cath, congenital                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93531TCR & l heart cath, congenital                      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             38.0870 030 99     0.00   0.00   0.00
9353126R & l heart cath, congenital                      A   8.34   3.58     3.57     3.58     3.57     0.58  12.50  12.49  12.50  12.49  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93532  R & l heart cath, congenital                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93532TCR & l heart cath, congenital                      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             38.0870 030 99     0.00   0.00   0.00
9353226R & l heart cath, congenital                      A   9.99   3.95     3.66     3.95     3.66     0.69  14.63  14.34  14.63  14.34  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93533  R & l heart cath, congenital                      C   0.00   0.00NA   0.00NA   0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93533TCR & l heart cath, congenital                      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             38.0870 030 99     0.00   0.00   0.00
9353326R & l heart cath, congenital                      A   6.69   2.98     3.16     2.98     3.16     0.47  10.14  10.32  10.14  10.32  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93539  Injection, cardiac cath                           A   0.40   1.31     2.47     0.19     0.21     0.01   1.72   2.88   0.60   0.62  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93540  Injection, cardiac cath                           A   0.43   4.39     8.62     0.20     0.23     0.01   4.83   9.06   0.64   0.67  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93541  Injection for lung angiogram                      A   0.29   0.13     0.15     0.13     0.15     0.01   0.43   0.45   0.43   0.45  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93542  Injection for heart x-rays                        A   0.29   2.65     5.19     0.13     0.15     0.01   2.95   5.49   0.43   0.45  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93543  Injection for heart x-rays                        A   0.29   1.37     2.62     0.13     0.16     0.01   1.67   2.92   0.43   0.46  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93544  Injection for aortography                         A   0.25   0.97     1.84     0.12     0.13     0.01   1.23   2.10   0.38   0.39  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93545  Inject for coronary x-rays                        A   0.40   3.01     5.87     0.19     0.21     0.01   3.42   6.28   0.60   0.62  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93555  Imaging, cardiac cath                             A   0.81   3.59     0.60     3.59NA   0.60 NA  0.37   4.77   1.78   4.77   1.78  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93555TCImaging, cardiac cath                             A   0.00   3.22     0.17     3.22NA   0.17 NA  0.34   3.56   0.51   3.56   0.51  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9355526Imaging, cardiac cath                             A   0.81   0.37     0.43     0.37     0.43     0.03   1.21   1.27   1.21   1.27  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93556  Imaging, cardiac cath                             A   0.83   5.55     0.88     5.55NA   0.88 NA  0.54   6.92   2.25   6.92   2.25  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93556TCImaging, cardiac cath                             A   0.00   5.17     0.44     5.17NA   0.44 NA  0.51   5.68   0.95   5.68   0.95  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9355626Imaging, cardiac cath                             A   0.83   0.38     0.44     0.38     0.44     0.03   1.24   1.30   1.24   1.30  1XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 030 99     0.00   0.00   0.00
9356126Cardiac output measurement                        A   0.50   0.15     0.14     0.15     0.14     0.02   0.67   0.66   0.67   0.66  1000.00.00.0000000             38.0870 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             38.0870 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             38.0870 030 99     0.00   0.00   0.00
9356226Cardiac output measurement                        A   0.16   0.04     0.03     0.04     0.03     0.01   0.21   0.20   0.21   0.20  1000.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
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             38.0870 030 99     0.00   0.00   0.00
9357126Heart flow reserve measure                        A   1.80   0.82     0.96     0.82     0.96     0.06   2.68   2.82   2.68   2.82  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93572  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             38.0870 090 99     0.00   0.00   0.00
93572TCHeart 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             38.0870 030 99     0.00   0.00   0.00
9357226Heart flow reserve measure                        A   1.44   0.62     0.74     0.62     0.74     0.04   2.10   2.22   2.10   2.22  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93580  Transcath closure of asd                          A  17.97   8.40NA   9.41NA   8.40     9.41     1.25  27.62  28.63  27.62  28.63  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93581  Transcath closure of vsd                          A  24.39  10.48NA  11.56NA  10.48    11.56     1.72  36.59  37.67  36.59  37.67  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93600  Bundle of His recording                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93600TCBundle of His recording                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9360026Bundle of His recording                           A   2.12   0.96     1.09     0.96     1.09     0.16   3.24   3.37   3.24   3.37  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93602  Intra-atrial recording                            C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93602TCIntra-atrial recording                            C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9360226Intra-atrial recording                            A   2.12   0.93     1.04     0.93     1.04     0.17   3.22   3.33   3.22   3.33  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93603  Right ventricular recording                       C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93603TCRight ventricular recording                       C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9360326Right ventricular recording                       A   2.12   0.92     1.04     0.92     1.04     0.18   3.22   3.34   3.22   3.34  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93609  Map tachycardia, add-on                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93609TCMap tachycardia, add-on                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9360926Map tachycardia, add-on                           A   4.99   2.29     2.61     2.29     2.61     0.35   7.63   7.95   7.63   7.95  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93610  Intra-atrial pacing                               C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93610TCIntra-atrial pacing                               C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9361026Intra-atrial pacing                               A   3.02   1.31     1.47     1.31     1.47     0.24   4.57   4.73   4.57   4.73  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93612  Intraventricular pacing                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93612TCIntraventricular pacing                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9361226Intraventricular pacing                           A   3.02   1.29     1.43     1.29     1.43     0.25   4.56   4.70   4.56   4.70  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93613  Electrophys map 3d, add-on                        A   6.99   3.23NA   3.69NA   3.23     3.69     0.49  10.71  11.17  10.71  11.17  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93615  Esophageal recording                              C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93615TCEsophageal recording                              C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9361526Esophageal recording                              A   0.99   0.40     0.54     0.40     0.54     0.03   1.42   1.56   1.42   1.56  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93616  Esophageal recording                              C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93616TCEsophageal recording                              C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9361626Esophageal recording                              A   1.49   0.35     0.26     0.35     0.26     0.09   1.93   1.84   1.93   1.84  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93618  Heart rhythm pacing                               C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93618TCHeart rhythm pacing                               C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9361826Heart rhythm pacing                               A   4.25   1.97     2.28     1.97     2.28     0.30   6.52   6.83   6.52   6.83  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93619  Electrophysiology evaluation                      C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93619TCElectrophysiology evaluation                      C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9361926Electrophysiology evaluation                      A   7.31   3.53     3.87     3.53     3.87     0.51  11.35  11.69  11.35  11.69  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93620  Electrophysiology evaluation                      C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93620TCElectrophysiology evaluation                      C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9362026Electrophysiology evaluation                      A  11.57   5.46     6.09     5.46     6.09     0.80  17.83  18.46  17.83  18.46  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93621  Electrophysiology evaluation                      C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93621TCElectrophysiology evaluation                      C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9362126Electrophysiology evaluation                      A   2.10   0.96     1.10     0.96     1.10     0.15   3.21   3.35   3.21   3.35  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93622  Electrophysiology evaluation                      C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93622TCElectrophysiology evaluation                      C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9362226Electrophysiology evaluation                      A   3.10   1.39     1.57     1.39     1.57     0.22   4.71   4.89   4.71   4.89  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93623  Stimulation, pacing heart                         C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93623TCStimulation, pacing heart                         C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9362326Stimulation, pacing heart                         A   2.85   1.30     1.50     1.30     1.50     0.20   4.35   4.55   4.35   4.55  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93624  Electrophysiologic study                          C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93624TCElectrophysiologic study                          C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9362426Electrophysiologic study                          A   4.80   2.40     2.60     2.40     2.60     0.33   7.53   7.73   7.53   7.73  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93631  Heart pacing, mapping                             C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93631TCHeart pacing, mapping                             C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9363126Heart pacing, mapping                             A   7.59   2.76     2.75     2.76     2.75     0.97  11.32  11.31  11.32  11.31  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93640  Evaluation heart device                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93640TCEvaluation heart device                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9364026Evaluation heart device                           A   3.51   1.59     1.82     1.59     1.82     0.24   5.34   5.57   5.34   5.57  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93641  Electrophysiology evaluation                      C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93641TCElectrophysiology evaluation                      C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9364126Electrophysiology evaluation                      A   5.92   2.71     3.11     2.71     3.11     0.41   9.04   9.44   9.04   9.44  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93642  Electrophysiology evaluation                      C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93642TCElectrophysiology evaluation                      A   0.00   5.97     4.77     5.97NA   4.77 NA  0.42   6.39   5.19   6.39   5.19  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9364226Electrophysiology evaluation                      A   4.88   2.41     2.60     2.41     2.60     0.15   7.44   7.63   7.44   7.63  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93650  Ablate heart dysrhythm focus                      A  10.49   5.12NA   5.80NA   5.12     5.80     0.73  16.34  17.02  16.34  17.02  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93651  Ablate heart dysrhythm focus                      A  16.23   7.43NA   8.53NA   7.43     8.53     1.13  24.79  25.89  24.79  25.89  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93652  Ablate heart dysrhythm focus                      A  17.65   8.12NA   9.35NA   8.12     9.35     1.23  27.00  28.23  27.00  28.23  0000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93660  Tilt table evaluation                             A   1.89   2.71     3.01     2.71NA   3.01 NA  0.08   4.68   4.98   4.68   4.98  1000.00.00.0020000             38.0870 090 99     0.00   0.00   0.00
93660TCTilt table evaluation                             A   0.00   1.86     2.04     1.86NA   2.04 NA  0.02   1.88   2.06   1.88   2.06  1000.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9366026Tilt table evaluation                             A   1.89   0.85     0.97     0.85     0.97     0.06   2.80   2.92   2.80   2.92  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93662  Intracardiac ecg (ice)                            C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93662TCIntracardiac ecg (ice)                            C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9366226Intracardiac ecg (ice)                            A   2.80   1.29     1.47     1.29     1.47     0.09   4.18   4.36   4.18   4.36  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93668  Peripheral vascular rehab                         N+  0.00   0.41     0.41     0.41NA   0.41 NA  0.01   0.42   0.42   0.42   0.42  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
93701  Bioimpedance, thoracic                            A   0.17   0.84     0.70     0.84NA   0.70 NA  0.02   1.03   0.89   1.03   0.89  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93701TCBioimpedance, thoracic                            A   0.00   0.77     0.64     0.77NA   0.64 NA  0.01   0.78   0.65   0.78   0.65  1XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
93720  Total body plethysmography                        A   0.17   0.97     1.17     0.97NA   1.17 NA  0.07   1.21   1.41   1.21   1.41  4XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
93721  Plethysmography tracing                           A   0.00   0.92     1.13     0.92NA   1.13 NA  0.06   0.98   1.19   0.98   1.19  3XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
93722  Plethysmography report                            A   0.17   0.05     0.04     0.05     0.04     0.01   0.23   0.22   0.23   0.22  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93724  Analyze pacemaker system                          A   4.88   4.55     3.23     4.55NA   3.23 NA  0.39   9.82   8.50   9.82   8.50  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93724TCAnalyze pacemaker system                          A   0.00   2.42     0.88     2.42NA   0.88 NA  0.24   2.66   1.12   2.66   1.12  1000.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9372426Analyze pacemaker system                          A   4.88   2.13     2.35     2.13     2.35     0.15   7.16   7.38   7.16   7.38  1000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93727  Analyze ilr system                                A   0.52   0.42     0.64     0.42     0.64     0.02   0.96   1.18   0.96   1.18  2XXX.00.00.0099999             38.0870 030 99     0.00   0.00   0.00
93731  Analyze pacemaker system                          A   0.45   0.72     0.79     0.72NA   0.79 NA  0.05   1.22   1.29   1.22   1.29  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93731TCAnalyze pacemaker system                          A   0.00   0.52     0.55     0.52NA   0.55 NA  0.04   0.56   0.59   0.56   0.59  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9373126Analyze pacemaker system                          A   0.45   0.20     0.24     0.20     0.24     0.01   0.66   0.70   0.66   0.70  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93732  Analyze pacemaker system                          A   0.92   1.01     1.15     1.01NA   1.15 NA  0.07   2.00   2.14   2.00   2.14  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93732TCAnalyze pacemaker system                          A   0.00   0.59     0.67     0.59NA   0.67 NA  0.04   0.63   0.71   0.63   0.71  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9373226Analyze pacemaker system                          A   0.92   0.42     0.48     0.42     0.48     0.03   1.37   1.43   1.37   1.43  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93733  Telephone analy, pacemaker                        A   0.17   0.86     0.93     0.86NA   0.93 NA  0.07   1.10   1.17   1.10   1.17  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93733TCTelephone analy, pacemaker                        A   0.00   0.79     0.85     0.79NA   0.85 NA  0.06   0.85   0.91   0.85   0.91  1XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
93734  Analyze pacemaker system                          A   0.38   0.60     0.69     0.60NA   0.69 NA  0.03   1.01   1.10   1.01   1.10  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93734TCAnalyze pacemaker system                          A   0.00   0.43     0.50     0.43NA   0.50 NA  0.02   0.45   0.52   0.45   0.52  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9373426Analyze pacemaker system                          A   0.38   0.17     0.19     0.17     0.19     0.01   0.56   0.58   0.56   0.58  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93735  Analyze pacemaker system                          A   0.74   0.84     0.96     0.84NA   0.96 NA  0.06   1.64   1.76   1.64   1.76  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93735TCAnalyze pacemaker system                          A   0.00   0.51     0.57     0.51NA   0.57 NA  0.04   0.55   0.61   0.55   0.61  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9373526Analyze pacemaker system                          A   0.74   0.33     0.39     0.33     0.39     0.02   1.09   1.15   1.09   1.15  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93736  Telephonic analy, pacemaker                       A   0.15   0.79     0.91     0.79NA   0.91 NA  0.07   1.01   1.13   1.01   1.13  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93736TCTelephonic analy, pacemaker                       A   0.00   0.73     0.84     0.73NA   0.84 NA  0.06   0.79   0.90   0.79   0.90  1XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
93740  Temperature gradient studies                      B+  0.16   0.11     0.04     0.11NA   0.04 NA  0.02   0.29   0.22   0.29   0.22  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
93740TCTemperature gradient studies                      B+  0.00   0.07     0.00     0.07NA   0.00 NA  0.01   0.08   0.01   0.08   0.01  1XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
93741  Analyze ht pace device sngl                       A   0.80   0.99     1.02     0.99NA   1.02 NA  0.07   1.86   1.89   1.86   1.89  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
93741TCAnalyze ht pace device sngl                       A   0.00   0.63     0.60     0.63NA   0.60 NA  0.04   0.67   0.64   0.67   0.64  1XXX.00.00.0099999             38.0870 020 99     0.00   0.00   0.00
9374126Analyze ht pace device sngl                       A   0.80   0.36     0.42     0.36     0.42     0.03   1.19   1.25   1.19   1.25  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
93742  Analyze ht pace device sngl                       A   0.91   1.09     1.15     1.09NA   1.15 NA  0.07   2.07   2.13   2.07   2.13  1XXX.00.00.0099999             38.0870 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             38.0870 020 99     0.00   0.00   0.00
9374226Analyze ht pace device sngl                       A   0.91   0.42     0.48     0.42     0.48     0.03   1.36   1.42   1.36   1.42  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
93743  Analyze ht pace device dual                       A   1.03   1.16     1.19     1.16NA   1.19 NA  0.07   2.26   2.29   2.26   2.29  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
93743TCAnalyze ht pace device dual                       A   0.00   0.69     0.64     0.69NA   0.64 NA  0.04   0.73   0.68   0.73   0.68  1XXX.00.00.0099999             38.0870 020 99     0.00   0.00   0.00
9374326Analyze ht pace device dual                       A   1.03   0.47     0.55     0.47     0.55     0.03   1.53   1.61   1.53   1.61  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
93744  Analyze ht pace device dual                       A   1.18   1.23     1.35     1.23NA   1.35 NA  0.08   2.49   2.61   2.49   2.61  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
93744TCAnalyze ht pace device dual                       A   0.00   0.69     0.72     0.69NA   0.72 NA  0.04   0.73   0.76   0.73   0.76  1XXX.00.00.0099999             38.0870 020 99     0.00   0.00   0.00
9374426Analyze ht pace device dual                       A   1.18   0.54     0.63     0.54     0.63     0.04   1.76   1.85   1.76   1.85  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
93745  Set-up cardiovert-defibrill                       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             38.0870 090 99     0.00   0.00   0.00
93745TCSet-up cardiovert-defibrill                       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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
93770  Measure venous pressure                           B+  0.16   0.05     0.04     0.05NA   0.04 NA  0.02   0.23   0.22   0.23   0.22  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
93770TCMeasure venous pressure                           B+  0.00   0.01     0.00     0.01NA   0.00 NA  0.01   0.02   0.01   0.02   0.01  1XXX.00.00.0099999             38.0870 010 99     0.00   0.00   0.00
9377026Measure venous pressure                           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             38.0870 090 99     0.00   0.00   0.00
93784  Ambulatory BP monitoring                          A   0.38   1.47     1.39     1.47NA   1.39 NA  0.03   1.88   1.80   1.88   1.80  4XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
93786  Ambulatory BP recording                           A   0.00   0.86     0.81     0.86NA   0.81 NA  0.01   0.87   0.82   0.87   0.82  3XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
93788  Ambulatory BP analysis                            A   0.00   0.48     0.45     0.48NA   0.45 NA  0.01   0.49   0.46   0.49   0.46  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93790  Review/report BP recording                        A   0.38   0.13     0.13     0.13     0.13     0.01   0.52   0.52   0.52   0.52  2XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
93798  Cardiac rehab/monitor                             A   0.28   0.45     0.44     0.12     0.13     0.01   0.74   0.73   0.41   0.42  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93799  Cardiovascular procedure                          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             38.0870 090 99     0.00   0.00   0.00
93799TCCardiovascular procedure                          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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
93875  Extracranial study                                A   0.22   2.44     2.55     2.44NA   2.55 NA  0.12   2.78   2.89   2.78   2.89  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
93875TCExtracranial study                                A   0.00   2.37     2.48     2.37NA   2.48 NA  0.11   2.48   2.59   2.48   2.59  1XXX.00.00.0002000             38.0870 010 99     0.00   0.00   0.00
9387526Extracranial study                                A   0.22   0.07     0.07     0.07     0.07     0.01   0.30   0.30   0.30   0.30  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
93880  Extracranial study                                A   0.60   5.85     6.16     5.85NA   6.16 NA  0.39   6.84   7.15   6.84   7.15  1XXX.00.00.0002000             38.0870 090 99     3.95   3.95   0.27
93880TCExtracranial study                                A   0.00   5.65     5.95     5.65NA   5.95 NA  0.35   6.00   6.30   6.00   6.30  1XXX.00.00.0002000             38.0870 010 99     3.75   3.75   0.23
9388026Extracranial study                                A   0.60   0.20     0.21     0.20     0.21     0.04   0.84   0.85   0.84   0.85  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
93882  Extracranial study                                A   0.40   3.82     4.12     3.82NA   4.12 NA  0.26   4.48   4.78   4.48   4.78  1XXX.00.00.0000000             38.0870 090 99     3.88   3.88   0.26
93882TCExtracranial study                                A   0.00   3.69     4.01     3.69NA   4.01 NA  0.22   3.91   4.23   3.91   4.23  1XXX.00.00.0000000             38.0870 010 99     3.75   3.75   0.22
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             38.0870 090 99     0.00   0.00   0.00
93886  Intracranial study                                A   0.94   6.88     7.03     6.88NA   7.03 NA  0.45   8.27   8.42   8.27   8.42  1XXX.00.00.0000000             38.0870 090 99     4.08   4.08   0.28
93886TCIntracranial study                                A   0.00   6.56     6.75     6.56NA   6.75 NA  0.39   6.95   7.14   6.95   7.14  1XXX.00.00.0000000             38.0870 010 99     3.76   3.76   0.22
9388626Intracranial study                                A   0.94   0.32     0.28     0.32     0.28     0.06   1.32   1.28   1.32   1.28  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93888  Intracranial study                                A   0.62   4.57     4.92     4.57NA   4.92 NA  0.32   5.51   5.86   5.51   5.86  1XXX.00.00.0000000             38.0870 090 99     1.72   1.72   0.14
93888TCIntracranial study                                A   0.00   4.36     4.72     4.36NA   4.72 NA  0.27   4.63   4.99   4.63   4.99  1XXX.00.00.0000000             38.0870 010 99     1.51   1.51   0.09
9388826Intracranial study                                A   0.62   0.21     0.20     0.21     0.20     0.05   0.88   0.87   0.88   0.87  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93890  Tcd, vasoreactivity study                         A   1.00   5.68     6.44     5.68NA   6.44 NA  0.45   7.13   7.89   7.13   7.89  1XXX.00.00.0000000             38.0870 090 99     2.71   2.71   0.23
93890TCTcd, vasoreactivity study                         A   0.00   5.32     6.13     5.32NA   6.13 NA  0.39   5.71   6.52   5.71   6.52  1XXX.00.00.0000000             38.0870 010 99     2.35   2.35   0.17
9389026Tcd, vasoreactivity study                         A   1.00   0.36     0.31     0.36     0.31     0.06   1.42   1.37   1.42   1.37  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93892  Tcd, emboli detect w/o inj                        A   1.15   6.00     6.85     6.00NA   6.85 NA  0.45   7.60   8.45   7.60   8.45  1XXX.00.00.0000000             38.0870 090 99     2.75   2.75   0.22
93892TCTcd, emboli detect w/o inj                        A   0.00   5.61     6.53     5.61NA   6.53 NA  0.39   6.00   6.92   6.00   6.92  1XXX.00.00.0000000             38.0870 010 99     2.36   2.36   0.16
9389226Tcd, emboli detect w/o inj                        A   1.15   0.39     0.32     0.39     0.32     0.06   1.60   1.53   1.60   1.53  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93893  Tcd, emboli detect w/inj                          A   1.15   6.01     7.00     6.01NA   7.00 NA  0.45   7.61   8.60   7.61   8.60  1XXX.00.00.0000000             38.0870 090 99     2.75   2.75   0.22
93893TCTcd, emboli detect w/inj                          A   0.00   5.62     6.67     5.62NA   6.67 NA  0.39   6.01   7.06   6.01   7.06  1XXX.00.00.0000000             38.0870 010 99     2.36   2.36   0.16
9389326Tcd, emboli detect w/inj                          A   1.15   0.39     0.33     0.39     0.33     0.06   1.60   1.54   1.60   1.54  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93922  Extremity study                                   A   0.25   2.90     3.11     2.90NA   3.11 NA  0.15   3.30   3.51   3.30   3.51  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
93922TCExtremity study                                   A   0.00   2.82     3.03     2.82NA   3.03 NA  0.13   2.95   3.16   2.95   3.16  1XXX.00.00.0002000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
93923  Extremity study                                   A   0.45   4.35     4.68     4.35NA   4.68 NA  0.26   5.06   5.39   5.06   5.39  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
93923TCExtremity study                                   A   0.00   4.21     4.54     4.21NA   4.54 NA  0.22   4.43   4.76   4.43   4.76  1XXX.00.00.0002000             38.0870 010 99     0.00   0.00   0.00
9392326Extremity study                                   A   0.45   0.14     0.14     0.14     0.14     0.04   0.63   0.63   0.63   0.63  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
93924  Extremity study                                   A   0.50   5.36     5.94     5.36NA   5.94 NA  0.30   6.16   6.74   6.16   6.74  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
93924TCExtremity study                                   A   0.00   5.19     5.77     5.19NA   5.77 NA  0.25   5.44   6.02   5.44   6.02  1XXX.00.00.0002000             38.0870 010 99     0.00   0.00   0.00
9392426Extremity study                                   A   0.50   0.17     0.17     0.17     0.17     0.05   0.72   0.72   0.72   0.72  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
93925  Lower extremity study                             A   0.58   7.40     8.02     7.40NA   8.02 NA  0.39   8.37   8.99   8.37   8.99  1XXX.00.00.0002000             38.0870 090 99     3.98   3.98   0.22
93925TCLower extremity study                             A   0.00   7.21     7.83     7.21NA   7.83 NA  0.35   7.56   8.18   7.56   8.18  1XXX.00.00.0002000             38.0870 010 99     3.79   3.79   0.18
9392526Lower extremity study                             A   0.58   0.19     0.19     0.19     0.19     0.04   0.81   0.81   0.81   0.81  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
93926  Lower extremity study                             A   0.39   4.60     5.14     4.60NA   5.14 NA  0.27   5.26   5.80   5.26   5.80  1XXX.00.00.0000000             38.0870 090 99     2.52   2.52   0.16
93926TCLower extremity study                             A   0.00   4.48     5.03     4.48NA   5.03 NA  0.23   4.71   5.26   4.71   5.26  1XXX.00.00.0000000             38.0870 010 99     2.40   2.40   0.12
9392626Lower extremity study                             A   0.39   0.12     0.11     0.12     0.11     0.04   0.55   0.54   0.55   0.54  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93930  Upper extremity study                             A   0.46   5.80     6.25     5.80NA   6.25 NA  0.41   6.67   7.12   6.67   7.12  1XXX.00.00.0002000             38.0870 090 99     3.88   3.88   0.28
93930TCUpper extremity study                             A   0.00   5.65     6.10     5.65NA   6.10 NA  0.37   6.02   6.47   6.02   6.47  1XXX.00.00.0002000             38.0870 010 99     3.73   3.73   0.24
9393026Upper extremity study                             A   0.46   0.15     0.15     0.15     0.15     0.04   0.65   0.65   0.65   0.65  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
93931  Upper extremity study                             A   0.31   3.83     4.18     3.83NA   4.18 NA  0.27   4.41   4.76   4.41   4.76  1XXX.00.00.0000000             38.0870 090 99     2.47   2.47   0.18
93931TCUpper extremity study                             A   0.00   3.73     4.08     3.73NA   4.08 NA  0.24   3.97   4.32   3.97   4.32  1XXX.00.00.0000000             38.0870 010 99     2.37   2.37   0.15
9393126Upper extremity study                             A   0.31   0.10     0.10     0.10     0.10     0.03   0.44   0.44   0.44   0.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93965  Extremity study                                   A   0.35   2.90     3.01     2.90NA   3.01 NA  0.14   3.39   3.50   3.39   3.50  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
93965TCExtremity study                                   A   0.00   2.79     2.90     2.79NA   2.90 NA  0.12   2.91   3.02   2.91   3.02  1XXX.00.00.0002000             38.0870 010 99     0.00   0.00   0.00
9396526Extremity study                                   A   0.35   0.11     0.11     0.11     0.11     0.02   0.48   0.48   0.48   0.48  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
93970  Extremity study                                   A   0.68   5.73     6.20     5.73NA   6.20 NA  0.46   6.87   7.34   6.87   7.34  1XXX.00.00.0002000             38.0870 090 99     3.93   3.93   0.33
93970TCExtremity study                                   A   0.00   5.51     5.99     5.51NA   5.99 NA  0.40   5.91   6.39   5.91   6.39  1XXX.00.00.0002000             38.0870 010 99     3.71   3.71   0.27
9397026Extremity study                                   A   0.68   0.22     0.21     0.22     0.21     0.06   0.96   0.95   0.96   0.95  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
93971  Extremity study                                   A   0.45   3.83     4.07     3.83NA   4.07 NA  0.30   4.58   4.82   4.58   4.82  1XXX.00.00.0000000             38.0870 090 99     2.50   2.50   0.20
93971TCExtremity study                                   A   0.00   3.68     3.92     3.68NA   3.92 NA  0.27   3.95   4.19   3.95   4.19  1XXX.00.00.0000000             38.0870 010 99     2.35   2.35   0.17
9397126Extremity study                                   A   0.45   0.15     0.15     0.15     0.15     0.03   0.63   0.63   0.63   0.63  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93975  Vascular study                                    A   1.80   8.04     8.46     8.04NA   8.46 NA  0.56  10.40  10.82  10.40  10.82  1XXX.00.00.0000000             38.0870 090 99     4.37   4.37   0.35
93975TCVascular study                                    A   0.00   7.43     7.83     7.43NA   7.83 NA  0.43   7.86   8.26   7.86   8.26  1XXX.00.00.0000000             38.0870 010 99     3.76   3.76   0.22
9397526Vascular study                                    A   1.80   0.61     0.63     0.61     0.63     0.13   2.54   2.56   2.54   2.56  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93976  Vascular study                                    A   1.21   4.45     4.58     4.45NA   4.58 NA  0.35   6.01   6.14   6.01   6.14  1XXX.00.00.0000000             38.0870 090 99     4.11   4.11   0.33
93976TCVascular study                                    A   0.00   4.04     4.16     4.04NA   4.16 NA  0.30   4.34   4.46   4.34   4.46  1XXX.00.00.0000000             38.0870 010 99     3.70   3.70   0.28
9397626Vascular study                                    A   1.21   0.41     0.42     0.41     0.42     0.05   1.67   1.68   1.67   1.68  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93978  Vascular study                                    A   0.65   5.28     6.03     5.28NA   6.03 NA  0.43   6.36   7.11   6.36   7.11  1XXX.00.00.0000000             38.0870 090 99     3.93   3.93   0.33
93978TCVascular study                                    A   0.00   5.06     5.82     5.06NA   5.82 NA  0.37   5.43   6.19   5.43   6.19  1XXX.00.00.0000000             38.0870 010 99     3.71   3.71   0.27
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             38.0870 090 99     0.00   0.00   0.00
93979  Vascular study                                    A   0.44   3.69     4.16     3.69NA   4.16 NA  0.27   4.40   4.87   4.40   4.87  1XXX.00.00.0000000             38.0870 090 99     2.51   2.51   0.19
93979TCVascular 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             38.0870 010 99     2.36   2.36   0.16
9397926Vascular study                                    A   0.44   0.15     0.14     0.15     0.14     0.03   0.62   0.61   0.62   0.61  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93980  Penile vascular study                             A   1.25   3.16     3.48     3.16NA   3.48 NA  0.42   4.83   5.15   4.83   5.15  1XXX.00.00.0000000             38.0870 090 99     3.97   3.97   0.52
93980TCPenile vascular study                             A   0.00   2.73     3.02     2.73NA   3.02 NA  0.34   3.07   3.36   3.07   3.36  1XXX.00.00.0000000             38.0870 010 99     3.54   3.54   0.44
9398026Penile vascular study                             A   1.25   0.43     0.46     0.43     0.46     0.08   1.76   1.79   1.76   1.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93981  Penile vascular study                             A   0.44   2.86     2.84     2.86NA   2.84 NA  0.33   3.63   3.61   3.63   3.61  1XXX.00.00.0000000             38.0870 090 99     3.72   3.72   0.43
93981TCPenile vascular study                             A   0.00   2.71     2.68     2.71NA   2.68 NA  0.31   3.02   2.99   3.02   2.99  1XXX.00.00.0000000             38.0870 010 99     3.57   3.57   0.41
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             38.0870 090 99     0.00   0.00   0.00
93982  Aneurysm pressure sens study                      R   0.30   0.80     0.80     0.80NA   0.80 NA  0.01   1.11   1.11   1.11   1.11  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
93990  Doppler flow testing                              A   0.25   4.61     5.22     4.61NA   5.22 NA  0.26   5.12   5.73   5.12   5.73  1XXX.00.00.0000000             38.0870 090 99     2.48   2.48   0.15
93990TCDoppler flow testing                              A   0.00   4.53     5.16     4.53NA   5.16 NA  0.23   4.76   5.39   4.76   5.39  1XXX.00.00.0000000             38.0870 010 99     2.40   2.40   0.12
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             38.0870 090 99     0.00   0.00   0.00
94002  Vent mgmt inpat, init day                         A   1.99   0.34NA   0.35NA   0.34     0.35     0.09   2.42   2.43   2.42   2.43  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94003  Vent mgmt inpat, subq day                         A   1.37   0.32NA   0.32NA   0.32     0.32     0.06   1.75   1.75   1.75   1.75  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94004  Vent mgmt nf per day                              A   1.00   0.23NA   0.23NA   0.23     0.23     0.04   1.27   1.27   1.27   1.27  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94005  Home vent mgmt supervision                        B+  1.50   0.70     0.70     0.70NA   0.70 NA  0.06   2.26   2.26   2.26   2.26  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
94010  Breathing capacity test                           A   0.17   0.71     0.74     0.71NA   0.74 NA  0.03   0.91   0.94   0.91   0.94  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94010TCBreathing capacity test                           A   0.00   0.66     0.70     0.66NA   0.70 NA  0.02   0.68   0.72   0.68   0.72  1XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
94014  Patient recorded spirometry                       A   0.52   0.78     0.81     0.78NA   0.81 NA  0.03   1.33   1.36   1.33   1.36  4XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
94015  Patient recorded spirometry                       A   0.00   0.63     0.67     0.63NA   0.67 NA  0.01   0.64   0.68   0.64   0.68  3XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
94016  Review patient spirometry                         A   0.52   0.15     0.14     0.15     0.14     0.02   0.69   0.68   0.69   0.68  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94060  Evaluation of wheezing                            A   0.31   1.19     1.32     1.19NA   1.32 NA  0.07   1.57   1.70   1.57   1.70  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94060TCEvaluation of wheezing                            A   0.00   1.11     1.24     1.11NA   1.24 NA  0.06   1.17   1.30   1.17   1.30  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9406026Evaluation of wheezing                            A   0.31   0.08     0.08     0.08     0.08     0.01   0.40   0.40   0.40   0.40  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94070  Evaluation of wheezing                            A   0.60   0.90     1.00     0.90NA   1.00 NA  0.13   1.63   1.73   1.63   1.73  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94070TCEvaluation of wheezing                            A   0.00   0.74     0.85     0.74NA   0.85 NA  0.10   0.84   0.95   0.84   0.95  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9407026Evaluation of wheezing                            A   0.60   0.16     0.15     0.16     0.15     0.03   0.79   0.78   0.79   0.78  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94150  Vital capacity test                               B+  0.07   0.47     0.48     0.47NA   0.48 NA  0.02   0.56   0.57   0.56   0.57  1XXX.00.00.0099999             38.0870 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             38.0870 010 99     0.00   0.00   0.00
9415026Vital capacity test                               B+  0.07   0.02     0.02     0.02     0.02     0.01   0.10   0.10   0.10   0.10  1XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
94200  Lung function test (MBC/MVV)                      A   0.11   0.47     0.51     0.47NA   0.51 NA  0.03   0.61   0.65   0.61   0.65  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94200TCLung function test (MBC/MVV)                      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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
94240  Residual lung capacity                            A   0.26   0.74     0.82     0.74NA   0.82 NA  0.06   1.06   1.14   1.06   1.14  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94240TCResidual lung capacity                            A   0.00   0.67     0.76     0.67NA   0.76 NA  0.05   0.72   0.81   0.72   0.81  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9424026Residual lung capacity                            A   0.26   0.07     0.06     0.07     0.06     0.01   0.34   0.33   0.34   0.33  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94250  Expired gas collection                            A   0.11   0.58     0.51     0.58NA   0.51 NA  0.02   0.71   0.64   0.71   0.64  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94250TCExpired gas collection                            A   0.00   0.55     0.48     0.55NA   0.48 NA  0.01   0.56   0.49   0.56   0.49  1XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
94260  Thoracic gas volume                               A   0.13   0.66     0.76     0.66NA   0.76 NA  0.05   0.84   0.94   0.84   0.94  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94260TCThoracic gas volume                               A   0.00   0.63     0.73     0.63NA   0.73 NA  0.04   0.67   0.77   0.67   0.77  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9426026Thoracic gas volume                               A   0.13   0.03     0.03     0.03     0.03     0.01   0.17   0.17   0.17   0.17  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94350  Lung nitrogen washout curve                       A   0.26   0.69     0.61     0.69NA   0.61 NA  0.05   1.00   0.92   1.00   0.92  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94350TCLung nitrogen washout curve                       A   0.00   0.62     0.55     0.62NA   0.55 NA  0.04   0.66   0.59   0.66   0.59  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9435026Lung nitrogen washout curve                       A   0.26   0.07     0.06     0.07     0.06     0.01   0.34   0.33   0.34   0.33  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94360  Measure airflow resistance                        A   0.26   0.82     0.95     0.82NA   0.95 NA  0.07   1.15   1.28   1.15   1.28  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94360TCMeasure airflow resistance                        A   0.00   0.75     0.89     0.75NA   0.89 NA  0.06   0.81   0.95   0.81   0.95  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9436026Measure airflow resistance                        A   0.26   0.07     0.06     0.07     0.06     0.01   0.34   0.33   0.34   0.33  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94370  Breath airway closing volume                      A   0.26   0.66     0.60     0.66NA   0.60 NA  0.03   0.95   0.89   0.95   0.89  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94370TCBreath airway closing volume                      A   0.00   0.59     0.53     0.59NA   0.53 NA  0.02   0.61   0.55   0.61   0.55  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9437026Breath airway closing volume                      A   0.26   0.07     0.07     0.07     0.07     0.01   0.34   0.34   0.34   0.34  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94375  Respiratory flow volume loop                      A   0.31   0.66     0.73     0.66NA   0.73 NA  0.03   1.00   1.07   1.00   1.07  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94375TCRespiratory flow volume loop                      A   0.00   0.58     0.65     0.58NA   0.65 NA  0.02   0.60   0.67   0.60   0.67  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9437526Respiratory flow volume loop                      A   0.31   0.08     0.08     0.08     0.08     0.01   0.40   0.40   0.40   0.40  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94400  CO2 breathing response curve                      A   0.40   0.94     1.03     0.94NA   1.03 NA  0.09   1.43   1.52   1.43   1.52  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94400TCCO2 breathing response curve                      A   0.00   0.83     0.93     0.83NA   0.93 NA  0.06   0.89   0.99   0.89   0.99  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9440026CO2 breathing response curve                      A   0.40   0.11     0.10     0.11     0.10     0.03   0.54   0.53   0.54   0.53  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94450  Hypoxia response curve                            A   0.40   0.92     1.01     0.92NA   1.01 NA  0.04   1.36   1.45   1.36   1.45  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94450TCHypoxia response curve                            A   0.00   0.82     0.92     0.82NA   0.92 NA  0.02   0.84   0.94   0.84   0.94  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9445026Hypoxia response curve                            A   0.40   0.10     0.09     0.10     0.09     0.02   0.52   0.51   0.52   0.51  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94452  Hast w/report                                     A   0.31   1.14     1.27     1.14NA   1.27 NA  0.04   1.49   1.62   1.49   1.62  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94452TCHast w/report                                     A   0.00   1.06     1.20     1.06NA   1.20 NA  0.02   1.08   1.22   1.08   1.22  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9445226Hast w/report                                     A   0.31   0.08     0.07     0.08     0.07     0.02   0.41   0.40   0.41   0.40  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94453  Hast w/oxygen titrate                             A   0.40   1.60     1.69     1.60NA   1.69 NA  0.04   2.04   2.13   2.04   2.13  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94453TCHast w/oxygen titrate                             A   0.00   1.49     1.59     1.49NA   1.59 NA  0.02   1.51   1.61   1.51   1.61  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9445326Hast w/oxygen titrate                             A   0.40   0.11     0.10     0.11     0.10     0.02   0.53   0.52   0.53   0.52  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94610  Surfactant admin thru tube                        A   1.16   0.34     0.34     0.34     0.34     0.26   1.76   1.76   1.76   1.76  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94620  Pulmonary stress test/simple                      A   0.64   1.64     0.79     1.64NA   0.79 NA  0.13   2.41   1.56   2.41   1.56  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94620TCPulmonary stress test/simple                      A   0.00   1.46     0.63     1.46NA   0.63 NA  0.10   1.56   0.73   1.56   0.73  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9462026Pulmonary stress test/simple                      A   0.64   0.18     0.16     0.18     0.16     0.03   0.85   0.83   0.85   0.83  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94621  Pulm stress test/complex                          A   1.42   2.69     3.18     2.69NA   3.18 NA  0.16   4.27   4.76   4.27   4.76  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94621TCPulm stress test/complex                          A   0.00   2.25     2.73     2.25NA   2.73 NA  0.10   2.35   2.83   2.35   2.83  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9462126Pulm stress test/complex                          A   1.42   0.44     0.45     0.44     0.45     0.06   1.92   1.93   1.92   1.93  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94640  Airway inhalation treatment                       A   0.00   0.34     0.38     0.34NA   0.38 NA  0.02   0.36   0.40   0.36   0.40  5XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
94644  Cbt, 1st hour                                     A   0.00   0.96     0.96     0.96NA   0.96 NA  0.02   0.98   0.98   0.98   0.98  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94645  Cbt, each addl hour                               A   0.00   0.35     0.35     0.35NA   0.35 NA  0.02   0.37   0.37   0.37   0.37  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94660  Pos airway pressure, CPAP                         A   0.76   0.73     0.81     0.21     0.19     0.04   1.53   1.61   1.01   0.99  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94662  Neg press ventilation, cnp                        A   0.76   0.21NA   0.20NA   0.21     0.20     0.03   1.00   0.99   1.00   0.99  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94664  Evaluate pt use of inhaler                        A   0.00   0.36     0.40     0.36NA   0.40 NA  0.04   0.40   0.44   0.40   0.44  5XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
94668  Chest wall manipulation                           A   0.00   0.48     0.51     0.48NA   0.51 NA  0.02   0.50   0.53   0.50   0.53  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94680  Exhaled air analysis, o2                          A   0.26   1.46     1.06     1.46NA   1.06 NA  0.07   1.79   1.39   1.79   1.39  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94680TCExhaled air analysis, o2                          A   0.00   1.39     1.00     1.39NA   1.00 NA  0.06   1.45   1.06   1.45   1.06  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9468026Exhaled air analysis, o2                          A   0.26   0.07     0.06     0.07     0.06     0.01   0.34   0.33   0.34   0.33  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94681  Exhaled air analysis, o2/co2                      A   0.20   1.79     1.07     1.79NA   1.07 NA  0.13   2.12   1.40   2.12   1.40  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94681TCExhaled air analysis, o2/co2                      A   0.00   1.74     1.02     1.74NA   1.02 NA  0.12   1.86   1.14   1.86   1.14  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9468126Exhaled air analysis, o2/co2                      A   0.20   0.05     0.05     0.05     0.05     0.01   0.26   0.26   0.26   0.26  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94690  Exhaled air analysis                              A   0.07   1.52     1.04     1.52NA   1.04 NA  0.05   1.64   1.16   1.64   1.16  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94690TCExhaled air analysis                              A   0.00   1.50     1.02     1.50NA   1.02 NA  0.04   1.54   1.06   1.54   1.06  1XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
94720  Monoxide diffusing capacity                       A   0.26   1.08     1.15     1.08NA   1.15 NA  0.07   1.41   1.48   1.41   1.48  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94720TCMonoxide diffusing capacity                       A   0.00   1.01     1.09     1.01NA   1.09 NA  0.06   1.07   1.15   1.07   1.15  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9472026Monoxide diffusing capacity                       A   0.26   0.07     0.06     0.07     0.06     0.01   0.34   0.33   0.34   0.33  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94725  Membrane diffusion capacity                       A   0.26   1.94     0.98     1.94NA   0.98 NA  0.13   2.33   1.37   2.33   1.37  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94725TCMembrane diffusion capacity                       A   0.00   1.87     0.91     1.87NA   0.91 NA  0.12   1.99   1.03   1.99   1.03  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9472526Membrane diffusion capacity                       A   0.26   0.07     0.07     0.07     0.07     0.01   0.34   0.34   0.34   0.34  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94750  Pulmonary compliance study                        A   0.23   1.55     1.77     1.55NA   1.77 NA  0.05   1.83   2.05   1.83   2.05  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94750TCPulmonary compliance study                        A   0.00   1.49     1.71     1.49NA   1.71 NA  0.04   1.53   1.75   1.53   1.75  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9475026Pulmonary compliance study                        A   0.23   0.06     0.06     0.06     0.06     0.01   0.30   0.30   0.30   0.30  1XXX.00.00.0000000             38.0870 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             38.0870 010 99     0.00   0.00   0.00
94761  Measure blood oxygen level                        T   0.00   0.09     0.11     0.09NA   0.11 NA  0.06   0.15   0.17   0.15   0.17  3XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
94762  Measure blood oxygen level                        A   0.00   0.66     0.84     0.66NA   0.84 NA  0.10   0.76   0.94   0.76   0.94  3XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
94770  Exhaled carbon dioxide test                       A   0.15   0.78     0.81     0.78NA   0.81 NA  0.08   1.01   1.04   1.01   1.04  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94770TCExhaled carbon dioxide test                       A   0.00   0.74     0.77     0.74NA   0.77 NA  0.07   0.81   0.84   0.81   0.84  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9477026Exhaled carbon dioxide test                       A   0.15   0.04     0.04     0.04     0.04     0.01   0.20   0.20   0.20   0.20  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
94772  Breath recording, infant                          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             38.0870 090 99     0.00   0.00   0.00
94772TCBreath recording, infant                          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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
94799  Pulmonary service/procedure                       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             38.0870 090 99     0.00   0.00   0.00
94799TCPulmonary service/procedure                       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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
95004  Percut allergy skin tests                         A   0.01   0.13     0.15     0.13NA   0.15 NA  0.01   0.15   0.17   0.15   0.17  0XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
95010  Percut allergy titrate test                       A   0.15   0.32     0.31     0.32NA   0.31 NA  0.01   0.48   0.47   0.48   0.47  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95012  Exhaled nitric oxide meas                         A   0.00   0.49     0.49     0.49NA   0.49 NA  0.01   0.50   0.50   0.50   0.50  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95015  Id allergy titrate-drug/bug                       A   0.15   0.18     0.21     0.18NA   0.21 NA  0.01   0.34   0.37   0.34   0.37  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95024  Id allergy test, drug/bug                         A   0.01   0.16     0.17     0.16NA   0.17 NA  0.01   0.18   0.19   0.18   0.19  0XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
95027  Id allergy titrate-airborne                       A   0.01   0.12     0.10     0.12NA   0.10 NA  0.01   0.14   0.12   0.14   0.12  0XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
95028  Id allergy test-delayed type                      A   0.00   0.27     0.31     0.27NA   0.31 NA  0.01   0.28   0.32   0.28   0.32  3XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
95044  Allergy patch tests                               A   0.00   0.18     0.15     0.18NA   0.15 NA  0.01   0.19   0.16   0.19   0.16  5XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
95052  Photo patch test                                  A   0.00   0.20     0.16     0.20NA   0.16 NA  0.01   0.21   0.17   0.21   0.17  5XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
95056  Photosensitivity tests                            A   0.00   0.71     1.25     0.71NA   1.25 NA  0.01   0.72   1.26   0.72   1.26  5XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
95060  Eye allergy tests                                 A   0.00   0.54     0.73     0.54     0.73     0.02   0.56   0.75   0.56   0.75  3XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
95065  Nose allergy test                                 A   0.00   0.45     0.70     0.45     0.70     0.01   0.46   0.71   0.46   0.71  3XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
95070  Bronchial allergy tests                           A   0.00   1.55     0.81     1.55NA   0.81 NA  0.02   1.57   0.83   1.57   0.83  3XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
95071  Bronchial allergy tests                           A   0.00   1.95     0.98     1.95NA   0.98 NA  0.02   1.97   1.00   1.97   1.00  3XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
95075  Ingestion challenge test                          A   0.95   0.75     0.68     0.32     0.26     0.03   1.73   1.66   1.30   1.24  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95115  Immunotherapy, one injection                      A   0.00   0.31     0.23     0.31NA   0.23 NA  0.02   0.33   0.25   0.33   0.25  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95117  Immunotherapy injections                          A   0.00   0.39     0.28     0.39NA   0.28 NA  0.02   0.41   0.30   0.41   0.30  5XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
95144  Antigen therapy services                          A   0.06   0.23     0.27     0.02     0.02     0.01   0.30   0.34   0.09   0.09  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95145  Antigen therapy services                          A   0.06   0.34     0.36     0.02     0.02     0.01   0.41   0.43   0.09   0.09  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95146  Antigen therapy services                          A   0.06   0.56     0.68     0.02     0.02     0.01   0.63   0.75   0.09   0.09  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95147  Antigen therapy services                          A   0.06   0.54     0.66     0.02     0.02     0.01   0.61   0.73   0.09   0.09  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95148  Antigen therapy services                          A   0.06   0.78     0.98     0.02     0.02     0.01   0.85   1.05   0.09   0.09  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95149  Antigen therapy services                          A   0.06   1.05     1.30     0.02     0.02     0.01   1.12   1.37   0.09   0.09  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95165  Antigen therapy services                          A   0.06   0.23     0.26     0.02     0.02     0.01   0.30   0.33   0.09   0.09  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95170  Antigen therapy services                          A   0.06   0.17     0.20     0.02     0.02     0.01   0.24   0.27   0.09   0.09  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95180  Rapid desensitization                             A   2.01   1.85     1.66     0.85     0.77     0.04   3.90   3.71   2.90   2.82  0XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
95250  Glucose monitoring, cont                          A   0.00   3.80     3.50     3.80NA   3.50 NA  0.01   3.81   3.51   3.81   3.51  3XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95251  Gluc monitor, cont, phys i&r                      A   0.85   0.22     0.26     0.22     0.26     0.02   1.09   1.13   1.09   1.13  2XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95805  Multiple sleep latency test                       A   1.88  12.14     7.02    12.14NA   7.02 NA  0.43  14.45   9.33  14.45   9.33  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95805TCMultiple sleep latency test                       A   0.00  11.56     6.51    11.56NA   6.51 NA  0.34  11.90   6.85  11.90   6.85  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9580526Multiple sleep latency test                       A   1.88   0.58     0.51     0.58     0.51     0.09   2.55   2.48   2.55   2.48  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95806  Sleep study, unattended                           A   1.66   3.64     3.93     3.64NA   3.93 NA  0.39   5.69   5.98   5.69   5.98  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95806TCSleep study, unattended                           A   0.00   3.13     3.46     3.13NA   3.46 NA  0.31   3.44   3.77   3.44   3.77  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9580626Sleep study, unattended                           A   1.66   0.51     0.47     0.51     0.47     0.08   2.25   2.21   2.25   2.21  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95807  Sleep study, attended                             A   1.66  12.08    12.31    12.08NA  12.31 NA  0.50  14.24  14.47  14.24  14.47  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95807TCSleep study, attended                             A   0.00  11.61    11.90    11.61NA  11.90 NA  0.42  12.03  12.32  12.03  12.32  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9580726Sleep study, attended                             A   1.66   0.47     0.41     0.47     0.41     0.08   2.21   2.15   2.21   2.15  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95808  Polysomnography, 1-3                              A   2.65  14.48    15.76    14.48NA  15.76 NA  0.55  17.68  18.96  17.68  18.96  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95808TCPolysomnography, 1-3                              A   0.00  13.67    15.06    13.67NA  15.06 NA  0.42  14.09  15.48  14.09  15.48  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9580826Polysomnography, 1-3                              A   2.65   0.81     0.70     0.81     0.70     0.13   3.59   3.48   3.59   3.48  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95810  Polysomnography, 4 or more                        A   3.52  17.60    17.70    17.60NA  17.70 NA  0.59  21.71  21.81  21.71  21.81  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95810TCPolysomnography, 4 or more                        A   0.00  16.56    16.80    16.56NA  16.80 NA  0.42  16.98  17.22  16.98  17.22  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9581026Polysomnography, 4 or more                        A   3.52   1.04     0.90     1.04     0.90     0.17   4.73   4.59   4.73   4.59  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95811  Polysomnography w/cpap                            A   3.79  19.45    19.70    19.45NA  19.70 NA  0.61  23.85  24.10  23.85  24.10  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95811TCPolysomnography w/cpap                            A   0.00  18.34    18.74    18.34NA  18.74 NA  0.43  18.77  19.17  18.77  19.17  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9581126Polysomnography w/cpap                            A   3.79   1.11     0.96     1.11     0.96     0.18   5.08   4.93   5.08   4.93  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95812  Eeg, 41-60 minutes                                A   1.08   4.97     5.90     4.97NA   5.90 NA  0.17   6.22   7.15   6.22   7.15  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95812TCEeg, 41-60 minutes                                A   0.00   4.59     5.60     4.59NA   5.60 NA  0.11   4.70   5.71   4.70   5.71  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9581226Eeg, 41-60 minutes                                A   1.08   0.38     0.30     0.38     0.30     0.06   1.52   1.44   1.52   1.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95813  Eeg, over 1 hour                                  A   1.73   5.77     6.52     5.77NA   6.52 NA  0.20   7.70   8.45   7.70   8.45  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95813TCEeg, over 1 hour                                  A   0.00   5.18     6.04     5.18NA   6.04 NA  0.11   5.29   6.15   5.29   6.15  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9581326Eeg, over 1 hour                                  A   1.73   0.59     0.48     0.59     0.48     0.09   2.41   2.30   2.41   2.30  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95816  Eeg, awake and drowsy                             A   1.08   4.49     5.28     4.49NA   5.28 NA  0.16   5.73   6.52   5.73   6.52  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95816TCEeg, awake and drowsy                             A   0.00   4.11     4.98     4.11NA   4.98 NA  0.10   4.21   5.08   4.21   5.08  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9581626Eeg, awake and drowsy                             A   1.08   0.38     0.30     0.38     0.30     0.06   1.52   1.44   1.52   1.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95819  Eeg, awake and asleep                             A   1.08   4.56     6.13     4.56NA   6.13 NA  0.16   5.80   7.37   5.80   7.37  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95819TCEeg, awake and asleep                             A   0.00   4.18     5.83     4.18NA   5.83 NA  0.10   4.28   5.93   4.28   5.93  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9581926Eeg, awake and asleep                             A   1.08   0.38     0.30     0.38     0.30     0.06   1.52   1.44   1.52   1.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95822  Eeg, coma or sleep only                           A   1.08   5.06     5.52     5.06NA   5.52 NA  0.19   6.33   6.79   6.33   6.79  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95822TCEeg, coma or sleep only                           A   0.00   4.68     5.22     4.68NA   5.22 NA  0.13   4.81   5.35   4.81   5.35  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9582226Eeg, coma or sleep only                           A   1.08   0.38     0.30     0.38     0.30     0.06   1.52   1.44   1.52   1.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95824  Eeg, cerebral death only                          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             38.0870 090 99     0.00   0.00   0.00
95824TCEeg, cerebral death only                          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             38.0870 010 99     0.00   0.00   0.00
9582426Eeg, cerebral death only                          A   0.74   0.26     0.21     0.26     0.21     0.04   1.04   0.99   1.04   0.99  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95827  Eeg, all night recording                          A   1.08   7.12    11.54     7.12NA  11.54 NA  0.19   8.39  12.81   8.39  12.81  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95827TCEeg, all night recording                          A   0.00   6.77    11.24     6.77NA  11.24 NA  0.14   6.91  11.38   6.91  11.38  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9582726Eeg, all night recording                          A   1.08   0.35     0.30     0.35     0.30     0.05   1.48   1.43   1.48   1.43  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95829  Surgery electrocorticogram                        A   6.20  27.90    24.77    27.90NA  24.77 NA  0.50  34.60  31.47  34.60  31.47  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95829TCSurgery electrocorticogram                        A   0.00  25.86    23.01    25.86NA  23.01 NA  0.02  25.88  23.03  25.88  23.03  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9582926Surgery electrocorticogram                        A   6.20   2.04     1.76     2.04     1.76     0.48   8.72   8.44   8.72   8.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95830  Insert electrodes for EEG                         A   1.70   3.13     2.97     0.57     0.41     0.11   4.94   4.78   2.38   2.22  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95831  Limb muscle testing, manual                       A   0.28   0.43     0.40     0.11     0.09     0.01   0.72   0.69   0.40   0.38  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95832  Hand muscle testing, manual                       A   0.29   0.35     0.37     0.11     0.10     0.02   0.66   0.68   0.42   0.41  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95833  Body muscle testing, manual                       A   0.47   0.54     0.50     0.18     0.14     0.02   1.03   0.99   0.67   0.63  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95834  Body muscle testing, manual                       A   0.60   0.58     0.54     0.23     0.17     0.03   1.21   1.17   0.86   0.80  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95851  Range of motion measurements                      A   0.16   0.31     0.26     0.06     0.04     0.01   0.48   0.43   0.23   0.21  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95852  Range of motion measurements                      A   0.11   0.25     0.24     0.04     0.04     0.01   0.37   0.36   0.16   0.16  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95857  Tensilon test                                     A   0.53   0.59     0.58     0.19     0.16     0.02   1.14   1.13   0.74   0.71  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95860  Muscle test, one limb                             A   0.96   1.29     1.16     1.29NA   1.16 NA  0.07   2.32   2.19   2.32   2.19  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95860TCMuscle test, one limb                             A   0.00   0.92     0.84     0.92NA   0.84 NA  0.02   0.94   0.86   0.94   0.86  1XXX.00.00.0000000             38.0870 6A0 99     0.00   0.00   0.00
9586026Muscle test, one limb                             A   0.96   0.37     0.32     0.37     0.32     0.05   1.38   1.33   1.38   1.33  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95861  Muscle test, 2 limbs                              A   1.54   1.53     1.66     1.53NA   1.66 NA  0.13   3.20   3.33   3.20   3.33  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95861TCMuscle test, 2 limbs                              A   0.00   0.94     1.15     0.94NA   1.15 NA  0.06   1.00   1.21   1.00   1.21  1XXX.00.00.0000000             38.0870 6A0 99     0.00   0.00   0.00
9586126Muscle test, 2 limbs                              A   1.54   0.59     0.51     0.59     0.51     0.07   2.20   2.12   2.20   2.12  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95863  Muscle test, 3 limbs                              A   1.87   1.82     1.92     1.82NA   1.92 NA  0.15   3.84   3.94   3.84   3.94  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95863TCMuscle test, 3 limbs                              A   0.00   1.14     1.35     1.14NA   1.35 NA  0.06   1.20   1.41   1.20   1.41  1XXX.00.00.0000000             38.0870 6A0 99     0.00   0.00   0.00
9586326Muscle test, 3 limbs                              A   1.87   0.68     0.57     0.68     0.57     0.09   2.64   2.53   2.64   2.53  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95864  Muscle test, 4 limbs                              A   1.99   2.40     2.14     2.40NA   2.14 NA  0.21   4.60   4.34   4.60   4.34  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95864TCMuscle test, 4 limbs                              A   0.00   1.66     1.53     1.66NA   1.53 NA  0.12   1.78   1.65   1.78   1.65  1XXX.00.00.0000000             38.0870 6A0 99     0.00   0.00   0.00
9586426Muscle test, 4 limbs                              A   1.99   0.74     0.61     0.74     0.61     0.09   2.82   2.69   2.82   2.69  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95865  Muscle test, larynx                               A   1.57   1.42     1.39     1.42NA   1.39 NA  0.11   3.10   3.07   3.10   3.07  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
95865TCMuscle test, larynx                               A   0.00   0.79     0.90     0.79NA   0.90 NA  0.03   0.82   0.93   0.82   0.93  1XXX.00.00.0002000             38.0870 6A0 99     0.00   0.00   0.00
9586526Muscle test, larynx                               A   1.57   0.63     0.49     0.63     0.49     0.08   2.28   2.14   2.28   2.14  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
95866  Muscle test, hemidiaphragm                        A   1.25   1.03     1.32     1.03NA   1.32 NA  0.10   2.38   2.67   2.38   2.67  1XXX.00.00.0001000             38.0870 090 99     0.00   0.00   0.00
95866TCMuscle test, hemidiaphragm                        A   0.00   0.56     0.93     0.56NA   0.93 NA  0.03   0.59   0.96   0.59   0.96  1XXX.00.00.0001000             38.0870 6A0 99     0.00   0.00   0.00
9586626Muscle test, hemidiaphragm                        A   1.25   0.47     0.39     0.47     0.39     0.07   1.79   1.71   1.79   1.71  1XXX.00.00.0001000             38.0870 090 99     0.00   0.00   0.00
95867  Muscle test cran nerv unilat                      A   0.79   1.04     1.15     1.04NA   1.15 NA  0.07   1.90   2.01   1.90   2.01  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95867TCMuscle test cran nerv unilat                      A   0.00   0.75     0.91     0.75NA   0.91 NA  0.04   0.79   0.95   0.79   0.95  1XXX.00.00.0000000             38.0870 6A0 99     0.00   0.00   0.00
9586726Muscle test cran nerv unilat                      A   0.79   0.29     0.24     0.29     0.24     0.03   1.11   1.06   1.11   1.06  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95868  Muscle test cran nerve bilat                      A   1.18   1.35     1.47     1.35NA   1.47 NA  0.10   2.63   2.75   2.63   2.75  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
95868TCMuscle test cran nerve bilat                      A   0.00   0.91     1.11     0.91NA   1.11 NA  0.05   0.96   1.16   0.96   1.16  1XXX.00.00.0002000             38.0870 6A0 99     0.00   0.00   0.00
9586826Muscle test cran nerve bilat                      A   1.18   0.44     0.36     0.44     0.36     0.05   1.67   1.59   1.67   1.59  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
95869  Muscle test, thor paraspinal                      A   0.37   0.70     1.03     0.70NA   1.03 NA  0.04   1.11   1.44   1.11   1.44  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95869TCMuscle test, thor paraspinal                      A   0.00   0.56     0.91     0.56NA   0.91 NA  0.02   0.58   0.93   0.58   0.93  1XXX.00.00.0000000             38.0870 6A0 99     0.00   0.00   0.00
9586926Muscle test, thor paraspinal                      A   0.37   0.14     0.12     0.14     0.12     0.02   0.53   0.51   0.53   0.51  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95870  Muscle test, nonparaspinal                        A   0.37   0.68     0.99     0.68NA   0.99 NA  0.04   1.09   1.40   1.09   1.40  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95870TCMuscle test, nonparaspinal                        A   0.00   0.54     0.87     0.54NA   0.87 NA  0.02   0.56   0.89   0.56   0.89  1XXX.00.00.0000000             38.0870 6A0 99     0.00   0.00   0.00
9587026Muscle test, nonparaspinal                        A   0.37   0.14     0.12     0.14     0.12     0.02   0.53   0.51   0.53   0.51  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95872  Muscle test, one fiber                            A   2.88   1.43     1.64     1.43NA   1.64 NA  0.13   4.44   4.65   4.44   4.65  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95872TCMuscle test, one fiber                            A   0.00   0.68     0.76     0.68NA   0.76 NA  0.05   0.73   0.81   0.73   0.81  1XXX.00.00.0000000             38.0870 660 99     0.00   0.00   0.00
9587226Muscle test, one fiber                            A   2.88   0.75     0.88     0.75     0.88     0.08   3.71   3.84   3.71   3.84  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95873  Guide nerv destr, elec stim                       A   0.37   0.69     1.02     0.69NA   1.02 NA  0.04   1.10   1.43   1.10   1.43  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95873TCGuide nerv destr, elec stim                       A   0.00   0.54     0.88     0.54NA   0.88 NA  0.02   0.56   0.90   0.56   0.90  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9587326Guide nerv destr, elec stim                       A   0.37   0.15     0.14     0.15     0.14     0.02   0.54   0.53   0.54   0.53  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95874  Guide nerv destr, needle emg                      A   0.37   0.67     0.95     0.67NA   0.95 NA  0.04   1.08   1.36   1.08   1.36  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95874TCGuide nerv destr, needle emg                      A   0.00   0.52     0.83     0.52NA   0.83 NA  0.02   0.54   0.85   0.54   0.85  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9587426Guide nerv destr, needle emg                      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             38.0870 090 99     0.00   0.00   0.00
95875  Limb exercise test                                A   1.10   1.46     1.48     1.46NA   1.48 NA  0.11   2.67   2.69   2.67   2.69  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95875TCLimb exercise test                                A   0.00   1.03     1.09     1.03NA   1.09 NA  0.06   1.09   1.15   1.09   1.15  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9587526Limb exercise test                                A   1.10   0.43     0.39     0.43     0.39     0.05   1.58   1.54   1.58   1.54  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95900  Motor nerve conduction test                       A   0.42   1.09     0.92     1.09NA   0.92 NA  0.04   1.55   1.38   1.55   1.38  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95900TCMotor nerve conduction test                       A   0.00   0.93     0.78     0.93NA   0.78 NA  0.02   0.95   0.80   0.95   0.80  1XXX.00.00.0000000             38.0870 7A0 99     0.00   0.00   0.00
9590026Motor nerve conduction test                       A   0.42   0.16     0.14     0.16     0.14     0.02   0.60   0.58   0.60   0.58  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95903  Motor nerve conduction test                       A   0.60   1.10     1.00     1.10NA   1.00 NA  0.05   1.75   1.65   1.75   1.65  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95903TCMotor nerve conduction test                       A   0.00   0.88     0.83     0.88NA   0.83 NA  0.02   0.90   0.85   0.90   0.85  1XXX.00.00.0000000             38.0870 7A0 99     0.00   0.00   0.00
9590326Motor nerve conduction test                       A   0.60   0.22     0.17     0.22     0.17     0.03   0.85   0.80   0.85   0.80  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95904  Sense nerve conduction test                       A   0.34   0.97     0.84     0.97NA   0.84 NA  0.04   1.35   1.22   1.35   1.22  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95904TCSense nerve conduction test                       A   0.00   0.84     0.74     0.84NA   0.74 NA  0.02   0.86   0.76   0.86   0.76  1XXX.00.00.0000000             38.0870 7A0 99     0.00   0.00   0.00
9590426Sense nerve conduction test                       A   0.34   0.13     0.10     0.13     0.10     0.02   0.49   0.46   0.49   0.46  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95920  Intraop nerve test add-on                         A   2.11   1.99     1.72     1.99NA   1.72 NA  0.23   4.33   4.06   4.33   4.06  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95920TCIntraop nerve test add-on                         A   0.00   1.21     1.10     1.21NA   1.10 NA  0.07   1.28   1.17   1.28   1.17  1ZZZ.00.00.0000000             38.0870 220 99     0.00   0.00   0.00
9592026Intraop nerve test add-on                         A   2.11   0.78     0.62     0.78     0.62     0.16   3.05   2.89   3.05   2.89  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95921  Autonomic nerv function test                      A   0.90   0.94     1.16     0.94NA   1.16 NA  0.06   1.90   2.12   1.90   2.12  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95921TCAutonomic nerv function test                      A   0.00   0.65     0.91     0.65NA   0.91 NA  0.02   0.67   0.93   0.67   0.93  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9592126Autonomic nerv function test                      A   0.90   0.29     0.25     0.29     0.25     0.04   1.23   1.19   1.23   1.19  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95922  Autonomic nerv function test                      A   0.96   1.19     1.61     1.19NA   1.61 NA  0.07   2.22   2.64   2.22   2.64  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95922TCAutonomic nerv function test                      A   0.00   0.86     1.35     0.86NA   1.35 NA  0.02   0.88   1.37   0.88   1.37  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9592226Autonomic nerv function test                      A   0.96   0.33     0.26     0.33     0.26     0.05   1.34   1.27   1.34   1.27  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95923  Autonomic nerv function test                      A   0.90   2.14     2.33     2.14NA   2.33 NA  0.07   3.11   3.30   3.11   3.30  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95923TCAutonomic nerv function test                      A   0.00   1.82     2.08     1.82NA   2.08 NA  0.02   1.84   2.10   1.84   2.10  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9592326Autonomic nerv function test                      A   0.90   0.32     0.25     0.32     0.25     0.05   1.27   1.20   1.27   1.20  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95925  Somatosensory testing                             A   0.54   2.10     3.07     2.10NA   3.07 NA  0.10   2.74   3.71   2.74   3.71  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
95925TCSomatosensory testing                             A   0.00   1.91     2.92     1.91NA   2.92 NA  0.06   1.97   2.98   1.97   2.98  1XXX.00.00.0002000             38.0870 210 99     0.00   0.00   0.00
9592526Somatosensory testing                             A   0.54   0.19     0.15     0.19     0.15     0.04   0.77   0.73   0.77   0.73  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
95926  Somatosensory testing                             A   0.54   2.07     3.00     2.07NA   3.00 NA  0.09   2.70   3.63   2.70   3.63  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
95926TCSomatosensory testing                             A   0.00   1.88     2.85     1.88NA   2.85 NA  0.06   1.94   2.91   1.94   2.91  1XXX.00.00.0002000             38.0870 210 99     0.00   0.00   0.00
9592626Somatosensory testing                             A   0.54   0.19     0.15     0.19     0.15     0.03   0.76   0.72   0.76   0.72  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
95927  Somatosensory testing                             A   0.54   2.15     3.13     2.15NA   3.13 NA  0.10   2.79   3.77   2.79   3.77  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95927TCSomatosensory testing                             A   0.00   1.94     2.97     1.94NA   2.97 NA  0.06   2.00   3.03   2.00   3.03  1XXX.00.00.0000000             38.0870 210 99     0.00   0.00   0.00
9592726Somatosensory testing                             A   0.54   0.21     0.16     0.21     0.16     0.04   0.79   0.74   0.79   0.74  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95928  C motor evoked, uppr limbs                        A   1.50   3.48     3.94     3.48NA   3.94 NA  0.09   5.07   5.53   5.07   5.53  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95928TCC motor evoked, uppr limbs                        A   0.00   2.94     3.50     2.94NA   3.50 NA  0.03   2.97   3.53   2.97   3.53  1XXX.00.00.0000000             38.0870 210 99     0.00   0.00   0.00
9592826C motor evoked, uppr limbs                        A   1.50   0.54     0.44     0.54     0.44     0.06   2.10   2.00   2.10   2.00  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95929  C motor evoked, lwr limbs                         A   1.50   3.74     4.26     3.74NA   4.26 NA  0.09   5.33   5.85   5.33   5.85  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95929TCC motor evoked, lwr limbs                         A   0.00   3.19     3.82     3.19NA   3.82 NA  0.03   3.22   3.85   3.22   3.85  1XXX.00.00.0000000             38.0870 210 99     0.00   0.00   0.00
9592926C motor evoked, lwr limbs                         A   1.50   0.55     0.44     0.55     0.44     0.06   2.11   2.00   2.11   2.00  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95930  Visual evoked potential test                      A   0.35   2.45     2.64     2.45NA   2.64 NA  0.03   2.83   3.02   2.83   3.02  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
95930TCVisual evoked potential test                      A   0.00   2.32     2.54     2.32NA   2.54 NA  0.01   2.33   2.55   2.33   2.55  1XXX.00.00.0002000             38.0870 210 99     0.00   0.00   0.00
9593026Visual evoked potential test                      A   0.35   0.13     0.10     0.13     0.10     0.02   0.50   0.47   0.50   0.47  1XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
95933  Blink reflex test                                 A   0.59   1.07     1.11     1.07NA   1.11 NA  0.10   1.76   1.80   1.76   1.80  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95933TCBlink reflex test                                 A   0.00   0.86     0.94     0.86NA   0.94 NA  0.06   0.92   1.00   0.92   1.00  1XXX.00.00.0000000             38.0870 7A0 99     0.00   0.00   0.00
9593326Blink reflex test                                 A   0.59   0.21     0.17     0.21     0.17     0.04   0.84   0.80   0.84   0.80  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95934  H-reflex test                                     A   0.51   0.64     0.85     0.64NA   0.85 NA  0.04   1.19   1.40   1.19   1.40  1XXX.00.00.0001000             38.0870 090 99     0.00   0.00   0.00
95934TCH-reflex test                                     A   0.00   0.45     0.70     0.45NA   0.70 NA  0.02   0.47   0.72   0.47   0.72  1XXX.00.00.0001000             38.0870 7A0 99     0.00   0.00   0.00
9593426H-reflex test                                     A   0.51   0.19     0.15     0.19     0.15     0.02   0.72   0.68   0.72   0.68  1XXX.00.00.0001000             38.0870 090 99     0.00   0.00   0.00
95936  H-reflex test                                     A   0.55   0.52     0.59     0.52NA   0.59 NA  0.05   1.12   1.19   1.12   1.19  1XXX.00.00.0001000             38.0870 090 99     0.00   0.00   0.00
95936TCH-reflex test                                     A   0.00   0.32     0.43     0.32NA   0.43 NA  0.02   0.34   0.45   0.34   0.45  1XXX.00.00.0001000             38.0870 7A0 99     0.00   0.00   0.00
9593626H-reflex test                                     A   0.55   0.20     0.16     0.20     0.16     0.03   0.78   0.74   0.78   0.74  1XXX.00.00.0001000             38.0870 090 99     0.00   0.00   0.00
95937  Neuromuscular junction test                       A   0.65   0.76     0.92     0.76NA   0.92 NA  0.10   1.51   1.67   1.51   1.67  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95937TCNeuromuscular junction test                       A   0.00   0.53     0.72     0.53NA   0.72 NA  0.02   0.55   0.74   0.55   0.74  1XXX.00.00.0000000             38.0870 7A0 99     0.00   0.00   0.00
9593726Neuromuscular junction test                       A   0.65   0.23     0.20     0.23     0.20     0.08   0.96   0.93   0.96   0.93  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95950  Ambulatory eeg monitoring                         A   1.51   4.43     4.93     4.43NA   4.93 NA  0.51   6.45   6.95   6.45   6.95  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95950TCAmbulatory eeg monitoring                         A   0.00   3.90     4.50     3.90NA   4.50 NA  0.43   4.33   4.93   4.33   4.93  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9595026Ambulatory eeg monitoring                         A   1.51   0.53     0.43     0.53     0.43     0.08   2.12   2.02   2.12   2.02  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95951  EEG monitoring/videorecord                        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             38.0870 090 99     0.00   0.00   0.00
95951TCEEG monitoring/videorecord                        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             38.0870 010 99     0.00   0.00   0.00
9595126EEG monitoring/videorecord                        A   5.99   2.12     1.68     2.12     1.68     0.32   8.43   7.99   8.43   7.99  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95953  EEG monitoring/computer                           A   3.30   7.43     7.22     7.43NA   7.22 NA  0.60  11.33  11.12  11.33  11.12  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95953TCEEG monitoring/computer                           A   0.00   6.32     6.29     6.32NA   6.29 NA  0.43   6.75   6.72   6.75   6.72  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9595326EEG monitoring/computer                           A   3.30   1.11     0.93     1.11     0.93     0.17   4.58   4.40   4.58   4.40  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95954  EEG monitoring/giving drugs                       A   2.45   4.30     4.38     4.30NA   4.38 NA  0.19   6.94   7.02   6.94   7.02  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95954TCEEG monitoring/giving drugs                       A   0.00   3.57     3.96     3.57NA   3.96 NA  0.06   3.63   4.02   3.63   4.02  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9595426EEG monitoring/giving drugs                       A   2.45   0.73     0.42     0.73     0.42     0.13   3.31   3.00   3.31   3.00  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95955  EEG during surgery                                A   1.01   2.54     2.76     2.54NA   2.76 NA  0.22   3.77   3.99   3.77   3.99  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95955TCEEG during surgery                                A   0.00   2.22     2.48     2.22NA   2.48 NA  0.17   2.39   2.65   2.39   2.65  1XXX.00.00.0000000             38.0870 020 99     0.00   0.00   0.00
9595526EEG during surgery                                A   1.01   0.32     0.28     0.32     0.28     0.05   1.38   1.34   1.38   1.34  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95956  Eeg monitoring, cable/radio                       A   3.08  15.86    16.30    15.86NA  16.30 NA  0.59  19.53  19.97  19.53  19.97  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95956TCEeg monitoring, cable/radio                       A   0.00  14.78    15.44    14.78NA  15.44 NA  0.43  15.21  15.87  15.21  15.87  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9595626Eeg monitoring, cable/radio                       A   3.08   1.08     0.86     1.08     0.86     0.16   4.32   4.10   4.32   4.10  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95957  EEG digital analysis                              A   1.98   4.20     5.85     4.20NA   5.85 NA  0.23   6.41   8.06   6.41   8.06  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95957TCEEG digital analysis                              A   0.00   3.50     5.30     3.50NA   5.30 NA  0.12   3.62   5.42   3.62   5.42  1XXX.00.00.0000000             38.0870 010 99     0.00   0.00   0.00
9595726EEG digital analysis                              A   1.98   0.70     0.55     0.70     0.55     0.11   2.79   2.64   2.79   2.64  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95958  EEG monitoring/function test                      A   4.24   5.10     6.70     5.10NA   6.70 NA  0.34   9.68  11.28   9.68  11.28  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95958TCEEG monitoring/function test                      A   0.00   3.61     5.47     3.61NA   5.47 NA  0.13   3.74   5.60   3.74   5.60  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9595826EEG monitoring/function test                      A   4.24   1.49     1.23     1.49     1.23     0.21   5.94   5.68   5.94   5.68  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95961  Electrode stimulation, brain                      A   2.97   2.84     3.05     2.84NA   3.05 NA  0.55   6.36   6.57   6.36   6.57  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95961TCElectrode stimulation, brain                      A   0.00   1.74     2.18     1.74NA   2.18 NA  0.07   1.81   2.25   1.81   2.25  1XXX.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9596126Electrode stimulation, brain                      A   2.97   1.10     0.87     1.10     0.87     0.48   4.55   4.32   4.55   4.32  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95962  Electrode stim, brain add-on                      A   3.21   2.45     2.21     2.45NA   2.21 NA  0.39   6.05   5.81   6.05   5.81  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95962TCElectrode stim, brain add-on                      A   0.00   1.30     1.30     1.30NA   1.30 NA  0.07   1.37   1.37   1.37   1.37  1ZZZ.00.00.0000000             38.0870 030 99     0.00   0.00   0.00
9596226Electrode stim, brain add-on                      A   3.21   1.15     0.91     1.15     0.91     0.32   4.68   4.44   4.68   4.44  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95965  Meg, spontaneous                                  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             38.0870 090 99     0.00   0.00   0.00
95965TCMeg, spontaneous                                  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             38.0870 090 99     0.00   0.00   0.00
9596526Meg, spontaneous                                  A   7.99   2.91     2.39     2.91     2.39     0.46  11.36  10.84  11.36  10.84  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95966  Meg, evoked, single                               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             38.0870 090 99     0.00   0.00   0.00
95966TCMeg, evoked, single                               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             38.0870 090 99     0.00   0.00   0.00
9596626Meg, evoked, single                               A   3.99   1.45     1.19     1.45     1.19     0.19   5.63   5.37   5.63   5.37  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95967  Meg, evoked, each addl                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95967TCMeg, evoked, each addl                           C   0.00   0.00     0.00     0.00NA   0.00 NA  0.00   0.00   0.00   0.00   0.00  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
9596726Meg, evoked, each addl                           A   3.49   1.09     1.01     1.09     1.01     0.16   4.74   4.66   4.74   4.66  1ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95970  Analyze neurostim, no prog                        A   0.45   0.87     0.90     0.13     0.13     0.03   1.35   1.38   0.61   0.61  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95971  Analyze neurostim, simple                         A   0.78   0.63     0.58     0.20     0.18     0.07   1.48   1.43   1.05   1.03  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95972  Analyze neurostim, complex                        A   1.50   1.18     1.15     0.46     0.44     0.14   2.82   2.79   2.10   2.08  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95973  Analyze neurostim, complex                        A   0.92   0.55     0.49     0.28     0.22     0.07   1.54   1.48   1.27   1.21  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95974  Cranial neurostim, complex                        A   3.00   1.57     1.44     1.04     0.78     0.16   4.73   4.60   4.20   3.94  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95975  Cranial neurostim, complex                        A   1.70   0.81     0.73     0.60     0.47     0.12   2.63   2.55   2.42   2.29  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95978  Analyze neurostim brain/1h                        A   3.50   1.90     1.86     1.16     1.02     0.18   5.58   5.54   4.84   4.70  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95979  Analyz neurostim brain addon                      A   1.64   0.80     0.72     0.58     0.46     0.08   2.52   2.44   2.30   2.18  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95980  Io anal gast  n-stim init                         A   0.80   0.25NA   0.25NA   0.25     0.25     0.07   1.12   1.12   1.12   1.12  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95981  Io anal gast n-stim subsq                         A   0.30   0.44     0.44     0.12     0.12     0.02   0.76   0.76   0.44   0.44  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95982  Io ga n-stim subsq w/reprog                       A   0.65   0.47     0.47     0.18     0.18     0.05   1.17   1.17   0.88   0.88  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95990  Spin/brain pump refil & main                      A   0.00   1.56     1.62     1.56NA   1.62 NA  0.06   1.62   1.68   1.62   1.68  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
95991  Spin/brain pump refil & main                      A   0.77   1.55     1.61     0.17     0.17     0.06   2.38   2.44   1.00   1.00  0XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
96000  Motion analysis, video/3d                         A   1.80   0.48NA   0.44NA   0.48     0.44     0.11   2.39   2.35   2.39   2.35  7XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
96001  Motion test w/ft press meas                       A   2.15   0.61NA   0.56NA   0.61     0.56     0.10   2.86   2.81   2.86   2.81  7XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
96002  Dynamic surface emg                               A   0.41   0.13NA   0.10NA   0.13     0.10     0.02   0.56   0.53   0.56   0.53  0XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
96003  Dynamic fine wire emg                             A   0.37   0.10NA   0.09NA   0.10     0.09     0.02   0.49   0.48   0.49   0.48  0XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
96004  Phys review of motion tests                       A   2.14   0.79     0.65     0.79     0.65     0.11   3.04   2.90   3.04   2.90  2XXX.00.00.0002000             38.0870 090 99     0.00   0.00   0.00
96020  Functional brain mapping                          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             38.0870 090 99     0.00   0.00   0.00
96020TCFunctional brain mapping                          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             38.0870 030 99     0.00   0.00   0.00
9602026Functional brain mapping                          A   3.43   1.07     1.07     1.07     1.07     0.17   4.67   4.67   4.67   4.67  1XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96040  Genetic counseling, 30 min                        B+  0.00   0.98     0.98     0.98NA   0.98 NA  0.01   0.99   0.99   0.99   0.99  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
96101  Psycho testing by psych/phys                      A   1.86   0.50     0.35     0.48     0.33     0.05   2.41   2.26   2.39   2.24  0XXX.00.00.0000000             38.0870 040 99     0.00   0.00   0.00
96102  Psycho testing by technician                      A   0.50   0.88     1.10     0.13     0.09     0.01   1.39   1.61   0.64   0.60  0XXX.00.00.0000000             38.0870 040 99     0.00   0.00   0.00
96103  Psycho testing admin by comp                      A   0.51   0.56     0.92     0.14     0.10     0.02   1.09   1.45   0.67   0.63  0XXX.00.00.0000000             38.0870 040 99     0.00   0.00   0.00
96105  Assessment of aphasia                             A   0.00   1.71     1.66     1.71NA   1.66 NA  0.18   1.89   1.84   1.89   1.84  0XXX.00.00.0000000             38.0870 040 99     0.00   0.00   0.00
96110  Developmental test, lim                           A   0.00   0.18     0.19     0.18NA   0.19 NA  0.18   0.36   0.37   0.36   0.37  5XXX.00.00.0000000             38.0870 040 99     0.00   0.00   0.00
96111  Developmental test, extend                        A   2.60   0.87     0.69     0.81     0.58     0.18   3.65   3.47   3.59   3.36  0XXX.00.00.0000000             38.0870 040 99     0.00   0.00   0.00
96116  Neurobehavioral status exam                       A   1.86   0.68     0.53     0.52     0.40     0.18   2.72   2.57   2.56   2.44  0XXX.00.00.0000000             38.0870 040 99     0.00   0.00   0.00
96118  Neuropsych tst by psych/phys                      A   1.86   1.11     0.84     0.48     0.33     0.18   3.15   2.88   2.52   2.37  0XXX.00.00.0000000             38.0870 040 99     0.00   0.00   0.00
96119  Neuropsych testing by tec                         A   0.55   1.27     1.53     0.14     0.10     0.18   2.00   2.26   0.87   0.83  0XXX.00.00.0000000             38.0870 040 99     0.00   0.00   0.00
96120  Neuropsych tst admin w/comp                       A   0.51   1.21     1.69     0.13     0.10     0.02   1.74   2.22   0.66   0.63  0XXX.00.00.0000000             38.0870 040 99     0.00   0.00   0.00
96125  Cognitive test by hc pro                          A   1.70   0.76     0.76     0.37     0.37     0.16   2.62   2.62   2.23   2.23  0XXX.00.00.0000000             38.0870 040 99     0.00   0.00   0.00
96150  Assess hlth/behave, init                          A   0.50   0.14     0.10     0.13     0.09     0.01   0.65   0.61   0.64   0.60  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96151  Assess hlth/behave, subseq                        A   0.48   0.14     0.10     0.13     0.09     0.01   0.63   0.59   0.62   0.58  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96152  Intervene hlth/behave, indiv                      A   0.46   0.13     0.09     0.12     0.08     0.01   0.60   0.56   0.59   0.55  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96153  Intervene hlth/behave, group                      A   0.10   0.03     0.02     0.02     0.02     0.01   0.14   0.13   0.13   0.13  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96154  Interv hlth/behav, fam w/pt                       A   0.45   0.13     0.09     0.12     0.08     0.01   0.59   0.55   0.58   0.54  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96155  Interv hlth/behav fam no pt                       N+  0.44   0.14     0.10     0.14     0.10     0.02   0.60   0.56   0.60   0.56  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
96401  Chemo, anti-neopl, sq/im                          A   0.21   1.51     1.86     1.51NA   1.86 NA  0.01   1.73   2.08   1.73   2.08  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96402  Chemo hormon antineopl sq/im                      A   0.19   0.89     0.78     0.89NA   0.78 NA  0.01   1.09   0.98   1.09   0.98  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96405  Chemo intralesional, up to 7                      A   0.52   3.06     3.69     0.24     0.24     0.03   3.61   4.24   0.79   0.79  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
96406  Chemo intralesional over 7                        A   0.80   3.31     3.62     0.31     0.32     0.03   4.14   4.45   1.14   1.15  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
96409  Chemo, iv push, sngl drug                         A   0.24   2.86     2.80     2.86NA   2.80 NA  0.06   3.16   3.10   3.16   3.10  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96411  Chemo, iv push, addl drug                         A   0.20   1.55     1.50     1.55NA   1.50 NA  0.06   1.81   1.76   1.81   1.76  5ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96413  Chemo, iv infusion, 1 hr                          A   0.28   3.91     3.64     3.91NA   3.64 NA  0.08   4.27   4.00   4.27   4.00  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96415  Chemo, iv infusion, addl hr                       A   0.19   0.71     0.66     0.71NA   0.66 NA  0.07   0.97   0.92   0.97   0.92  5ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96416  Chemo prolong infuse w/pump                       A   0.21   4.34     4.09     4.34NA   4.09 NA  0.08   4.63   4.38   4.63   4.38  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96417  Chemo iv infus each addl seq                      A   0.21   1.84     1.73     1.84NA   1.73 NA  0.07   2.12   2.01   2.12   2.01  5ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96420  Chemo, ia, push tecnique                          A   0.17   2.72     2.78     2.72NA   2.78 NA  0.08   2.97   3.03   2.97   3.03  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96422  Chemo ia infusion up to 1 hr                      A   0.17   4.66     4.50     4.66NA   4.50 NA  0.08   4.91   4.75   4.91   4.75  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96423  Chemo ia infuse each addl hr                      A   0.17   1.94     1.99     1.94NA   1.99 NA  0.02   2.13   2.18   2.13   2.18  5ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96425  Chemotherapy,infusion method                      A   0.17   4.57     4.67     4.57NA   4.67 NA  0.08   4.82   4.92   4.82   4.92  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96440  Chemotherapy, intracavitary                       A   2.37   6.84     5.56     1.10     0.98     0.17   9.38   8.10   3.64   3.52  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96445  Chemotherapy, intracavitary                       A   2.20   6.73     5.42     1.07     0.96     0.14   9.07   7.76   3.41   3.30  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96450  Chemotherapy, into CNS                            A   1.53   5.97     4.99     1.06     0.83     0.09   7.59   6.61   2.68   2.45  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96521  Refill/maint, portable pump                       A   0.21   3.46     3.16     3.46NA   3.16 NA  0.06   3.73   3.43   3.73   3.43  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96522  Refill/maint pump/resvr syst                      A   0.21   2.71     2.78     2.71NA   2.78 NA  0.06   2.98   3.05   2.98   3.05  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96523  Irrig drug delivery device                        T   0.04   0.67     0.64     0.67NA   0.64 NA  0.01   0.72   0.69   0.72   0.69  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96542  Chemotherapy injection                            A   0.75   3.90     3.56     0.49     0.32     0.07   4.72   4.38   1.31   1.14  0XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
96567  Photodynamic tx, skin                             A   0.00   2.85     3.74     2.85NA   3.74 NA  0.04   2.89   3.78   2.89   3.78  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96570  Photodynamic tx, 30 min                           A   1.10   0.38     0.40     0.38     0.40     0.11   1.59   1.61   1.59   1.61  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
96571  Photodynamic tx, addl 15 min                      A   0.55   0.19     0.19     0.19     0.19     0.03   0.77   0.77   0.77   0.77  0ZZZ.00.00.0000100             38.0870 090 99     0.00   0.00   0.00
96900  Ultraviolet light therapy                         A   0.00   0.50     0.57     0.50NA   0.57 NA  0.02   0.52   0.59   0.52   0.59  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96902  Trichogram                                        B+  0.41   0.15     0.11     0.13     0.09     0.01   0.57   0.53   0.55   0.51  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
96904  Whole body photography                            R   0.00   1.90     1.90     1.90NA   1.90 NA  0.01   1.91   1.91   1.91   1.91  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96910  Photochemotherapy with UV-B                       A   0.00   1.50     2.01     1.50NA   2.01 NA  0.04   1.54   2.05   1.54   2.05  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96912  Photochemotherapy with UV-A                       A   0.00   1.92     2.58     1.92NA   2.58 NA  0.05   1.97   2.63   1.97   2.63  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96913  Photochemotherapy, UV-A or B                      A   0.00   2.57     3.47     2.57NA   3.47 NA  0.10   2.67   3.57   2.67   3.57  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
96920  Laser tx, skin < 250 sq cm                        A   1.15   3.06     3.58     0.56     0.56     0.02   4.23   4.75   1.73   1.73  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
96921  Laser tx, skin 250-500 sq cm                      A   1.17   2.97     3.33     0.54     0.51     0.03   4.17   4.53   1.74   1.71  0000.00.00.0020100             38.0870 090 99     0.00   0.00   0.00
96922  Laser tx, skin > 500 sq cm                        A   2.10   4.06     4.64     0.83     1.04     0.04   6.20   6.78   2.97   3.18  0000.00.00.0020100             38.0870 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             38.0870 090 99     0.00   0.00   0.00
97001  Pt evaluation                                     A   1.20   0.70     0.65     0.70NA   0.65 NA  0.05   1.95   1.90   1.95   1.90  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97002  Pt re-evaluation                                  A   0.60   0.42     0.41     0.42NA   0.41 NA  0.02   1.04   1.03   1.04   1.03  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97003  Ot evaluation                                     A   1.20   0.82     0.76     0.82NA   0.76 NA  0.06   2.08   2.02   2.08   2.02  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97004  Ot re-evaluation                                  A   0.60   0.61     0.54     0.61NA   0.54 NA  0.02   1.23   1.16   1.23   1.16  7XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
97012  Mechanical traction therapy                       A   0.25   0.14     0.14     0.14NA   0.14 NA  0.01   0.40   0.40   0.40   0.40  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97014  Electric stimulation therapy                      I+  0.18   0.18     0.18     0.18NA   0.18 NA  0.01   0.37   0.37   0.37   0.37  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
97016  Vasopneumatic device therapy                      A   0.18   0.21     0.24     0.21NA   0.24 NA  0.01   0.40   0.43   0.40   0.43  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97018  Paraffin bath therapy                             A   0.06   0.13     0.17     0.13NA   0.17 NA  0.01   0.20   0.24   0.20   0.24  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97022  Whirlpool therapy                                 A   0.17   0.27     0.33     0.27NA   0.33 NA  0.01   0.45   0.51   0.45   0.51  7XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
97028  Ultraviolet therapy                               A   0.08   0.08     0.08     0.08NA   0.08 NA  0.01   0.17   0.17   0.17   0.17  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97032  Electrical stimulation                            A   0.25   0.18     0.20     0.18NA   0.20 NA  0.01   0.44   0.46   0.44   0.46  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97033  Electric current therapy                          A   0.26   0.36     0.44     0.36NA   0.44 NA  0.01   0.63   0.71   0.63   0.71  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97034  Contrast bath therapy                             A   0.21   0.17     0.20     0.17NA   0.20 NA  0.01   0.39   0.42   0.39   0.42  7XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
97036  Hydrotherapy                                      A   0.28   0.38     0.44     0.38NA   0.44 NA  0.01   0.67   0.73   0.67   0.73  7XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
97110  Therapeutic exercises                             A   0.45   0.29     0.32     0.29NA   0.32 NA  0.02   0.76   0.79   0.76   0.79  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97112  Neuromuscular reeducation                         A   0.45   0.33     0.34     0.33NA   0.34 NA  0.01   0.79   0.80   0.79   0.80  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97113  Aquatic therapy/exercises                         A   0.44   0.46     0.53     0.46NA   0.53 NA  0.01   0.91   0.98   0.91   0.98  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97116  Gait training therapy                             A   0.40   0.26     0.27     0.26NA   0.27 NA  0.01   0.67   0.68   0.67   0.68  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97124  Massage therapy                                   A   0.35   0.25     0.27     0.25NA   0.27 NA  0.01   0.61   0.63   0.61   0.63  7XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
97140  Manual therapy                                    A   0.43   0.27     0.29     0.27NA   0.29 NA  0.01   0.71   0.73   0.71   0.73  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97150  Group therapeutic procedures                      A   0.27   0.20     0.22     0.20NA   0.22 NA  0.01   0.48   0.50   0.48   0.50  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97530  Therapeutic activities                            A   0.44   0.35     0.38     0.35NA   0.38 NA  0.01   0.80   0.83   0.80   0.83  7XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
97535  Self care mngment training                        A   0.45   0.35     0.37     0.35NA   0.37 NA  0.01   0.81   0.83   0.81   0.83  7XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
97597  Active wound care/20 cm or <                      A   0.58   0.88     1.10     0.39     0.12     0.05   1.51   1.73   1.02   0.75  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97598  Active wound care > 20 cm                         A   0.80   1.03     1.27     0.48     0.17     0.05   1.88   2.12   1.33   1.02  0XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
97605  Neg press wound tx, < 50 cm                       A   0.55   0.37     0.40     0.17     0.11     0.02   0.94   0.97   0.74   0.68  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97606  Neg press wound tx, > 50 cm                       A   0.60   0.38     0.41     0.18     0.13     0.03   1.01   1.04   0.81   0.76  0XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
97755  Assistive technology assess                       A   0.62   0.28     0.27     0.28NA   0.27 NA  0.02   0.92   0.91   0.92   0.91  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97760  Orthotic mgmt and training                        A   0.45   0.38     0.42     0.38NA   0.42 NA  0.03   0.86   0.90   0.86   0.90  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97761  Prosthetic training                               A   0.45   0.30     0.33     0.30NA   0.33 NA  0.02   0.77   0.80   0.77   0.80  7XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97762  C/o for orthotic/prosth use                       A   0.25   0.58     0.73     0.58NA   0.73 NA  0.02   0.85   1.00   0.85   1.00  7XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
97802  Medical nutrition, indiv, in                      A   0.45   0.30     0.14     0.29     0.11     0.01   0.76   0.60   0.75   0.57  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97803  Med nutrition, indiv, subseq                      A   0.37   0.29     0.12     0.28     0.09     0.01   0.67   0.50   0.66   0.47  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97804  Medical nutrition, group                          A   0.25   0.13     0.08     0.12     0.07     0.01   0.39   0.34   0.38   0.33  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
97810  Acupunct w/o stimul 15 min                        N+  0.60   0.32     0.26     0.18     0.14     0.03   0.95   0.89   0.81   0.77  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
97811  Acupunct w/o stimul addl 15m                      N+  0.50   0.20     0.15     0.15     0.11     0.03   0.73   0.68   0.68   0.64  9ZZZ.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
97813  Acupunct w/stimul 15 min                          N+  0.65   0.33     0.27     0.20     0.15     0.03   1.01   0.95   0.88   0.83  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
97814  Acupunct w/stimul addl 15m                        N+  0.55   0.24     0.19     0.17     0.13     0.03   0.82   0.77   0.75   0.71  9ZZZ.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
98925  Osteopathic manipulation                          A   0.45   0.30     0.29     0.13     0.12     0.02   0.77   0.76   0.60   0.59  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
98926  Osteopathic manipulation                          A   0.65   0.39     0.37     0.21     0.17     0.03   1.07   1.05   0.89   0.85  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
98927  Osteopathic manipulation                          A   0.87   0.48     0.45     0.26     0.22     0.03   1.38   1.35   1.16   1.12  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
98928  Osteopathic manipulation                          A   1.03   0.55     0.51     0.30     0.26     0.04   1.62   1.58   1.37   1.33  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
98929  Osteopathic manipulation                          A   1.19   0.62     0.57     0.33     0.30     0.05   1.86   1.81   1.57   1.54  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
98940  Chiropractic manipulation                         A   0.45   0.22     0.21     0.12     0.12     0.01   0.68   0.67   0.58   0.58  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
98941  Chiropractic manipulation                         A   0.65   0.29     0.27     0.17     0.17     0.01   0.95   0.93   0.83   0.83  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
98942  Chiropractic manipulation                         A   0.87   0.35     0.33     0.23     0.24     0.02   1.24   1.22   1.12   1.13  0000.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
98943  Chiropractic manipulation                         N+  0.40   0.21     0.17     0.13     0.09     0.01   0.62   0.58   0.54   0.50  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
98960  Self-mgmt educ & train, 1 pt                      B+  0.00   0.58     0.58     0.58NA   0.58 NA  0.01   0.59   0.59   0.59   0.59  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
98961  Self-mgmt educ/train, 2-4 pt                      B+  0.00   0.28     0.28     0.28NA   0.28 NA  0.01   0.29   0.29   0.29   0.29  9XXX.00.00.0099999             38.0870 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             38.0870 090 99     0.00   0.00   0.00
98966  Hc pro phone call 5-10 min                        N+  0.25   0.09     0.09     0.06     0.06     0.01   0.35   0.35   0.32   0.32  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
98967  Hc pro phone call 11-20 min                       N+  0.50   0.14     0.14     0.11     0.11     0.02   0.66   0.66   0.63   0.63  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
98968  Hc pro phone call 21-30 min                       N+  0.75   0.20     0.20     0.17     0.17     0.03   0.98   0.98   0.95   0.95  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
98969  Online service by hc pro                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
99170  Anogenital exam, child                            A   1.75   1.80     1.83     0.58     0.61     0.08   3.63   3.66   2.41   2.44  0000.00.00.0020100             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
99174  Ocular photoscreening                             N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99175  Induction of vomiting                             A   0.00   0.87     0.36     0.87NA   0.36 NA  0.10   0.97   0.46   0.97   0.46  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99183  Hyperbaric oxygen therapy                         A   2.34   2.92     2.60     0.65     0.57     0.16   5.42   5.10   3.15   3.07  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99185  Regional hypothermia                              A   0.00   1.15     1.67     1.15NA   1.67 NA  0.04   1.19   1.71   1.19   1.71  5XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99186  Total body hypothermia                            A   0.00   1.71     1.63     1.71NA   1.63 NA  0.45   2.16   2.08   2.16   2.08  5XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
99195  Phlebotomy                                        A   0.00   1.50     2.56     1.50NA   2.56 NA  0.02   1.52   2.58   1.52   2.58  5XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
99201  Office/outpatient visit, new                      A   0.45   0.52     0.55     0.15     0.16     0.03   1.00   1.03   0.63   0.64  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99202  Office/outpatient visit, new                      A   0.88   0.81     0.84     0.30     0.29     0.05   1.74   1.77   1.23   1.22  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99203  Office/outpatient visit, new                      A   1.34   1.12     1.11     0.45     0.43     0.09   2.55   2.54   1.88   1.86  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99204  Office/outpatient visit, new                      A   2.30   1.49     1.49     0.71     0.71     0.12   3.91   3.91   3.13   3.13  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99205  Office/outpatient visit, new                      A   3.00   1.78     1.79     0.93     0.91     0.15   4.93   4.94   4.08   4.06  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99211  Office/outpatient visit, est                      A   0.17   0.36     0.32     0.06     0.06     0.01   0.54   0.50   0.24   0.24  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99212  Office/outpatient visit, est                      A   0.45   0.55     0.55     0.15     0.15     0.03   1.03   1.03   0.63   0.63  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99213  Office/outpatient visit, est                      A   0.92   0.73     0.76     0.26     0.28     0.03   1.68   1.71   1.21   1.23  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99214  Office/outpatient visit, est                      A   1.42   1.06     1.10     0.42     0.44     0.05   2.53   2.57   1.89   1.91  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99215  Office/outpatient visit, est                      A   2.00   1.35     1.38     0.63     0.61     0.08   3.43   3.46   2.71   2.69  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99217  Observation care discharge                        A   1.28   0.51NA   0.50NA   0.51     0.50     0.06   1.85   1.84   1.85   1.84  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99218  Observation care                                  A   1.28   0.41NA   0.38NA   0.41     0.38     0.06   1.75   1.72   1.75   1.72  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99219  Observation care                                  A   2.14   0.65NA   0.59NA   0.65     0.59     0.10   2.89   2.83   2.89   2.83  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99220  Observation care                                  A   2.99   0.93NA   0.84NA   0.93     0.84     0.14   4.06   3.97   4.06   3.97  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99221  Initial hospital care                             A   1.88   0.50NA   0.54NA   0.50     0.54     0.07   2.45   2.49   2.45   2.49  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99222  Initial hospital care                             A   2.56   0.72NA   0.71NA   0.72     0.71     0.10   3.38   3.37   3.38   3.37  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99223  Initial hospital care                             A   3.78   1.05NA   1.07NA   1.05     1.07     0.13   4.96   4.98   4.96   4.98  0XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
99232  Subsequent hospital care                          A   1.39   0.40NA   0.42NA   0.40     0.42     0.04   1.83   1.85   1.83   1.85  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99233  Subsequent hospital care                          A   2.00   0.56NA   0.59NA   0.56     0.59     0.06   2.62   2.65   2.62   2.65  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99234  Observ/hosp same date                             A   2.56   0.83NA   0.78NA   0.83     0.78     0.13   3.52   3.47   3.52   3.47  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99235  Observ/hosp same date                             A   3.41   1.07NA   0.98NA   1.07     0.98     0.16   4.64   4.55   4.64   4.55  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99236  Observ/hosp same date                             A   4.26   1.32NA   1.21NA   1.32     1.21     0.19   5.77   5.66   5.77   5.66  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99238  Hospital discharge day                            A   1.28   0.52NA   0.49NA   0.52     0.49     0.05   1.85   1.82   1.85   1.82  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99239  Hospital discharge day                            A   1.90   0.70NA   0.67NA   0.70     0.67     0.07   2.67   2.64   2.67   2.64  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99241  Office consultation                               A   0.64   0.65     0.66     0.22     0.22     0.05   1.34   1.35   0.91   0.91  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99242  Office consultation                               A   1.34   1.06     1.08     0.47     0.48     0.10   2.50   2.52   1.91   1.92  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99243  Office consultation                               A   1.88   1.42     1.45     0.65     0.67     0.13   3.43   3.46   2.66   2.68  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99244  Office consultation                               A   3.02   1.88     1.93     1.00     1.08     0.16   5.06   5.11   4.18   4.26  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99245  Office consultation                               A   3.77   2.27     2.26     1.27     1.31     0.21   6.25   6.24   5.25   5.29  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99251  Inpatient consultation                            A   1.00   0.27NA   0.31NA   0.27     0.31     0.05   1.32   1.36   1.32   1.36  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99252  Inpatient consultation                            A   1.50   0.50NA   0.49NA   0.50     0.49     0.09   2.09   2.08   2.09   2.08  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99253  Inpatient consultation                            A   2.27   0.74NA   0.80NA   0.74     0.80     0.11   3.12   3.18   3.12   3.18  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99254  Inpatient consultation                            A   3.29   1.08NA   1.19NA   1.08     1.19     0.13   4.50   4.61   4.50   4.61  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99255  Inpatient consultation                            A   4.00   1.37NA   1.39NA   1.37     1.39     0.18   5.55   5.57   5.55   5.57  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
99283  Emergency dept visit                              A   1.34   0.28NA   0.25NA   0.28     0.25     0.09   1.71   1.68   1.71   1.68  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99284  Emergency dept visit                              A   2.56   0.47NA   0.46NA   0.47     0.46     0.14   3.17   3.16   3.17   3.16  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99285  Emergency dept visit                              A   3.80   0.69NA   0.67NA   0.69     0.67     0.23   4.72   4.70   4.72   4.70  0XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
99289  Ped crit care transport                           A   4.79   1.26NA   1.08NA   1.26     1.08     0.24   6.29   6.11   6.29   6.11  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99290  Ped crit care transport addl                      A   2.40   0.85NA   0.89NA   0.85     0.89     0.12   3.37   3.41   3.37   3.41  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99291  Critical care, first hour                         A   4.50   2.42     2.26     1.19     1.10     0.21   7.13   6.97   5.90   5.81  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99292  Critical care, addl 30 min                       A   2.25   0.85     0.80     0.60     0.56     0.11   3.21   3.16   2.96   2.92  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99293  Ped critical care, initial                        A  15.98   4.27NA   3.78NA   4.27     3.78     1.12  21.37  20.88  21.37  20.88  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99294  Ped critical care, subseq                         A   7.99   2.03NA   1.65NA   2.03     1.65     0.45  10.47  10.09  10.47  10.09  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99295  Neonate crit care, initial                        A  18.46   4.97NA   4.57NA   4.97     4.57     1.16  24.59  24.19  24.59  24.19  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99296  Neonate critical care subseq                      A   7.99   2.30NA   2.06NA   2.30     2.06     0.32  10.61  10.37  10.61  10.37  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99298  Ic for lbw infant < 1500 gm                       A   2.75   0.80NA   0.68NA   0.80     0.68     0.17   3.72   3.60   3.72   3.60  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99299  Ic, lbw infant 1500-2500 gm                       A   2.50   0.72NA   0.58NA   0.72     0.58     0.16   3.38   3.24   3.38   3.24  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99300  Ic, infant pbw 2501-5000 gm                       A   2.40   0.77NA   0.71NA   0.77     0.71     0.15   3.32   3.26   3.32   3.26  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99304  Nursing facility care, init                       A   1.61   0.53     0.57     0.53     0.57     0.05   2.19   2.23   2.19   2.23  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99305  Nursing facility care, init                       A   2.30   0.68     0.74     0.68     0.74     0.07   3.05   3.11   3.05   3.11  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99306  Nursing facility care, init                       A   3.00   0.83     0.91     0.83     0.91     0.09   3.92   4.00   3.92   4.00  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99307  Nursing fac care, subseq                          A   0.76   0.29     0.31     0.29     0.31     0.03   1.08   1.10   1.08   1.10  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99308  Nursing fac care, subseq                          A   1.16   0.46     0.47     0.46     0.47     0.04   1.66   1.67   1.66   1.67  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99309  Nursing fac care, subseq                          A   1.55   0.61     0.61     0.61     0.61     0.06   2.22   2.22   2.22   2.22  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99310  Nursing fac care, subseq                          A   2.35   0.82     0.87     0.82     0.87     0.08   3.25   3.30   3.25   3.30  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99315  Nursing fac discharge day                         A   1.13   0.43     0.41     0.43     0.41     0.05   1.61   1.59   1.61   1.59  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99316  Nursing fac discharge day                         A   1.50   0.55     0.51     0.55     0.51     0.06   2.11   2.07   2.11   2.07  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99318  Annual nursing fac assessmnt                      A   1.71   0.53     0.56     0.53     0.56     0.05   2.29   2.32   2.29   2.32  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99324  Domicil/r-home visit new pat                      A   1.01   0.46     0.43     0.46NA   0.43 NA  0.05   1.52   1.49   1.52   1.49  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99325  Domicil/r-home visit new pat                      A   1.52   0.62     0.55     0.62NA   0.55 NA  0.07   2.21   2.14   2.21   2.14  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99326  Domicil/r-home visit new pat                      A   2.63   0.87     0.82     0.87NA   0.82 NA  0.10   3.60   3.55   3.60   3.55  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99327  Domicil/r-home visit new pat                      A   3.46   1.09     1.02     1.09NA   1.02 NA  0.13   4.68   4.61   4.68   4.61  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99328  Domicil/r-home visit new pat                      A   4.09   1.29     1.16     1.29NA   1.16 NA  0.16   5.54   5.41   5.54   5.41  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99334  Domicil/r-home visit est pat                      A   1.07   0.42     0.43     0.42NA   0.43 NA  0.04   1.53   1.54   1.53   1.54  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99335  Domicil/r-home visit est pat                      A   1.72   0.58     0.59     0.58NA   0.59 NA  0.06   2.36   2.37   2.36   2.37  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99336  Domicil/r-home visit est pat                      A   2.46   0.79     0.77     0.79NA   0.77 NA  0.09   3.34   3.32   3.34   3.32  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99337  Domicil/r-home visit est pat                      A   3.58   1.09     1.03     1.09NA   1.03 NA  0.13   4.80   4.74   4.80   4.74  0XXX.00.00.0000000             38.0870 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             38.0870 090 99     0.00   0.00   0.00
99340  Domicil/r-home care supervis                      B+  1.80   0.77     0.77     0.77NA   0.77 NA  0.07   2.64   2.64   2.64   2.64  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99341  Home visit, new patient                           A   1.01   0.45     0.43     0.45NA   0.43 NA  0.05   1.51   1.49   1.51   1.49  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99342  Home visit, new patient                           A   1.52   0.62     0.56     0.62NA   0.56 NA  0.07   2.21   2.15   2.21   2.15  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99343  Home visit, new patient                           A   2.53   0.88     0.82     0.88NA   0.82 NA  0.10   3.51   3.45   3.51   3.45  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99344  Home visit, new patient                           A   3.38   1.09     1.00     1.09NA   1.00 NA  0.13   4.60   4.51   4.60   4.51  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99345  Home visit, new patient                           A   4.09   1.29     1.15     1.29NA   1.15 NA  0.16   5.54   5.40   5.54   5.40  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99347  Home visit, est patient                           A   1.00   0.41     0.42     0.41NA   0.42 NA  0.04   1.45   1.46   1.45   1.46  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99348  Home visit, est patient                           A   1.56   0.57     0.56     0.57NA   0.56 NA  0.06   2.19   2.18   2.19   2.18  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99349  Home visit, est patient                           A   2.33   0.78     0.73     0.78NA   0.73 NA  0.09   3.20   3.15   3.20   3.15  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99350  Home visit, est patient                           A   3.28   1.07     0.96     1.07NA   0.96 NA  0.13   4.48   4.37   4.48   4.37  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99354  Prolonged service, office                         A   1.77   0.71     0.65     0.58     0.50     0.08   2.56   2.50   2.43   2.35  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99355  Prolonged service, office                         A   1.77   0.68     0.62     0.54     0.47     0.07   2.52   2.46   2.38   2.31  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99356  Prolonged service, inpatient                      A   1.71   0.56NA   0.50NA   0.56     0.50     0.07   2.34   2.28   2.34   2.28  0ZZZ.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99357  Prolonged service, inpatient                      A   1.71   0.56NA   0.50NA   0.56     0.50     0.08   2.35   2.29   2.35   2.29  0ZZZ.00.00.0000000             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
99360  Physician standby services                        X+  1.20   0.28     0.28     0.28     0.28     0.05   1.53   1.53   1.53   1.53  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99363  Anticoag mgmt, init                               B+  1.65   1.30     1.30     0.38     0.38     0.07   3.02   3.02   2.10   2.10  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99364  Anticoag mgmt, subseq                             B+  0.63   0.38     0.38     0.14     0.14     0.04   1.05   1.05   0.81   0.81  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99366  Team conf w/pat by hc pro                         B+  0.82   0.20     0.20     0.19     0.19     0.06   1.08   1.08   1.07   1.07  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99367  Team conf w/o pat by phys                         B+  1.10   0.25     0.25     0.25     0.25     0.05   1.40   1.40   1.40   1.40  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99368  Team conf w/o pat by hc pro                       B+  0.72   0.16     0.16     0.16     0.16     0.03   0.91   0.91   0.91   0.91  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99374  Home health care supervision                      B+  1.10   0.62     0.55     0.34     0.25     0.05   1.77   1.70   1.49   1.40  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99375  Home health care supervision                      I+  1.73   1.15     0.75     0.97     0.40     0.07   2.95   2.55   2.77   2.20  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99377  Hospice care supervision                          B+  1.10   0.62     0.55     0.34     0.25     0.05   1.77   1.70   1.49   1.40  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99378  Hospice care supervision                          I+  1.73   1.35     0.75     1.17     0.40     0.07   3.15   2.55   2.97   2.20  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99379  Nursing fac care supervision                      B+  1.10   0.62     0.55     0.34     0.25     0.04   1.76   1.69   1.48   1.39  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99380  Nursing fac care supervision                      B+  1.73   0.87     0.75     0.53     0.40     0.06   2.66   2.54   2.32   2.19  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99381  Init pm e/m, new pat, inf                         N+  1.19   1.25     1.00     0.36     0.27     0.05   2.49   2.24   1.60   1.51  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99382  Init pm e/m, new pat 1-4 yrs                      N+  1.36   1.29     1.04     0.42     0.31     0.05   2.70   2.45   1.83   1.72  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99383  Prev visit, new, age 5-11                         N+  1.36   1.25     1.03     0.42     0.31     0.05   2.66   2.44   1.83   1.72  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99384  Prev visit, new, age 12-17                        N+  1.53   1.31     1.07     0.47     0.35     0.06   2.90   2.66   2.06   1.94  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99385  Prev visit, new, age 18-39                        N+  1.53   1.31     1.07     0.47     0.35     0.06   2.90   2.66   2.06   1.94  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99386  Prev visit, new, age 40-64                        N+  1.88   1.45     1.15     0.58     0.43     0.07   3.40   3.10   2.53   2.38  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99387  Init pm e/m, new pat 65+ yrs                      N+  2.06   1.58     1.28     0.63     0.47     0.07   3.71   3.41   2.76   2.60  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99391  Per pm reeval, est pat, inf                       N+  1.02   0.94     0.86     0.31     0.24     0.04   2.00   1.92   1.37   1.30  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99392  Prev visit, est, age 1-4                          N+  1.19   1.00     0.90     0.36     0.27     0.05   2.24   2.14   1.60   1.51  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99393  Prev visit, est, age 5-11                         N+  1.19   0.98     0.90     0.36     0.27     0.05   2.22   2.14   1.60   1.51  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99394  Prev visit, est, age 12-17                        N+  1.36   1.03     0.93     0.42     0.31     0.05   2.44   2.34   1.83   1.72  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99395  Prev visit, est, age 18-39                        N+  1.36   1.05     0.94     0.42     0.31     0.05   2.46   2.35   1.83   1.72  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99396  Prev visit, est, age 40-64                        N+  1.53   1.11     0.98     0.47     0.35     0.06   2.70   2.57   2.06   1.94  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99397  Per pm reeval est pat 65+ yr                      N+  1.71   1.24     1.12     0.53     0.39     0.06   3.01   2.89   2.30   2.16  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99401  Preventive counseling, indiv                      N+  0.48   0.49     0.36     0.15     0.11     0.01   0.98   0.85   0.64   0.60  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99402  Preventive counseling, indiv                      N+  0.98   0.67     0.48     0.30     0.22     0.02   1.67   1.48   1.30   1.22  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99403  Preventive counseling, indiv                      N+  1.46   0.84     0.59     0.45     0.34     0.04   2.34   2.09   1.95   1.84  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99404  Preventive counseling, indiv                      N+  1.95   1.01     0.70     0.60     0.45     0.05   3.01   2.70   2.60   2.45  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99406  Behav chng smoking 3-10 min                       A   0.24   0.10     0.11     0.08     0.07     0.01   0.35   0.36   0.33   0.32  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99407  Behav chng smoking < 10 min                       A   0.50   0.18     0.18     0.15     0.13     0.01   0.69   0.69   0.66   0.64  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99408  Audit/dast, 15-30 min                             N+  0.65   0.19     0.19     0.15     0.15     0.01   0.85   0.85   0.81   0.81  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99409  Audit/dast, over 30 min                           N+  1.30   0.34     0.34     0.30     0.30     0.03   1.67   1.67   1.63   1.63  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99411  Preventive counseling, group                      N+  0.15   0.20     0.22     0.05     0.03     0.01   0.36   0.38   0.21   0.19  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99412  Preventive counseling, group                      N+  0.25   0.25     0.24     0.08     0.06     0.01   0.51   0.50   0.34   0.32  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
99431  Initial care, normal newborn                      A   1.17   0.32NA   0.27NA   0.32     0.27     0.05   1.54   1.49   1.54   1.49  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99432  Newborn care, not in hosp                         A   1.26   0.97     1.01     0.34     0.29     0.07   2.30   2.34   1.67   1.62  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99433  Normal newborn care/hospital                      A   0.62   0.19NA   0.17NA   0.19     0.17     0.02   0.83   0.81   0.83   0.81  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99435  Newborn discharge day hosp                        A   1.50   0.54NA   0.50NA   0.54     0.50     0.06   2.10   2.06   2.10   2.06  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99436  Attendance, birth                                 A   1.50   0.40NA   0.33NA   0.40     0.33     0.06   1.96   1.89   1.96   1.89  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99440  Newborn resuscitation                             A   2.93   0.80NA   0.67NA   0.80     0.67     0.12   3.85   3.72   3.85   3.72  0XXX.00.00.0000000             38.0870 090 99     0.00   0.00   0.00
99441  Phone e/m by phys 5-10 min                        N+  0.25   0.09     0.09     0.06     0.06     0.02   0.36   0.36   0.33   0.33  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99442  Phone e/m by phys 11-20 min                       N+  0.50   0.14     0.14     0.11     0.11     0.02   0.66   0.66   0.63   0.63  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99443  Phone e/m by phys 21-30 min                       N+  0.75   0.20     0.20     0.17     0.17     0.03   0.98   0.98   0.95   0.95  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99444  Online e/m by phys                                N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
99477  Init day hosp neonate care                        A   7.00   1.98     1.98     1.98     1.98     0.32   9.30   9.30   9.30   9.30  0XXX.00.00.0000000             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 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             38.0870 090 99     0.00   0.00   0.00
99605  Mtms by pharm, np, 15 min                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99606  Mtms by pharm, est, 15 min                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
99607  Mtms by pharm, addl 15 min                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             38.0870 090 99     0.00   0.00   0.00
